Question 1

Signs and symptoms that are associated routinely with a disease process are coded as an additional diagnosis if they are recorded in the patient's record.

Accepted Answer

A) True 
 B)False  False

Question 2

When coding the phrase "acute enlarged cervical lymph nodes," the main term to reference in the index is _____.

Accepted Answer

A)   cervical
B)   enlarged
C)   lymph
D)   nodes B

Question 3

Abnormal retinal function study is reported with code _____.

Accepted Answer

R94.111

Question 4

Emergency department note: "This 59-year-old with no known history of any pathology was brought to the ED and pronounced dead upon arrival." This case would be reported with code ____________________.

Accepted Answer

The answer of Emergency department note: "This 59-year-old with no...

Question 5

Office note: "This patient returns today for discussion of his elevated PSA. We discussed the possibility of prostate cancer and I told him that I want to have him undergo a biopsy." This encounter would be reported with code(s) ____________________.

Accepted Answer

The answer of Office note: "This patient returns today for...

Question 6

Sam presents to the office today with back pain and a cough. After workup it is determined that he has a ruptured disk. The origin of the cough is undetermined at this time. The back pain and cough would both be reported.

Accepted Answer

A) True 
 B)False

Question 7

Emergency department note: "Sarah presents to the ER today due to fainting. She has fainted on a number of occasions due to a drop in her blood pressure. Previous workup has not indicated any cardiovascular diseases. At this time her blood pressure is 125/80. I am referring her to a cardiologist for additional testing." This encounter would be reported with code(s) ____________________.

Accepted Answer

The answer of Emergency department note: "Sarah presents to the...

Question 8

Office progress note: "Tim is being seen today due to a complaint of painful urination. This may be caused by stenosis of the urethra." This case would be reported with code(s) _____.

Accepted Answer

A)   N35.9
B)   N35.9, R30.9
C)   R30.9, N35.9
D)   R30.9

Question 9

Wheezing is reported with code _____.

Accepted Answer

The answer of Wheezing is reported with code _____....

Question 10

Office visit note: "This 4-year-old patient presents today with fever and chills. Exam reveals no abnormal findings in the HEENT. Chest is clear. There are no abnormal findings in the abdomen. The rest of the examination is unremarkable. I am ordering blood work to rule out infection." This case would be reported with code(s) ____________________.

Accepted Answer

The answer of Office visit note: "This 4-year-old patient presents...

Question 11

Polly presents to the office today complaining of weakness and feeling tired for the last week. This is an example of symptoms.

Accepted Answer

A) True 
 B)False

Question 12

High blood pressure is an example of a symptom.

Accepted Answer

A) True 
 B)False

Question 13

Office note: "This patient has had numerous blood tests, and it is confirmed that there is a drop in hematocrit of undetermined origin." This case should be reported with code(s) ____________________.

Accepted Answer

The answer of Office note: "This patient has had numerous...

Question 14

Febrile seizure is reported with code _____.

Accepted Answer

A)   P90
B)   R55
C)   R57.8
D)   R56.00

Question 15

Drug testing has revealed cocaine in a blood sample. This would be reported with code ____________________.

Accepted Answer

The answer of Drug testing has revealed cocaine in a...

Question 16

When ICD-10-CM assigns a combination code that identifies both the definitive diagnosis and a common symptom, an additional code for the symptom should be assigned.

Accepted Answer

A) True 
 B)False

Question 17

Aphasia is reported with code R47.0.

Accepted Answer

A) True 
 B)False

Question 18

A pediatric office note records that a child is a late walker. The code to assign for this is ____________________.

Accepted Answer

The answer of A pediatric office note records that a...

Question 19

Kim is seen by Dr. Smith today. She is complaining of right upper quadrant pain. Dr. Smith records probable gall stones in her record. The first-listed diagnosis should be gallstones.

Accepted Answer

A) True 
 B)False

Question 20

Cardiac murmur is reported with code _____.

Accepted Answer

The answer of Cardiac murmur is reported with code _____....

Exam 23: Symptoms, Signs, and Abnormal Clinical Laboratory Findings

Signs and symptoms that are associated routinely with a disease process are coded as an additional diagnosis if they are recorded in the patient's record.

When coding the phrase "acute enlarged cervical lymph nodes," the main term to reference in the index is _____.

Abnormal retinal function study is reported with code _____.

Emergency department note: "This 59-year-old with no known history of any pathology was brought to the ED and pronounced dead upon arrival." This case would be reported with code ____________________.

Office note: "This patient returns today for discussion of his elevated PSA. We discussed the possibility of prostate cancer and I told him that I want to have him undergo a biopsy." This encounter would be reported with code(s) ____________________.

Sam presents to the office today with back pain and a cough. After workup it is determined that he has a ruptured disk. The origin of the cough is undetermined at this time. The back pain and cough would both be reported.

Office progress note: "Tim is being seen today due to a complaint of painful urination. This may be caused by stenosis of the urethra." This case would be reported with code(s) _____.

Wheezing is reported with code _____.

Polly presents to the office today complaining of weakness and feeling tired for the last week. This is an example of symptoms.

High blood pressure is an example of a symptom.

Office note: "This patient has had numerous blood tests, and it is confirmed that there is a drop in hematocrit of undetermined origin." This case should be reported with code(s) ____________________.

Febrile seizure is reported with code _____.

Drug testing has revealed cocaine in a blood sample. This would be reported with code ____________________.

When ICD-10-CM assigns a combination code that identifies both the definitive diagnosis and a common symptom, an additional code for the symptom should be assigned.

Aphasia is reported with code R47.0.

A pediatric office note records that a child is a late walker. The code to assign for this is ____________________.

Kim is seen by Dr. Smith today. She is complaining of right upper quadrant pain. Dr. Smith records probable gall stones in her record. The first-listed diagnosis should be gallstones.

Cardiac murmur is reported with code _____.