When both a confirmed diagnosis and an unrelated symptom are equally responsible for services provided:
a. always sequence the confirmed diagnosis.
b. always sequence the unrelated symptom first.
c. sequence either code first.
d. query the provider to ask which to sequence first.
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Q. 2) According to the OGCR, if the physician documents a symptom followed by two contrasting diagnoses, the coder should:
a. code just the two contrasting diagnoses.
b. sequence the symptom first, followed by any/all contrasting diagnoses.
c. query the provider to ask which of the contrasting diagnoses is the principal/first listed diagnosis.
d. code only the two contrasting diagnoses
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Q. 3) ICD-10-CM Chapter 18, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, NEC contains combination codes that identify both the definitive diagnosis and certain related symptoms. When using this type of combination code, the coder ___________ assign a code for the related symptom.
a. should
b. should not
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Q. 4) What should coders do when they encounter abnormal lab and clinical findings documented in an inpatient health record?
a. Automatically code and abstract all findings that are outside the normal range.
b. Always ask the provider which findings are significant.
c. They should code the information only if the provider documents their clinical significance.
d. Code and abstract only the abnormal labs.
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Q. 5) According to the ICD-10-CM OGCR (Official Guidelines for Coding and Reporting), an uncertain diagnosis that is documented at the time of discharge is coded as if it exists. This guideline applies:
a. only to the inpatient setting.
b. only to the outpatient setting.
c. both the inpatient and outpatient settings.
d. this is not a guideline.
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Q. 6) ICD-10-CM Chapter 18, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, NEC contains ill-defined conditions that do NOT fit anywhere else in ICD- 10-CM.
a. True
b. False
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Q. 7) When a diagnosis is ________, coders should not assign codes that are integral to the condition.
Fill in the blank with correct word.
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Q. 8) When coding a/an ________ in the inpatient setting, assign the usual code for the condition.
Fill in the blank with correct word.
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Q. 9) ________ are those that most patients with the condition experience.
Fill in the blank with correct word.
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Q. 10) Physicians may use the word ________ instead of diagnosis.
Fill in the blank with correct word.
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