Assign code(s) for the following diagnosis: Congestive
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heart failure due to hypertension.
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I10 Essential (primary) hypertension
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I11.9 Hypertensive heart disease without heart failure
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I11.0 Hypertensive heart disease with heart failure
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I50.9 Heart failure, unspecified
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I50.1 Left ventricular failure
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I50.20 Unspecified systolic (congestive) heart failure
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I50.21 Acute systolic (congestive) heart failure
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I50.22 Chronic systolic (congestive) heart failure
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I50.23 Acute on chronic systolic (congestive) heart failure
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a.I10, I50.9 |\
b.I11.0
c.I50.23, I10 |\
d.I11.0, I50.9 - CORRECT ANSWERS ✔✔d Heart conditions
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are assigned a combination code when a causal
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relationship is stated (due to hypertension) or implied |\ |\ |\ |\ |\ |\ |\ |\
(hypertensive). Use an additional code to identify the |\ |\ |\ |\ |\ |\ |\ |\
type of heart failure in those patients with heart failure
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(ICD-10-CM Official Guidelines for Coding and Reporting |\ |\ |\ |\ |\ |\ |\
2016b, 41). |\
,Assign the best answer to complete the following
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sentence. The CPT codes for treatment of fractures: |\ |\ |\ |\ |\ |\ |\
a.Use the terminology "manipulation" rather than
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"reduction" of fracture
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b.Include internal fixation in all codes |\ |\ |\ |\ |\
c.Do not include application of cast
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d.Do not differentiate between open and closed
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treatment; CPT only specifies the site of the fracture - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a Manipulation refers to the |\ |\ |\ |\ |\ |\ |\
attempted reduction or restoration of a dislocated joint or|\ |\ |\ |\ |\ |\ |\ |\ |\
fracture (Smith 2015, 84) |\ |\ |\
In CPT, if a patient has two lacerations of the arm that are
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repaired with simple closures, the coder would assign:
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a.Two CPT codes expressing each laceration repair
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b.One CPT code for the largest laceration
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c.One CPT code, adding the lengths of the lacerations
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together
d.One CPT code for the most complex closure - CORRECT
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ANSWERS ✔✔c When multiple wounds are repaired with |\ |\ |\ |\ |\ |\ |\ |\
the same closure type (for example, simple), lengths of
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the wounds in the same classification and from all
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anatomical sites that are grouped together into the same |\ |\ |\ |\ |\ |\ |\ |\ |\
code descriptor should be added together (Smith 2015,
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67).
,Patient admitted for laparoscopic repair of right
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diaphragmatic hernia. Assign the ICD-10-PCS procedure |\ |\ |\ |\ |\ |\
code for this surgery.
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0BQR4ZZ Repair right diaphragm, percutaneous
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endoscopic approach |\
0BQROZZ Repair right diaphragm, open approach
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0BQS4ZZ Repair left diaphragm, percutaneous
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endoscopic approach |\
0BQSOZZ Repair left diaphragm, open approach
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a.0BQR4ZZ
b.0BQR0ZZ
c.0BQS4ZZ
d.0BQS0ZZ - CORRECT ANSWERS ✔✔a Surgery is the only
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treatment for diaphragmatic hernias. ICD-10-PCS code
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0BQR4ZZ, is used for laparoscopic repair of
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diaphragmatic hernia (Garvin 2015, 192, 284) |\ |\ |\ |\ |\
When trying to determine if documentation is present to
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substantiate status asthmaticus, the coder should review
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the record for what terms and phrases?
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a.Intractable pneumonia |\
b.Refractory asthma and severe, intractable wheezing
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c.Airway obstruction relieved by bronchodilators
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, d.Limited but pronounced wheezing - CORRECT ANSWERS
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✔✔b Status asthmaticus is defined as continual wheezing
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in spite of therapy (Leon-Chisen 2013, 230).
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Gastrointestinal bleeding can manifest as: |\ |\ |\ |\
a.Hematemesis, which indicates acute upper |\ |\ |\ |\ |\
gastrointestinal hemorrhage |\
b.Petechia
c.Vomiting
d.Constipation, which indicates upper or lower |\ |\ |\ |\ |\ |\
gastrointestinal hemorrhage - CORRECT ANSWERS ✔✔a |\ |\ |\ |\ |\ |\
Gastrointestinal bleeding manifests itself in several ways. |\ |\ |\ |\ |\ |\ |\
These are hematemesis, melena, occult bleeding,
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hematochezia (Leon-Chisen 2013, 244). |\ |\ |\
Which types of pacemaker devices have a unique ICD-10-
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PCS code. |\
a.Dual chamber rate responsive |\ |\ |\
b.Single chamber, single chamber rate responsive, and
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dual chamber |\
c.Multiple chamber |\
d.Multiple chamber rate responsive - CORRECT ANSWERS
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✔✔b The three types of pacemakers are single chamber,
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single chamber rate responsive, and dual chamber. A
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single chamber uses a single lead; a dual chamber
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