Coding Strategies – ICD-10 – Session 1



BC Advantage Audio Series-ICD-10-CM Session 2 – Cardiovascular Conditions, Neoplasms and Diabetes

1) Which of the following is not true about the ICD-10 coding guidelines?

a) Additional signs and symptoms that may not be routinely associated with a disease should not be coded when present.

b) Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless instructed by the classification

c) Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.

2) In ICD-10 the time frame has changed for a myocardial infarction to be still considered as acute. What is that time frame?

a) 2 weeks or less

b) 4 weeks or less

c) 6 weeks or less

3) True or false. Regarding the sequencing of codes - I22 should be 2nd if a subsequent MI occurs during the encounter for the initial MI.

a) True

b) False

4) Which of the following is a true statement about hypertension in ICD-10?

a) There is only one code for essential hypertension which is I10

b) Hypertension is not classed as benign, malignant or unspecified in ICD-10

c) Both A & B

5) When coding secondary hypertension how many codes must be assigned in ICD-10?

a) One – All codes in this category are combination codes and include all possible scenarios

b) Two – One code to identify the underlying etiology and the second from category I15 to identify the hypertension

c) Three – The first code should be the combination code, the second and third code sequence varies depending on the reason for the encounter

6) Which of the following is not true about CVAs – late effects?

a) The medical record documentation should clearly specify the cause-and-effect relationship between the medical intervention and the cerebrovascular accident in order to assign a code for intraoperative/postprocedural cerebrovascular accident

b) The category has been retitled to “Sequelae of cerebrovascular disease”

c) All subcategories have been expanded and greater specificity will need to be provided in the medical record for better coding

7) According to slide 39, what is the code range for In Situ Neoplasms?

a) C76-C80

b) D00-D09

c) D49

8) According to the official ICD-10 coding guidelines regarding coding neoplasms, what should be referenced first?

a) The alphabetic index

b) The neoplasm table

c) Whichever provides the most efficient method of obtaining the code

9) Currently, which code would be assigned to document pain as being related to, associated or due to cancer, primary or secondary malignancy or tumor?

a) G89.3

b) C61

c) D63.0

10) True or false. When coding diabetes in ICD-10 two codes will need to be used to identify the manifestations and complications of the disease.

a) True

b) False

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