question

The patient is admitted to the hospital with fever and dehydration resulting from pneumonia

answer

J18.9, E86.1

question

The patient is admitted to the hospital with right lower quadrant pain, nausea, and vomiting. The patient had a low-grade fever. A diagnosis of acute appendicitis is made, and the patient is taken to the OR for removal of the appendix via open approach.

answer

K35.80, 0DTJ0ZZ

question

The patient was admitted with abdominal pain in the right upper quadrant. Workup included an EGD that showed some mild gastritis, and abdominal ultrasound was positive for gallstones in the gallbladder. Final Diagnosis: Abdominal pain due to gastritis versus cholelithiasis Procedure: Esophagogastroduodenoscopy with biopsy of the stomach

answer

K29.70, K80.20, 0DB68ZX

question

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 open 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

answer

Z43.3, K57.30, 0DQE0ZZ, 0WQFXZ2

question

The patient was admitted to the hospital for monitoring of seizure like spells. Video electroencephalogram monitoring (external) of these episodes was performed and did not reveal any epileptic activity. Final diagnosis: transient alteration of awareness, seizure disorder ruled out

answer

R40.4, 4A10X4Z

question

The patient was admitted from her primary care physician's office for palpitations. The patient has never had an episode like this. The patient does have a family history of coronary artery disease. The patient was monitored by telemetry, but no specific cardiac arrhythmias were identified. The patient was instructed to return for follow-up if palpitations recurred. Final Diagnosis: Palpitations, cardiac arrhythmia ruled out; family history of coronary artery disease

answer

R00.2, Z82.49

question

The patient was admitted for biopsy of an enlarged lymph node in the area of the left axilla. The patient has a past medical history of breast cancer with a mastectomy of the left breast 1 year ago. The patient is no longer receiving any therapy for her cancer. A needle biopsy was done. The pathology report showed normal lymphatic tissue with no evidence of metastatic spread. Final diagnosis: Lymphadenopathy left axilla; metastasis ruled out Procedure: Needle core biopsy axillary lymph node

answer

R59.0, Z85.3, Z90.12, 07B63ZX

question

A 6-month old infant was admitted with a febrile seizure. The patient had a temperature of 103°F and had been started on antibiotics the day before for an 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

answer

R56.00, H66.93

question

The patient was admitted for prophylactic breast removal. The patient has a strong family history of breast cancer and the patient has severe fibrocystic disease in both breasts, making breast examination difficult. The patient was taken to the OR, and a bilateral simple mastectomy was performed. The patient recovered with no problems. The pathology report showed no evidence of malignancy. Final Diagnosis: Family history of breast cancer, severe fibrocystic disease Procedure: Bilateral simple mastectomy

answer

Z40.01, Z80.3, N60.11, N60.12, 0HTV0ZZ

question

Outpatient encounter: patient has been taking Lipitor for hypercholesterolemia for 1 year. A hepatic function laboratory test was performed to assess any adverse effects in the patient's liver function. A fasting lipid profile was also done to assess the effectiveness of the Liptior.

answer

Z51.81, Z79.899, E78.0

question

Patient is admitted to hospice care for treatment of terminal ESRD

answer

N18.6, Z51.5

question

On physical exam, the physician noted that the patient had hepatosplenomegaly. Further testing was ordered and the patient will return in 2 weeks.

answer

R16.2

question

The infant was seen in the ER for fever. Physician documented fever due to vaccination.

answer

R50.83

question

Patient was seen in the clinic. Final diagnosis is RUQ rebound abdominal tenderness.

answer

R10.811

question

The selection of codes A00.0 through Z99.89 will NOT be used frequently to describe the reason for the admission/encounter

answer

False

question

Principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as that condition established after study to be chiefly responsible for occasioning the admission patient to the hospital for care

answer

True

question

Codes for symptoms, signs, and ill-defined conditions are NOT to be used as a principal diagnosis when a related definitive diagnosis has been established.

answer

True

question

If a diagnosis is documented as possible at the time of discharge from an inpatient stay. code the condition as if it exists

answer

True

question

Conditions that are routinely associated with a disease or condition should not be coded as additional diagnoses unless instructed by the classification or unless they affect the patient's condition or treatment given

answer

True

question

In the inpatient setting, it is not acceptable to code diagnoses that have not yet been confirmed and are questionable or suspected

answer

False

question

When you assign separate codes that are used to identify acute and chronic conditions, the acute code is sequenced first

answer

True

question

If a patient is admitted for a complication due to a surgical procedure, the complication is the principal diagnosis

answer

True

question

If the principal diagnosis was abdominal pain due to acute appendicitis, the abdominal pain would be coded as a secondary diagnosis

answer

False

question

When a coder notices on a laboratory test result that a patient's sodium is below normal. it is acceptable to code hyponatremia.

answer

False

question

ICD-10-CM provides codes to deal with encounters for circumstances other than a disease or injury

answer

True

question

A person who has had an allergic episode related to a substance or food in the past should always be considered allergic to the substance

answer

True

question

Observation codes are to be used if an injury or illness, or any signs or symptoms related to the suspected condition are present

answer

False

question

In the inpatient setting, when a Z 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

answer

False

question

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

answer

True

question

Signs and symptoms are not often correlated with a definitive diagnosis in the health record

answer

True

question

A Z code for long-term use of antibiotics should not be assigned when antibiotics are taken for a short period of time for an acute illness

answer

True

question

In ICD-10-CM there are Excludes 1 notes that are helpful in determine whether a symptom code should be assigned

answer

True

question

Acute & Chronic cholecystitis

answer

K81.2

question

Acute & Chronic pancreatitis

answer

K85.9, K86.1

question

Acute and Chronic respiratory failure

answer

J96.20

question

acute and chronic renal failure

answer

N17.9, N18.9

question

acute and chronic bronchitis

answer

J20.9, J42.NOS

question

Posttraumatic osteoarthritis due to previous left femoral neck fracture (hip)

answer

M19.92

question

Cognitive deficits due to previous cerebral infarction

answer

I69.31

question

Thoracolumbar scoliosis (neuromuscular) due to past history of poliomyelitis

answer

M41.45 OR B91

question

Ascites due to cirrhosis of liver

answer

K74.60, R18.8

question

Right upper quadrant abdominal pain due to cholecystitis versus peptic ulcer disease

answer

K81.9, K27.9

question

Impending stroke with dizziness and facial weakness

answer

R42, K29.810

question

Positive Mantoux test

answer

R76.11

question

Counseling on the initiation of contraceptive foam use

answer

Z30.018

question

camp physical

answer

Z02.89

question

Screening for osteoporosis

answer

Z13.820

question

retained metal fragment

answer

Z18.10

question

encounter for admission examination for prisoner

answer

Z02.89

question

encounter for blood alcohol test

answer

Z02.83

question

exposure to syphilis

answer

Z20.2

question

patient has a cystostomy

answer

Z93.50

question

problems with mother-in-law

answer

Z63.1

question

screening for sickle cell disorder

answer

Z13.0

question

urethral discharge

answer

R36.9

question

urinary hesitancy due to enlarged prostate

answer

N40.1, R39.11

question

gas pain

answer

R14.1

question

oral phase dysphagia

answer

R13.11

question

Patient is admitted for workup of normal pressure hydrocephalus because of ataxic gait. NPH is ruled out, and patient is discharged home

answer

R26.0

question

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.

answer

Z82.3

ICD 10 Coding Chapters 5 & 8 – Flashcards

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