Identify the correct principal diagnosis for the following scenario: Mark is a 25-year-old male admitted with anemia due to antineoplastic chemotherapy used to treat his astroblastoma.
- D64.81
- D64.89
- C71.0
- C71.9
Anemia due to antineoplastic chemotherapy is coded as D64.81. D64.81: Index>anemia>due to>antineoplastic chemotherapy.
Principal Diagnosis: The condition that is the primary, or main, reason for the encounter.
If a patient with cancer is admitted for anemia due to a complication from breast cancer, what is the principal diagnosis?
- Anemia
- Admission for chemotherapy
- Admission for radiation
- Breast cancer
When a patient is treated for a cancer-related complication, that is coded first followed by the code for the malignancy.
Pneumonia: An inflammation of the lungs.
What is the correct code assigned for a bronchial adenoma?
- D38.1
- D38.3
- D38.5
- D38.6
The correct code for a bronchial adenoma is D38.1. D38.1: Index>adenoma>bronchial.
Sign: Objective evidence of a disease or condition.
Which of the following codes is used to report a personal history of malignancy of the pancreas?
- Z85.060
- Z85.068
- Z85.07
- Z80.8
Personal history of malignancy of the pancreas is reported with code Z85.07. Z85.07: Index>history>personal>malignant>pancreas.
ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.
What is the correct code assigned for a personal history of breast cancer?
- Z85.1
- Z85.2
- Z85.3
- Z85.4
Personal history of a malignant neoplasm of the breast is assigned code Z85.3. Z85.3: Index>history>personal>malignant>breast.
Sign: Objective evidence of a disease or condition.
What is the correct code assigned for a benign lipomatous neoplasm of the kidney?
- D17.0
- D17.71
- D17.72
- D17.9
The correct code for a benign lipomatous neoplasm of the kidney is D17.71. D17.71: Index>lipoma>kidney.
Benign: Nonmalignant characteristic of a neoplasm; not infectious or spreading.
Arthur was diagnosed with cancer of the right acoustic nerve. How is this coded?
- C72.40
- C72.41
- C72.42
- C72.59
The correct code assignment for right acoustic nerve cancer is C72.41. C72.41: Neoplasm table>nerve>acoustic>malignant, primary>right.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
What is the correct code assigned for an atypical nevus of the trunk?
- D22.0
- D22.10
- D22.39
- D22.5
The correct code for an atypical nevus of the trunk is D22.5. D22.5: Index>nevus>skin>trunk.
Sign: Objective evidence of a disease or condition.
What is the correct code assignment for a 40-year-old patient who is admitted for prophylactic removal of both breasts due to a strong family history of breast cancer?
- Z40.01, Z80.3
- Z40.01, Z85.3
- Z80.3, Z40.01
- Z85.3, Z40.01
The correct codes to assign are Z40.01, encounter for prophylactic removal of breasts, and Z80.3, family history of malignant neoplasm of breast. Z40.01: Index>prophylactic>organ removal>breast. Z80.3: Index>history>family>malignant>breast.
Pamela was diagnosed with stage II lung cancer with mets to the brain. How is this coded?
- C34.90, C79.31
- C34.92, C79.31
- C71.9, C34.90
- C79.31, C34.92
The correct code assignments for a patient with stage II lung cancer with mets to the brain are C34.90, malignant neoplasm of unspecified part of unspecified bronchus or lung, and C79.31, secondary malignant neoplasm of brain and cerebral meninges. C34.90: Neoplasm table>lung>malignant, primary>unspecified. C79.31: Neoplasm table>brain>malignant, secondary.
Malignant: Invasive and destructive characteristic of a neoplasm; possibly causing damage or death.
Nathan, 1 year old, is diagnosed with juvenile myelomonocytic leukemia. What is the correct code to assign?
- C93.3
- C93.30
- C93.31
- C93.32
C93.30 is the correct code for juvenile myelomonocytic leukemia. C93.30: Index>leukemia> juvenile myelomonocytic.
What is the correct diagnosis for a patient with a personal history of colonic polyps?
- Z86.010
- D12.0
- K63.5
- Z85.09
Z86.010 is used to code a patient with a personal history of colonic polyps. Z86.010: Index>history>personal>benign neoplasm>colonic polyps.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.