CHAPTER 4 REVIEW EXAM WITH QUESTIONS AND ANSWERS (100% SOLVED)
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - ✔✔✔–J12.0
Rationale: In the ICD-10-CM Alphabetic Index look for Pneumonia/adenoviral and you are
directed to code J12.0. Verification in the Tabular List confirms code selection.
What does the 4 th character in diabetes mellitus diabetes codes indicate? - ✔✔✔–Any
complication associated with diabetes.
Rationale: The 4 th character in diabetes mellitus codes indicates the complication associated
with diabetes. For example, subcategory code E10.2 indicates a person that has renal (kidney)
complications due to diabetes.
When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM? - ✔✔✔–The dependence on tobacco is the only
code reported based on the hierarchy in the ICD-10-CM guidelines.
Rationale: In ICD-10-CM guideline I.C.5.b.2, there are codes for use, abuse, and dependence.
Only one code is assigned to identify the pattern of use. This is based on the following hierarchy,
listed in order of priority: dependence, abuse, use. If the documentation shows both use and
dependence, only dependence is reported.
In ICD-10-CM what condition is reported as the default code when the provider documents
urosepsis? - ✔✔✔–The provider must be queried before an ICD-10-CM code can be applied.
Rationale: ICD-10-CM guideline I.C.1.d.1.a.(ii) indicates urosepsis is a nonspecific term. It is not
to be considered synonymous with sepsis. Urosepsis does not have a default code. If the
provider documents urosepsis without additional information, the provider must be queried
before an ICD-10-CM code can be applied.
According to ICD-10-CM guidelines, when a patient is seen for management of anemia due to
malignancy, how is it reported? - ✔✔✔–The malignancy is reported first, followed by the code
for the anemia.
Rationale: ICD-10-CM guideline I.C.2.c.1, when the patient is being seen for management of the
anemia associated with malignancy, the code for the malignancy is reported first, followed by
the appropriate code for the anemia (for example D63.0 Anemia in neoplastic disease).
, CHAPTER 4 REVIEW EXAM WITH QUESTIONS AND ANSWERS (100% SOLVED)
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? -
✔✔✔–D36.7
Rationale: In the ICD-10-CM Alphabetic Index, in the Table of Neoplasms, look for Chest (wall)
NEC and report the code from the benign column, D36.7. Verify code selection in the Tabular
List.
A confirmed HIV positive patient who presents to the clinic for a medication refill for a condition
not related to his HIV. What ICD-10-CM codes are reported? - ✔✔✔–Z76.0, Z21
Rationale: Per ICD-10-CM guideline I.C.1.a.2.d, Z21 Asymptomatic human immunodeficiency
virus (HIV) infection, is to be applied when the patient without any documentation of symptoms
is listed as being HIV positive, known HIV, HIV test positive, or similar terminology. In the ICD-
10-CM Alphabetic Index look for HIV/positive, seropositive guiding you to code Z21. The code
can also be found by looking in the Alphabetic Index for Human/immunodeficiency virus (HIV)
disease/asymptomatic status. For medication refill look in the Alphabetic Index for Issue
of/repeat prescription (appliance) (glasses) (medicinal substance, medicament, medicine) Z76.0.
Because the main reason for the visit is for a medication refill unrelated to his HIV, the HIV code
is not sequenced first. Verify code selection in the Tabular List.
A 23 year-old patient presents to the Emergency Department 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? - ✔✔✔–S81.819A, B20
Rationale: Per ICD-10-CM guideline I.C.1.a.2.b, if a patient with HIV disease is admitted for an
unrelated condition (such as a traumatic injury), the code for the unrelated condition is the
principal diagnosis. In the ICD-10-CM Alphabetic Index, look for Laceration/leg (lower) referring
you to S81.819-. Because this is an ED visit, it is considered an initial encounter. In the Tabular
List, 7 th character A is reported for the initial encounter. AIDS is reported as the secondary
diagnosis. Look in the Alphabetic Index for AIDS referring you to B20. Verify code selections in
the Tabular List.
A 45 year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver
cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is
created just under the skin and the pump is placed in the pocket. A catheter is attached to the
pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - ✔✔✔–J12.0
Rationale: In the ICD-10-CM Alphabetic Index look for Pneumonia/adenoviral and you are
directed to code J12.0. Verification in the Tabular List confirms code selection.
What does the 4 th character in diabetes mellitus diabetes codes indicate? - ✔✔✔–Any
complication associated with diabetes.
Rationale: The 4 th character in diabetes mellitus codes indicates the complication associated
with diabetes. For example, subcategory code E10.2 indicates a person that has renal (kidney)
complications due to diabetes.
When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM? - ✔✔✔–The dependence on tobacco is the only
code reported based on the hierarchy in the ICD-10-CM guidelines.
Rationale: In ICD-10-CM guideline I.C.5.b.2, there are codes for use, abuse, and dependence.
Only one code is assigned to identify the pattern of use. This is based on the following hierarchy,
listed in order of priority: dependence, abuse, use. If the documentation shows both use and
dependence, only dependence is reported.
In ICD-10-CM what condition is reported as the default code when the provider documents
urosepsis? - ✔✔✔–The provider must be queried before an ICD-10-CM code can be applied.
Rationale: ICD-10-CM guideline I.C.1.d.1.a.(ii) indicates urosepsis is a nonspecific term. It is not
to be considered synonymous with sepsis. Urosepsis does not have a default code. If the
provider documents urosepsis without additional information, the provider must be queried
before an ICD-10-CM code can be applied.
According to ICD-10-CM guidelines, when a patient is seen for management of anemia due to
malignancy, how is it reported? - ✔✔✔–The malignancy is reported first, followed by the code
for the anemia.
Rationale: ICD-10-CM guideline I.C.2.c.1, when the patient is being seen for management of the
anemia associated with malignancy, the code for the malignancy is reported first, followed by
the appropriate code for the anemia (for example D63.0 Anemia in neoplastic disease).
, CHAPTER 4 REVIEW EXAM WITH QUESTIONS AND ANSWERS (100% SOLVED)
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? -
✔✔✔–D36.7
Rationale: In the ICD-10-CM Alphabetic Index, in the Table of Neoplasms, look for Chest (wall)
NEC and report the code from the benign column, D36.7. Verify code selection in the Tabular
List.
A confirmed HIV positive patient who presents to the clinic for a medication refill for a condition
not related to his HIV. What ICD-10-CM codes are reported? - ✔✔✔–Z76.0, Z21
Rationale: Per ICD-10-CM guideline I.C.1.a.2.d, Z21 Asymptomatic human immunodeficiency
virus (HIV) infection, is to be applied when the patient without any documentation of symptoms
is listed as being HIV positive, known HIV, HIV test positive, or similar terminology. In the ICD-
10-CM Alphabetic Index look for HIV/positive, seropositive guiding you to code Z21. The code
can also be found by looking in the Alphabetic Index for Human/immunodeficiency virus (HIV)
disease/asymptomatic status. For medication refill look in the Alphabetic Index for Issue
of/repeat prescription (appliance) (glasses) (medicinal substance, medicament, medicine) Z76.0.
Because the main reason for the visit is for a medication refill unrelated to his HIV, the HIV code
is not sequenced first. Verify code selection in the Tabular List.
A 23 year-old patient presents to the Emergency Department 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? - ✔✔✔–S81.819A, B20
Rationale: Per ICD-10-CM guideline I.C.1.a.2.b, if a patient with HIV disease is admitted for an
unrelated condition (such as a traumatic injury), the code for the unrelated condition is the
principal diagnosis. In the ICD-10-CM Alphabetic Index, look for Laceration/leg (lower) referring
you to S81.819-. Because this is an ED visit, it is considered an initial encounter. In the Tabular
List, 7 th character A is reported for the initial encounter. AIDS is reported as the secondary
diagnosis. Look in the Alphabetic Index for AIDS referring you to B20. Verify code selections in
the Tabular List.
A 45 year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver
cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is
created just under the skin and the pump is placed in the pocket. A catheter is attached to the
pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the
