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When a diagnosis is not established at the first visit and follow-up visits are required before determining a primary diagnosis, what should the coder do?


A) Code the inconclusive diagnosis.
B) Code the working diagnosis.
C) Code the sequelae.
D) Code the signs and symptoms.

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If documentation in the medical record mentions a type or form of a condition that is not listed, the coder would code


A) unspecified.
B) other.
C) signs and symptoms.
D) unlisted.

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When the Tabular List has the instruction to "code first underlying disease," it means that the code selected would be


A) excluded.
B) listed first.
C) listed second.
D) listed either first or second because the instruction is for review only.

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According to CMS the correct code set to be used is based on


A) the admission date.
B) the payment date.
C) the date of service.
D) the billing date.

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ICD-10-CM diagnosis coding has as little as __________ and as many as __________ characters.


A) three; five
B) three; seven
C) one; five
D) one; seven

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When an established diagnosis has been determined, the coder must code


A) the established diagnosis and signs and symptoms.
B) the coexisting conditions only.
C) the established diagnosis.
D) the signs and symptoms only.

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The federal government has used ICD-10 to categorize what since 1999?


A) age statistics
B) government spending
C) morbidity data
D) mortality data

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In ICD-10-CM coding, which of the following is used to report an external cause of morbidity, the place of occurrence?


A) M codes
B) V and Y codes
C) Z codes
D) E codes

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A valid code in ICD-10-CM must have at least how many characters?


A) 7
B) 4
C) 5
D) 3

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When billing a Centers for Medicare and Medicaid Services (CMS) program, what will happen to a claim if the most specific code available is not used?


A) Claim will be paid at a lower rate.
B) Claim will not be processed.
C) Claim will be rejected.
D) Claim will be paid with a 10 percent penalty.

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In the Neoplasm Table, if the documentation states that the neoplasm has metastasized to an additional body site, this would be classified as


A) carcinoma in situ.
B) malignant secondary.
C) malignant primary.
D) uncertain behavior.

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In order to correctly code a disease or diagnosis you must first look in the __________ Index and then confirm in the __________ List.


A) ALPHABETIC; TABULAR
B) Neoplasm table; ALPHABETIC
C) Index to external causes; TABULAR
D) TABULAR; ALPHABETIC

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The terms acquired, congenital, and both eyes that may modify the main term in the diagnostic statement would be considered


A) default codes.
B) nonessential modifiers.
C) etiology codes.
D) subterms.

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The abbreviation NEC represents a code


A) that has a manifestation code also.
B) that is used when no other information is available.
C) that is used when a disease or condition cannot be found in any other category.
D) that is used for unspecified reasons.

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Turnover lines in ICD-10-CM coding are used


A) only for eponyms.
B) for subterms that help define the main term.
C) only when nonessential modifiers are used.
D) when the main term or subterm is too long to fit on one line.

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When a patient presents for outpatient surgery but surgery is not performed due to a contraindication, the reason for the surgery is coded as


A) the etiology and manifestation.
B) a combination code.
C) the second-listed diagnosis.
D) the first-listed diagnosis.

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The Alphabetic Index is also known as the


A) ICD-10-PCS Index to External Causes.
B) ICD-10-CM Neoplasm Table.
C) ICD-10-CM Index to Disease and Injuries.
D) ICD-10-PCS Index to Disease.

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When coding from the neoplasm table, the term primary refers to the condition as


A) a neoplasm that is considered non-invasive.
B) a slow-growing, benign tumor.
C) the main diagnosis.
D) the metastasized diagnosis.

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If a patient was diagnosed with a malignancy of the ovary, what range of codes would you look at to code the disease?


A) S
B) C
C) N
D) G

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The diseases and injuries located here are organized into chapters according to etiology, body system, or purpose.


A) Tabular List
B) Alphabetic Index
C) Hypertension Table
D) Neoplasm Table

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