HCS-D Practice #4 Questions & Answers
100% Accurate!
1. Which of the following are NOT included in Chapter 7: Disorders of the Eye and
Adnexa?
a. Diabetes-related eye conditions
b. Injury and trauma of the eye and orbit
c. Neoplasms of the eye
d. All of the Above - ANSWERSd. All of the Above
2. For the stages of glaucoma, "unspecified stage" may be coded with the 7th character
of:
a. 0
b. 4
c. 9
d. Either 0 or 4, depending on left/right eye - ANSWERSa. 0
3. Ptosis is drooping of the _________ eyelid.
a. Upper
b. Lower
c. Either upper or lower
d. Both upper and lower - ANSWERSa. Upper
4. How would bilateral recurrent pterygium be coded?
a. H11.063
b. H11.069
c. H11.061 and H11.062
d. H11.06 - ANSWERSa. H11.063
5. In the alphabetical index, "age-related cataract" directs the coder to:
a. Cataract, unspecified
b. Cataract, senile
c. Cataract, aphakic
d. Cataract, nuclear - ANSWERSb. Cataract, senile
6. A patient is admitted with pseudobulbar affect as the result of a traumatic subdural
hemorrhage last year. How should the codes be sequenced:
a. Pseudobulbar affect first followed by the traumatic subdural Hemorrhage with 7th
character S because sequelae guidelines state to code the residual first followed by the
cause with an S 7th character.
b. The traumatic subdural hemorrhage with 7th character S (sequela), should be coded
first followed by the pseudobulbar affect because the convention states that to code first
the underlying cause. - ANSWERSb. The traumatic subdural hemorrhage with 7th
,character S (sequela), should be coded first followed by the pseudobulbar affect
because the convention states that to code first the underlying cause.
7. Patient admitted with Barrett's esophagus with low grade dysplasia, weight loss and a
15 year history of GERD. SN to monitor weights and teaching. How would this be
coded?
a. K22.710, R63.4, K21.0
b. K22.719, K21.0
c. K21.0, R63.4, K22.719
d. K21.0, K22.70 - ANSWERSa. K22.710, R63.4, K21.0
8. A 42 year old male has a diagnosis of acute infectious inguinal lymphadenitis, fatigue,
and weight loss. The MD did a fine needle aspiration to culture what type of organism is
growing. In the meantime, the MD has ordered vancomycin 1gm IV daily to be
administered through a PICC. The agency is to monitor the inguinal site for worsening,
or further signs of infection, teach IV antibiotics to the patient/family, draw weekly labs
for Vanco levels and weekly PICC site care. How would this be coded?
a. L04.1, Z51.81, Z79.2, Z45.2
b. I88.8, Z51.81, Z79.2, Z45.2
c. L04.3, R53.83, R63.4, Z45.2
d. L04.1, B95.61, Z45.2, Z51.81 - ANSWERSa. L04.1, Z51.81, Z79.2, Z45.2
**Groin is coded to L04.1. Other codes to be included are the code for monitoring, the
code for the antibiotics (most likely not short term) because 1) IV antibiotics, 2) PICC
line and the code for the care of the IV line. There is no need to code the fatigue and
weight loss.
9. The patient was seen for treatment of a fine rash that had developed on the patient's
trunk and upper extremities over the last three to four days. The patient was diagnosed
with hypertension seven days ago and started on Ramipril 10 mg daily. The physician
determined the rash to be dermatitis due to the Ramipril. The Ramipril was discontinued
and the patient was prescribed a new antihypertensive medication, Captopril. In
addition, the physician prescribed a topical cream for the localized dermatitis. The
hypertension is the focus of care. What diagnosis codes are assigned?
a. L27.8, T46.4x1S, I10
b. I11.9, L27.1, T464.x5D
c. I10, L27.1, T46.4x5D
d. I10, L27.0 - ANSWERSc. I10, L27.1, T46.4x5D
10. A young immigrant woman presents with intense pelvic and vulvar pain. The
physician suspects pelvic inflammatory disease or infection. Upon examination, the
access to the introitus is severely compromised with external genitalia in a healed, but
mutilated appearance. The patient is admitted to the hospital and scheduled for surgery.
Under general anesthesia, the artificially created barrier is removed, and specimens are
collected for culture and sensitivity. Pathology confirms the presence of group A
streptococcus. Diagnosis: acute bacterial parametritis with pelvic cellulitis, female
, genital mutilation status, type III. The patient is discharged home on IV antibiotics and
monitoring for further S/S of infection. How would this be coded?
a. N73.1, B95.0, Z79.2
b. N73.0, B95.0, Z45.2, Z79.2
c. N73.2, B95.40
d. N73.0, B95.0, N90.813, Z45.2, Z79.2 - ANSWERSd. N73.0, B95.0, N90.813, Z45.2,
Z79.2
11. 71 year old male admitted to home care for PT/OT following a CVA with right
dominant hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is
obese with a BMI of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.4 - ANSWERSa. I69.351 , E11.22, N18.6,
E66.9, Z99.2, Z68.38, Z79.4
12. A patient is admitted to home health for physical therapy related to charcot's joint
with documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He
also has a comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
d. M14.611, M14.672, M14.671, E11.9 - ANSWERSd. M14.611, M14.672, M14.671,
E11.9
**If the patient had diabetes and charcot's joint, the charcot's would be assumed related
to the diabetes. In this case, the physician documented unknown etiology, so do not
code it as a manifestation of diabetes.
13. All injuries involving the musculoskeletal system are coded in this chapter, with the
appropriate encounter code.
a. True
b. False - ANSWERSb. False
14. This 63 year old female with complaint of constant pain due to OA of right knee with
current steroid injection therapy at MD office. Pain in home will be managed with oral
analgesics. Therapy to eval and treat for muscle weakness and pain to knee. How
would this be coded?
a. M17.11, M62.81, G89.29
b. M19.90
c. M17.11
d. M17.9 - ANSWERSc. M17.11
100% Accurate!
1. Which of the following are NOT included in Chapter 7: Disorders of the Eye and
Adnexa?
a. Diabetes-related eye conditions
b. Injury and trauma of the eye and orbit
c. Neoplasms of the eye
d. All of the Above - ANSWERSd. All of the Above
2. For the stages of glaucoma, "unspecified stage" may be coded with the 7th character
of:
a. 0
b. 4
c. 9
d. Either 0 or 4, depending on left/right eye - ANSWERSa. 0
3. Ptosis is drooping of the _________ eyelid.
a. Upper
b. Lower
c. Either upper or lower
d. Both upper and lower - ANSWERSa. Upper
4. How would bilateral recurrent pterygium be coded?
a. H11.063
b. H11.069
c. H11.061 and H11.062
d. H11.06 - ANSWERSa. H11.063
5. In the alphabetical index, "age-related cataract" directs the coder to:
a. Cataract, unspecified
b. Cataract, senile
c. Cataract, aphakic
d. Cataract, nuclear - ANSWERSb. Cataract, senile
6. A patient is admitted with pseudobulbar affect as the result of a traumatic subdural
hemorrhage last year. How should the codes be sequenced:
a. Pseudobulbar affect first followed by the traumatic subdural Hemorrhage with 7th
character S because sequelae guidelines state to code the residual first followed by the
cause with an S 7th character.
b. The traumatic subdural hemorrhage with 7th character S (sequela), should be coded
first followed by the pseudobulbar affect because the convention states that to code first
the underlying cause. - ANSWERSb. The traumatic subdural hemorrhage with 7th
,character S (sequela), should be coded first followed by the pseudobulbar affect
because the convention states that to code first the underlying cause.
7. Patient admitted with Barrett's esophagus with low grade dysplasia, weight loss and a
15 year history of GERD. SN to monitor weights and teaching. How would this be
coded?
a. K22.710, R63.4, K21.0
b. K22.719, K21.0
c. K21.0, R63.4, K22.719
d. K21.0, K22.70 - ANSWERSa. K22.710, R63.4, K21.0
8. A 42 year old male has a diagnosis of acute infectious inguinal lymphadenitis, fatigue,
and weight loss. The MD did a fine needle aspiration to culture what type of organism is
growing. In the meantime, the MD has ordered vancomycin 1gm IV daily to be
administered through a PICC. The agency is to monitor the inguinal site for worsening,
or further signs of infection, teach IV antibiotics to the patient/family, draw weekly labs
for Vanco levels and weekly PICC site care. How would this be coded?
a. L04.1, Z51.81, Z79.2, Z45.2
b. I88.8, Z51.81, Z79.2, Z45.2
c. L04.3, R53.83, R63.4, Z45.2
d. L04.1, B95.61, Z45.2, Z51.81 - ANSWERSa. L04.1, Z51.81, Z79.2, Z45.2
**Groin is coded to L04.1. Other codes to be included are the code for monitoring, the
code for the antibiotics (most likely not short term) because 1) IV antibiotics, 2) PICC
line and the code for the care of the IV line. There is no need to code the fatigue and
weight loss.
9. The patient was seen for treatment of a fine rash that had developed on the patient's
trunk and upper extremities over the last three to four days. The patient was diagnosed
with hypertension seven days ago and started on Ramipril 10 mg daily. The physician
determined the rash to be dermatitis due to the Ramipril. The Ramipril was discontinued
and the patient was prescribed a new antihypertensive medication, Captopril. In
addition, the physician prescribed a topical cream for the localized dermatitis. The
hypertension is the focus of care. What diagnosis codes are assigned?
a. L27.8, T46.4x1S, I10
b. I11.9, L27.1, T464.x5D
c. I10, L27.1, T46.4x5D
d. I10, L27.0 - ANSWERSc. I10, L27.1, T46.4x5D
10. A young immigrant woman presents with intense pelvic and vulvar pain. The
physician suspects pelvic inflammatory disease or infection. Upon examination, the
access to the introitus is severely compromised with external genitalia in a healed, but
mutilated appearance. The patient is admitted to the hospital and scheduled for surgery.
Under general anesthesia, the artificially created barrier is removed, and specimens are
collected for culture and sensitivity. Pathology confirms the presence of group A
streptococcus. Diagnosis: acute bacterial parametritis with pelvic cellulitis, female
, genital mutilation status, type III. The patient is discharged home on IV antibiotics and
monitoring for further S/S of infection. How would this be coded?
a. N73.1, B95.0, Z79.2
b. N73.0, B95.0, Z45.2, Z79.2
c. N73.2, B95.40
d. N73.0, B95.0, N90.813, Z45.2, Z79.2 - ANSWERSd. N73.0, B95.0, N90.813, Z45.2,
Z79.2
11. 71 year old male admitted to home care for PT/OT following a CVA with right
dominant hemiplegia, takes Insulin for Type 2 diabetes, is on hemodialysis for ESRD, is
obese with a BMI of 38.4. How would this be coded?
a. I69.351 , E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
b. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
c. I69.351 , E11.22, N18.6, Z99.2 , Z68.x3 , Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.4 - ANSWERSa. I69.351 , E11.22, N18.6,
E66.9, Z99.2, Z68.38, Z79.4
12. A patient is admitted to home health for physical therapy related to charcot's joint
with documented 'unknown etiology' of the right shoulder, left ankle, and right foot. He
also has a comorbidity of diabetes. How would this be coded?
a. E11.610, M14.611, M14.672, M14.671
b. A52.16
c. E11.610
d. M14.611, M14.672, M14.671, E11.9 - ANSWERSd. M14.611, M14.672, M14.671,
E11.9
**If the patient had diabetes and charcot's joint, the charcot's would be assumed related
to the diabetes. In this case, the physician documented unknown etiology, so do not
code it as a manifestation of diabetes.
13. All injuries involving the musculoskeletal system are coded in this chapter, with the
appropriate encounter code.
a. True
b. False - ANSWERSb. False
14. This 63 year old female with complaint of constant pain due to OA of right knee with
current steroid injection therapy at MD office. Pain in home will be managed with oral
analgesics. Therapy to eval and treat for muscle weakness and pain to knee. How
would this be coded?
a. M17.11, M62.81, G89.29
b. M19.90
c. M17.11
d. M17.9 - ANSWERSc. M17.11
