ICD-10-CM provides codes to deal with encounters for circumstances other than a disease or an injury in the __________ chapter.
a. External Causes of Morbidity
b. Factors Influencing Health Status and Contact with Health Services
c. Injury, Poisoning, and External Causes
d. Symptoms, Signs, and Abnormal Findings
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Q. 2) Codes that describe symptoms and signs instead of __________ are acceptable for reporting purposes when the physician has not documented an established diagnosis or confirmed diagnosis.
a. definitive diagnoses
b. equipment supplied
c. procedures provided
d. surgeries performed
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Q. 3) For accurate reporting of ICD-10-CM diagnosis codes, documentation should describe the __________, using terminology that includes specific diagnoses as well as symptoms, problems, or reasons for the encounter.
a. equipment supplied
b. patient's condition
c. procedure performed
d. service provided
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Q. 4) Appropriate codes from the ICD-10-CM Tabular List of Diseases (A00.0 through T88.9, Z00-Z99) must be used to identify __________.
a. medical equipment
b. procedures performed
c. services provided
d. reasons for encounter
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Q. 5) A patient presents for outpatient surgery and develops a postoperative (postop) complication that requires admission for observation care. Which is reported as the first-listed diagnosis?
a. comorbid condition
b. operation performed
c. postop complication
d. reason for surgery
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Q. 6) When a patient is admitted for observation for a medical condition, assign a code for the __________ as the first-listed diagnosis.
a. comorbidity
b. complication
c. medical condition
d. observation care
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Q. 7) The patient presents for elective inguinal hernia repair (outpatient surgery). The surgery is canceled due to increased blood pressure upon administration of anesthesia. Which is reported as the first-listed diagnosis?
a. anesthesia administration
b. high blood pressure
c. inguinal hernia
d. repair of hernia
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Q. 8) An emergency department patient received treatment for an injury to the right arm, which upon x-ray revealed a closed displaced oblique fracture of the shaft of the right humerus. While receiving treatment for the fracture, the physician also medically managed the patient's chronic obstructive asthma. Which is reported as the first-listed diagnosis?
a. chronic obstructive asthma
b. closed displaced oblique fracture
c. fracture treatment
d. injury to the right arm
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Q. 9) In the outpatient setting, the diagnosis, condition, problem, or other reason for encounter/visit that is documented in the patient record as being chiefly responsible for the services provided is called the __________ diagnosis.
a. comorbid
b. first-listed
c. primary
d. principal
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Q. 10) The Diagnostic Coding and Reporting Guidelines for Outpatient Services: Hospital-Based and Physician Office were __________.
a. developed by the federal government and approved for use by hospitals and providers
b. implemented by third-party administrators for use by all types of health care facilities
c. mandated by individual state programs and adopted by private insurance companies
d. unfunded as a result of the Health Insurance Portability and Accountability Act of 1996
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