QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES ICD-10-CM,
ICD-10-PCS, CPT AND MEDICAL CODING
REVIEW
The patient's chart includes the physician's documentation stating that the
patient was diagnosed with bradycardia. However, the vital signs logged in
showed a pulse rate of 135 beats per minute. This is an example of requiring
a query because the chart:
-has missing information.
-is inaccurate.
-is ambiguous.
-contains contradictory information. - CORRECT ANSWER-contains
contradictory information.
The emergency department discharge diagnosis for this outpatient
encounter is "rule out myocardial infarction." The coder would assign
-a code for an impending myocardial infarction.
-a code for a myocardial infarction.
-no code for this condition.
-a code for the patient's symptoms. - CORRECT ANSWER-a code for the
patient's symptoms.
,Male patient has been diagnosed with benign prostatic hypertrophy and
undergoes a transurethral destruction of the prostate by radiofrequency
thermotherapy. (Code ICD-10-CM for diagnoses and CPT for procedures.)
-N40.0, 53852
-N40.0, 52648
-N40.0, 52601
-N40.0, 53850 - CORRECT ANSWER-N40.0, 53852
Incomplete abortion complicated by excessive hemorrhage; dilation and
curettage performed. (Code the diagnoses using ICD-10-CM and
procedures using ICD-10-PCS.)
-O03.1, D62, 0UDB7ZZ
-O03.4, 10D17ZZ
-O03.1, 10D17ZZ
-O03.6, 0UDB7ZZ - CORRECT ANSWER-O03.1, 10D17ZZ
Liveborn infant, born in hospital, soft cleft palate and upper lip with
procedures completed. (Code the ICD-10-CM diagnoses, and code any
procedures performed using ICD-10-PCS.)
-Z38.00, Q37.3, 0CQ3XZZ, 0CQ0XZZ
-Q37.9, Z38.00, 0CQ0XZZ
-Q37.9, 0CQ0XZZ, 0CQ3XZZ
-Z38.00, Q37.3 - CORRECT ANSWER-Z38.00, Q37.3, 0CQ3XZZ,
0CQ0XZZ
Which code represents an HCPCS Level II National Code?
,-66680
-99281
-J0592
-0572T - CORRECT ANSWER-J0592
Mitch was diagnosed by his physician as having dehydration. Mitch has had
gastroenteritis for several days, which has resulted in dehydration and
requires intravenous hydration. Mitch also has chronic kidney disease and
is at high risk for acute on chronic kidney failure. Two days following
admission, Mitch develops acute renal failure. Mitch also has hypertension.
(Code the ICD-10-CM diagnoses.)
-N17.9, I12.9, E86.0
-K52.9, I12.9, N18.9, N17.9
-I12.0, E86.0
-E86.0, N19, N17.9, I10 - CORRECT ANSWER-K52.9, I12.9, N18.9, N17.9
Chronic otitis media with bilateral myringotomy and tube insertion using
local anesthesia. (Code ICD-10-CM for diagnoses and CPT for procedures.)
-H65.113, 69420-50
-H65.193, 69420-50
-H66.93, 69420-50
-H66.93, 69433-50 - CORRECT ANSWER-H66.93, 69433-50
D&C for missed abortion, first trimester. (Code CPT for procedures.)
-59820
-59840
, -59850
-59855 - CORRECT ANSWER-59820
Diverticulitis large bowel with ascending colon abscess was the diagnosis
for a patient who was admitted with abdominal pain. Right hemicolectomy
with colostomy performed. (Code the diagnoses using ICD-10-CM and
procedures using ICD-10-PCS.)
-K57.92, K62.0, 0DTL0ZZ
-K57.90, 0DTL0ZZ, 0D1K0Z4
-K57.92, 0DTK0ZZ, 0D1K0Z4
-K57.20, 0D1K0Z4 - CORRECT ANSWER-K57.20, 0D1K0Z4
A patient has major surgery and sees the surgeon 10 days later for an
unrelated E/M service. Indicate the modifier that should be attached to the
E/M code for the service provided.
-25
-24
-79
-59 - CORRECT ANSWER--24
Closure of traumatic kidney injury.
-50400
-50500
-50520
-13100 - CORRECT ANSWER-50500