Title: Module 9: Chapters 1, 2, 3, 7, 12
Course: Introduction to Coding and Classification Systems > Section: Module 9: Introduction to Diagnosis Coding ICD-10-CM

Q: ICD-10-CM was developed under the leadership of the ______________ as a replacement for volume 1 and 2 of ICD-9-CM (diagnosis codes).
- CMS
- NCHS
- AHIMA
A: NCHS

Q: ICD-10-CM consists of both diagnosis and procedure codes.
- True
- False
A: False

Q: ICD-10-CM provides 3-7 characters versus ICD-9-CMâ€™s 3-5 characters for code designations.
- True
- False
A: True

Q: All codes in ICD-10-CM are numeric and have no alpha characters.
- True
- False
A: False

Q: ICD-10-CM provides two Excludes notes: Excludes 1 and Excludes 2.
- True
- False
A: True

Q: ICD-10-CM utilizes a dummy place holder of ____________ to allow for future expansion to codes.
- y
- z
- x
A: x

Q: An ____________ note means and that the code excluded should never be used at the same time as the code stated above. Not Coded Here.
- Excludes 1
- Excludes 2
A: Excludes 1

Q: An ____________ note means that the condition excluded is not part of the condition represented by the code, but if both conditions are present then it is acceptable to both codes at the same time. Not Included Here.
- Excludes 1
- Excludes 2
A: Excludes 2

Q: Many of the coding conventions and punctuation provided in ICD-10-CM are the same as those provided in ICD-9-CM except for:
- See also
- Excludes notes
- NOS, not otherwise specified
A: Excludes notes

Q: According to the Uniform Hospital Discharge Data Set (UHDDS) and coding guidelines, when a symptom is followed by contrasting/comparative diagnosis, the symptom code is sequenced ___________.
- not coded
- first
- second
A: first

Q: The admitting diagnosis may be different from the principal diagnosis.
- True
- False
A: True

Q: A single code used to classify either two diagnoses, a diagnosis with an associated secondary process (manifestation), or a diagnosis with and associated complication is called a ____________________code.
- residual
- inclusive
- combination
A: combination

Q: Mandatory multiple coding is identified in the Alphabetic Index by the use of a second code listed in brackets. The first code identifies the ________________condition and the second code identifies the ____________.
- underlying, manifestation
- manifestation, underlying
- unspecified, manifestation
A: underlying, manifestation

Q: When a diagnosis for and inpatient admission is qualified as â€œ possibleâ€, â€œprobableâ€, â€œsuspectedâ€, or â€œquestionableâ€ or â€œrule outâ€ at the time of discharge the condition _______________be coded as established.
- should not
- Should
- is ignored
A: Should

Q: An exception to the above rule of unconfirmed diagnoses applies in cases of _________________
- HIV infections/illness and Avian flu, epilepsy.
- Cardiology conditions
- Obstetrics
A: HIV infections/illness and Avian flu, epilepsy.

Q: The guideline regarding unconfirmed diagnoses does not apply to coding or reporting for outpatient services.
- True
- False
A: True

Q: The patient is admitted to the hospital with severe generalized abdominal pain. The physician documents on discharge: abdominal pain, probably due to acute gastritis.
- K29.2
- K29.00
- K 29.01
A: K29.00

Q: A patient is seen in the outpatient clinic with malaise. The physicianâ€™s diagnostic statement is possible viral syndrome.
- R53.81
- R53.01
- R53.10
A: R53.81

Q: A late effects code is not used with a code for a current injury or illness of the same time, except for codes of sequelae of cerebrovascular disease.
- True
- False
A: True

Q: A patient with residual aphasia due to subdural hemorrhage two years ago who is admitted because of acute cerebral thrombosis would be assigned codes: I66.9, Occlusion and stenosis of unspecified cerebral artery, and I69.22 Aphasia following other not traumatic intracranial hemorrhage.
- T
- F
The answer is not identified
A: T

Q: Cicatricial contracture of left hand due to burn. Choose correct codes and sequence.
- T23.002S, L90.5
- L90.5, T23.002S
A: T23.002S, L90.5

Q: Z codes are used for factors influencing health status and contact with health services.
- True
- False
A: False

Q: Family history of polyps of the colon.
- Z83.71
- Z83.79
- Z86.010
A: Z83.71

Q: Which of the following types of Z codes are used when the initial treatment of a disease has been completed, but the patient requires continued care during the healing or recovery phase?
- Admission for follow-up examination
- Admission or encounter for aftercare management
- Admission for observation and evaluation
- Screening examinations
A: Admission or encounter for aftercare management

Q: A patient had carcinoma of the descending colon, which was resected one year prior to this outpatient encounter. Patient is now seen for colonoscopy to evaluate anastomosis and remaining colon. Colonoscopy showed a normal anastomosis and no evidence of cancer recurrence. Assign the appropriate diagnosis code(s) and sequence according to coding guidelines. Are these the correct diagnosis codes? Z08, Encounter for follow-up examination after completed treatment for malignant neoplasm Z85.038, Personal history of other malignant neoplasm of large intestine.
- True
- False
A: True