PAHCS CEUniversity ICD-10-CM 2015

Transcription

1 PAHCS CEUniversity ICD-10-CM 2015 THIS PACKET CAN ONLY BE USED 1 TIME FOR CEU You will receive.5 ceu for each 5 correct answers If you achieve 3.5 ceu s you will also be considered ICD-10 proficient ICD-10-CM CEU/PROFICIANCY Fax your answers to or your answers to coder@pahcs.org

2 THIS PACKET CAN ONLY BE USED 1 TIME FOR A CEU. PAHCS CEUniversity ICD-10-CM CEU/Proficiency The following rules will apply to this CEU Packet ONLY: 1. An ICD-10-CM coding book will be required for this packet. 2. This packet can only be used 1 time for CEU s. 3. You will receive.5 CEU for each 5 correct answers for a total of UP TO 5 CEU s 4. If you achieve at least 3.5 CEU s (35 correct answers) you will be considered ICD-10-CM proficient & receive a proficiency certificate as well as the appropriate number of CEU s. 5. If you do not receive proficiency status on your first try, you will receive a CEU certificate for the appropriate number of CEU s, however, you can resubmit this package 2 more times to achieve proficiency. Fax your answers to or the answers to coder@pahcs.org

3 ICD-10-CM PROFICIENCY/CEU PACKAGE NAME MEMBER # Fax your answers to or the answers to coder@pahcs.org True/False 1. Fact-oriented Z codes state a fact about a patient s health, such as outcome of delivery or categorizing liveborn infants according to type of birth. 2. A NOS code, the same as unspecified, is used when the information at hand does not permit a more specific code assignment. 3. When the diagnosis is specified as possible, suspected, or questionable, code the condition as if it actually exists for physician billing. 4. Manifestations are signs and symptoms that are currently occurring as a result of an outside circumstance. 5. A poisoning can be an accident, a suicide attempt, an assault, or any other reaction to a substance that was not administered or prescribed by a physician. 6. A combination code is used to fully identify an instance where 2 diagnoses or a diagnosis with an associated secondary process (manifestation) or complication is included in the description of a single code number. 7. An adverse effect is an undesirable reaction to a drug that was administered correctly either therapeutically or prophylactically by a physician. 8. Ca in situ means a cancer that has metastasized. 9. There are 17 chapters in the ICD-10-CM Tabular List. 10. Code first the underlying condition means that the underlying condition should not be identified as a firstlisted diagnosis. 11. It is necessary to always verify the correct code in the Tabular List 12. The coder should always refer to any cross-references under the main term in the Alphabetic Index. 13. Main terms are found in the Tabular List. 14. When using the note Use additional code is listed, the use of an additional code is optional when both the etiology and manifestation exists. Multiple Choice 15. The ICD-10-CM coding structure is used in the medical office to determine the appropriate: a. procedure code c. level of service b. diagnosis code d. fee for service 16. Incorrect diagnosis coding can affect: a. the billing process c. physician reimbursement b. patient reimbursement d. all of the above

4 17. To determine the appropriate ICD-10-CM code: a. use only the Tabular List b. go directly to the Tabular List to locate the diagnosis code, then verify the code in the Alphabetic Index to complete the coding process c. go directly to the Alphabetical Index to locate the diagnosis code, then verify the code in the Tabular List to complete the coding process d. use only the Alphabetical Index 18. What is the equivalent of unspecified in ICD-9-CM that is used when the physician has insufficient data to code a condition more specifically. a. NOS c. E code b. V code d. M code 19. What category of codes may be used when a patient sees a physician without complaint or problem or to describe circumstances or conditions that could influence patient care? They can be used as a solo code, a first listed or principal diagnosis code, or a secondary diagnosis code. a. T codes c. External cause codes b. Z codes d. all of the above 20. The ICD-10-CM coding structure is used to establish: a. the fee for the service c. level of E/M service b. the correct procedure code d. medical necessity 21. Codes from Chapter 18, Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified, should not be used when: a. no more specific diagnosis can be made after investigation b. a definitive diagnosis is available c. a patient fails to return and all you have is a provisional diagnosis d. a more precise diagnosis was not available for any other reason 22. Once a neoplasm has been successfully treated, you should use a(n) to explain the circumstances of care. a. P code c. Z code b. neoplasm code d. external cause code 23. A(n) is usually an inactive, residual effect or condition produced after the acute phase of an injury or illness has passed. a. adverse reaction c. late effect b. poisoning d. neoplasm 24. A(n) occurs when the wrong drug or an incorrect dosage of a correct drug is ingested. a. adverse reaction c. late effect b. poisoning d. neoplasm ICD-10-CM CODING 25. congestive heart failure 26. attention deficit disorder with hyperactivity (combined type) 27. sore throat 28. headache 29. acute bronchitis 30. prostatitis with hematuria 31. hyperlipidemia, unspecified

5 32. pain in neck (cericalgia) 33. atrial fibrillation 34. acute upper respiratory infection 35. malignant hypertension 36. cervical sprain, initial encounter 37. brain abscess 38. diminished vital capacity 39. pelvic inflammatory disease 40. septic shock due to severe sepsis 41. laceration of right foot with foreign body 42. abnormal weight loss 43. acute and chronic respiratory failure 44. precordial (chest) pain. TERMINOLOGY 45. Occurs when a medicine or drug is taken and the patient develops a reaction to the medication; happens in spite of proper administration. 46. When treatment is appropriate for the diagnosis 47. Occurs when the wrong drug or in an incorrect dosage of a correct drug is ingested; can be accidental or purposeful 48. When a symptom is followed by a contrasting/comparative diagnosis which code is sequenced first? 49. Category of ICD-10-CM codes that are never used alone or as the principal or first-listed diagnosis that describe where an injury occurred. 50. The term for the character x used in the fifth and/or sixth positions of some -6 or 7- character ICD-10-CM codes to allow for future expansion _