Abnormal findings (laboratory, x-ray, pathologic, and other diagnostic results) are always coded and reported when they are found.
A) B)
Points Earned: | 30.0/30.0 | |
Correct Answer(s): | False |
1.
When coding converts to ICD-10-CM, outpatient coders will be using ICD-10-PCS instead of CPT.
A) B)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | False |
2.
Which of the following is a characteristic of MS-DRGs?
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | A |
3.
Clinical documentation specialists would perform a concurrent review of a patient’s health record for any missing or incomplete nursing documentation.
A) B)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | False |
4.
Preoperative respiratory exam: V code.
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | V72.82 |
5.
Chronic diseases treated on an ongoing basis can be coded only once when the patient receives treatment and care for the condition.
A) B)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | False |
6.
All of the following are TRUE of the individual hospital payment rate EXCEPT:
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | B |
7.
CPT codes are _____-digit numeric codes.
A) B)
C)
D)
E)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | D |
8.
When errors in coding occur, the hospital may resubmit the billing data with revised codes on the claim or UB-04.
A) B)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | True |
9.
The outpatient term equated to principal diagnosis is “first listed diagnosis” or “primary diagnosis.”
A) B)
Points Earned: | 0.0/5.0 | |
Correct Answer(s): | True |
10.
Medicare has medical necessity guidelines that outline the criteria for what services are to be determined to be reasonable and necessary.
A) B)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | True |
11.
Which of the following are viewed as outpatient settings?
A) B)
C)
D)
E)
F)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | E |
12.
A patient reports to the outpatient surgery department for an arthroscopic meniscectomy for a torn meniscus. The patient is prepped by Anesthesia and is found to be in atrial fibrillation. The surgeon decides not to proceed with the procedure. How should this be coded?
A) B)
C)
D)
E)
Feedback: The correct answer is: The primary diagnosis is the torn meniscus with a secondary diagnosis of atrial fibrillation.
Points Earned: | 0.0/5.0 | |
Correct Answer(s): | B |
13.
Pregnant with history of infertility. V code.
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | V23.0 |
14.
Specialized software (called “groupers”) is used to assign the appropriate MS-DRG. Groupers are often part of encoder or coding software that is used to assign the diagnosis and procedure codes.
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | A |
15.
The condition that, after study, is established as chiefly responsible for occasioning the admission of the patient to the hospital is a:
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | D |
16.
_____ is the manipulation of codes to receive maximum reimbursement without the supporting documentation in the medical record or with disregard for the coding conventions, guidelines, and UHDDS definitions.
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | C |
17.
he old payment method, or _____, was based on charges or a percentage of charges that did not promote best practices and quality care because the hospital was paid based on charges, and the higher the charges were, the higher the payment was.
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | A |
18.
The Uniform Discharge Data Set definition of principal diagnosis applies only to inpatients in:
A) B)
C)
D)
E)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | D |
19.
Which of the following is a factor in determining how sick the patient is and is an interrelated part of case-mix?
A) B)
C)
D)
E)
Feedback: The correct answer is: All of the above
Points Earned: | 0.0/5.0 | |
Correct Answer(s): | D |
20.
Coding guidelines for uncertain diagnoses were developed for inpatient reporting and do not apply to outpatients.
A) B)
1.
This elderly women is seen for increased right hip pain. She has a right hip prosthesis. After extensive evaluation, she is found to have an infection of the prosthesis. She will be scheduled for surgery. What is the correct diagnosis code? (Do not assign external cause code) ICD-10-CM:.
Feedback: The correct code assignment is: T84.51XA Complication(s)(from)(of), joint prosthesis, internal, infection or inflammation, hip. Review the Tabular for complete code assignment and seventh character. Rationale: The complication code assigned for this case includes the type of complication, the specific type of prosthesis, and laterality.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | T84.51XA |
2.
Codes under subcategory 996.8 are used:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
3.
Code only complications that occur within 2 weeks of a transplant surgery.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | False |
4.
To aspirate means to:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
5.
When looking for a complication code in the index, the coder should first look under the .
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | condition |
6.
If the documentation is unclear about whether the diagnosis was the result of a procedure or condition, a physician query should be initiated.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
7.
Patient with a history of a kidney transplant comes to the ER with gastroenteritis. His history is positive for CKD, stage II, and hypertension. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
8.
Iatrogenic is a term used to signify that a condition is a result of treatment.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
9.
Rejection of heart transplant confirmed by left ventricular biopsy: (*Remember to code External Code)ICD-9-CM: ,,.
Feedback: the correct code assignment is: 996.83, E878.0, 37.25. Complication,transplant, heart 996.83; Reaction, transplant E78.0; Biopsy, heart 37.25.
Points Earned: | 3.3/10.0 | |
Correct Answer(s): | Box 1: 996.83; Box 2: E878.0; Box 3: 37.25 |
10.
Displacement of gastrostomy: ICD-9-CM: .
Feedback: The correct code assignment is: V55.1. Attention to, gastrostomy.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | V55.1 |
1.
All of the following are to be considered when one is questioning whether a poisoning has occurred EXCEPT whether the:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
2.
The toddler is seen emergently for nausea and vomiting after an accidental overdose of acetaminophen. He inadvertently ate several of these when he found an open bottle at home. What is the correct diagnosis codes(s)? (Do not assign external cause code) ICD-10-CM: ,.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: T39.1X1A; Box 2: R11.2 |
3.
In a toxin poisoning, the toxic poisoning code should be sequenced first, followed by the E code(s) that identify/identifies the toxin.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
4.
Which of the following is true when a poisoning or reaction to the improper use of medication is coded?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
5.
Patient was admitted with second-degree burns of the left hand and first-degree burns of the left forearm. The patient touched a hot steam pipe. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
6.
When the reason for the admission or encounter is to provide treatment for external multiple burns, sequence first the code that reflects the burn of the highest degree.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
7.
Code the following using ICD-9-CM: Hives due to penicillin taken for strep throat:,,.
Feedback: The correct code assignment is: 708.0, E930.0, 034.0. Adverse Effect: When the drug was correctly prescribed and properly administered, code the reaction plus the appropriate code from E930-E949 series. Codes from the E930-E949 series must be used to identify the causative substance for an adverse effect of drug, medicinal and biological substances, correctly prescribed and properly administered. Hives - See Uticaria, Uticaria due to drugs (780.0); Table of Drug and Chemicals, Therapeutic Use E930.0; Infection, Streptococcal, sorethroat 034.10.
Points Earned: | 3.3/10.0 | |
Correct Answer(s): | Box 1: 708.0; Box 2: E930.0; Box 3: 034.0 |
8.
Match the following V codes.
A. V61.21 |
B. V14.8 |
C. V15.06 |
D. V14.7 |
E. V15.01 |
F. V15.6 |
G. V15.02 |
H. V15.41 |
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | V14.7:Personal history of allergy to medicinal agents—serum or vaccine, V14.8:Personal history of allergy to medicinal agents—other specified medicinal agents, V15.01:Allergy other than to medicinal agents—peanuts, V15.02:Allergy other than to medicinal agents—milk products, V15.06:Allergy other than to medicinal agents—insects, V15.6:History of poisoning, V15.41:History of physical abuse, V61.21:Counseling for victim of child abuse |
9.
Patient was admitted with cocaine-induced chest pain. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
10.
When the patient is admitted for burn injuries and other related conditions such as smoke inhalation, the circumstances of admission govern the selection of the principal or first-listed diagnosis.
A) B)
1.
In ICD-10-CM, complications of a fracture such as malunion or nonunion are reported with seventh-character extensions for subsequent care with nonunion or malunion.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
2.
Which fracture would NOT be considered an upper limb fracture?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
3.
In ICD-10-CM, if a fracture is not specified, it is coded to nondisplaced.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | False |
4.
Assign the correct V-code for: Aftercare for healing traumatic fracture of upper leg:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | V54.15 |
5.
A patient is admitted with a closed head injury with concussion with LOC for less than 30 minutes at the scene. The patient is intoxicated and fell down the steps at home. The patient also sustained an open wound of the lip and an abrasion of the forehead. What codes are applicable?
A) B)
C)
D)
Feedback: The correct code assignment is: 850.11, 873.43, 910.0, 305.00, E880.9, E849.0. Concussion (current)with loss of consciousness 30 min or less, (850.11); Wound, open, lip (873.43); Injury, superficial, forehead (910.0). Alcohol, acute, intoxication (305.00); Fall on or from other stairs, (E880.9); Place of occurrence Home (E849.0). Reference Intracranial Injury, excluding skull fractures, page 672 of your text book.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | C |
6.
A patient sustained a blow-out fracture 1 week ago and is being seen by an orthopedic consultant. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
7.
All of the following are true of E codes EXCEPT they capture:
A) B)
C)
D)
Feedback: how to screen patients
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | C |
8.
Assign the correct V Code: Organ or tissue replaced by transplant—bone. V code:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | V42.4 |
9.
Code the following diagnosis: 2 cm laceration of the left heel with foreign body. This is a current injury. (Do not assign external cause codes.) ICD-10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | S91.322A |
10.
Patient was seen with an abrasion with laceration of the left knee. What code(s) is (are) applicable?
A) B)
C)
D)
1.
Assign the code for the following diagnosis: Frontal encephalocele with hydroencephalocele with hydroencephalocele. ICD-10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Q01.0 |
2.
When locating infections of the newborn, it is best to look under the main term for the infection and then to look for a subterm of newborn, fetal, or congenital.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
3.
If the baby scores a _____ or above on the Apgar test 1 minute after birth, he or she is considered to be healthy.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
4.
Cesarean delivery of infant in fetal distress due to an abnormal fetal heart rate during labor: ICD-9-CM: , .
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: V30.01; Box 2: 763.82 |
5.
The perinatal period is considered before birth through the 28th day following birth.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
6.
Which of the following is true of Chapter 15 codes?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
7.
A code from category 038, septicemia, should not be used on a _____ record.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
8.
Prematurity is based on recorded birth weight and gestational age and documentation of prematurity.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
9.
An infant is delivered by cesarean section. On examination, the infant is noted to have neonatal teeth and strawberry nevus on the left leg. What codes are applicable?
A) B)
C)
D)
Feedback: The correct code assignment is: V30.01, 779.89, 520.6, 757.32. Outcome of Birth: Single live born in hospital, delivered by cesarean section. When coding secondary diagnoses from other chapters on a newborn's chart, guidelines state that code 779.89 should also be assigned. If there is no specific code from the Congenital anomalies and perinatal condition chapter to describe the condition, disease, or complication of the newborn, then a code from other chapters should be used as well as code 779.89. In the Index: Neonatal, teeth,tooth 520.6. In the Index: Nevus, strawberry 757.32. (Please refer to page 640 in your text book)
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | A |
10.
Newborn is delivered vaginally and given antibiotics for suspected sepsis that was ruled out. The baby was premature at 34 weeks and weighed 1842 grams. Meconium staining was noted at delivery. What codes are applicable?
A) B)
C)
D)
1.
Complications of pregnancy, childbirth, and the puerperium are coded:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
2.
Suppressed lactation postpartum: ICD-9-CM:. ICD-10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 676.54; Box 2: O92.5 |
3.
In ICD-10-CM, the final character indicates the episode of care.
A) B)
Feedback: The final character in most codes in this chapter of ICD-10-CM indicates the trimester of pregnancy, not the episode of care.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | False |
4.
Nursing mother mastitis: ICD-9-CM: .
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | 675.24 |
5.
What drug could be given to inhibit labor?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
6.
A patient is admitted in labor, and she delivers a 7-lb baby boy. After vaginal delivery, she hemorrhages. The physician documents that the hemorrhage is due to a retained placenta. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
7.
In ICD-10-CM, there are code extensions to specify the fetus affected by the obstetric condition.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
8.
Which of the following codes are assigned to a normal pregnancy??
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
9.
The patient is 9 weeks pregnant. She is admitted for an elective abortion. The physician performs a vacuum D&C to terminate the pregnancy.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
10.
What is the index if the condition is affecting the pregnancy?.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | pregnancy |
1.
In ICD-10-CM, there is a code to identify postprocedural renal failure.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
2.
A patient has chronic kidney disease stage 3 and benign hypertension. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
3.
This 30-year-old female was seen with frequent urination with pain. Diagnosis: Acute suppurative cystitis, with hematuria due to E coli. What diagnosis codes are assigned? ICD-10: ,.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: N30.01; Box 2: B96.20 |
4.
Salpingitis is inflammation of the fallopian tubes, which are the most common site of pelvic inflammation.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
5.
Which of the following is (are) V code(s) that may be used with diseases of the genitourinary system?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
6.
A patient is admitted to the hospital for fluid overload due to noncompliance with attending renal dialysis sessions. Patient has stage 5 CKD. Hemodialysis was performed. What codes are applicable?
A) B)
C)
D)
E)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
7.
What type of dialysis uses the peritoneal membrane to filter out wastes and excess fluid?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
8.
Use of code category 585 with V42.0 ALWAYS indicates transplant rejection or failure.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | False |
9.
Diseases of the genitourinary system are in code categories:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
10.
Postmenopausal atrophic vaginitis: ICD-9CM:. ICD-10CM.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 627.3; Box 2: N95.2 |
1.
Ankylosis of right shoulder: ICD 9-CM:. ICD 10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 718.51; Box 2: M24.611 |
2.
Staphylococcal pyogenic arthritis left knee ICD-9 CM:.
Feedback: The correct code assignment 711.06, 041.06. Arthritis, pyogenic organism 711.06; Infection, staphylococal NEC 041.10.
Points Earned: | 5.0/10.0 | |
Correct Answer(s): | Box 1: 711.06; Box 2: 041.10 |
3.
ICD-10-CM has a combination code for osteoporosis with pathologic fracture.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
4.
CD-10-CM has different codes to identify laterality for many musculoskeletal conditions.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
5.
Diseases of the musculoskeletal system and connective tissue are located in code categories:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
6.
A pediatric patient was admitted with a pathologic fracture of the proximal right humerus. Radiographic evidence suggests that the fracture was caused by a unicameral bone cyst. An orthopedic consult was obtained to see whether this should be treated surgically. It was decided to treat conservatively and monitor healing with serial x-rays.Final Diagnosis: Unicameral bone cyst of proximal right humerus with pathologic fracture.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
7.
What drug could be given to treat osteoporosis?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
8.
A patient is seen in follow-up after a vertebroplasty for pathologic fracture of the L1 vertebrae. Patient has senile osteoporosis of the spine. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
9.
A patient is admitted for a total hip replacement because of primary osteoarthritis of the right hip. Patient has had a left hip replacement (metal on polyethylene prosthesis). What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
10.
____ is a chronic, inflammatory autoimmune disease that can damage connective tissue anywhere in the body. It causes inflammation of the skin, joints, nervous system, kidneys, lungs, and other organs.
A) B)
C)
D)
1.
A(n) _____ is a skin graft to an individual from another species, such as a pig.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
2.
Diseases of the skin and subcutaneous tissues are coded:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
3.
Another name for a pressure ulcer is a decubitus ulcer.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
4.
A patient comes to the ER with a crusty, itchy rash. The diagnosis is impetigo of the legs with cellulitis. The patient is admitted to treat the cellulitis.
A) B)
C)
D)
Feedback: The correct code assignment is: L03.115, L03.116, L01.00. Index: Cellulitis, lower limb L03.11-. When you look up in table there are two codes, one for right lower limb L03.115 and one for left lower limb L03.116. In the Index: Impetigo(any organism, any site) L01.00.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | A |
5.
Dermatitis due to gold ring. ICD-9CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | 692.83 |
6.
Patient has cellulitis of the upper arm due to insect bite (hint read notes in index). ICD-9CM Codes:,.
Feedback: The correct code assignment is: 682.3, 912.5. Cellulitis associated with a superficial injury, requires the use of two codes: one code for the injury and one code for the cellulitis. Per Coding Cllinic,(1191:2Q:p5-7), the sequence of these codes is dependent on the focus of treatment. For superficial injuries with cellulitis, it is likely that treatment will be focused on the cellulitis. Page 513 in text book. Index: cellulitis, arm. Index: Injury, superficial, arm, upper 912.5.
Points Earned: | 5.0/10.0 | |
Correct Answer(s): | Box 1: 682.3; Box 2: 912.5 |
7.
Patient has a pressure ulcer of the left ankle on admit, which is documented as a stage I and progresses to a stage III during the course of the stay. What code(s) is (are) applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
8.
Which of the following is NOT a layer of the skin?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
9.
Codes for ulcers of the lower limb have a fifth digit that describes the area of the limb where the ulcers are located.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
10.
A patient is admitted to the hospital for hydrademitis suppurativa on the left buttock area. ICD9-CM Code.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | 705.83 |
1.
Patient is admitted with abdominal pain. After investigation, it was determined that the patient has alcoholic gastritis. Patient has a history of alcohol dependence. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
2.
In ICD-10-CM, fifth digits to identify drug and alcohol usage still apply.
A) B)
Feedback: The fifth digits used to identify drug and type of alcohol usage (continuous, episodic, and uspecified) in ICD-9-CM are not applicable in ICD-10-CM.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | False |
3.
In ICD-10-CM, histories of drug and alcohol abuse are assigned codes for “in remission.”
A) B)
Feedback: The correct answer is true.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | True |
4.
ICD-10-CM does not have a history code for history of drug or alcohol abuse.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
5.
Patient is admitted with abdominal pain. After investigation, it was determined that the patient has alcoholic gastritis. Patient has a history of alcohol dependence. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
6.
Seizure due to alcohol withdrawal. Patient is dependent on alcohol and usually drinks every day. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
7.
This 28-year-old man was brought to the ER by a friend who stated that the patient had been acting bizarrely. The patient has been irritable, pacing the apartment, and talking nonstop. He was admitted to the psychiatric unit for management of his manic symptoms.Final Diagnosis: Bipolar affective disease, severe manic phase, recurrent episode with psychosis.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
8.
Which of the following is NOT associated with psychosis?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
9.
Patient was admitted to the psychiatric unit for evaluation of mood disorder. After extensive testing and evaluation, it was determined that patient was experiencing major depression that is severe in nature and that some psychotic features are present.Final Diagnosis: Major depressive disorder, severe with psychosis.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
10.
Catatonic schizophrenia in remission: ICD-9-CM. ICD-10-CM.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 295.25; Box 2: F20.2 |
1.
In ICD-9-CM, as well as in ICD-10-CM, codes for TIA are found in the nervous system chapter.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | False |
2.
A patient with known metastatic cancer to the ribs is admitted for pain control.The patient has a history of lung cancer, which was surgically excised. The patient is administered fentanyl. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
3.
Hydrocephalus can be acquired or congenital.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
4.
Patient is admitted for a spinal fusion at L2-L3. For many years, the patient has experienced chronic back pain secondary to a herniated disk at L2-L3, which was removed during the fusion. The physician performed an XLIF procedure with the insertion of an interbody fusion device. What codes are applicable?
A) B)
C)
D)
Feedback: The correct code assignment is: 722.10, 81.06, 80.51, 81.62, 84.51. Coding Guideline: When an admission is for a procedure aimed at treating the underlying condition, a code for the underlying condition should be assigned as the principal diagnosis. No code from category 338 should be assigned. In the Index: Displacement, intervertebral disc, lumbar, lumbosacral 772.10; Fusion, spinal,extreme lateral interbody fusion(XLIF) 81.06 (code also: any insertion of interbody spinal fusion device 84.51)Code Also the total number of vertebrae fused; Excision, disc, herniated 80.51; Fusion, spinal, number of vertebra 81.62.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | D |
5.
It is acceptable to code pain as a principal diagnosis when:
A) B)
C)
D)
E)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
6.
Root operations are found in ICD-9-CM and not in ICD-10-PCS
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | False |
7.
In ICD-10-CM, if information on whether hemiplegia is affecting the dominant or nondominant side is not documented, the default is dominant.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
8.
Bilateral vitreous floaters:ICD-9 CM:. ICD-10 CM.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 379.24; Box 2: H433.93 |
9.
A patient was admitted for control of acute pain after he fell off a ladder and sustained two broken ribs. What codes are applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
10.
A patient is admitted following a seizure. Laboratory work reveals that the patient is dehydrated and hyponatremic. The final diagnosis lists seizure due to dehydration. What codes are applicable?
A) B)
C)
D)
1.
There is no hypertension table in ICD-10-CM, as in ICD-9-CM.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
2.
The patient is seen today for follow-up for his benign hypertension. What is the correct diagnosis code? ICD-10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | I10 |
3.
Patient was admitted with acute on chronic systolic and diastolic congestive heart failure. What code(s) is (are) applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
4.
Diseases of the circulatory system in ICD-10-CM are coded from:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
5.
All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT:
A) B)
C)
D)
E)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
6.
Patient is admitted with chest pain and is found to have had an anterolateral MI. There is a family history of CAD.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | C |
7.
Anterolateral myocardial infarct, initial visit:ICD-9-CM. ICD-10-CM:.
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | Box 1: 410.01; Box 2: I21.09 |
8.
In ICD-10-CM a subsequent acute MI is an MI that occurs within 28 days of the previous MI.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
9.
Patient is admitted with CHF and known hypertensive heart disease.
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | B |
10.
The time limit for assigning the acute MI in ICD-9-CM is 28 days. The same is true for ICD-10-CM.
A) B)
1.
A diagnostic endoscopic procedure in which a tiny camera on the end of the endoscope is inserted through the nose or mouth into the lungs is called a:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
2.
In ICD-10-CM, separate codes are assigned for COPD with asthma, if the type of asthma is specified.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
3.
A patient is admitted for suspected avian influenza. What code(s) is (are) applicable?
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
4.
When pleural effusion results from trauma or disease, and blood is accumulating in the pleural space, the condition is called:
A) B)
C)
D)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | A |
5.
Which of the following types of influenza cause(s) epidemics each year and has/have a vaccine called a flu shot to prevent the contraction of influenza?
A) B)
C)
D)
E)
F)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | D |
6.
A patient is admitted with hypoxemia and acute respiratory failure. The patient has COPD and is being treated for an acute exacerbation. The patient is intubated in the ER and is transferred to ICU and maintained on mechanical ventilation for 24 hours. The patient has a history of diabetes and chronic diastolic congestive heart failure. What codes are applicable?
A) B)
C)
D)
Feedback: The correct code assignment is: 518.81, 491.21, 250.00, 428.32,96.71, 96.04. Per guidelines, if both the respiratory failure and another acute condition are equally responsible for occasioning the admission, the guidelines regarding two or more diagnoses that equally meet the definition for principal diagnosis may be applied in these situations. Index: Failure, respiration, respiratory 518.81; Index: Disease,pulmonary, obstructive with exacerbation(acute) 491.21; Index: Diabetes 250.00; Index: Failure, heart, diastolic, chronic, 428.32. Index: Ventilation, mechanical, by endotracheal tube, 96.71 See(code also: any associated: endotracheal tube insertion, 96.04.
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | A |
7.
Legionnaires’ disease with transbronchial right lung biopsy:ICD-9-CM,.
Feedback: The correct code assignment is: 482.84, 33.27. Index: Disease, Legionnaires, 482.84. Index: Biopsy, lung, transbronchial,33.27
Points Earned: | 0.0/10.0 | |
Correct Answer(s): | Box 1: 482.84; Box 2: 33.27 |
8.
This 10-year-old female child is being seen because of severe persistent asthma with acute exacerbation. What diagnosis code is assigned. ICD-10-CM: .
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | J45.51 |
9.
BIPAP administered through a tracheostomy is coded to invasive ventilation.
A) B)
Points Earned: | 10.0/10.0 | |
Correct Answer(s): | True |
10.
Diseases of the respiratory system correspond to codes:
A) B)
C)
D)
2.
As explained in the article that appeared in AHIMA by Joette Hanna entitled “Constructing a Coding Compliance Plan,” several steps must be taken for a coding department to be certain the department is in compliance. Which of the following is NOT one of the steps?
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | D |
3.
Which organization is NOT responsible for the maintenance of ICD-9-CM?
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | B |
4.
Which is the area of the record where the attending physicians, as well as physician consultants, give their directives to the house staff, nursing, and ancillary services?
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | C |
5.
Sometimes _____ will be used to help diagnose a patient’s condition.
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | A |
6.
All of the following are members of the cooperating parties EXCEPT:
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | C |
7.
Chronic conditions include all of the following EXCEPT:
A) B)
C)
D)
E)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | E |
8.
The AHIMA practice brief says that query forms should do none of the following EXCEPT:
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | B |
9.
If the condition of a patient is being clinically evaluated, the coder would expect to see:
A) B)
C)
D)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | C |
10.
Every facility should have the same policies and procedures with regard to the query process.
A) B)
Points Earned: | 30.0/30.0 | |
Correct Answer(s): | False |
11.
Match each item to one of the following definitions.
A. Has over 100,000 members and was started in 1981 |
B. Translating diagnoses and procedures into numbers for the purposes of statistically capturing data |
C. Grouping together like items for easy storage and retrieval |
D. To maintain credentials, coders must earn these |
E. Published by the College of American Pathologists, the most up-to-date system of nomenclature |
F. The current coding classification system in use in the United States |
Points Earned: | 30.0/30.0 | |
Correct Answer(s): | Translating diagnoses and procedures into numbers for the purposes of statistically capturing data:Medical coding, Published by the College of American Pathologists, the most up-to-date system of nomenclature:Systematized Nomenclatures of Medicine, Grouping together like items for easy storage and retrieval:Classification systems, The current coding classification system in use in the United States:ICD-9-CM, To maintain credentials, coders must earn these:Continuing Education Units (CEUs), Has over 100,000 members and was started in 1981:AAPC |
12.
Which of the following would NOT be studied through the use of ICD-9-CM?
A) B)
C)
D)
Points Earned: | 0.0/5.0 | |
Correct Answer(s): | B |
13.
No laterality is included in codes in which of the following?
A) B)
C)
Points Earned: | 5.0/5.0 | |
Correct Answer(s): | A |
14.
Principal diagnosis is one of the most important concepts for coders to understand and apply.
A) B)
Points Earned: | 30.0/30.0 | |
Correct Answer(s): | True |
15.
Which of the following contains codes that are 3 to 7 characters?
A) B)
C)
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