question

Nonessential modifiers are enclosed in:

answer

parentheses

question

A late effect (sequelae) is a(n):

answer

residual effect of an acute illness or injury.

question

The interaction of two prescribed drugs taken as directed is considered a(n):

answer

adverse effect.

question

How would a coder report a definitive procedure performed in conjunction with an exploratory laparotomy?

answer

Code the definitive procedure only

question

Which diagnosis is sequenced first in the following burn case: second-degree burn of the leg; third-degree burn of the wrist; and first-degree burn of the foot.

answer

First-degree burn of the foot (most severe)

question

A system that provides a method of arranging related disease entities in groups for the reporting of statistical data is a:

answer

classification system.

question

DRGs are part of a case-mix classification system that assigns inpatient discharges to only one DRG per episode of care. On which data elements is the assignment made?

answer

Diagnoses, procedures, patient's age, and patient's disposition at discharge

question

A coder reads a procedure note, but fails to find an appropriate CPT code that matches the procedure performed. When the bill goes out to the fiscal intermediary, a special report is prepared and sent with a(n):

answer

unlisted procedure

question

How are brackets used in ICD-10-CM?

answer

To designate synonyms, alternate wordings, abbreviations, or explanatory phrases (Tabular list)

question

Which of the following is not a section of CPT?

answer

Psychiatry

question

Probable, possible, and suspected condition(s) of patients are coded as if they exist if the condition(s) are:

answer

treated while the patient is in the hospital.

question

Key terms for using Z codes are:

answer

admission for, history of, observation, or status

question

If a baby is born at Hospital A and transferred to Hospital B the first day of life, the P00 code should be used by which hospital(s)?

answer

only A (P00=condition acquired from mother)

question

What is code Z34 used for?

answer

Single live newborn, delivered head first and full term (normal delivery)

question

A complication is a condition that:

answer

arises while the patient is in the hospital.

question

External causes of morbidity codes are:

answer

never used as principle diagnoses. (secondary)

question

When locating a term for coding a neoplasm diagnosis, one should access:

answer

the Table of Neoplasms

question

A patient has right side hemiplegia from a CVA last year. This year the patient is admitted and discharged for an appendicitis. How should the hemiplegia be coded?

answer

Late-effect hemiplegia

question

ICD-10-CM 192 code is used for malignant neoplasm of other and unspecified parts of the nervous system. Code 192.1 reads "cerebral meninges, Dura (mater), Falx (cerebelli) (cerebri)." The terms listed in parentheses are:

answer

supplementary words or nonessential modifiers.

question

What are Z codes used to classify?

answer

Factors influencing health status and contact with health services.

question

A patient is admitted because of threatened abortion and subsequently aborted. Threatened abortion should:

answer

be coded as confirmed diagnosis.

question

What are external causes of morbidity codes used to classify?

answer

External causes of injury and poisoning

question

The word "and" should be interpreted to mean "and" as well as "______."

answer

or

question

CMS uses which of the following as the HCPCS level 1 codes?

answer

CPT codes

question

What does the filled-in dot (•) appearing to the left of a CPT code designate?

answer

New code in the current edition (triangle = code's terminology has been changed)

question

Immediately after delivery, a critically ill neonate receives care under the direction & supervision of a pediatrician. What is the CPT-4 code?

answer

99468 (initial inp neonatal critical care, less than 28 days old)

question

During surgery, Ms. Johnson demonstrates distress and the physician must discontinue the procedure. What modifier may be used to report that the physician discontinued the procedure?

answer

-53 (discontinued procedure)

question

Bob was treated because he had right-leg paralysis due to poliomyelitis from childhood. Code with ICD-9

answer

344.31, 138 (dominant leg paralysis, late effect polio)

question

Bob was treated because he had right-leg paralysis due to poliomyelitis from childhood. Code with ICD-10

answer

G83.10, A52.17 B91 (lower limb paralysis, general paresis, sequelae poliomyelitis)

question

Bob was admitted with seizures and has a history of malignant neoplasm of the liver. Further diagnostic testing revealed metastasis of the liver cancer to the kidney. Code with ICD-9

answer

198.0, 780.39, V10.07 (secondary kidney cancer, seizures, hist of liver cancer)

question

Bob was admitted with seizures and has a history of malignant neoplasm of the liver. Further diagnostic testing revealed metastasis of the liver cancer to the kidney. Code with ICD-10

answer

C79.00, R56.9, Z85.05 (secondary kidney cancer, seizures, hist of liver cancer)

question

A 78-year-old woman is treated for severe malnutrition, percutaneous endoscopic gastrostomy. Code with ICD-9

answer

262, 43.11 (other severe malnutrition, gastrostomy)

question

A 78-year-old woman is treated for severe malnutrition, percutaneous endoscopic gastrostomy. Code with ICD-10

answer

E43, 0DH63UZ (unspec severe maln, insertion of feeding tube)

question

A 13-year-old girl is admitted with sickle cell anemia with crisis. Code with ICD-9

answer

282.62

question

A 13-year-old girl is admitted with sickle cell anemia with crisis. Code with ICD-10

answer

D57.00

question

Patient is stated to have anxiety with depression. Code with ICD-9

answer

300.00, 311

question

Patient is stated to have anxiety with depression. Code with ICD-10.

answer

F41.8

question

Bob is 65 years old and has aspiration pneumonia with pneumonia due to Staphylococcus aureus. He also has emphysema. Code with ICD-10

answer

J69.0, J15.211, J43.9 (asp pneum, staph pneum, emphysema)

question

Bob is 65 years old and has aspiration pneumonia with pneumonia due to Staphylococcus aureus. He also has emphysema. Code with ICD-9

answer

507.0, 482.41, 492.8 (asp pneum, staph pneum, emphysema)

question

Patient has acute and chronic cholecystitis with cholelithiasis. Laproscopic cholecystectomy attempted and converted to open. Code with ICD-10

answer

K80.12, 0FT44ZZ

question

Patient has acute and chronic cholecystitis with cholelithiasis. Laproscopic cholecystectomy attempted and converted to open. Code with ICD-9

answer

574.00, 574.10, 51.22, 51.23

question

The patient has an acute urinary tract infection due to E. coli. Code with ICD-9

answer

599.0, 041.49

question

The patient has an acute urinary tract infection due to E. coli. Code with ICD-10

answer

N39.0=UTI, A49.1 (B96.20 =unspec e coli)

question

Single newborn delivered at 42 weeks gestation; manually assisted delivery. Code with ICD-9

answer

645.11, V27.0, 73.59 (post term preg, single live born, man assist delivery)

question

Single newborn delivered at 42 weeks gestation; manually assisted delivery. Code with ICD-10

answer

O48.0, Z37.0, I0E0XZZ (post term preg, single live born, man assist delivery)

question

Bob had a recurrent internal derangement of the right knee. Physician performed a diagnostic arthroscopy of the knee. Code with ICD-10

answer

M24.461 (dislocation), 0SJC4ZZ (arthroscopy)

question

Bob had a recurrent internal derangement of the right knee. Physician performed a diagnostic arthroscopy of the knee. Code with ICD-9

answer

718.36 (dislocation), 80.26 (arthroscopy)

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