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1. Which of the following organizations is responsible for updating the
procedure classification of ICD-10-PCS? - CORRECT ANSWER Centers for
Medicare and Medicaid Services (CMS) is responsible for updating ICD-10-
PCS
2. Coding accuracy is anticipated to improve due to which ICD-10-CM
enhancement? - CORRECT ANSWER Expanding codes to capture more detail
in several sections such as injury, diabetes, and postoperative complications
3. Which character in an ICD-10-CM diagnosis code provides information
regarding encounter of care? - CORRECT ANSWER Seventh character
provides information about encounter of care, such as intial encounter,
subsequent encounter, or sequelae
4. What does the fourth character of an ICD-10-CM diagnosis code capture? -
CORRECT ANSWER Fourth character capture etiology, fifth capture anatomic
site, and sixth capture severity
5. ICD-10-CM codes must be a minimum of how many characters - CORRECT
ANSWER At least three characters with a decimal point used after the 3rd
character
,6. To which of the following do notes appearing under a 3-character code
apply? - CORRECT ANSWER When a note appears under a 3-character code,
it applies to all codes within that category
7. Which volume of ICD-10-CM contains the Tabular and Alphabetic Index of
procedures? - CORRECT ANSWER None since the development of ICD-10-
PCS
8. Identify the correct diagnosis code for lipoma of the face: - CORRECT
ANSWER Lipoma, face = D17.0
9. Identify the correct diagnosis code(s) for adenoma of left adrenal cortex
with Conn's syndrome: - CORRECT ANSWER Adenoma, adrenal (cortex) =
D35.02
10.Syndrome, Conn = E26.01
11.Which of the following is a standard terminology used to code medical
procedures and services? - CORRECT ANSWER CPT is a comprehensive
descriptive listing of terms an codes for reporting diagnostic and
therapeutic procedures and medical services.
12.Identify the appropriate ICD-10-CM diagnosis code for right cerebral
contusion with 15 minute loss of consciousness, initial encounter for care: -
CORRECT ANSWER Contusion, cerebral - see Contusion, brain. Add 6th
character "1" for loss of consciousness of 30 minutes for less, 7th character
for initial encounter = S06.311A
,13.If a patient has en excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of
the following? - CORRECT ANSWER Diameter of the lesion as well as the
most narrow margins required to adequately excise the lesion described in
the operative report
14.According to CPT, a repair of a laceration that includes retention sutures
would be considered what type of closure? - CORRECT ANSWER Complex
closures include the repair of wounds requiring more that layered closure,
namely, scar revision, debridement, extensive undermining, stents, or
retention sutures.
15.Patient is admitted with spotting, had been treated two weeks previously
for miscarriage with sepsis. Sepsis resolved, she is afebrile at this time,
treated with an aspiration D&C, and POC are found. Which of the following
should be the PD? - CORRECT ANSWER Miscarriage: Retained POC following
an abortion (Subsequent admissions for retained POC following any type of
abortion are assigned the appropriate code from category O03 [spont. abn.]
or O07.4 [failed attempted term. of pg. w/o comp.] and Z33.2 [encounter
for elect. term of pg]. This advice is appropriate even when the patient was
discharged prev. with discharge diagnosis of complete ab.
16.An 80-year-old female is admitted with fever, lethargy, hypotension,
tachycardia, oliguria, elevated WBC, and more than 100K organisms of E.
coli per cc of urine. Attending physician documents "urosepsis". How should
coder proceed to code? - CORRECT ANSWER Since urosepsis is nonspecific
and not codable in ICD-10-CM, it cannot be considered synonymous with
sepsis, and therefore the physician should be queried.
, 17.65yo patient with history of lung cancer is admitted to healthcare facility
with ataxia, syncope, and a fractured arm as a result from falling. Pt
undergoes closed reduction of fracture in the ED and undergoes complete
workup for metastatic carcinoma of the brain. Pt is found to have metastatic
carcinoma of the lung to brain and undergoes radiation therapy to brain.
Which of the following would be the PD in this case? - CORRECT ANSWER If
a tx is directed at the malignancy, designate the malignancy as the PD with
the only exception to this guideline being if the pt admission or encounter is
solely for the administration of chemo, immunotherapy, or radiation, then
assign the appropriate Z51.- code as the first-listed or PD an the diagnosis or
problem for which the service is being performed as a secondary diagnosis.
18.Pt was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. Pt also has angina and COPD. Which of the
following would be the correct coding and sequencing for this case? -
CORRECT ANSWER Infectious gastroenteritis; COPD; angina
19.Pt admitted with hx of prostate cancer and with mental confusion. Pt
completed radiation therapy for prostatic carcinoma 3 years ago and is
status post a radical resection of the prostate. CT scan of brain during
current admission reveals metastasis. Which of the following is the correct
coding and sequencing for the current hospital stay? - CORRECT ANSWER
Metastatic carcinoma of the brain; history of carcinoma of the prostate
20.According to UHDDS, which of the following is the definition of "other
diagnoses"? - CORRECT ANSWER Receives clinical eval or therapeutic tx or
diagnostic procedures to extends the LOS or increases nursing care and
monitoring