FiltersDone

Question type

Essay

Multiple Choice

Short Answer

True False

Matching

Exam 3: ICD-10-CM Outpatient Coding and Reporting Guidelines

Show Answer

Share

---

All types

Filters

Study Flashcards

Question 1

True/False

Review LaterAdd Note

Review Later

A patient is admitted to an observation unit for a medical condition that has worsened and is then admitted as an inpatient to the same hospital for the same medical condition.The primary diagnosis would be the medical condition that led to the admission.

A) True
B) False

Correct Answer

verified

Show Answer

Question 2

Multiple Choice

Review LaterAdd Note

Review Later

An established patient is seen for migraines and seizures, to rule out the possibility of a brain tumor.Identify the primary diagnosis(es) .____________________

A) Migraines
B) Seizures
C) all of the above
D) none of the above

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

Correct Answer

verified

Show Answer

Question 3

True/False

Review LaterAdd Note

Section IV of the Official Guidelines for Coding and Reporting applies to both the inpatient and outpatient settings.

Long-term (current) use of aspirin. ICD-10-CM Code: ___________________

An established patient is seen for management of diabetes and hypothyroidism and the physician spends equal time on each diagnosis.Identify the primary diagnosis(es) .____________________

In the outpatient setting, a diagnosis that is documented as "rule out" should not be reported.

Z codes may be assigned as first-listed or a secondary diagnosis.

Established patient seen for redness and sensitivity to light in her right eye.The documentation states the diagnosis is iritis.____________________

Code all the documented conditions that coexist at the time of an encounter/visit and require or affect patient care, treatment, or management.

Corneal ulcer with hypopyon of left eye. ICD-10-CM Code: ___________________

Screening colonoscopy for colon cancer. ICD-10-CM Code: ___________________

The term "primary diagnosis" is the same as the first-listed diagnosis.

Z codes cannot be used in the outpatient setting.

Screening for respiratory tuberculosis. ICD-10-CM Code: ___________________

Long-term (current) use of systemic steroids. ICD-10-CM Code: ___________________

A patient may have an unconfirmed diagnosis for more than three visits if a definitive diagnosis has not been stated by the physician in the medical documentation.

Patient admitted to observation following a highway accident in which he was the driver of the car that was struck by another car.No injuries indicated during this initial encounter. ICD-10-CM Codes: ____________________

When an encounter is for a therapeutic service, the first-listed code is the diagnosis, condition, or problem shown to be chiefly responsible for the therapeutic service.

Preoperative examination for a patient who will receive a renal transplant due to ESRD, currently on dialysis. ICD-10-CM Codes: ____________________

Established patient presents with chest pain.He has a history of previous myocardial infarction and coronary artery bypass surgery. ____________________