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1. A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion - Correct Answer: b. Colostrum
2. A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis - Correct Answer: a. Thyrotoxicosis
3. What do the instructions and conventions of the classification take precedence
over?
a. CPT
,b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction. - Correct
Answer: c. Official Coding Guidelines
4. What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and the late
effect code
b. The cause of the late effect is coded first and the residual condition is coded
second
c. The cause of the late effect is coded first; the residual condition is second
followed by the symptoms
d. The residual condition is coded first, and the code(s)for the cause of the late
effect are coded as secondary - Correct Answer: d. The residual condition is
coded first, and the code(s)for the cause of the late effect are coded as secondary
5. Using the ICD-10-CM Alphabetic Index, which main term below has an
instructional note indicating another main term may also be referenced that may
provide additional Alphabetic Index entries that may be useful?
a. Diabetes
b. Fibrosarcoma
c. Appendicitis
d. Symptoms - Correct Answer: b. Fibrosarcoma
,6. A 50-year-old female presents to her provider with symptoms of insomnia and
upset stomach. The provider suspects she is premenopausal. She is diagnosed
with impending menopause. What diagnosis code(s) should be reported?
a. E28.319
b. G47.00, K30
c. N95.9, G47.00, K30
d. N95.9 - Correct Answer: b. G47.00, K30
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10-CM
Alphabetic Index to determine if the condition has a subentry for impending or
threatened and also reference main term entries for Impending and Threatened. If
the subterms are listed, assign the given code. If the subterms are not listed, code
the existing underlying condition(s) and not the condition described as impending
or threatened. Look in the Alphabetic Index for Impending. There is not a subterm
for menopause; therefore, the symptoms are coded. Look for Insomnia (organic)
which directs the coder to G47.00. Next, look for Upset/stomach which directs the
coder to K30. Verify code selection in the Tabular List.
7. What is the ICD-10-CM code for a laceration on the left shoulder, subsequent
encounter?
a. S51.009D
b. S46.001D
c. S51.801D
d. S41.012D - Correct Answer: d. S41.012D
8. According to ICD-10-CM guidelines, when a patient is seen for management of
anemia due to malignancy, how is it reported?
, a. Anemia is reported first, followed by the code for the malignancy
b. The malignancy is the only condition reported
c. Anemia is the only condition reported
d. The malignancy is reported first, followed by the code for the anemia -
Correct Answer: d. The malignancy is reported first, followed by the code for the
anemia
9. A 23-year-old patient presents to the emergency department (ED) with a cut on
his leg. He is a confirmed AIDS patient as documented in the record. What ICD-10-
CM codes should be reported?
a. S81.819a, Z71.7
b. S81.819a, Z11.4
c. S81.819A, B20
d. S819A, R75 - Correct Answer: c. S81.819A, B20
10. A 50-year-old patient has a mass removed from his chest. The surgeon sends it
to pathology. The pathology report indicates the mass is a benign tumor. What
ICD-10-CM code is reported?
a. D49.2
b. C49.3
c. C79.89
d. D36.7 - Correct Answer: d. D36.7