Babette's Definitely MAYBE!: REVIEW IV

The patient was admitted for chemotherapy for stage IIIA breast (left) cancer. The patient was taking medication for restless legs syndrome. The patient tolerated the chemotherapy regimen with no complications and will return as arranged for cycle 3.Final Diagnosis: Breast cancer, stage IIIA (spread to axillary lymph nodes).Procedure: Chemotherapy via central vein.

A) C50.912, Z51.11, C77.89, G25.81, 3E04305
B) Z51.11, C50.912, C77.3, G25.81, 3E04305
C) Z51.12, C50.912, C77.3, G25.81, 3E03305
D) Z51.11, Z85.3, C77.89, G25.81, 3E03305

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

What drug could be given to treat neutropenia due to chemotherapy?

A) Neulasta
B) Procrit
C) Aranesp
D) Tamoxifen

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Metastatic carcinoma of the omentum. History of ovarian carcinoma that was treated with bilateral oophorectomy five years ago: ICD-9 ,,.

Feedback: The correct code assignment is: 197.6, V10.43, V45.77. Neoplasm table Omentum, Malignant (secondary) 196.6; History, malignant neoplasm of ovary V10.43; Absence, organ, ovary(acquired) V45.77

Table for Individual Question Feedback
Points Earned:	3.3/10.0
Correct Answer(s):	Box 1: 197.6; Box 2: V10.43; Box 3: V45.77

Patient had a robotically assisted laparoscopic radical prostatectomy with bilateral inguinal lymphadenectomy as a result of prostate cancer. What codes are applicable?

A) 185, 60.5, 40.3, 17.42
B) 185, 60.5, 40.3
C) 222.2, 60.5, 17.42
D) 185, 60.5, 40.3, 00.39

Feedback: The correct code assignment is: 185, 60.5, 40.3, 17.42. In the Neoplasm table Prostate (primary) 185, Prostatectomy, Radical 60.5; Lymphadenectomy - see also Exision lymph nodes, Excision, lymph nodes, with lymphatic drainage area 40.3; Robotic assisted surgery, laparoscopic 17.42.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	A

In ICD-10-CM, there is an instructional note to code the malignancy first even when the encounter is for the management of anemia due to the malignancy.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

When admission is for the management of dehydration due to malignancy or therapy and only dehydration is being treated, the dehydration is coded first, followed by the code(s) from the malignancy.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

When admission is for treatment of a complication resulting from a surgical procedure, the complication should be the principal diagnosis if the treatment is directed at resolving the complication.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

_____ carcinoma is a primary neoplasm of the liver.

A) Squamous cell
B) Bronchogenic
C) Hepatocellular
D) Invasive ductal

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

The total removal of local small masses or growths is a(n):

A) core biopsy
B) fine needle aspiration
C) incisional biopsy
D) excisional biopsy

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

10.

A patient is admitted for a wedge resection of metastatic carcinoma of the liver. The patient was diagnosed with small cell lung carcinoma 3 months ago. What codes are applicable?

A) 162.9, 155.0, 50.22
B) 197.7, V10.11, 50.23
C) 197.7, 162.9, 50.22
D) 162.9, 197.7, 50.22

When looking up anemic conditions in the code book, you should look up:

A) anemia first, and then the various subterms
B) the type of anemia first, and then “anemia” as a subterm
C) the symptoms presented
D) none of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

A patient has anemia due to metastatic bone cancer. The patient has a history of primary left breast cancer that was treated with a mastectomy 4 years ago. What codes are applicable?

A) 285.22, 198.5, 174.9
B) 198.5, 174.9, 282.22, V45.71
C) 285.22, 198.5, V10.3, V45.71
D) 285.29, 198.5, V10.3, V45.71

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	C

Anemia due to neoplastic disease can be used as the principal diagnosis code in ICD-10-CM if the reason for the encounter is to treat the anemia.

A) True
B) False

Feedback: The correct answer is False. In ICD-10-CM Tabular, there is an instructional notation under code D63.0, Anemia in neoplastic disease, to first code the neoplasm (C00 to D49).

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	False

Procedural complications affecting the spleen are included in Chapter 3 of ICD-10-CM.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

ESRD with EPO resistant anemia:ICD-10CM: ,.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: N18.6; Box 2: D63.1

Postoperative anemia:ICD-9CM:.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	285.9

When looking up anemic conditions in the code book, you should look up:

A) anemia first, and then the various subterms
B) the type of anemia first, and then “anemia” as a subterm
C) the symptoms presented
D) none of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Anemia codes can be used as the principal diagnosis code in ICD-9-CM if the reason for the encounter is to treat the anemia.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

A patient is admitted with sickle cell thalassemia with vaso-occlusive pain. The patient has a chest x-ray, and acute chest syndrome is ruled out. The patient has had a right hip replacement for avascular necrosis. What codes are applicable?

A) 282.42, V43.64
B) 282.42, 517.3, 733.42
C) 282.41, V43.64
D) 517.3, 282.42, 733.42

Feedback: The correct code assignment is: 282.42, V43.64. In the Index, Sickle-cell, thalassemia with vaso-occlusive pain 282.42; Replacement by artificial or mechanical device or prosthesis of, joint, hip (partial)(total) V43.64.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	A

10.

A patient takes Coumadin for atrial fibrillation. What code(s) is (are) applicable?

A) 427.32, V58.61
B) 427.31, V58.61
C) V58.61
D) 427.31, V58.63

This 30-year-old man has a history of type I diabetes mellitus since age 8. His diabetes is complicated by polyneuropathy. He has been noncompliant with glucose monitoring and diet . In the ER, the patient had hyperglycemia with blood glucose over 500. Patient was admitted for treatment of his out-of-control diabetes.Final Diagnosis: Diabetes mellitus, type I.

A) E10.65, E10.42, Z91.19
B) E10.42, E10.65, Z79.4, Z91.19
C) E10.69, E10.41, Z91.11
D) E11.65, E11.42, Z91.14

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

A patient is admitted because of uncontrolled diabetes resulting from Cushing’s syndrome. Patient is receiving insulin. What codes are applicable?

A) 249.01, 255.0, V58.67
B) 249.00, 255.0, V58.67
C) 255.0, 249.00, V58.67
D) 249.91, 255.0, V58.67

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

The most common cause of a goiter is _____ deficiency.

A) potassium
B) vitamin C
C) sodium
D) iodine

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Which of the following is NOT a major endocrine gland in the body?

A) Thyroid
B) Parotid
C) Pancreas
D) Ovaries

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

The patient was treated for hyperplasia of the parathyroid. The patient was hypercalcemic.

A) 252.01, 275.42
B) 252.01
C) 275.42, 252.01
D) 252.01, 275.41

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

Diabetes mellitus without mention of complication would NOT have any additional manifestation codes.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

The _____ regulates metabolism of glucose in body cells and maintains proper blood glucose.

A) thymus
B) pancreas
C) pineal gland
D) adrenal medulla

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

In ICD-10-CM, there is no designation for out-of-control diabetes mellitus.

A) True
B) False

Feedback: The correct answer is True.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	True

Disorders of the thyroid are located in code categories:

A) 240-246
B) 250-259
C) 260-269
D) 270-279

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

10.

A patient is admitted for care of a diabetic ulcer on the left midfoot. The patient also has chronic kidney disease resulting from diabetes. What codes are applicable?

A) 250.81, 707.15, 250.41, 585.9
B) 250.81, 707.14, 250.41, 585.9
C) 250.80, 707.14, 250.40, 585.9
D) 250.82, 707.15, 250.40, 585.9

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) 535.51, V11.3
B) 535.31, 303.93
C) 535.50, 303.91
D) 535.30, 303.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

In ICD-10-CM, fifth digits to identify drug and alcohol usage still apply.

A) True
B) False

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.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	False

In ICD-10-CM, histories of drug and alcohol abuse are assigned codes for “in remission.”

A) True
B) False

Feedback: The correct answer is true.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	True

ICD-10-CM does not have a history code for history of drug or alcohol abuse.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

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) 535.51, V11.3
B) 535.31, 303.93
C) 535.50, 303.91
D) 535.30, 303.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Seizure due to alcohol withdrawal. Patient is dependent on alcohol and usually drinks every day. What codes are applicable?

A) 780.39, 291.81, 303.90
B) 291.81, 780.39, 303.91
C) 303.91, 291.81, 780.39
D) 291.81, 780.39, V11.3

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

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) F31.2
B) F31.73
C) F31.74
D) F31.10

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Which of the following is NOT associated with psychosis?

A) Visual hallucinations
B) Disorganized thinking
C) Paranoia
D) None of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

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) F34.1
B) F33.3
C) F32.3
D) F32.4

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

10.

Catatonic schizophrenia in remission: ICD-9-CM. ICD-10-CM.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: 295.25; Box 2: F20.2

In ICD-9-CM, as well as in ICD-10-CM, codes for TIA are found in the nervous system chapter.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	False

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) C79.51, G89.3, Z85.118
B) G89.3, C79.51, Z85.118
C) C79.51, G89.3, C34.90
D) G89.3, G89.3, C34.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

Hydrocephalus can be acquired or congenital.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

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) 338.29, 722.10, 81.08, 80.51, 81.62
B) 722.10, 338.29, 81.08, 80.51, 81.62
C) 338.29, 722.10, 81.08, 81.62
D) 722.10, 81.06, 80.51, 81.62, 84.51

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.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	D

It is acceptable to code pain as a principal diagnosis when:

A) no definite diagnosis has been established
B) the patient is admitted for postoperative pain control
C) the patient is admitted for pain control for neoplasm-related pain
D) all of the above
E) none of the above; never acceptable to code pain as a principal diagnosis

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Root operations are found in ICD-9-CM and not in ICD-10-PCS

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	False

In ICD-10-CM, if information on whether hemiplegia is affecting the dominant or nondominant side is not documented, the default is dominant.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

Bilateral vitreous floaters:ICD-9 CM:. ICD-10 CM.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: 379.24; Box 2: H433.93

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) 807.02, 338.11, E881.0
B) 338.18, 807.02, E881.0
C) 338.11, 807.02, E881.0
D) 807.02, 338.19, E881,0

Table for Individual Question Feedback
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) E87.1, R56.9
B) R56.9, E87.1
C) E86.0, R56.9, E87.1
D) R56.9, E87.1, E86.0

There is no hypertension table in ICD-10-CM, as in ICD-9-CM.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

The patient is seen today for follow-up for his benign hypertension. What is the correct diagnosis code? ICD-10-CM:.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	I10

Patient was admitted with acute on chronic systolic and diastolic congestive heart failure. What code(s) is (are) applicable?

A) 428.43, 428.0
B) 428.0, 428.41
C) 428.41, 428.0
D) 428.0

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Diseases of the circulatory system in ICD-10-CM are coded from:

A) I00-I99
B) H00-H59
C) M00-M99
D) F01-F99

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT:

A) CPK
B) EKG
C) urinalysis
D) ECG
E) troponin level test

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

Patient is admitted with chest pain and is found to have had an anterolateral MI. There is a family history of CAD.

A) I21.3, Z82.49
B) I22.9, Z82.49
C) I21.09, Z82.49
D) I21.11, Z82.49

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

Anterolateral myocardial infarct, initial visit:ICD-9-CM. ICD-10-CM:.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: 410.01; Box 2: I21.09

In ICD-10-CM a subsequent acute MI is an MI that occurs within 28 days of the previous MI.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

Patient is admitted with CHF and known hypertensive heart disease.

A) I50.9, I11.0
B) I11.0, I50.9
C) I50.9, I10
D) I11.0, I50.3

Table for Individual Question Feedback
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) True
B) False

Which of the following is NOT true of status codes?

A) A status code is informative because the status may affect the course of treatment and its outcome.
B) A status code is distinct from a history code.
C) A status code should not be used with a diagnosis code from one of the body system chapters if the diagnosis code includes the information provided by the status code.
D) None of the above is correct.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Patient is admitted to the hospital with fever and dehydration resulting from pneumonia. What codes are applicable?

A) 486, 276.51
B) 486, 276.51, 780.60
C) 780.60, 486, 276.50
D) 486, 276.51, 780.61

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	A

In ICD-10-CM, the Z codes are similar to ICD-9-CM V codes.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

When a V code is used as a diagnosis for a given procedure or a reason for the encounter, a procedure code is not necessary to identify that the procedure was performed.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	False

The patient was admitted for a takedown of colostomy. The patient underwent a colostomy 3 months ago after colon resection was performed for perforated diverticulitis. The patient was taken to the OR for colostomy reversal with end-to-end anastomosis. The patient still has a few diverticula of the large intestine and should follow a diverticulosis diet.Final Diagnosis: Diverticulosis.Procedure: Colostomy takedown.

A) 562.10, V55.3, 46.52
B) V55.3, 562.10, 46.52
C) 562.11, 46.52
D) V55.3, 562.10, 46.51

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

This 6-month-old infant was admitted with a febrile seizure. The patient had a temperature of 103 and had been started on antibiotics the day before for acute bilateral otitis media. The patient was discharged to the care of the parents on the following day.Final Diagnosis: Febrile seizure; fever due to acute bilateral otitis media.

A) R56.01, H66.90
B) R56.9, H66.93
C) R56.00, H66.93
D) R56.00, H66.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

Patient is admitted to the hospital with the “worst headache” he has ever had. Workup for aneurysm is performed. There is a strong family history of stroke. No cause for the headache is determined.ICD-9 ,. ICD-10,.

Feedback: The correct code assignment is: 784.0, V17.1 (R51, Z82.3) ICD-9: In the index Headache (784.0); History, Family, cerebrovascular disease V17.1. ICD-10: In the index, Headache (R51), History, Family(of), Stroke (cerebrovascular disease) Z82.3

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	Box 1: 784.0; Box 2: V17.1; Box 3: R51; Box 4: Z82.3

Patient was admitted to the hospital with right lower quadrant pain and nausea and vomiting. Patient had a low-grade fever. A diagnosis of acute appendicitis was made, and the patient was taken to the OR for removal of the appendix. What ICD-9 codes are applicable?

A) 540.9, 789.03, 787.01, 780.60, 47.01
B) 789.03, 787.01, 780.60, 540.9, 47.09
C) 540.9, 47.19
D) 540.9, 47.09

Feedback: The correct code assignment is 540.9, 47.19. In the Index, Appendicitis,acute (without mention of peritionitis). Signs or symptoms that are routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification. In the Index of Procedures Appendectomy (with drainage)47.09.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	D

A screening code may be listed first if the reason for the visit is specifically a screening exam.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

10.

Which of the following is NOT a specific V code category?

A) Family history
B) Screening
C) Nutrition
D) Observation

A patient known to be positive for HIV is admitted to the hospital with high fever, malaise, and cough. PCP pneumonia is suspected. Tests reveal that the patient has infectious mononucleosis. Code this case using ICD-10

A) B20, B59
B) B59, B20
C) B27.90, Z21
D) Z21, B27.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

Gonococcal conjunctivitis is coded to:

A) 098.43
B) 098.49
C) 098.41
D) 098.40

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

If sepsis is present on admission and meets the definition of principal diagnosis, the systemic infection code should be assigned as the principal diagnosis.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

Code 042 is NEVER used once a patient develops AIDS.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	False

A patient was admitted to the hospital with severe diarrhea. Upon examination, the patient was found to be severely dehydrated. She was given IV fluids to correct the hydration. In the assessment, the physician suspects gastroenteritis. After stool cultures were performed, it was determined that the patient has C. difficile colitis. Code this case using ICD-10

A) K52.9, E86.0, R19.7
B) A04.7, E86.0
C) A04.7, R19.7
D) K52.9, R19.7

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

A patient was admitted to the hospital with fever, cough, and low blood pressure. CXR shows infiltrates, and sputum culture is positive for MRSA. The patient is known to have type II diabetes. The discharge summary indicates that the patient was admitted and was given IV antibiotics for MRSA pneumonia. Code this using ICD-10.

A) Z16.11, J15.212
B) J15.212, E11.9
C) Z16.11, E11.9
D) J15.212, , E11.9

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

A patient is admitted with pneumonia. Physician suspects sepsis and orders blood cultures. Discharge summary lists principal diagnosis as pneumococcal sepsis. Code using ICD-9 CM.

A) 486, 038.2, 995.90
B) 995.92, 486, 038.9
C) 038.2, 995.91, 486
D) 486, 038.2, 995.91

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

Of the following medications, which is NOT an antifungal medication?

A) Nizoral
B) Grisactin
C) Lotrimin
D) Zovirax

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

ASCUS stands for:

A) atrial surgical cut under skin
B) atypical squamous cells of undetermined significance
C) acute sudden continuous unexplained significance
D) accident sudden care in unexplained setting

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

10.

Clostridium difficile is usually tested for in _____ when physicians suspect an infection.

A) saliva
B) blood
C) a stool specimen
D) none of the above

A) C50.912, Z51.11, C77.89, G25.81, 3E04305
B) Z51.11, C50.912, C77.3, G25.81, 3E04305
C) Z51.12, C50.912, C77.3, G25.81, 3E03305
D) Z51.11, Z85.3, C77.89, G25.81, 3E03305

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

What drug could be given to treat neutropenia due to chemotherapy?

A) Neulasta
B) Procrit
C) Aranesp
D) Tamoxifen

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Metastatic carcinoma of the omentum. History of ovarian carcinoma that was treated with bilateral oophorectomy five years ago: ICD-9 ,,.

Table for Individual Question Feedback
Points Earned:	3.3/10.0
Correct Answer(s):	Box 1: 197.6; Box 2: V10.43; Box 3: V45.77

Patient had a robotically assisted laparoscopic radical prostatectomy with bilateral inguinal lymphadenectomy as a result of prostate cancer. What codes are applicable?

A) 185, 60.5, 40.3, 17.42
B) 185, 60.5, 40.3
C) 222.2, 60.5, 17.42
D) 185, 60.5, 40.3, 00.39

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	A

In ICD-10-CM, there is an instructional note to code the malignancy first even when the encounter is for the management of anemia due to the malignancy.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

When admission is for the management of dehydration due to malignancy or therapy and only dehydration is being treated, the dehydration is coded first, followed by the code(s) from the malignancy.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

When admission is for treatment of a complication resulting from a surgical procedure, the complication should be the principal diagnosis if the treatment is directed at resolving the complication.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

_____ carcinoma is a primary neoplasm of the liver.

A) Squamous cell
B) Bronchogenic
C) Hepatocellular
D) Invasive ductal

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

The total removal of local small masses or growths is a(n):

A) core biopsy
B) fine needle aspiration
C) incisional biopsy
D) excisional biopsy

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

10.

A patient is admitted for a wedge resection of metastatic carcinoma of the liver. The patient was diagnosed with small cell lung carcinoma 3 months ago. What codes are applicable?

A) 162.9, 155.0, 50.22
B) 197.7, V10.11, 50.23
C) 197.7, 162.9, 50.22
D) 162.9, 197.7, 50.22

When looking up anemic conditions in the code book, you should look up:

A) anemia first, and then the various subterms
B) the type of anemia first, and then “anemia” as a subterm
C) the symptoms presented
D) none of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

A patient has anemia due to metastatic bone cancer. The patient has a history of primary left breast cancer that was treated with a mastectomy 4 years ago. What codes are applicable?

A) 285.22, 198.5, 174.9
B) 198.5, 174.9, 282.22, V45.71
C) 285.22, 198.5, V10.3, V45.71
D) 285.29, 198.5, V10.3, V45.71

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	C

Anemia due to neoplastic disease can be used as the principal diagnosis code in ICD-10-CM if the reason for the encounter is to treat the anemia.

A) True
B) False

Feedback: The correct answer is False. In ICD-10-CM Tabular, there is an instructional notation under code D63.0, Anemia in neoplastic disease, to first code the neoplasm (C00 to D49).

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	False

Procedural complications affecting the spleen are included in Chapter 3 of ICD-10-CM.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

ESRD with EPO resistant anemia:ICD-10CM: ,.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: N18.6; Box 2: D63.1

Postoperative anemia:ICD-9CM:.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	285.9

When looking up anemic conditions in the code book, you should look up:

A) anemia first, and then the various subterms
B) the type of anemia first, and then “anemia” as a subterm
C) the symptoms presented
D) none of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Anemia codes can be used as the principal diagnosis code in ICD-9-CM if the reason for the encounter is to treat the anemia.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

A) 282.42, V43.64
B) 282.42, 517.3, 733.42
C) 282.41, V43.64
D) 517.3, 282.42, 733.42

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	A

10.

A patient takes Coumadin for atrial fibrillation. What code(s) is (are) applicable?

A) 427.32, V58.61
B) 427.31, V58.61
C) V58.61
D) 427.31, V58.63

A) E10.65, E10.42, Z91.19
B) E10.42, E10.65, Z79.4, Z91.19
C) E10.69, E10.41, Z91.11
D) E11.65, E11.42, Z91.14

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

A patient is admitted because of uncontrolled diabetes resulting from Cushing’s syndrome. Patient is receiving insulin. What codes are applicable?

A) 249.01, 255.0, V58.67
B) 249.00, 255.0, V58.67
C) 255.0, 249.00, V58.67
D) 249.91, 255.0, V58.67

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

The most common cause of a goiter is _____ deficiency.

A) potassium
B) vitamin C
C) sodium
D) iodine

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Which of the following is NOT a major endocrine gland in the body?

A) Thyroid
B) Parotid
C) Pancreas
D) Ovaries

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

The patient was treated for hyperplasia of the parathyroid. The patient was hypercalcemic.

A) 252.01, 275.42
B) 252.01
C) 275.42, 252.01
D) 252.01, 275.41

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

Diabetes mellitus without mention of complication would NOT have any additional manifestation codes.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

The _____ regulates metabolism of glucose in body cells and maintains proper blood glucose.

A) thymus
B) pancreas
C) pineal gland
D) adrenal medulla

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

In ICD-10-CM, there is no designation for out-of-control diabetes mellitus.

A) True
B) False

Feedback: The correct answer is True.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	True

Disorders of the thyroid are located in code categories:

A) 240-246
B) 250-259
C) 260-269
D) 270-279

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

10.

A patient is admitted for care of a diabetic ulcer on the left midfoot. The patient also has chronic kidney disease resulting from diabetes. What codes are applicable?

A) 250.81, 707.15, 250.41, 585.9
B) 250.81, 707.14, 250.41, 585.9
C) 250.80, 707.14, 250.40, 585.9
D) 250.82, 707.15, 250.40, 585.9

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) 535.51, V11.3
B) 535.31, 303.93
C) 535.50, 303.91
D) 535.30, 303.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

In ICD-10-CM, fifth digits to identify drug and alcohol usage still apply.

A) True
B) False

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.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	False

In ICD-10-CM, histories of drug and alcohol abuse are assigned codes for “in remission.”

A) True
B) False

Feedback: The correct answer is true.

Table for Individual Question Feedback
Points Earned:	0.0/10.0
Correct Answer(s):	True

ICD-10-CM does not have a history code for history of drug or alcohol abuse.

A) True
B) False

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	True

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) 535.51, V11.3
B) 535.31, 303.93
C) 535.50, 303.91
D) 535.30, 303.90

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

Seizure due to alcohol withdrawal. Patient is dependent on alcohol and usually drinks every day. What codes are applicable?

A) 780.39, 291.81, 303.90
B) 291.81, 780.39, 303.91
C) 303.91, 291.81, 780.39
D) 291.81, 780.39, V11.3

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	B

A) F31.2
B) F31.73
C) F31.74
D) F31.10

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	A

Which of the following is NOT associated with psychosis?

A) Visual hallucinations
B) Disorganized thinking
C) Paranoia
D) None of the above

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	D

A) F34.1
B) F33.3
C) F32.3
D) F32.4

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	C

10.

Catatonic schizophrenia in remission: ICD-9-CM. ICD-10-CM.

Table for Individual Question Feedback
Points Earned:	10.0/10.0
Correct Answer(s):	Box 1: 295.25; Box 2: F20.2

Babette's Definitely MAYBE!

12.11.2014

REVIEW IV

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