HIT182 Chapter 3 Review Exercises – Flashcards
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When a patient is to have outpatient surgery and the surgery is not performed due to contraindication, the reason that the surgery was not performed is the first-listed diagnosis. T/F
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False
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It is appropriate to code the postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery. T/F
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True
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Chronic diseases that are treated on an ongoing basis should be coded and reported as often as the patient recieves treatment and care for the chronic conditions. T/F
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True
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In the physician office it is acceptable to report Z codes as a first-listed diagnosis. T/F
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True
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In the physician office it is unacceptable to have a sign or symptom as the first-listed diagnosis. T/F
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False
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When coding an encounter for preoperative evaluation, the reason that the patient is having the surgery or procedure performed is the first-listed diagnosis. T/F
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False
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In the outpatient setting, diagnoses that are documented as "probable", "suspected", "rule out", or "questionable" are reported to the highest degree of certainty. T/F
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True
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The first-listed diagnosis is defined as the diagnosis that is the most serious. T/F
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False
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It is acceptable to report a code from Chapter 15 in conjunction with Z34.00 or Z34.80. T/F
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False
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It is acceptable to code signs and symptoms even when a definitive diagnosis has been confirmed. T/F
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False
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Initial office visit for diaper rash
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First listed: diaper rash Code: L22
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Established patient presents with dyspnea and lower extremity edema. The physician determined that the patient's symptoms were due to an exacerbation of congestive heart failure.
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First listed: congestive heart failure Code: I50.9
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Established patient seen for management of vitamin B12 deficiency and hypertension
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First listed: vitamin B12 deficiency Code: E53.8 Other diagnosis: hypertension Code: I10
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Patient was admitted as an outpatient for a left arthroscopic knee procedure to repair old anterior cruciate ligament tear.
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First listed: left ACL tear Code: M23.8X2
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Patient is admitted to observation for syncope. Patient has diabetes mellitus. After testing, no cardiac or other cause was found.
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First listed: syncope Code: R55 Other diagnosis: diabetes mellitus Code: E11.9
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Patient was admitted for pain management following biopsy of the kidney for Stage IV chronic kidney disease.
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First listed: kidney pain Code: G89.18 Other dianosis: chronic kidney disease Code: N18.4
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Patient is seen by pulmonologist for surgical clearance for upcoming surgery. Patient has emphysema and is scheduled to have an endarterectomy for severe carotid stenosis on the right.
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First listed: respiratory surgical clearance Code: Z01.811 Other diagnoses: occlusion of the right carotid artery, emphysema Codes: I65.21, J43.9
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Patient had an outpatient cystoscopy. The preoperative diagnosis is hematuria. Postoperative diagnosis is hematuria due to bladder cancer.
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First listed: bladder cancer Code: C67.9
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Assign the appropriate Z code to: exposure to asbestos.
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Z77.090
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Assign the appropriate Z code to: personal history of colonic polyps.
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Z86.010
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Assign the appropriate Z code to: heart transplant status.
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Z94.1
