And All Correct Answers.
Which of the following statements is true? A. All diagnoses treated during an inpatient stay should be
coded. B. Z codes require a symptom control rating. C. All diagnoses must match on the OASIS, Plan of
Care and billing claim form (UB04). D. All comorbidities should be coded. - Answer C.
Your agency received a referral on a patient who was admitted to the hospital with a fever, persistent
cough, dyspnea with minimal exertion, and extreme weakness. She was diagnosed with pneumonia and
received IV antibiotics, which were changed to oral when she was discharged to a rehab facility. Therapy
services were provided for strengthening, due to muscle weakness, for three weeks. The oral antibiotics
for pneumonia were discontinued 10 days prior to discharge. Which of the following statements is true
regarding placement of diagnosis in M1011 (Inpatient Diagnoses) and M1017 (Diagnoses Requiring
Medical or Treatment Regimen Change during the past 14 days) for this patient? A. All diagnoses,
including documented symptoms, which were treated during the hospital stay, will be listed in M1011. B.
Pneumonia and muscle weakness will be listed in M1011 and M1017, since these were treated during
the rehab stay. C. Pneumon - Answer C.
Which of the following statements about the primary diagnosis is false? A. It is the chief reason for
providing skilled services. B. It best reflects the care being provided for the entire episode. C. It is the
condition most related to the current home health care plan. D. It may be a V, W, X or Y code. - Answer
D.
Which statement about other (secondary) diagnoses that should be coded is FALSE? A. Any diagnosis
that the patient has in addition to the primary diagnosis. B. Pertinent diagnoses relevant to the care
being rendered. C. Any comorbidity that may affect the patient's response to treatment or rehabilitation
prognosis. D. Conditions that require clinical evaluation, therapeutic treatment, extended stay or
increased monitoring. - Answer A.
Which of the following comorbidities may affect patient care and should be coded, even if it is NOT
actively being treated? A. Anemia. B. GERD. C. Hypertension. D. Hypothyroidism. - Answer C.
A term in parenthesis following the main term that may or may not be present in the diagnostic
statement but does not affect the code selection is? A. the etiology. B. a manifestation. C. an unspecified
code. D. a nonessential modifier. - Answer D.