About This Chapter
This exam evaluation addresses confirming your understanding of areas including the abstracting physician's notes. It delivers carefully selected questions complete with correct answers, thorough explanations, and definitional references, all accompanied by term glossaries and clear definitional explanations. Detailed concept explanations and glossary definitions ensure complete comprehension and term familiarity. The learning goals consist of the following: Apply diagnosis/procedure codes according to current
Question 1

The Index to External Causes is found in which part of the ICD-10-CM manual?

  • Volume I
  • Volume II
  • Volume III
  • Volumes I and II
Correct Answer: Volume II
Explanation:

The Index to External Causes is in Volume II, Section 3.

Glossary:

External Cause: An event, outside the body, that causes injury, poisoning, or an adverse reaction.

Question 2

Dr. Peterie examines Thomas because he has a family history of colon cancer. You should look this up in the Alphabetic Index under what key terms?

  • Cancer, colon
  • Neoplasm, colon, malignant
  • History, family, malignancy, colon
  • Malignancy, colon, history
Correct Answer: History, family, malignancy, colon
Explanation:

The main term is history.

Question 3

Another term for abstracting is:

  • assigning.
  • identifying.
  • relating.
  • specifying.
Correct Answer: identifying.
Explanation:

Abstracting is identifying the key words related to the visit you are coding.

Question 4

A condition that caused or developed from the existence of another condition is called a:

  • co-morbidity.
  • complication.
  • manifestation.
  • sequela.
Correct Answer: manifestation.
Explanation:

A manifestation is a condition caused or developed from the existence of another condition.

Glossary:

Manifestation: A condition caused or developed from the existence of another condition.

Question 5

Another name for the first-listed diagnosis is the ____________ diagnosis.

  • admitting
  • final
  • secondary
  • principal
Correct Answer: principal
Explanation:

Another name for the first-listed diagnosis is the principal diagnosis.

Glossary:

Perinatal: The time period from before birth to the 28th day after birth.

Question 6

Arnold has been diagnosed with osteosarcoma. Osteosarcoma in the Alphabetic Index directs you to see:

  • neoplasm, bone, benign.
  • neoplasm, bone, Ca in situ.
  • neoplasm, bone, unspecified.
  • neoplasm, bone, malignant.
Correct Answer: neoplasm, bone, malignant.
Explanation:

The main term is osteosarcoma. Osteosarcoma in the Alphabetic Index directs you to see neoplasm, bone, malignant.

Glossary:

Malignant: Invasive and destructive characteristic of a neoplasm; possibly causing damage or death.

Question 7

Adam was diagnosed with acute otitis media. Find this in the Alphabetic Index under:

  • acute, media, otitis.
  • media, acute, otitis.
  • otitis, acute, media.
  • otitis, media, acute.
Correct Answer: otitis, media, acute.
Explanation:

The main term is otitis. Media is the anatomical site and acute is the phase.

Glossary:

Acute: Severe; serious.

Question 8

Cindy is diagnosed with cardiac arrest. Find this in the Alphabetic Index under:

  • arrest, cardiac.
  • cardiac arrest.
  • arrest, heart.
  • heart arrest.
Correct Answer: arrest, cardiac.
Explanation:

The main term is arrest and cardiac is the subterm, the anatomical site.

Glossary:

Myocardial Infarction (MI): Malfunction of the heart due to necrosis or deterioration of a portion of the heart muscle; also known as a heart attack.

Question 9

Jennifer has a fever and a neck ache. Dr. Perlman diagnoses Jennifer with meningitis. You will code:

  • fever.
  • meningitis.
  • fever and meningitis.
  • neck ache.
Correct Answer: meningitis.
Explanation:

Do not code signs/symptoms when you code the disease they are associated with.

Question 10

The Table of Drugs and Chemicals is found in which part of the ICD-10-CM manual?

  • Volume I
  • Volume II
  • Volume III
  • Volumes I and II
Correct Answer: Volume II
Explanation:

The Table of Drugs and Chemicals is in Volume II, section 2.

Glossary:

ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.

Question 11

An eponym is a:

  • disease of the epiglottis.
  • disease of the epithelial tissue.
  • disease named after a person.
  • disease that is congenital.
Correct Answer: disease named after a person.
Explanation:

An eponym is a disease or condition named after a person.

Glossary:

Eponym: A condition named after a person.

Question 12

An infection is an example of a(n):

  • symptom.
  • eponym.
  • procedure.
  • condition.
Correct Answer: condition.
Explanation:

A condition is a health-related situation.

Glossary:

Condition: A health-related situation.

Question 13

Diagnosis codes explain:

  • why the patient came to see the health care provider.
  • what the physician did for the patient.
  • how the patient became ill.
  • where the patient lives.
Correct Answer: why the patient came to see the health care provider.
Explanation:

Diagnosis codes explain the reason the patient came to see the health care provider.

Glossary:

Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.