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The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:


A) Reimbursement cycle
B) Claim process
C) Revenue cycle
D) Adjudication

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Four people were seen in the ED. Which one will receive a diagnosis of poisoning? Patient A: digitalis toxicity Patient B: allergic reaction to contrast dye used for a CT exam Patient C: syncope after taking antihistamine with alcohol Patient D: reaction between two properly administered prescription drugs


A) Patient D
B) Patient B
C) Patient A
D) Patient C

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When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?


A) Excludes
B) Code first
C) Use additional code
D) Both code first and use additional code

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When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?


A) Both code first and use additional code
B) Excludes
C) Code first
D) Use additional code

Correct Answer

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A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:


A) D57.1, J99, J96.00
B) D57.01, J96.90
C) D57.219, J99
D) D57.1, J96.00

Correct Answer

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CPT code range 90281-99607 is located in which section of the CPT manual?


A) Medicine
B) Anesthesia
C) Radiology
D) Evaluation and Management

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Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?


A) Appendix A
B) Unlisted procedures
C) Guidelines and parenthetical notes
D) Index

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The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:


A) B20, T37.5X5A, R63.4, E86.0
B) N18.2
C) I12.9, Z49.31, N18.2
D) Z21, R63.4, E86.0

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Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?


A) This ensures accurate coding.
B) Reimbursement will be less.
C) This is the law.
D) Reimbursement will be more.

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A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:


A) ?51
B) ?50
C) ?76
D) ?57

Correct Answer

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A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :


A) E28.310
B) E28.39
C) E23.0, N95.8
D) N18.6, Z99.2

Correct Answer

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The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:


A) R65.20, A41.9, N17.9, J96.00
B) R65.20, A41.9, N17.9, J96.00, E11.8
C) A41.9, R65.20, E11.8
D) A41.9, R65.20, N17.9, J96.00, E11.8

Correct Answer

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Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?


A) Guidelines and parenthetical notes
B) Unlisted procedures
C) Index
D) Appendix A

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The diagnostic statement "goiter, nodular nontoxic" would be coded as an unspecified nontoxic goiter, ICD-10 CM code E04.9, because the diagnosis does not describe the condition as diffuse, uninodular, multinodular, or other specified nontoxic goiter. This is an example of which abbreviation used in ICD?


A) NEC
B) NOS
C) CCI
D) MUE

Correct Answer

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A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:


A) D57.01, J96.90
B) D57.1, J99, J96.00
C) D57.219, J99
D) D57.1, J96.00

Correct Answer

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Which is an example of a pathologic fracture?


A) Greenstick fracture due to fall from bed
B) Vertebral fracture with cord injury due to automobile accident
C) Compression fracture of vertebrae due to metastatic carcinoma
D) Compression fracture after sustaining injury to head

Correct Answer

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The diagnostic statement "goiter, nodular nontoxic" would be coded as an unspecified nontoxic goiter, ICD-10 CM code E04.9, because the diagnosis does not describe the condition as diffuse, uninodular, multinodular, or other specified nontoxic goiter. This is an example of which abbreviation used in ICD?


A) MUE
B) NOS
C) CCI
D) NEC

Correct Answer

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A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:


A) C40.21, Z51.11
B) Z51.11, C40.21
C) Z51.11, C40.20
D) C49.20, Z51.0

Correct Answer

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A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:


A) ?51
B) ?50
C) ?76
D) ?57

Correct Answer

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The patient has type 2 diabetes mellitus that is controlled with insulin and complicated by proliferative retinopathy, gangrene, and ketonuria. Identify the correct ICD-10-CM codes:


A) E11.52, E11.3599, R82.4, Z79.4
B) A41.9, R65.20, E11.8
C) E11.3599, E11.641, I96, R82.4
D) E08.10, E08.51, Z79.4, M90.80

Correct Answer

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