ICD-9 – Flashcard
Unlock all answers in this set
Unlock answersquestion
This 26 year-old female patient developed gestational diabetes during her second month of pregnancy. She is currently being treated with insulin. What are the correct ICD-9 code(s)? a. 648.03, 648.83, 250.01 b. 648.03, 648.83, V58.67 c. 648.83, V58.67 d. 648.83, 250.01, V58.67
answer
c. 648.83, V58.67
question
This 68 year-old female presents to the office with treatment for her anemia. She also has stage III chronic kidney disease. What is the correct diagnosis code(s) for this visit? a. 585.3, 285.21 b. 285.21, 585.3 c. 585.3, 285.9 d. 285.21
answer
b. 285.21, 585.3
question
Select the appropriate diagnosis for a patient that is diagnosed with bacterial endocarditis due to AIDS. a. 421.0, 042 b. 042, 421.9 c. 421.1, 042 d. 042, 421.0
answer
d. 042, 421.0
question
This patient is seen in the doctor's office for administration of chemotherapy for a malignant neoplasm, neck of the pancreas. What are the correct ICD-9 code(s) for this visit? a. V58.0, 157.9 b. V58.0, 157.8 c. V58.11 d. V58.11, 157.8
answer
d. V58.11, 157.8
question
Patient is seen in Emergency Department with a closed upper end tibia fracture with multiple contusions and abrasions to the lower leg. The patient works construction and fell from scaffolding. What are the correct ICD-9 code(s) for this ER visit? a. 823.00, 924.10, E881.1 b. 823.00, E881.1 c. 823.80, 924.10,E881.1 d. 823.10, E881.1
answer
b. 823.00, E881.1 codes for superficial injuries, such as abrasions or contusions, should not be assigned when the injury is associated with more severe injuries of the same site
question
When is a "pain" considered chronic? a. After two months of documentation by the physician b. After initial treatment is complete c. There is no time frame defining when pain become chronic d. a & b
answer
c. There is no time frame defining when pain become chronic
question
A patient was seen in the office for an severe abdominal pain. Her blood pressure was very high because of the pain she is experiencing but has never been diagnosed with hypertension. What are the ICD-9 code(s) for this visit? a. 789.00, 401.9 b. 789.01, 401.9 c. 789.00, 796.2 d. 789.01, 796.2
answer
c. 789.00, 796.2
question
The doctor is called to the nursing home to see a patient with decubitus ulcers located on both hips. The doctor documents the left hip ulcer as blistering and partial skin thickness and the right hip as full thickness skin loss. What would be the correct ICD-9 code(s) for this physician visit? a. 707.05, 707.22, 707.23 b. 707.05, 707.22, 707.05, 707.23 c. 707.04, 707.22, 707.23 d. 707.04, 707.22, 707.04, 707.23
answer
c. 707.04, 707.22, 707.23 If the bilateral pressure ulcers have different stages, assign one code for the site and the appropriate codes for the stage.
question
This patient was brought to the ED department via ambulance. He was playing softball when he was accidently hit in the head with a wooden bat. CT scan confirms a concussion and also had a loss of consciousness for approximately 5 minutes at the onset of the injury. He has a 2 cm open wound to his head. The patient was draped in the normal fashion, betadine and lidocaine given. Using #2 sutures the wound was closed. Patient was instructed to return to the ED if he had any complications within the next 24 hours and to follow-up with his PCP. What are the diagnosis code(s) for this ED visit? a. 873.0, 850.9, E008.9 b. 873.1, 850.11, E008.9 c. 873.0, 850.11, E007.3 d. 873.1, 850.5, E007.3
answer
c. 873.0, 850.11, E007.3
question
This 73 year-old established patient comes into the office with a severe cough. The patient has COPD and is also experiencing shortness of breath. A nebulizer treatment is administered. The doctor diagnoses the patient with acute bronchitis with COPD and acute exacerbation. What are the proper diagnosis code(s) for this visit? a. 491.22 b. 466.0, 491.22 c. 466.0, 491.21 d. 491.22, 466.0
answer
a. 491.22
question
There are four primary circumstances for the use of V codes. Which answer below is not a included in this category. a. A person with a resolving disease, injury, chronic or long-term condition requiring continous care b. Circumstances or problems influence a person's health status but are not in themselves a current illness or injury c. Care for a malunion fracture during a recovery phase d. Not currently sick but to receive inoculations or health screening
answer
c. Care for a malunion fracture during a recovery phase
question
When is it acceptable to report symptoms and signs of a patient's condition? a. When documented in the medical record b. To fully describe the reason for the patient visit c. To support medical necessity of the level charged by provider d. When a definitive diagnosis has not been confirmed by physician
answer
d. When a definitive diagnosis has not been confirmed by physician
question
This 32 year-old female who is 8 weeks postpartum is hospitalized with streptococcal sepsis. What is the correct diagnosis code(s) for this patient's illness? a. 038 b. 038.10, 995.91 c. 038.0, 995.91 d. 038.0, 995.90
answer
c. 038.0, 995.91
question
What would be the diagnosis if the patient presents to the office with a sore throat, barking type of coughing, weakness and vomiting and the doctor diagnosed the patient with a viral infection? What are the ICD-9 code(s) for this visit? a. 079.99, 462, 464.4, 780.79, 787.03 b. 079.99, 462, 786.2, 780.79, 787.03 c. 462, 786.2, 780.79, 787.03, 079.99 d. 079.99
answer
b. 079.99, 462, 786.2, 780.79, 787.03 or d. 079.99
question
Patient presented to the office with a lesion on skin of his left upper arm that is changing in color The patient has a history of melanoma and would like to have it removed. The lesion was removed and sent to pathology. Pathology report indicated the lesion was basal cell carcinoma. What ICD-9 code(s) would be used for this office visit? a. 195.4, V16.8 b. 195.4, V10.82 c. 173.61, V16.8 d. 173.61, V10.82
answer
d. 173.61, V10.82
question
Pt with known AIDS is admitted to the hospital as an inpatient with acute appendicitis and undergoes an open appendectomy. His AIDS is under treatment and is asymptomatic at the present time. The appropriate principal diagnosis would be: 1) 042 2) 540.9 3) V08 4) any of the above
answer
2) 540.9
question
Pt is admitted for treatment of dehydration secomdary to chemo for primary liver cancer. Which condition should be sequenced as the principal diagnosis? 1) liver cancer 2) complication of chemo 3) dehydration 4) any of the above
answer
3) dehydration
question
What code(s) are assigned for a Pt with acute bronchitis and obstructive bronchitis? 1) 466.0 2) 491.22 3) 491.21 4) 466.0, 491.21
answer
2) 491.22
question
Coding professionals may assume a cause-and-effect relationship between hypertention and which of the following conditions? 1) renal failure 2) heart failure 3) both heart and renal failure 4) neither condition
answer
1) renal failure
question
Per ICD-9-CM Official Guidelines for Coding and Reporting, ch.11 (Complication of pregnancy, childbirth and puerperium) codes have sequencing priority over: 1) codes from all other chapters 2) V codes only 3) no other codes 4) all codes exept V codes
answer
1) codes from all other chapters
question
In the diagnostic statement "arthritis of bilateral knee joints secondary to primary hyperparathyroidism", wich condition is sequenced as the principal diagnosis? 1) the arthritis 2) the primary hyperparathyroidism 3) either condition 4) the circumstances of the admission will determine the appropriate sequencing
answer
2) the primary hyperparathyroidism
question
In order for a condition to be considered a late effect how much time must elapse between the acute event and the late effect? 1) no more than 24 hours 2) 6 weeks 3) there is no set time 4) one year
answer
3) there is no set time
question
Pt was admitted for a total hip replacement for arthritis of the hip. Just prior to the surgery, he developed a fever and pneumonia was seen on the chest x-ray. The Pt was discharged and the surgery was rescheduled. What is the principal diagnosis for this admission? 1) 486 2) 715.95 3) 780.6 4) V64.1
answer
2) 715.95 osteoarthrosis, unspecified whether generalized or localized , pelvis region and thigh
question
Pt was admitted with N/V, and acute gastroenteritis was diagnosed. What are the diagnosis reported? 1) N/V is reportied as the principal diagnosis, and acute gstroenteritis is reported as a secondary diagnosis 2) acute gstroenteritis is reported as the principal diagnosis, and N/V is reportied as a secondary diagnosis 3) only N/V are reported 4) only the acute gstroenteritis is reported
answer
4) only the acute gstroenteritis is reported
question
Diabetic foot ulcers may result from" 1) diabetic peripheral vascular complications 2) diabetic neurological compliations 3) diabetic ketoacidosis 4) either a or b
answer
4) either a or b