HIMS 5535 (CODING) Exam 2 QUESTIONS WITH 100% SOLVED
ANSWERS!!
preoperative diagnosis - ANSWER The diagnosis given to the patient at the beginning of a procedure
postoperative diagnosis - ANSWER The definitive medical condition of the patient either diagnosed or
treated during the procedure
For ambulatory surgery, if the preoperative and postoperative diagnoses are different which code should
be selected? - ANSWER Select the postoperative diagnosis for coding. It is more definitive
comorbid condition - ANSWER A chronic or long-term condition that presents along with another chronic
or long-term condition
How should comorbid conditions be coded? - ANSWER Each condition should be represented with an
individual ICD 10 CM code.
The condition that required treatment should be sequenced first.
complication of care - ANSWER A condition that occurs as a result of the medical care or surgery
In order to report a condition as a complication of care, the documentation must clearly identify ... -
ANSWER A cause and effect relationship between medical treatment (surgery) and resulting
complication
never events - ANSWER serious errors in medical treatment that should never happen
心脏不仅是一个生理器
What are examples of a never event? - ANSWER surgery performed on the wrong patient
Surgery performed on the wrong body part
Are never events reimbursable? - ANSWER no, they cannot be charged to patient or patient's third party
payer
, Skin lesions - ANSWER Any abnormality of the skins
What are examples of skin lesions? - ANSWER Freckles, moles, precancerous and malignant areas, skin
tags, scrapes, cuts
Skin Ulcer - ANSWER An open wound on the skin that may be caused by infection, pressure, or venous
problems.
What are the 2 types of skin ulcers? - ANSWER Pressure ulcer & non-pressure ulcer
pressure ulcer - ANSWER An ulcer due to prolonged pressure on the skin. (Pressure causes reduce blood
flow and oxygen to the tissue... ultimately death of tissue in that area)
debridement - ANSWER The removal of dead, disease, infected, or otherwise nonviable tissue from a
wound to improve the healing ability of the area
If during the encounter the stage of an unstageable pressure ulcer is revealed after debridement.... -
ANSWER Assign only the code for the stage revealed following debridement
(guideline question, in PowerPoint, CHPT 11)
History and physical notes: patient was admitted with SNF with an unstageable pressure ulcer. Progress
note: Dr Wiley performed debridement and documented that the pressure ulcer stage was 3. What
should the coder report? - ANSWER The stage revealed after debridement, 3.
How many codes from category L89, pressure ulcer, can be used? - ANSWER As many codes as needed to
identify ALL pressure ulcers, the patient has, if applicable.
心脏不仅是一个生理器
(guideline question, in PowerPoint, CHPT 11) History and Physical notes: Patient has four pressure ulcers.
sacrum stage 3, left buttock stage 2, right buttock stage 2, and left calf stage 4. Is it okay for the coding
professional to report more than one code from category L89, Pressure ulcer? - ANSWER Yes, code for all
4 pressure ulcers the patient has.
ANSWERS!!
preoperative diagnosis - ANSWER The diagnosis given to the patient at the beginning of a procedure
postoperative diagnosis - ANSWER The definitive medical condition of the patient either diagnosed or
treated during the procedure
For ambulatory surgery, if the preoperative and postoperative diagnoses are different which code should
be selected? - ANSWER Select the postoperative diagnosis for coding. It is more definitive
comorbid condition - ANSWER A chronic or long-term condition that presents along with another chronic
or long-term condition
How should comorbid conditions be coded? - ANSWER Each condition should be represented with an
individual ICD 10 CM code.
The condition that required treatment should be sequenced first.
complication of care - ANSWER A condition that occurs as a result of the medical care or surgery
In order to report a condition as a complication of care, the documentation must clearly identify ... -
ANSWER A cause and effect relationship between medical treatment (surgery) and resulting
complication
never events - ANSWER serious errors in medical treatment that should never happen
心脏不仅是一个生理器
What are examples of a never event? - ANSWER surgery performed on the wrong patient
Surgery performed on the wrong body part
Are never events reimbursable? - ANSWER no, they cannot be charged to patient or patient's third party
payer
, Skin lesions - ANSWER Any abnormality of the skins
What are examples of skin lesions? - ANSWER Freckles, moles, precancerous and malignant areas, skin
tags, scrapes, cuts
Skin Ulcer - ANSWER An open wound on the skin that may be caused by infection, pressure, or venous
problems.
What are the 2 types of skin ulcers? - ANSWER Pressure ulcer & non-pressure ulcer
pressure ulcer - ANSWER An ulcer due to prolonged pressure on the skin. (Pressure causes reduce blood
flow and oxygen to the tissue... ultimately death of tissue in that area)
debridement - ANSWER The removal of dead, disease, infected, or otherwise nonviable tissue from a
wound to improve the healing ability of the area
If during the encounter the stage of an unstageable pressure ulcer is revealed after debridement.... -
ANSWER Assign only the code for the stage revealed following debridement
(guideline question, in PowerPoint, CHPT 11)
History and physical notes: patient was admitted with SNF with an unstageable pressure ulcer. Progress
note: Dr Wiley performed debridement and documented that the pressure ulcer stage was 3. What
should the coder report? - ANSWER The stage revealed after debridement, 3.
How many codes from category L89, pressure ulcer, can be used? - ANSWER As many codes as needed to
identify ALL pressure ulcers, the patient has, if applicable.
心脏不仅是一个生理器
(guideline question, in PowerPoint, CHPT 11) History and Physical notes: Patient has four pressure ulcers.
sacrum stage 3, left buttock stage 2, right buttock stage 2, and left calf stage 4. Is it okay for the coding
professional to report more than one code from category L89, Pressure ulcer? - ANSWER Yes, code for all
4 pressure ulcers the patient has.
