Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?
- Ca in situ
- Uncertain
- Unspecified
- None of these
The classification uncertain indicates that the pathologist is not able to specifically determine whether a tumor is benign or malignant because there may be contradictory signs.
Benign: Nonmalignant characteristic of a neoplasm; not infectious or spreading.
The anatomical site where a malignant neoplasm was first seen and identified is known as the __________ site.
- primary
- secondary
- Ca in situ
- metastasized
The primary site is the site where the cancer originated or was first seen.
Prematurity: Birth occurring prior to the completion of 37 weeks gestation.
The anatomical site where a malignant neoplasm has traveled to is known as the _______ site.
- primary
- secondary
- Ca in situ
- generalized
The secondary site is the site to which the cancer spread from the primary site.
Second Degree: Blisters on the skin; involvement of the epidermis and the dermis layers.
What term describes cancer that has spread throughout the body?
- Disseminated cancer
- Generalized cancer
- Widely metastatic cancer
- All of these
Cancer that has spread throughout the body can be called disseminated cancer, generalized cancer, or widely metastatic cancer.
Other Specified: Additional information that the physician specified and isn’t included in any other code description.
How many possible code categories are there for an each anatomical site in the ICD-10-CM Table of Neoplasms?
- 4
- 5
- 6
- 7
There are six possible code numbers according to the type of neoplasm: Malignant, primary; Malignant, secondary; Ca in situ; Benign; Uncertain behavior; Unspecified behavior.
Anatomical Site: A specific location or part of the human body.
What term indicates that a tumor has undergone malignant changes but is still limited to the origination site?
- Primary
- Secondary
- Ca in situ
- Generalized
Ca in situ indicates that the tumor has undergone malignant changes but is still limited to the origination site.
Malignant: Invasive and destructive characteristic of a neoplasm; possibly causing damage or death.
What term indicates that the tumor has not invaded any adjacent cells?
- Primary
- Benign
- Ca in situ
- Generalized
A benign tumor is one that has no indication of invading adjacent cells.
Benign: Nonmalignant characteristic of a neoplasm; not infectious or spreading.
When the physician's notes do not include any specific information regarding the nature of the tumor, the coder should select a code from which column?
- Ca in situ
- Uncertain
- Unspecified
- None of these
The unspecified column is used when the physician did not document the nature of the tumor.
Unspecified: The absence of additional specifics in the physician’s documentation.
A physician cannot determine the specific site of the malignancy for a patient with face cancer. The cancer is in the patient's head, face, and neck. What is the correct code to assign?
- C72.59
- C79.49
- C76.0
- D43.3
The correct code for a patient with face, head, and neck cancer where the physician cannot determine the primary site is C76.0. C76.0: Neoplasm table>face>malignant primary.
Sign: Objective evidence of a disease or condition.
Neoplasms with overlapping boundaries are known as:
- contiguous.
- inclusive.
- metastatic.
- None of these
Overlapping boundaries are also known as contiguous.
Condition: A health-related situation.
What does the M in M code stand for?
- Malignancy
- Melanoma
- Metastatic
- Morphology
The M in M code stands for morphology.
Morphology: The study of the configuration or structure of living organisms.
M codes identify the _______ of the neoplasm.
- behavior and histology
- behavior and size
- histology and size
- behavior, histology, and size
An M code identifies the behavior and histology of the neoplasm.
Histology: The study of the microscopic composition of tissues.
The study of the microscopic composition of tissues is known as:
- biology.
- histology.
- immunology.
- morphology.
Histology is the study of the microscopic composition of tissues.
Histology: The study of the microscopic composition of tissues.
All neoplasms are classified according to which chapter in the ICD-10-CM coding manual?
- 2
- 3
- 4
- 5
The neoplasm codes are classified in Chapter 2 of the ICD-10-CM coding manual.
ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.
The first column in the neoplasm table is used to list the:
- anatomical site.
- malignant primary.
- malignant secondary.
- Ca in situ.
The first column in the neoplasm table is used to list the anatomical site.
Anatomical Site: A specific location or part of the human body.
The term mass is often used to describe a:
- benign tumor.
- cyst.
- malignant tumor.
- All of these
The term mass is used to identify a cyst or other thickening of tissue.
Mass: Abnormal collection of tissue.
What are the two types of tissue examination used to determine the type of neoplasm?
- Gross
- Microscopic
- Stained and microscopic
- Gross and microscopic
Gross and microscopic are two types of tissue examinations a pathologist will use to determine the context of a neoplasm.
Neoplasm: Abnormal tissue growth; tumor.
When normal cells mutate, they create a:
- benign tumor.
- malignant tumor.
- neoplasm.
- All of these
A neoplasm is formed when cells mutate, and the neoplasm can be benign or malignant.
Other Specified: Additional information that the physician specified and isn’t included in any other code description.
What is the correct diagnosis code for a patient being admitted for genetic testing for ovarian cancer?
- Z15.01
- Z15.02
- C56.1
- C56.9
The correct diagnosis code for a patient receiving genetic testing for ovarian cancer is Z15.02. Z15.02: Index>susceptibility to disease, genetic>malignant>ovary.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
Which of the following is not a common test performed to check for a malignant lung neoplasm?
- Bone scan
- Chest x-ray
- Colposcopy
- Bronchoscopy
A colposcopy is a common test for cancer of the cervix, not the lung.
Malignant: Invasive and destructive characteristic of a neoplasm; possibly causing damage or death.
An increase in a patient's white blood cell count is also known as:
- anemia.
- leukemia.
- leukocytosis.
- hemostasis.
Leukocytosis is an increase in a patient's white blood cell count.
Infectious: A condition that can be transmitted from one person to another.
Which type of specimen examination is done with the naked eye?
- Gross
- Microscopic
- Stained
- Gross and microscopic
A gross examination is an inspection of the specimen by the naked eye.
Morbidity: The status of being diseased.
What is the correct code for a family history of breast cancer?
- Z80.1
- Z80.3
- Z85.1
- Z85.3
A family history of breast cancer is assigned code Z80.3. Z80.3: Index>history>family>malignant>breast.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.