1.
ICD 10 was developed by the?
Correct Answer
A. World Health Organization
Explanation
The World Health Organization (WHO) initiated the development of ICD-10 codes. Subsequently, ICD-10-CM codes are curated and upheld by the CDC's National Center for Health Statistics, authorized by the WHO.
2.
Diagnosis coding under ICD 10 uses how many digits?
Correct Answer
B. 3 to 7
Explanation
The correct answer is 3 to 7. This is because diagnosis coding under ICD 10 can have a minimum of 3 digits and a maximum of 7 digits. The number of digits required depends on the level of specificity needed to accurately code a particular diagnosis. Some codes may only require 3 digits, while others may require additional digits to provide more detailed information about the diagnosis.
3.
The first digit of an ICD 10 diagnosis code is:
Correct Answer
B. Always a letter
Explanation
The first digit of an ICD 10 diagnosis code is always a letter. This is because the ICD 10 coding system uses a specific alphanumeric structure, where the first character is always a letter. This letter represents the category or chapter of the diagnosis, providing a broad classification for the condition. The subsequent characters in the code provide more specific information about the diagnosis, such as the etiology, anatomical location, severity, or other relevant details.
4.
A 34-year old received HIV Counseling from Dr. Shetty.
Which ICD Code should be selected for this encounter?
Correct Answer
D. Z71.7
Explanation
The correct answer is Z71.7. This code is used to indicate the encounter for counseling and advice on HIV. In this case, the 34-year old received HIV counseling from Dr. Shetty, so Z71.7 is the appropriate code to select for this encounter.
5.
Anand Sharma has diabetes. What is the correct ICD Code?
Correct Answer
B. E11.9
Explanation
The correct ICD code for Anand Sharma's diabetes is E11.9. This code is used for unspecified type 2 diabetes mellitus without complications. Since the question does not specify the type of diabetes Anand Sharma has, E11.9 is the most appropriate code to use.
6.
While swimming in a lake near his cabin, a man hit his head on a rock resulting in a concussion without loss of consciousness. What is the diagnosis coding used to report this injury?
Correct Answer
A. S06.0X0A
Explanation
The correct diagnosis coding used to report this injury is S06.0X0A. This code is used for traumatic brain injury with loss of consciousness of unspecified duration, initial encounter. In this scenario, the man hit his head on a rock and suffered a concussion, but there was no loss of consciousness. Therefore, the code S06.0X0A accurately represents the injury without loss of consciousness.
7.
Code the following :
Foreign body (meat) in larynx causing hypoxia
Correct Answer
A. T17.3
Explanation
The correct answer is T17.3 because it specifically refers to a foreign body in the larynx, which can cause a lack of oxygen supply (hypoxia) due to obstruction of the airway. The other options do not mention the larynx or a foreign body, making them incorrect choices.
8.
Code the following :
Patient suffered a subdural hemorrhage with 1.5 hours loss of consciousness
Correct Answer
B. S06.5
Explanation
The correct answer is S06.5. This code represents a traumatic subdural hemorrhage, which is a type of bleeding that occurs between the brain and the outermost covering of the brain. The patient in the given scenario experienced a loss of consciousness for 1.5 hours, which is indicative of a significant brain injury. Therefore, S06.5 is the appropriate code to assign in this case.
9.
What is the code assignment for a patient diagnosed with hypertension and chronic kidney disease?
Correct Answer
C. I12.9
Explanation
The correct answer is I12.9. Hypertension and chronic kidney disease often occur together, and I12.9 is the appropriate code assignment for this combination. The code I10 represents essential (primary) hypertension, N18.9 represents chronic kidney disease, and I24.9 represents other forms of acute ischemic heart disease. Therefore, I12.9 is the most accurate code for a patient diagnosed with hypertension and chronic kidney disease.
10.
Code the following :
Patient admitted for Chemotherapy for Breast Carcinoma.
Correct Answer
D. Z51.1
Explanation
The given answer, Z51.1, is the correct code for this scenario because it represents the encounter for chemotherapy. In medical coding, Z codes are used to indicate reasons for encounters that are not due to a disease or injury. Z51.1 specifically denotes encounter for antineoplastic chemotherapy, which is the treatment being provided to the patient for their breast carcinoma.
11.
Find the principal diagnosis in the below statement:
The patient admitted 40 weeks and delivers a single live-born infant. The delivery was complicated by a first-degree tear of the perineum.
Correct Answer
B. Perineal laceration during delivery
Explanation
The principal diagnosis in this statement is "Perineal laceration during delivery." This is because it is the main condition or injury that occurred during the delivery process. The statement mentions that the delivery was complicated by a first-degree tear of the perineum, indicating that this is the primary issue that needs to be addressed and treated. The other option, "Outcome of Delivery - Single Live Birth," is not the principal diagnosis as it is a general description of the outcome rather than a specific medical condition.
12.
Answer the following:
Combination codes are single code used to classify two diagnoses, or a diagnosis with an associated secondary process or associated.
Correct Answer
D. Complications
Explanation
Combination codes are used to classify two diagnoses or a diagnosis with an associated secondary process or associated complications. In this context, "complications" refers to the presence of additional medical issues or conditions that arise as a result of the primary diagnosis. These complications may require additional treatment or management. Therefore, "complications" is the most appropriate answer in this scenario as it aligns with the definition and purpose of combination codes.
13.
Secondary diabetes is ________________ caused by another condition or event.
Correct Answer
B. Always
Explanation
Secondary diabetes is always caused by another condition or event. This means that it is not a standalone condition, but rather a result of an underlying cause. Secondary diabetes can be caused by various factors such as certain medications, hormonal disorders, or diseases that affect the pancreas. In contrast, primary diabetes, also known as type 1 or type 2 diabetes, can occur without any specific trigger or underlying condition. Therefore, the correct answer is "Always" as secondary diabetes is always caused by another condition or event.
14.
Which of the following are included in the Mental and Behavioral Disorders section of ICD-10?
Correct Answer
C. Organic brain syndrome
Explanation
Organic brain syndrome is included in the Mental and Behavioral Disorders section of ICD-10. Organic brain syndrome refers to a group of mental disorders caused by physical damage or dysfunction of the brain, such as due to trauma, infection, or degenerative diseases. This condition is characterized by cognitive impairment, memory problems, confusion, and changes in behavior and personality. It is important to diagnose and treat organic brain syndrome as it can significantly impact a person's functioning and quality of life.
15.
What Code is assign for the following statement:
While learning to ride a bike, Manish hit a street pole.
Correct Answer
B. V17.0XXA
Explanation
The correct answer is V17.0XXA. This is because V17 represents the version of the code for the initial encounter, and 0XXA represents the placeholder for the specific injury or condition. In this case, since Manish hit a street pole while learning to ride a bike, the specific injury or condition is not specified, hence the placeholder 0XXA is used.
16.
What was the first use of an international classification system?
Correct Answer
D. To identify causes of death
Explanation
The first use of an international classification system was to identify causes of death. This system was developed to categorize and record the causes of death in a standardized manner, allowing for better understanding and analysis of mortality patterns globally. It has played a crucial role in public health and epidemiology, enabling researchers to track and monitor trends in causes of death, identify risk factors, and develop targeted interventions to improve population health.
17.
Name three uses of the ICD-10.
Correct Answer
D. Tracking infant deaths, planning a healthcare delivery system, and checking costs of healthcare in different areas
Explanation
The ICD-10 is used for tracking infant deaths, planning a healthcare delivery system, and checking costs of healthcare in different areas. This coding system allows for the collection of data on infant deaths, which can help identify patterns and trends in order to develop strategies for prevention. It also helps in planning healthcare delivery systems by providing information on the prevalence and distribution of diseases and conditions. Additionally, the ICD-10 allows for the comparison of healthcare costs in different areas, which can inform policy decisions and resource allocation.
18.
What code would be reported when a newborn is seen in the pediatrician’s office because of a white coating on the inside of the mouth? Physician documentation indicates a diagnosis of candidiasis.
Correct Answer
A. P37.5 Neonatal candidiasis
Explanation
The correct answer is P37.5 Neonatal candidiasis. This code is appropriate because it specifically identifies the condition as neonatal candidiasis, which matches the physician's documentation of a white coating on the inside of the mouth. The other options, B37.0 Candidal stomatitis and B37.9 Candidiasis, unspecified, do not specify that the condition is neonatal, which is important for accurate coding in this case.
19.
Find the correct code :
The patient is seen for a prenatal visit at 12 weeks. She states she is doing well. During the exam, a fetal heartbeat cannot be found.
Correct Answer
C. O02.1
Explanation
The correct answer is O02.1. This code is appropriate because it represents a missed abortion, which occurs when a fetus dies in utero but is not expelled. In this scenario, the absence of a fetal heartbeat during a prenatal visit suggests a missed abortion. The other options (Z38.1, O02.9, and O0.0) do not accurately reflect the situation described.
20.
Surgical aftercare codes:
Correct Answer
A. Are generally first listed and explain the reason for the encounter
Explanation
Surgical aftercare codes are generally first listed and explain the reason for the encounter. This means that when coding for surgical aftercare, the aftercare code should be listed before any other codes to indicate that the encounter is for the purpose of providing follow-up care after a surgical procedure. The aftercare code helps to explain the reason for the encounter and distinguishes it from the initial surgical procedure.