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Randy Carson, a 53-year-old male, was admitted for chemotherapy due to pancreatic duct cancer. The coder should assign codes:


A) Z51.11, C25.2.
B) Z51.11, C25.3.
C) C25.2, Z51.11.
D) C25.3, Z51.11.

E) B) and C)
F) A) and D)

Correct Answer

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Arthur was diagnosed with cancer of the right acoustic nerve. The coder should assign code:


A) C72.40.
B) C72.41.
C) C72.42.
D) C72.59.

E) A) and D)
F) B) and C)

Correct Answer

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A common test for malignant neoplasm of the lung is:


A) ultrasound.
B) chest x-ray.
C) acid phosphatase.
D) bone marrow biopsy.

E) A) and B)
F) C) and D)

Correct Answer

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________ is the classification of neoplasms primarily by anatomical site.


A) Carcinoma
B) Malignant
C) Topography
D) Functional activity

E) A) and C)
F) B) and C)

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Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: A ________ code may be a ________ code if the reason for the visit is specifically the screening exam.


A) test, first-listed
B) first-listed, screening
C) screening, first-listed
D) screening, second-listed

E) A) and C)
F) B) and D)

Correct Answer

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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?


A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

E) None of the above
F) All of the above

Correct Answer

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When normal cells mutate, they create a:


A) benign tumor.
B) malignant tumor.
C) neoplasm.
D) all of these

E) A) and D)
F) A) and C)

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Dionne has been diagnosed with a benign lipomatous neoplasm of the kidney. The main term is ________; the correct code is ________.


A) benign, D17.0
B) lipoma, D17.71
C) kidney, D17.72
D) lipomatous, D17.9

E) A) and C)
F) All of the above

Correct Answer

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If a patient with cancer is admitted for anemia due to a complication from breast cancer, what is the principal diagnosis?


A) Anemia
B) Admission for chemotherapy
C) Admission for radiation
D) Breast cancer

E) B) and C)
F) A) and D)

Correct Answer

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Which of the following terms identifies a neoplasm?


A) adenoma
B) melanoma
C) leukemia
D) all of these

E) None of the above
F) A) and B)

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What term indicates the tumor has not invaded any adjacent cells?


A) Primary
B) Benign
C) Ca in situ
D) Generalized

E) All of the above
F) A) and C)

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The term ________ indicates that the tumor has undergone malignant changes but is still limited to the site where it originated.


A) primary
B) secondary
C) Ca in situ
D) metastasized

E) B) and D)
F) C) and D)

Correct Answer

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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. The coder should assign code:


A) C72.59
B) C79.49
C) C76.0
D) D43.3

E) A) and B)
F) A) and C)

Correct Answer

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Which classification of neoplasm indicates that the pathologist is not able to determine whether the tumor is benign or malignant?


A) Ca in situ
B) Uncertain
C) Unspecified
D) None of these

E) B) and D)
F) A) and B)

Correct Answer

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Which of the following codes is used to report a personal history of malignancy of the pancreas?


A) Z85.060
B) Z85.068
C) Z85.07
D) Z80.8

E) A) and D)
F) None of the above

Correct Answer

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If a patient is admitted for dehydration due to the chemotherapy treatments she has been receiving to treat ovarian cancer, what is the principal diagnosis?


A) C56.1
B) C56.9
C) E86.0
D) Z51.11

E) C) and D)
F) None of the above

Correct Answer

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The term ________ identifies the anatomical site to which the malignancy ________.


A) primary, secondary
B) secondary, metastasized
C) metastasized, secondary
D) Ca in situ, metastasized

E) A) and C)
F) B) and C)

Correct Answer

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Refer to the ICD-10-CM Official Guidelines I.C.21.c.4 which states: There are two types of history Z codes, ________.


A) malignant and benign
B) disease and disorder
C) personal and family
D) therapy and systemic

E) A) and B)
F) None of the above

Correct Answer

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Refer to the ICD-10-CM Official Guidelines I.C.2.d which state: When a primary malignancy has been previously ________ or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category ________, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy.


A) excised, Z85
B) Z85, excised
C) excised, Z84
D) Z86, excised

E) B) and D)
F) B) and C)

Correct Answer

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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?


A) Z40.01, Z80.3
B) Z40.01, Z85.3
C) Z80.3, Z40.01
D) Z85.3, Z40.01

E) All of the above
F) None of the above

Correct Answer

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