To what do the notes under a 3 character code apply? - ANSWER-All codes within that category
Which volume of the ICD-10 CM contains the tabular and alphabetic index of procedures? - ANSWER-
ICD-10 CM contains diagnoses only. Procedures are coded with ICD-10 PCS
What is the standard terminology used to codes medical procedures and services - ANSWER-CPT
What is the appropriate ICD-10 CM code for right cerebral contusion with 15 minute loss of
consciousness, initial encounter - ANSWER-S06.311A
A patient who had been treated 2 weeks previously for a miscarriage with sepsis is admitted now for
spotting. The sepsis is resolved and she is afebrile. She is treated with aspiration dilation & curettage and
products of conception are found. What is the principle diagnosis? - ANSWER-Miscarriage
An 80 year old female is admitted with fever, lethargy. hypotension, tachycardia, oliguria, and elevated
WBC. She has more than 100,000/cc of E.Coli in her urine. The attending physician documents
"urosepsis". How should the coder code this case? - ANSWER-Query the physician is the patient has
sepsis due to her symptomology
A patient is seen in the ER for chest pain. The final diagnosis is listed as "Rule out chest pain versus
GERD" What is the appropriate code? - ANSWER-R07.9 Chest pain, unspecified
A skin lesion is removed from a patients cheek in the office. The physician documents "skin lesion" but
before billing the pathology report returns with a diagnosis of basal cell carcinoma. How should the
coder proceed? - ANSWER-Code basal cell carcinoma
A patient is admitted with abdominal pain. The principle diagnosis is cholecystitis. The patient has a
history of hypertension and diabetes. Which condition would determine the MDC assignment in the DRG
system? - ANSWER-Cholecysitis
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