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Which section of the ICD-10-CM Official Guidelines for Coding and Reporting includes guidelines for the selection of principal diagnosis for non-outpatient settings?


A) Section I
B) Section II
C) Section III
D) Section IV

E) All of the above
F) A) and B)

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Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related ____________________diagnosis has not been established by the provider.

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Sally Smith was placed on observation due to pain in the upper right quadrant, vomiting, and jaundice. She was then placed on inpatient status for a removal of her gallbladder due to cholecystitis. The principal diagnosis for the admission is _____.


A) RUQ pain
B) vomiting
C) pain, jaundice, and vomiting
D) cholecystitis

E) B) and C)
F) C) and D)

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When a definitive diagnosis has been established, codes such as pain and fever are not coded.

A) True
B) False

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If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Index at the same indentation level, code_____.


A) only the acute
B) only the chronic
C) either; query the provider
D) both, and sequence the acute (subacute) first

E) A) and C)
F) A) and B)

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Section I of the ICD-10-CM Official Guidelines for Coding and Reporting provides guidelines only for outpatient services.

A) True
B) False

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A three-digit code is to be used only if it is not further subdivided.

A) True
B) False

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ICD-10-CM diagnosis codes are composed of up to eight characters.

A) True
B) False

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When a patient is admitted for observation for a medical condition, assign a code for the __________ condition as the first listed diagnosis.

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medical

In the outpatient setting, the term "first-listed" diagnosis is used in lieu of _____ diagnosis.


A) first-referenced
B) primary
C) principal
D) final

E) A) and C)
F) B) and C)

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To select an ICD-10-CM code, first locate the main term in the ICD-10-CM Index to Diseases and Injuries and then verify the code in the ____________________.

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For bilateral sites, the first character of the codes in ICD-10-CM indicates laterality.

A) True
B) False

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A patient is admitted with nausea, vomiting, diarrhea, and abdominal pain. Testing has revealed colitis. The principal diagnosis is _____. abdominal pain


A) nausea and vomiting
B) ​
C) colitis
D) diarrhea

E) B) and C)
F) A) and D)

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C

Which of the following is false?


A) Each unique ICD-10-CM diagnosis code may be reported only once for an encounter.
B) The guidelines for reporting inpatient and outpatient services are identical.
C) Ruled-out conditions are reported in the inpatient setting.
D) NCHS is a member of the Cooperating Parties.

E) C) and D)
F) None of the above

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Which of the following is not a member of the Cooperating Parties for ICD-10-CM?


A) AHA
B) AMA
C) AHIMA
D) CMS

E) A) and C)
F) All of the above

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The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care is known as the ____________________ diagnosis.

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A dash at the end of an ICD-10-CM Index to Diseases and Injuries entry indicates that additional characters are required for a valid code.

A) True
B) False

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True

At the time of discharge, the following diagnosis is recorded: "Confirmed threatened spontaneous abortion." The coder should select a code for spontaneous abortion.

A) True
B) False

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Dr. Cook records the following diagnosis at the time of an inpatient discharge: "Abdominal pain ruled out colitis or gastritis." The principal diagnosis is_____.


A) abdominal pain
B) colitis
C) gastritis
D) either gastritis or colitis

E) None of the above
F) B) and C)

Correct Answer

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For ambulatory surgery, if the preoperative and postoperative diagnoses are different, select the postoperative diagnosis for coding.

A) True
B) False

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