Title: Module 10: Chapters 13, 14, 15, and 16
Course: Introduction to Coding and Classification Systems > Section: Module 10: Similarities and Differences Between ICD-10-CM and ICD-9-CM

Q: An objective evidence of disease observed by the examining physician is called a _________________.
- Symptom
- Sign
- Diagnosis
A: Sign

Q: A subjective observation reported by the patient is called a ___________.
- Symptom
- Sign
- Diagnosis
A: Symptom

Q: Signs and symptoms ____________ assigned when the symptom or sign is integral to the underlying condition and they are implicit in the diagnosis or it is included in the condition code.
- True
- False
A: True

Q: Abdominal pain due to gastric ulcer: a symptom code ____________ assigned
- is
- is not
A: is not

Q: The patient is admitted with chest pain, originally thought to be angina-diagnostic studies support this diagnosis and physician's diagnosis is chest pain, probable costochondritis. The chest pain _______________ coded.
- is
- is not
A: is not

Q: Abnormal findings found in the medical record are _____________ assigned in the hospital inpatient admissions or care. Clarification must be obtained from the physician to code these findings if significant.
- rarely
- always
- ignored
A: rarely

Q: Generalized abdominal pain due to pancreatitis versus cholecystitis. Coding guideline.
- K85.9,
- R10.84, K85.9, K81.9
- K81.9
A: R10.84, K85.9, K81.9

Q: When coding infectious diseases, ICD-10-CM frequently provides combination codes that identify both the ________________ and the _______________.
- condition, manifestation
- condition, organism
- underlying, manifestation
A: condition, organism

Q: J15.212, Pneumonia due to Methicillin resistant Staphylococcus aureus would be considered a:
- general codea
- combination code
- unspecified code
A: combination code

Q: The coding of severe sepsis requires a minimum of _________ codes.
- one
- two
- three
A: two

Q: Pneumonia due to schistosomiasis.
- B56.9, J17
- J17, B56.6
- B56.9
A: B56.9, J17

Q: ______________ infection are secondary infection that are contracted as a result of medical treatment or develop during hospitalization.
- iatrogenic
- nosocomial
- inherent
A: nosocomial

Q: Pulmonary tuberculosis, infiltrative.
- A15.9
- A15.1
- A15.0
A: A15.0

Q: When the reason for admission is both sepsis (or severe sepsis) and a localized infection (e.g., pneumonia or cellulitis), which condition should be assigned as the principal or first-listed diagnosis?
- Sepsis or severe sepsis
- Localized infection
- Either sepsis or the localized infection; it doesn't matter.
- It depends on the circumstances of admission.
A: Sepsis or severe sepsis

Q: An HIV positive patient was admitted with a persistent cough with blood, chest pain, and fatigue. Clinical presentation and sputum cultures confirmed positive tubercle bacilli. The physician diagnosed HIV related tuberculosis, which was treated with anti-TB medications. Choose correct codes and sequence. Final diagnoses: (1) HIV positive status, (2) pulmonary tuberculosis
- B20, Human immunodeficiency virus [HIV] disease - A15.0, Tuberculosis of lung
- A15.0, Tuberculosis of lung - B20, Human immunodeficiency virus [HIV] disease
A: B20, Human immunodeficiency virus [HIV] disease - A15.0, Tuberculosis of lung

Q: How should an unconfirmed diagnosis of HIV infection be coded?
- It should be coded as if established based on the general guideline for "possible," "probable" conditions.
- It should not be coded as confirmed; this condition is an exception to the general guideline for "possible," "probable" conditions.
- It should always be coded as the principal diagnosis.
- It depends on the circumstances of admission.
A: It should not be coded as confirmed; this condition is an exception to the general guideline for "possible," "probable" conditions.

Q: Inconclusive HIV test.
- R75
- R78
- R75.5
A: R75

Q: The fact that a patient is receiving insulin __________indicate the patient diabetes is Type 1.
- does
- does not
A: does not

Q: The diabetes mellitus codes are combination codes that include:
- The type of diabetes, the body system affected, and whether the patient is on insulin.
- The type of diabetes, the body system affected, and the complication affecting the body system.
- The type of diabetes, the complication affecting the body system, and whether the patient is on insulin.
A: The type of diabetes, the body system affected, and the complication affecting the body system.

Q: Which of the following major types of diabetes is characterized by the body's failure to produce insulin at all, or by an absolute decrease in insulin production?
- Type 1
- Type 2
- Secondary diabetes
A: Type 1

Q: Secondary diabetes may be due to:
- Drug or chemical
- Infection
- Removal of pancreas
- All of the above
A: All of the above

Q: A 34-year old female at 24 weeks gestation was seen in follow-up due to findings of glycosuria. Her fasting venous plasma glucose is 143 mg/dl. Given this finding, the diagnosis of gestational diabetes mellitus is established. Family history reveals that both parents have diabetes mellitus. The patient was started on both dietary and insulin therapy. Final diagnoses: (1) Gestational diabetes mellitus, (2) pregnancy, (3) insulin maintenance, (4) family history of diabetes mellitus. Assign the appropriate codes.
- O24.414, Z83.3, Z3A.24
- Z83.3, Z3A.24, O24.414
A: O24.414, Z83.3, Z3A.24

Q: Although codes for mental disorders are provided in ICD-10-CM, psychiatrists often state diagnoses using different terminology found in:
- ICD-10-PCS
- DSM- IV-TR
- CPT
A: DSM- IV-TR

Q: Acute alcohol intoxication and dependence.
- F10.227
- F10.229
- F10.222
A: F10.229

Q: When the provider documentation refers to use, abuse, and dependence of the same substance, what is the coding hierarchy?
- Assign codes for the use and dependence.
- Assign only the code for dependence.
- Assign codes for the use, abuse, and dependence.
- Assign codes for the abuse and dependence.
A: Assign only the code for dependence.