If the principal diagnosis is an initial anterior wall myocardial infarction, which procedure
will result in the highest MS-DRG assignment?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy
,Give this one a try later!
d. Transbronchial lung biopsy
A patient presents to a facility with a history of prostate cancer and mental confusion on
admission. The patient completed radiation therapy for prostatic carcinoma three years
ago and is status post a radical resection of the prostate. A CT scan of the brain reveals
metastatic carcinoma of the brain. The correct coding and sequencing of this patient's
record is:
a. Metastatic carcinoma of the brain, carcinoma of the prostate, mental confusion
b. Mental confusion, history of carcinoma of the prostate, metastatic carcinoma of the
brain
c. Metastatic carcinoma of the brain, history of carcinoma of the prostate
d. Carcinoma of the prostate, metastatic carcinoma to the brain
Give this one a try later!
c. Metastatic carcinoma of the brain, history of carcinoma of the prostate
Which of the following statements best describes how the retention of records should
be determined?
a. Unless state law requires longer periods of time, specific patient health information
should be retained for HIPAA established minimum time periods.
b. AHIMA has published specific guidelines for retention of health information and these
guidelines should be followed for records retention.
c. The Joint Commission has developed standards for retention of health information
which must be followed to maintain accreditation and these standards should be
adhered to with regard to time frames.
d. Health records should be retained according to their use in a facility and the state and
federal laws do not apply to the retention of this health information.
,Give this one a try later!
a. Unless state law requires longer periods of time, specific patient health
information should be retained for HIPAA established minimum time periods
A female patient with terminal carcinoma of the breast, metastatic to the liver, brain, and
intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient was
rehydrated with IVs and discharged, with no treatment given to the cancer. What are the
codes assigned?
a. E86.0, C50.919, C78.7, C79.31, C78.89
b. C50.919, E86.0, C78.7, C79.31
c. C50.919, E86.9, C78.7, C79.31
d. E86.9, C50.919, C78.7, C79.31, C78.89
Give this one a try later!
a. E86.0, C50.919, C78.7, C79.31, C78.89
A patient admitted with shoulder pain has an inpatient discharge with principal diagnosis
of either peptic ulcer or cholecystitis documented on the history and physical. Both are
equally treated and well documented. A coder should:
a. Code based on the circumstances of admission and if both are equally treated, code
either as principal
b. Use a code from the abnormal findings category
c. Code to the most severe symptom only
d. Code shoulder pain followed by both peptic ulcer, cholecystitis
Give this one a try later!
, a. Code based on the circumstances of admission and if both are equally
treated, code either as principal
The information in the table represents all the CPT/HCPCS codes and associated
information pertinent to a patient's encounter for care. From the information provided,
how many APCs would impact this patient's total reimbursement?
a. 1
b. 5
c. 4
d. Unable to determine
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c. 4
A 45-year-old man with known AIDS is admitted to the hospital for treatment of HIV-
related Pneumocystis carinii pneumonia. What is the principal diagnosis code?
a. B20
b. J18.9
c. B59
d. Any of the above
Give this one a try later!
a. B20
will result in the highest MS-DRG assignment?
a. Mechanical ventilator
b. Insertion central venous catheter
c. Right heart cardiac catheterization
d. Transbronchial lung biopsy
,Give this one a try later!
d. Transbronchial lung biopsy
A patient presents to a facility with a history of prostate cancer and mental confusion on
admission. The patient completed radiation therapy for prostatic carcinoma three years
ago and is status post a radical resection of the prostate. A CT scan of the brain reveals
metastatic carcinoma of the brain. The correct coding and sequencing of this patient's
record is:
a. Metastatic carcinoma of the brain, carcinoma of the prostate, mental confusion
b. Mental confusion, history of carcinoma of the prostate, metastatic carcinoma of the
brain
c. Metastatic carcinoma of the brain, history of carcinoma of the prostate
d. Carcinoma of the prostate, metastatic carcinoma to the brain
Give this one a try later!
c. Metastatic carcinoma of the brain, history of carcinoma of the prostate
Which of the following statements best describes how the retention of records should
be determined?
a. Unless state law requires longer periods of time, specific patient health information
should be retained for HIPAA established minimum time periods.
b. AHIMA has published specific guidelines for retention of health information and these
guidelines should be followed for records retention.
c. The Joint Commission has developed standards for retention of health information
which must be followed to maintain accreditation and these standards should be
adhered to with regard to time frames.
d. Health records should be retained according to their use in a facility and the state and
federal laws do not apply to the retention of this health information.
,Give this one a try later!
a. Unless state law requires longer periods of time, specific patient health
information should be retained for HIPAA established minimum time periods
A female patient with terminal carcinoma of the breast, metastatic to the liver, brain, and
intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient was
rehydrated with IVs and discharged, with no treatment given to the cancer. What are the
codes assigned?
a. E86.0, C50.919, C78.7, C79.31, C78.89
b. C50.919, E86.0, C78.7, C79.31
c. C50.919, E86.9, C78.7, C79.31
d. E86.9, C50.919, C78.7, C79.31, C78.89
Give this one a try later!
a. E86.0, C50.919, C78.7, C79.31, C78.89
A patient admitted with shoulder pain has an inpatient discharge with principal diagnosis
of either peptic ulcer or cholecystitis documented on the history and physical. Both are
equally treated and well documented. A coder should:
a. Code based on the circumstances of admission and if both are equally treated, code
either as principal
b. Use a code from the abnormal findings category
c. Code to the most severe symptom only
d. Code shoulder pain followed by both peptic ulcer, cholecystitis
Give this one a try later!
, a. Code based on the circumstances of admission and if both are equally
treated, code either as principal
The information in the table represents all the CPT/HCPCS codes and associated
information pertinent to a patient's encounter for care. From the information provided,
how many APCs would impact this patient's total reimbursement?
a. 1
b. 5
c. 4
d. Unable to determine
Give this one a try later!
c. 4
A 45-year-old man with known AIDS is admitted to the hospital for treatment of HIV-
related Pneumocystis carinii pneumonia. What is the principal diagnosis code?
a. B20
b. J18.9
c. B59
d. Any of the above
Give this one a try later!
a. B20
