When patient record documentation provides detail for which a specific code does not exist in ICD-10-CM, the index entries contain the abbreviation NEC so that coders are alerted to classify such conditions as __________ codes in the tabular list.
a. etiology
b. manifestation
c. other and other specified
d. unspecified
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Q. 2) A patient is admitted with cervical spina bifida with hydrocephalus.
A. Q76.0 C. Q05.0
B. Q05 D. Q05.5
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Q. 3) Inclusion terms listed below codes in the ICD-10-CM tabular list are not meant to be exhaustive, and additional terms found only in the index may also be associated with a code. This concept is called __________.
a. code verification
b. medical necessity
c. physician query
d. trust the index
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Q. 4) A newborn infant is transferred to Community General Hospital for treatment of an esophageal
atresia. What codes should be reported for Community General Hospital?
A. Z38.00, Q39.0 C. Z38.00, Q39.1
B. Q39.0 D. Q39.1
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Q. 5) ICD-10-CM code M19.14 Post-traumatic osteoarthritis, hand contains an Excludes2 note for post-traumatic osteoarthritis of first carpometacarpal joint (M18.2-, M18.3-). The Excludes2note means that __________.
a. both codes can be assigned if the provider documented treatment of both conditions
b. just one of the codes is assigned because an Excludes2 note means pure excludes
c. neither code is assigned, and a physician query is generated to request clarification
d. patient record documentation must be modified to allow both codes to be assigned
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Q. 6) A newborn is born in the hospital vaginal delivery. Physical examination demonstrates molding
of the baby's scalp, which resolved prior to discharge without treatment.
A. Z38.00, Q82.9 C. Z38.00, L98.8
B. Z38.00, Q82.8 D. Z38.00
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Q. 7) Which means not included here and indicates that, although the excluded condition is not classified as part of the condition it is excluded from, a patient may be diagnosed with all conditions at the same time?
a. excludes1 note
b. excludes2 note
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Q. 8) A Newborn infant is born in the hospital vaginal delivery with a unilateral hard cleft palate and
cleft lip.
A. Q37.1, Z38.00 C. Z38.00, Q37.1
B. Q37.2, Z38.00 D. Z38.00, Q37.2
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Q. 9) ICD-10-CM code Q03 Congenital hydrocephalus contains an Excludes1 note for acquired hydrocephalus (G91.-). Thus, code G91.- __________.
a. can be reported with a category Q03 code due to interpretation of the Excludes1 note
b. may be reported with a code from category Q03 if documentation justifies both codes
c. is never reported with a code from category Q03 because of the Excludes1 note
d. results in coders submitting a physician query to request documentation clarification
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Q. 10) A patient was admitted for removal of internal pins from the left ankle. One month ago the
patient sustained a traumatic displaced bimalleolar fracture to the left ankle.
A. S82.842K C. S82.842S
B. S82.842D D. S84.842G
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