Ch_03 Chapter review
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Ch_03 Chapter Review
Buck's Step by Step Textbook (found in canvas bookshelf)
Ch_03 - ICD-10-CM Outpatient Coding and Reporting Guidelines
Now that you have gone through chapter_03, complete the Chapter Review -
Learning Objective on pg. 71
1. In the outpatient setting, the term first-listed diagnosis is used in lieu of what diagnosis?
The
principal diagnosis.
2. What diagnosis is used when the documented condition is not confirmed in the outpatient
setting?
The diagnosis that is used is the signs or symptoms.
3. What is the first-listed diagnosis when a patient presents for outpatient surgery?
The first-
listed diagnosis is the reason for surgery.
4. It is important to code all the conditions or problems that are being managed during an
encounter to support what?
To support data integrity.
5. Z codes are used more frequently in what setting?
Z codes are more frequently used in
outpatients.
6. What two code categories are used to report the first-listed diagnosis for medical observation
for suspected conditions and conditions ruled out?
The two code categories are Z03 and Z04.
7. Additional diagnosis codes are used to report what conditions?
To report coexisting.
8. In what setting are uncertain diagnoses reported?
Uncertain diagnoses are reported in inpatient
settings.
9. What type of condition may be reported as many times as the patient receives care or
treatment for?
The type of condition that may be reported is chronic.
2
10. What code is assigned for encounters for routine laboratory/radiology testing in the absence
of any signs, symptoms, or associated diagnosis?
Z01.89.
11. When the primary reason for therapeutic services is chemotherapy or radiation therapy, what
code category is assigned as the first listed diagnosis?
The code category that is assigned as the
first listed diagnosis are Z codes.
12. What code is assigned as an additional diagnosis for patients receiving preoperative
evaluations?
The condition that describes the reason for the surgery.
13. For routine outpatient prenatal visits when no complications are present, what code category
is assigned?
Z34
14. When the postoperative diagnosis is different than the preoperative diagnosis at the time the
diagnosis is confirmed, which diagnosis is reported?
The diagnosis that is reported are the
postoperative diagnosis.
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