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In the sample GEM table below, ICD-10-CM code A15.7 maps to __________ ICD-9-CM code(s) . In the sample GEM table below, ICD-10-CM code A15.7 maps to __________ ICD-9-CM code(s) .      A)  1 B)  5 C)  6 D)  7


A) 1
B) 5
C) 6
D) 7

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

Correct Answer

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The ICD-10-CM/PCS Coordination and Maintenance Committee is responsible for overseeing all changes and modifications to ICD-10-CM and ICD-10-PCS codes, including the creation and update of general equivalency mappings. ICD-10-CM codes are reported for __________, while ICD-10-PCS codes are reported for __________.


A) diagnoses; procedures
B) diagnoses; conditions
C) procedures; diagnoses
D) services; procedures

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

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ICD-10-CM code H61.0 Chondritis and perichondritis of external ear is interpreted as __________.


A) chondritis of external ear and perichondritis of external ear, which means code H61.0 is assigned only if both conditions are documented in the patient record
B) chondritis of external ear and/or perichondritis of external ear, which means code H61.0 is assigned only if either condition is documented in the patient record
C) chondritis of external ear or perichondritis of external ear, which means code H61.0 is assigned only if either condition is documented in the patient record
D) chondritis of external ear due to perichondritis of external ear, which means code H61.0 is assigned only if the provider documents the phrase due to in the record

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

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If the primary site of malignancy is no longer present, assign a code for __________.


A) personal history of malignant neoplasm
B) primary cancer
C) primary of unspecified site
D) secondary of unspecified site

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

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ICD-10-CM and ICD-10-PCS incorporate much greater specificity and clinical information, which results in __________.


A) decreased sensitivity when refining grouping and reimbursement methodologies.
B) enhanced ability to conduct public health surveillance
C) increased need to include supporting documentation with claims
D) reduced ability to measure health care services

E) All of the above
F) None of the above

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Bronchogenic squamous cell carcinoma, left lung. Which ICD-10-CM code(s) should be assigned?


A) C34.92
B) C34.92, C80.1
C) C78.02
D) C80.1

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

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Tobacco use is represented by which ICD-10-CM code?


A) F17.20
B) F17.21
C) Z87.891
D) Z72.0

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

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Vitiligo of the right lower eyelid and periocular area is represented by which ICD-10-CM code?


A) H02.73
B) H02.731
C) H02.732
D) H02.739

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

Correct Answer

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Hospital outpatient __________ codes are submitted for reimbursement purposes.


A) CPT and HCPCS level II
B) ICD-10-CM, CPT, and HCPCS level II
C) ICD-10-CM and ICD-10-PCS
D) ICD-10-PCS, CPT, and HCPCS level II

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

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Matching ICD-10-CM diagnosis codes to CPT and HCPCS level II procedure and service codes on a claim submitted for a patient encounter ensures that services and procedures are reasonable and necessary for the diagnosis or treatment of an illness or injury. This concept is called __________.


A) advance beneficiary notice of nonpayment
B) medical necessity
C) quality assurance
D) utilization management

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

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Malignant carcinoid tumor of the duodenum is represented by which ICD-10-CM code?


A) C7A.0
B) C7A.01
C) C7A.010
D) C7A.019

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

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ICD-10-CM code Q03 Congenital hydrocephalus contains an Excludes1 note for acquired hydrocephalus (G91.-) . Thus, code G91.- __________.


A) can be reported with a category Q03 code due to interpretation of the Excludes1 note
B) may be reported with a code from category Q03 if documentation justifies both codes
C) is never reported with a code from category Q03 because of the Excludes1 note
D) results in coders submitting a physician query to request documentation clarification

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

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Which punctuation is used in the ICD-10-CM index to identify manifestation codes and in the ICD-10-CM index and tabular list to enclose abbreviations, synonyms, alternative wording, or explanatory phrases?


A) braces
B) colons
C) parentheses
D) slanted brackets

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

Correct Answer

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Which is a condition that occurs as the result of another condition and for which the codes are always reported as secondary codes?


A) manifestation
B) sign
C) symptom
D) syndrome

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

Correct Answer

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Which term describes symptoms or conditions that result from another disease?


A) consequences
B) etiology
C) manifestation
D) syndrome

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

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The Uniform Hospital Discharge Data Set definition of principal diagnosis applies to __________.


A) clinics
B) inpatients
C) outpatients
D) skilled nursing care

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

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Atherosclerosis of native arteries of extremities with gangrene, bilateral legs is represented by which ICD-10-CM code?


A) I70.261
B) I70.262
C) I70.263
D) I70.268

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

Correct Answer

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Which abbreviation means "other" or "other specified" and identifies codes that are assigned when documentation supports a condition for which a more specific code does not exist?


A) NEC
B) NOS

C) A) and B)
D) undefined

Correct Answer

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The ICD-10-CM Table of Neoplasms is indexed according to anatomic site and contains four cellular classifications, organized in columns: malignant, benign, uncertain behavior, and unspecified nature. Which column classifies a neoplasm for which it is not possible to predict subsequent morphology or behavior from the submitted specimen?


A) malignant
B) benign
C) uncertain behavior
D) unspecified nature

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

Correct Answer

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The subterm due to is located in the ICD-10-CM index in alphabetical order below a main term to indicate the presence of a __________ relationship between two conditions.


A) cause-and-effect
B) either/or
C) inclusionary
D) mutually exclusive

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

Correct Answer

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