Enter code, Diseases of the Digestive System: Diverticulosis and diverticulitis of large intestine. The physician documented on the patient's record that leukemia was not to be ruled out. Enter code(s), Burns: Thirty percent body burns with 10 percent third-degree burns (initial encounter). Enter code, Diseases of the Circulatory System: Hypertensive cardiovascular disease. Enter code, Diseases of the Eye and Adnexa: Blepharochalasis of right upper eyelid. ICD-10-CM categories, subcategories, and codes contain a combination of _______ and _______. Which is often found in the manifestation code title and indicates that the manifestation codes are a component of the etiology/manifestation coding convention? A patient seen in the emergency department today has known Graves' disease; the patient presents signs and symptoms of a thyroid storm, which include extremely elevated heart rate, blood pressure, and body temperature. Enter code(s), Mental and Behavioral Disorders: Hysterical neurosis. Enter code(s), S61.411A, W27.4?? The patient has a strong family history of stomach cancer. Enter code(s), Mental and Behavioral Disorders: Epileptic psychosis with generalized grand mal epilepsy. Stupor, due to overdose of Nytol (suicide attempt), initial encounter. Automating the medical coding process is the goal of: Neoplasms are new growths, or tumors, which: Which identifies codes that are assigned when information needed to assign a more specific code cannot be obtained from the provider? Enter code, Diseases of the Nervous System: Postvaricella encephalitis. Enter code, Mental and Behavioral Disorders: Depression. Enter code, Endocrine, Nutritional, and Metabolic Diseases: Type 2 diabetes mellitus with malnutrition. The provider documents "history of nutritional deficiency." The joint does not appear to be unstable. The patient was scheduled for outpatient testing to rule out seizure disorder. Enter the first-listed diagnosis: The patient underwent outpatient radiation therapy for treatment of prostate cancer during today's encounter; the patient had previously complained of painful urination. Enter code, Diseases of the Genitourinary System: Stage 3 chronic kidney disease. Which is an instruction to refer to another term in the ICD-10-CM index and must be followed to locate the correct code? Adherence to the coding guidelines when assigning ICD-10-CM and ICD-10-PCS diagnosis and procedure codes is required by _____ (abbreviation) legislation. Enter the first-listed diagnosis: The patient slipped on ice and fell as she was walking down the steps of her porch. Enter code, Neoplasms: Primary adenocarcinoma of prostate. Cardiac arrhythmia caused by interaction between prescribed ephedrine and wine (accident), initial encounter. adverse reaction to contrast material injected prior to a scan. Enter code(s), Diseases of the Circulatory System: Secondary hypertension; stenosis of renal artery. The ICD-10-CM/PCS Coordination and Maintenance Committee, which is responsible for overseeing all changes and modifications to ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) codes, is comprised of the: Which are used in the index and tabular list to enclose nonessential modifiers? Enter code(s), Diseases of the Digestive System: Acute appendicitis peritoneal abscess. Enter code, Diseases of the Eye and Adnexa: Cyst of left orbit. Enter code(s), Neoplasms: Metastatic adenocarcinoma from breast to brain (right mastectomy performed 5 years ago; breast cancer is no longer present). Assign ICD-10-CM codes to each diagnostic statement, interpreting coding conventions. Enter code, Diseases of the Skin and Subcutaneous Tissue: Pemphigus foliaceous. Enter the first-listed diagnosis: The patient was treated on an outpatient basis for both acute and chronic bronchitis, for which each was assigned an ICD-10-CM diagnosis code. Enter code, Congenital Malformations, Deformations, and Chromosomal Abnormalities: Patent ductus arteriosus. The main term in the ICD-10-CM index is _______. Enter the first-listed diagnosis: The patient was treated for acne in the physician's office during this visit. When the word in appears in the ICD-10-CM index, it is: located in alphabetical order below the main term. Enter code, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings: Irritable infant. High blood pressure due to prescribed Albuterol, initial encounter. Enter code, Diseases of the Skin and Subcutaneous Tissue: Seborrhea. The ICD-10-CM code assigned to this case is: A patient was seen with complaints of melena and iron deficiency anemia. Enter code, Injury, Poisoning, and Certain Other Consequences of External Causes: Sprain of lateral collateral ligament, right knee (subsequent encounter). Enter code(s), Neoplasms: Cancer of the pleura (primary site). Enter code, Diseases of the Genitourinary System: Vesicoureteral reflux with bilateral reflux nephropathy. Enter code, Endocrine, Nutritional, and Metabolic Diseases: Hypercholesterolemia. Enter code, Congenital Malformations, Deformations, and Chromosomal Abnormalities: Congenital diaphragmatic hernia. Enter code, Foreign Bodies: Marble in colon (initial encounter). The ICD-10-CM code assigned to this case is: The patient is status post percutaneous transluminal coronary angioplasty (PTCA) and is in for a one-week follow-up visit. ICD-10-CM also enhances accurate payment for services rendered and facilitates __________ of medical processes and outcomes. The guidelines are approved by the Cooperating Parties for ICD-10-CM/PCS, which include the: Which instruction requires the disease that manifests another condition to be sequenced first if present? Enter code, Certain Infectious and Parasitic Diseases: Dermatophytosis of the foot. The first column of the Table of Drugs and Chemicals lists: A physician query process may be activated when: a coder has questions about documented diagnoses or procedures/services. Enter code(s), Endocrine, Nutritional, and Metabolic Diseases: Hypogammaglobulinemia . Enter code, Diseases of the Genitourinary System: Recurrent and persistent hematuria with dense deposit disease. The ICD-10-CM code assigned to this case is: A child was brought into the office for evaluation and examination after swallowing a dime. Which is the original tumor from which metastasis occurs? Enter code(s), Diseases of the Skin and Subcutaneous Tissue: Infected ingrowing nail, thumb, left hand. Eponyms are diseases or syndromes that are named for: Which subterm is located in the index to indicate the presence of a cause-and-effect or causal relationship between two conditions? The physician treated the patient's chronic asthma during an office visit, and she also received a renewed prescription for hypertension. Enter code, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings: Dysphagia, pharyngeal phase. Enter code, Injury, Poisoning, and Certain Other Consequences of External Causes: Open frontal fracture with traumatic subarachnoid hemorrhage and no loss of consciousness (initial encounter). Adverse reaction to pertussis vaccine, initial encounter. Enter code, Diseases of the Musculoskeletal System and Connective Tissue: Displacement of thoracic intervertebral disc. The Centers for Medicare and Medicaid Services (CMS) abbreviates ICD-10-CM and ICD-10-PCS as. Explain the role of processes in OM and identify three general types of processes. The ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting are prepared by: Which are general rules used in the classification of diseases and injuries and are incorporated into the ICD-10-CM as instructional notes? The criteria used to determine medical necessity include _______, _____, ________, and _____. Enter code, Neoplasms: Paget's disease with primary infiltrating duct carcinoma of nipple and areola of right breast (female). Enter code, Diseases of the Genitourinary System: Acute kidney failure with medullary necrosis. Enter code, Poisonings, Adverse Effects, and Underdosing: Carbon monoxide poisoning from car exhaust (suicide attempt) (initial encounter). The ICD-10-CM code assigned to this case is: The patient made an ophthalmologist appointment to check a foreign body in the eye. Enter code, Diseases of the Ear and Mastoid Process: Postprocedural stenosis of right external ear canal. Enter code, Diseases of the Genitourinary System: Urethral stricture due to childbirth. Enter code. Enter code, Diseases of the Respiratory System: Aspiration pneumonia due to regurgitated food.. Enter code, Congenital Malformations, Deformations, and Chromosomal Abnormalities: Atresia of vas deferens. Enter code, Complications: Postoperative superficial thrombophlebitis of right leg (initial encounter). According to official coding guidelines, which is never assigned as a principal or first-listed diagnosis code? The ICD-10-CM code assigned to this case is: A patient was seen in the office for complaints of fatigue and was noted to have diffuse adenopathy. Enter code, Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism: Congenital nonspherocytic hemolytic anemia. ICD-10-CM _____________ contain either 3 or 4 characters. Enter code, Diseases of the Ear and Mastoid Process: Chronic perichondritis, left external ear. Enter code, Diseases of the Nervous System: Tonic-clonic epilepsy. ?, Y92.160, Y93.G1, Y99.8, Factors Influencing Health Status and Contact with Health Services: Exposure to tuberculosis. Enter code, Symptoms, Signs, and Abnormal Clinical and Laboratory Findings: Epistaxis. Enter code(s), Diseases of Pregnancy, Childbirth, and the Puerperium: Triplet pregnancy, delivered spontaneously. Enter code(s), Diseases of Pregnancy, Childbirth, and the Puerperium: Postpartum pyrexia of unknown origin (delivery during previous admission). Enter code, Poisonings, Adverse Effects, and Underdosing: Hypertension due to underdosing of Aldomet (initial encounter). Enter code, Foreign Bodies: Foreign body in right eye (initial encounter). Certain Conditions Originating in the Perinatal Period: Premature "crack" baby born in hospital to cocaine-dependent mother (birthweight 1,247 grams); neonatal withdrawal; cocaine dependence. The ICD-10-CM code assigned to this case is: A 6-year-old patient was found to have color blindness. Enter code, Diseases of the Ear and Mastoid Process: Attic perforation of tympanic membrane, left ear. Enter code, Certain Infectious and Parasitic Diseases: Septicemia due to streptococcus. The main term in the ICD-10-CM index is ______. Because ICD-9-CM was over 30 years old, it contained ________ and obsolete terminology, used outdated codes that produced inaccurate and limited data, and was inconsistent with current medical practice. The ICD-10-CM code assigned to this case is: A patient was seen in the physician's office because of pain and swelling of the right elbow. Enter code, Diseases of the Digestive System: Acute perforated peptic ulcer. Enter code, Diseases of the Nervous System: Intraspinal abscess. The ICD-10-CM code assigned to this case is: The patient's daughter brought her father in for follow-up of progressive Alzheimer's dementia. Enter code, Painful scarring due to old first- and second-degree burns of right palm. Enter code, Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism: Von Willebrand's disease. For metastatic carcinoma from right kidney to bone, the primary site is _____ ______, and the secondary site is ____. Enter code, Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism: Chronic congestive splenomegaly. Enter code, Diseases of the Circulatory System: Arteriosclerotic heart disease (native coronary artery) with angina pectoris. The term ________ is used throughout the guidelines to refer to physicians or any qualified health care practitioners who are legally accountable for establishing the patient's diagnosis. The ICD-10-CM code(s) assigned to this case is/are: The patient was seen for evaluation of a pilonidal cyst. For metastatic malignant melanoma of bone, the primary site is ____, and the secondary site is ____. Enter code(s), Diseases of Pregnancy, Childbirth, and the Puerperium: Postpartum varicose veins of legs. Which is reported in the outpatient setting as the condition, problem, or other reason for encounter/visit documented in the patient record to be chiefly responsible for the services provided? Modern financial theory predicts that diversification whose sole impact is to reduce the variability of profits does not create value for shareholders because: How does merchandise flow through a supply chain? Which appears in the ICD-10-CM tabular lists below certain categories to further define, clarify, or give examples of the content of a code category? The ICD-10-CM Diagnostic Coding and Reporting Guidelines for Outpatient ServicesHospital-Based Outpatient Services and Provider-Based Office Visits were developed by the: A secondary malignancy indicates that a tumor has: The see condition instruction directs the coder to the main term for a condition, found in the ICD-10-CM: Which qualify the main term by listing alternative sites, etiology, or clinical status? Enter code, Diseases of the Respiratory System: Moderate persistent asthma with (acute) exacerbation. The seventh character must always be located in the seventh-character data field, and if a code that requires a seventh character is not six characters in length, the placeholder _ is entered to fill in the empty character(s). or oat cell carcinoma of the right lung with spread to the brain, the primary site is _____ ____, and the secondary site is _____. Enter code, Neoplasms: Carcinoma in situ of vocal cord. code, if applicable, any causal condition first. Enter code, Diseases of the Genitourinary System: Acute glomerulonephritis with necrotizing glomerulitis. Enter code, Diseases of the Eye and Adnexa: Infantile glaucoma. simply ordering an outcome, when a manager relies on his or her formal authority and power. Enter code, Diseases of the Circulatory System: Acute rheumatic heart disease. Enter code, Diseases of the Musculoskeletal System and Connective Tissue: Acute juvenile rheumatoid arthritis. Codes that have an applicable seventh character are considered _______ without the seventh character. Enter code, Certain Infectious and Parasitic Diseases: Rotaviral enteritis. Enter code(s), Injury, Poisoning, and Certain Other Consequences of External Causes: Traumatic anterior dislocation, left elbow (initial encounter). Enter code(s), Diseases of the Skin and Subcutaneous Tissue: Diaper rash. Enter code, Factors Influencing Health Status and Contact with Health Services: Postoperative follow-up examination, human kidney donor. The abbreviations for the four organizations that develop and approve the coding guidelines are ___, ____, ___, and _____. Enter code, Diseases of the Skin and Subcutaneous Tissue: Pressure ulcer of right elbow, stage 2. Enter code, Congenital Malformations, Deformations, and Chromosomal Abnormalities: Congenital talipes equinovarus. Which are supplementary terms that further modify subterms? Enter code, Endocrine, Nutritional, and Metabolic Diseases: Toxic diffuse goiter with thyrotoxic crisis . Enter code, Neoplasms: Hodgkin's granuloma of intra-abdominal lymph nodes. Enter code, Diseases of the Ear and Mastoid Process: Acute contact otitis externa, right ear . Which term describes the origin of a tumor that involves two or more adjacent sites? Enter code, Diseases of the Respiratory System: Acute tracheitis with obstruction. Enter code, Diseases of the Eye and Adnexa: Senile cataract, right eye. Enter code, Diseases of the Eye and Adnexa: Lacrimal gland dislocation, bilateral lacrimal glands. Enter code(s), Foreign Bodies: Coin in the bronchus causing asphyxiation (initial encounter). Enter code, Diseases of Pregnancy, Childbirth, and the Puerperium: Miscarriage at 19 weeks gestation. Which are translation dictionaries that can be used to roughly identify ICD-10-CM and ICD-10-PCS codes for their ICD-9-CM equivalent codes and vice versa? Intestinal Infectious Diseases (A00-A09) is an example of a major _____ heading or ____ block, which is printed in bold uppercase letters and followed by groups of three-character disease categories within a chapter. Enter code, Poisonings, Adverse Effects, and Underdosing: Anaphylactic shock due to allergic reaction to penicillin (initial encounter). Which are found boldfaced and listed in alphabetical order in the ICD-10-CM index?