question

ICD-9-CM procedure codes are comprised of up to how many digits?

answer

four

question

Anastomosis is which of the following?

answer

surgical joining of two tubular structures

question

When coding, how is the operative approach reported?

answer

not coded

question

Which of the following applies if an incision was made to start a procedure and the procedure was not completed?

answer

Code to the incision site.

question

Which of the following statements would NOT be true of the "omit code" convention?

answer

only appears in Volumes 1 and 3

question

In the diagnostic statement "Administration of Benton Visual Retention test," the coder would reference which term to locate the correct code of 94.02?

answer

fenestration

question

V codes are used for newborns to indicate which of the following?

answer

birth status

question

Which one of the following statements is true?

answer

V codes are located in the same manner as diagnostic codes.

question

Which of the following would be coded using a V code?

answer

exposure to a communicable disease

question

Which of the following terms would not be used in the Alphabetic Index to locate a V code?

answer

syndrome

question

Which one of the following statements is false?

answer

E codes are always sequenced as the principal code.

question

When a patient has an adverse drug effect, it is usually described in the medical record as one of the following EXCEPT:

answer

counteraction

question

When a patient has an adverse drug effect, the coder would reference the Table of Drugs and Chemicals and select a code from which of the following columns?

answer

Therapeutic use

question

When a person has an accident while boarding or leaving a vehicle, the correct E code to use would be from which of the following categories?

answer

E829-E825, Motor Vehicle Non-Traffic Accident

question

E860-E869 classifies accidental poisoning by other solid and liquid substances, gases, and vapors. Which one of the following cases would not be classified to this range of codes?

answer

accidental poisoning by aspirin

question

Of the following, which category would not be used to describe the way the Alphabetic Index to External Causes is organized?

answer

an eponym

question

Late effect E codes exist for all of the following reasons EXCEPT:

answer

surgical complication

question

When symptoms are followed by contrasting/comparative diagnoses, which code is sequenced first?

answer

the symptom code

question

Which one of the following statements is false?

answer

Signs and symptoms are coded whenever they are recorded in the medical record.

question

Frank is experiencing pain in his right knee due to a torn tendon. The pain is considered which of the following?

answer

symptom

question

Suzie presents to the ER with nausea, vomiting, and abdominal pain. After a diagnostic work-up, it is determined that she has appendicitis. What would be the first-listed diagnosis for this encounter?

answer

abdominal pain

question

Bill Best is admitted with intractable renal colic due to kidney stones. He is admitted for pain management. What would be the principal diagnosis?

answer

renal colic

question

The term mortality refers to which of the following?

answer

death

question

The following diagnostic phrase is recorded as the principal diagnosis on the face sheet "lung mass, suspected cancer of lung vs. pneumonia." Which of the following would be the principal diagnosis?

answer

lung mass

question

The term used for the type of diagnosis assigned to a case in which the patient failed to return for further treatment is called which of the following?

answer

provisional diagnosis

question

Which of the following is a systemic infection with the presence of pathological organisms or their toxins in the blood?

answer

septicemia

question

To assign a code from subcategory 995.9, "Systemic Inflammatory Response Syndrome," which term(s) must be documented in the patient's medical record?

answer

SIRS

question

Which of the following is a form of organ dysfunction associated with severe sepsis?

answer

septic shock

question

Andy Roe, who has been an IV drug addict for many years, is an inpatient being treated for an inguinal hernia.Upon his admission, he asks his provider to conduct HIV testing. At the time of discharge, the provider records the following on the face sheet for coding: Inguinal hernia Rule out HIV infection, results pending The HIV status would be coded as which of the following?

answer

Do not code, since the HIV infection has not been confirmed.

question

A patient is diagnosed with viral pneumonia with high fever. To code this diagnostic statement, the coder should reference which of the following main terms in the Alphabetic Index?

answer

pneumonia

question

When two codes are needed to code a diagnostic statement, it is known as a(n) _________________________ assignment.

answer

dual-code

question

A(n) _________________________ assignment occurs when a single code is used to identify the organism and the condition caused by the organism.

answer

combination-code

question

When sepsis develops during a patient's hospital stay and it was not present upon admission, the sepsis codes are assigned as ____________________ diagnostic codes.

answer

secondary

question

If a patient with HIV disease is admitted for an unrelated condition, the code for the ______________________________ is sequenced as the principal diagnosis.

answer

unrelated-condition

question

Hepatitis A, B, C, D, and E are all types of ____________________ hepatitis.

answer

viral

question

Chapter 1, "Infectious and Parasitic Diseases," of the ICD-9-CM identifies different types of organisms that cause infections. List the four main organism groups in the ICD-9-CM.

answer

1. Viruses 2. Bacteria 3. Fungi 4. Parasites

question

Which of the following organs regulates insulin in the body?

answer

pancreas

question

Ketoacidosis occurs when large quantities of ketones cause elevated acid levels in the blood and urine. With which of the following is this condition most commonly found?

answer

type 1 diabetes

question

Anthony Smith, a patient at Valley Hospital, was admitted for malnutrition. His wife died three weeks ago, and he has felt quite alone. After a diagnostic work-up, it was found that he also is hypokalemic. Select the appropriate code(s).

answer

Malnutrition Hypokalemia

question

To code the diagnosis "acute dehydration secondary to nausea and vomiting," the coder would first reference which term in the Alphabetic Index?

answer

dehydration

question

Linda Smith was admitted to the hospital because she is in a coma due to her diabetes. She is diagnosed with uncontrolled type 2 diabetes. Select the appropriate code(s).

answer

250.32 Diabetes with other coma, type 2, uncontrolled

question

Which of the following is the main term to reference in the Alphabetic Index for the diagnostic statement of "recurrent hyperthyroidism with multinodular adenomatous goiter?"

answer

goiter or hyperthyroidism

question

Which type of diabetic is always insulin dependent?

answer

type 1

question

When assigning codes for diabetes and its associated conditions, which code must be sequenced first?

answer

diabetes

question

Which statement is true regarding type 2 diabetes?

answer

Type 2 diabetics can be either insulin dependent or noninsulin dependent.

question

Gestational diabetes occurs when the patient is which of the following?

answer

pregnant

question

A complex metabolic disease characterized by hyperglycemia caused by defects in insulin secretion, insulin action, or both is known as ______________________________.

answer

diabetes-mellitus

question

Type 2 diabetes can be controlled by diet, ____________________, and oral medications.

answer

type-2

question

Sally Samuels has been admitted to New Horizons, an inpatient psychiatric center, for drug-induced delirium due to cocaine dependence. Which diagnosis would be listed first?

answer

drug-induced delirium

question

To code the diagnosis "delirium due to chronic alcohol use," the coder would first reference which term in the Alphabetic Index?

answer

delirium

question

Mike Bold is admitted to New Start Treatment for drug-induced delirium due to opiate dependence. Which diagnosis would be sequenced first?

answer

delirium

question

Todd Man is a college freshman who has been brought to the ER by his roommates because he is vomiting due to consumption of eight cans of beer. Select the appropriate code(s).

answer

305.00 Alcohol abuse, unspecified

question

Terry Stanford has lost 15 pounds in the last two months. Her initial weight was 118. She comes to Dr. Smith today because her mother states that she has not been eating. Dr. Smith has seen Terry in the past for depression, and after today's encounter he concludes that she is experiencing an eating disorder due to anorexia nervosa. Select the appropriate code(s).

answer

307.1 Anorexia nervosa

question

When sequencing codes for drug and alcohol dependence, which of the following is true?

answer

The sequencing of the code is dependent on the circumstances of care and on the type of facility to which the patient was admitted.

question

When mental retardation occurs as a result of an injury, what should the coder do?

answer

Code the mental retardation and any additional diagnosis to reflect the associated conditions.

question

Mental retardation is defined in the ICD-9-CM as mild, ____________________, severe, ____________________, and unspecified.

answer

moderate, profound

question

A person with an IQ of 55 would be diagnosed with having ____________________ mental retardation.

answer

mild

question

When coding the phrase "senile dementia with delusional features," the main term to reference in the Alphabetic Index would be ____________________.

answer

dementia

question

An instructional notation appears in category code 292 for drug-induced mental disorders that instructs coders to use an additional ____________________ to identify the specific drug used.

answer

E code

question

White blood cells are also known as which of the following?

answer

leukocytes

question

A decrease in red blood cells, hemoglobin, and/or hematocrit is known as which of the following?

answer

anemia

question

Sally Smith is being seen by Dr. Jones today because she has had blood in her bowel movements for the last two days. Lab results show a prolonged partial thromboplastin time. Exam: HEENT: Normal. Abdomen: Soft and tender. Rectal exam: Deferred due to bleeding. Assessment: Blood in feces is a symptom of Sally's hemophilia A. Plan: Admit to hospital for diagnostic work-up. Select the appropriate ICD-9-CM code for this encounter:

answer

286.0 Congenital Factor VII Disorder, hemophilia A

question

Kevin Smith has prostate cancer and is admitted for treatment of the cancer. During the admission the laboratory test indicates that he is anemic. Which of the following is the proper selection of the code(s)?

answer

Code the cancer first, followed by the code for the anemia.

question

An abnormal decrease in platelet count causing purpural hemorrhages is known as which of the following?

answer

thrombocytopenia

question

Sal Smith is admitted to Sunny View Hospital because he is seeking treatment for anemia due to his end-stage renal disease. The code listed first at discharge would be for the ____________________.

answer

anemia

question

Define the terms sickle-cell trait and sickle-cell anemia.

answer

1. sickle-cell trait- a condition that occurs when a child receives the trait from only one parent 2. sickle-cell anemia- a hereditary disease of the red blood cells passed to a child when both parents carry the genetic trait

question

Terry Smith is diagnosed with dementia due to Parkinson's disease. What is the main term to reference in the Alphabetic Index?

answer

dementia

question

Todd Man has developed a senile cataract in his left eye. Select the appropriate code(s).

answer

366.10 Senile cataract, unspecified

question

Chris Cold is seen by Dr. Card today for acute pain in the center of his face and a feeling of pressure. He is also complaining of a headache and fever and chills. After examination Dr. Card records a diagnosis of acute sinusitis. This is the second time this month that Chris has been diagnosed with sinusitis. Select the appropriate ICD-9-CM code(s).

answer

461.9 Acute sinusitis

question

Harry Smith has been experiencing a sore throat, fever, and chills for the past two days. For the last four days he says he has been coughing and the coughing has become more frequent. Exam: Throat appears irritated. Lungs: Not clear. Bronchial wheeze. Assessment: Cough and fever due to acute bronchitis. Plan: Antibiotics as per prescription, rest for two to three days, and drink plenty of fluids. Select the appropriate ICD-9-CM code(s).

answer

466.0 Bronchitis, acute

question

This five-year-old patient has had recurrent attacks of tonsillitis, loss of appetite, and recurrent colds. He is seen today and is found to have another attack of tonsillitis, which at this point is determined to be chronic. I have discussed with his parents the need to see an ENT for possible tonsillectomy. Select the appropriate ICD-9-CM code(s).

answer

474.00 Chronic tonsillitis

question

After a procedure was performed on Mr. Glass, he developed complications and had to be taken back to the operating room where the thoracotomy site needed to be reopened. The procedure for reopening the site would be coded to which of the following?

answer

34.0X Incision of Chest Wall and Pleura

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