CPC ICD-10-CM Diagnosis Coding 2

Question 1

According to ICD-10-CM guidelines, when should signs and symptoms be coded in addition to a confirmed diagnosis?

Accepted Answer

When the sign or symptom is not routinely associated with the confirmed diagnosis

Answer

Always, for every outpatient encounter

Answer

Only when the physician documents both the sign and the diagnosis separately

Answer

Only for inpatient admissions

Question 2

What does a 'Code First' instruction in ICD-10-CM direct the coder to do?

Accepted Answer

Sequence the underlying etiology before the manifestation code

Answer

Always list this code as the principal diagnosis regardless of circumstances

Answer

Use this code before any Z-code on the claim

Answer

Assign this code as the first secondary diagnosis

Question 3

What is a combination code in ICD-10-CM?

Accepted Answer

A single code that classifies two diagnoses, a diagnosis with a complication, or a diagnosis with an associated manifestation

Answer

A code that links two unrelated diagnoses on the same claim

Answer

A code used only when two chronic conditions coexist

Answer

A code that combines a diagnosis with a CPT procedure code

Question 4

What does an 'Excludes1' note in ICD-10-CM indicate?

Accepted Answer

The two conditions cannot coexist, so both codes should never be reported together

Answer

The excluded condition may be coded elsewhere in the classification

Answer

The excluded code should always be listed second

Answer

The condition is included within the current code

Question 5

What does an 'Excludes2' note in ICD-10-CM mean?

Accepted Answer

The excluded condition is not included here, but both conditions may coexist and be coded simultaneously

Answer

The excluded condition is completely forbidden from use with this code

Answer

Only one of the two conditions may be coded per encounter

Answer

The excluded code must be sequenced after this code

Question 6

When is it appropriate to use an unspecified ICD-10-CM code?

Accepted Answer

When the medical record lacks sufficient information to assign a more specific code

Answer

Never — coders must always query the physician for additional detail

Answer

Only as a secondary diagnosis, never as the principal diagnosis

Answer

Only when the condition is still being worked up and no diagnosis is confirmed

Question 7

ICD-10-CM Z codes are primarily used to represent:

Accepted Answer

Factors influencing health status and reasons for encounters not due to illness or injury

Answer

Symptoms without a definitive diagnosis

Answer

External causes of morbidity and injury

Answer

Neoplasm diagnoses and tumor staging