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When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?


A) Code first
B) Use additional code
C) Both code first and use additional code
D) Excludes

E) B) and C)
F) All of the above

Correct Answer

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An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?


A) E43, I69.391
B) E46, E87.6, I69.391, R13.10
C) E46, R13.10
D) E46, I69.391

E) All of the above
F) A) and D)

Correct Answer

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The diagnostic statement "goiter, nodular nontoxic" would be coded as an unspecified nontoxic goiter, ICD-10 CM code E04.9, because the diagnosis does not describe the condition as diffuse, uninodular, multinodular, or other specified nontoxic goiter. This is an example of which abbreviation used in ICD?


A) NOS
B) CCI
C) MUE
D) NEC

E) A) and B)
F) None of the above

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A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :


A) E28.310
B) E28.39
C) E23.0, N95.8
D) N18.6, Z99.2

E) B) and D)
F) A) and D)

Correct Answer

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A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:


A) C40.21, Z51.11
B) Z51.11, C40.21
C) Z51.11, C40.20
D) C49.20, Z51.0

E) C) and D)
F) None of the above

Correct Answer

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A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:


A) D57.219, J99
B) D57.1, J96.00
C) D57.01, J96.90
D) D57.1, J99, J96.00

E) B) and D)
F) C) and D)

Correct Answer

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Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?


A) Reimbursement will be less.
B) Reimbursement will be more.
C) This is the law.
D) This ensures accurate coding.

E) All of the above
F) None of the above

Correct Answer

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The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:


A) Revenue cycle
B) Reimbursement cycle
C) Adjudication
D) Claim process

E) A) and B)
F) A) and D)

Correct Answer

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The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:


A) N18.2
B) B20, T37.5X5A, R63.4, E86.0
C) I12.9, Z49.31, N18.2
D) Z21, R63.4, E86.0

E) A) and C)
F) All of the above

Correct Answer

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A nonhealing burn should be coded as which type of burn?


A) Chronic burn
B) Late effect
C) Acute burn
D) Severe burn

E) A) and D)
F) A) and C)

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Identify the true statement concerning signs and symptoms:


A) A symptom is something that can be measured, such as a blood pressure reading.
B) Codes for both signs and symptoms must be used instead of codes for a diagnosis when a definitive diagnosis has not been documented; if the sign or symptom is inherent to or commonly a part of the definitive diagnosis, the sign or symptom is not coded in addition to the definitive diagnosis.
C) If the sign or symptom is inherent to or commonly a part of the definitive diagnosis, the sign or symptom is coded in addition to the definitive diagnosis.
D) Codes for signs and symptoms must be used instead of codes for a diagnosis when a definitive diagnosis has been documented.

E) A) and B)
F) A) and C)

Correct Answer

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When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?


A) Both code first and use additional code
B) Code first
C) Excludes
D) Use additional code

E) None of the above
F) B) and C)

Correct Answer

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What is a two-digit modifier used for in CPT coding?


A) Add-on codes
B) Code changes
C) Conscious sedation
D) Alteration of a procedure or service

E) A) and B)
F) A) and C)

Correct Answer

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Four people were seen in the ED. Which one will receive a diagnosis of poisoning? Patient A: digitalis toxicity Patient B: allergic reaction to contrast dye used for a CT exam Patient C: syncope after taking antihistamine with alcohol Patient D: reaction between two properly administered prescription drugs


A) Patient D
B) Patient C
C) Patient B
D) Patient A

E) B) and C)
F) A) and D)

Correct Answer

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A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :


A) E28.310
B) N18.6, Z99.2
C) E23.0, N95.8
D) E28.39

E) A) and B)
F) A) and C)

Correct Answer

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The patient is admitted for severe anemia due to chemotherapy treatments for metastatic bone cancer. The primary site is the prostate. What are the correct ICD-10-CM codes?


A) D64.81, C79.51
B) C79.51, D64.81
C) D64.81, C79.51, T45.1X5A
D) C41.9, D64.81

E) C) and D)
F) B) and C)

Correct Answer

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An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?


A) E46, R13.10
B) E46, I69.391
C) E43, I69.391
D) E46, E87.6, I69.391, R13.10

E) A) and D)
F) B) and C)

Correct Answer

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Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?


A) Reimbursement will be more.
B) Reimbursement will be less.
C) This ensures accurate coding.
D) This is the law.

E) All of the above
F) B) and D)

Correct Answer

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A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:


A) I13.0, Z49.32, N18.9
B) N18.6, Z99.2
C) N18.5, Z99.2
D) I12.9, Z49.31, N18.9

E) A) and B)
F) None of the above

Correct Answer

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A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:


A) D57.219, J99
B) D57.01, J96.90
C) D57.1, J96.00
D) D57.1, J99, J96.00

E) A) and B)
F) All of the above

Correct Answer

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