CHAPTER 27 INPATIENT CODING
TEXBOOK ASSIGNMENT.
In which setting would documentation in the discharge summary of a
suspected condition be coded as if it exists? - CorreCt Answers -Inpatient
A significant procedure must be performed in an operating room. - CorreCt
Answers -False
If a patient is admitted from outpatient surgery for a complication, the
reason for the surgery is the principal diagnosis. - CorreCt Answers -False
A patient is admitted with syncope. The physician documents that the
patient's syncope is due to orthostatic hypotension or bradycardia. Which
diagnosis(es) should be reported? - CorreCt Answers -syncope, orthostatic,
hypotension, bradycardia
If it is documented that the patient has a low magnesium level and
magnesium supplements are ordered, the coder should: - CorreCt Answers
-query the physician regarding thw significance of the abnormal lab value
and subsequent treatment
Cutting into a body part without draining fluids and/or gases from the body
part in order to separate or transect a body part is: - CorreCt Answers -
division
An example of fragmentation is: - CorreCt Answers -lithotripsy
, Mr. Jones presents to the emergency department with complaints of leg
pain, inflammation and swelling of the ankle and calf, and a fever. The day
before he had been seen in the physician's office for treatment of cellulitis
and was given antibiotics. Mr. Jones was admitted to the hospital for IV
antibiotics.
Principal Diagnosis:
Other Diagnosis: - CorreCt Answers -cellulitis ankle or leg, none
Mr. Janes was admitted for colon cancer and also had chemotherapy
following surgery. Mr. Janes complained of joint pain while in the hospital,
and an MRI showed metastases to bone.
Principal Diagnosis:
Other Diagnosis: - CorreCt Answers -Principal diagnosis: colon cancer,
primary malignancy Other diagnoses: bone cancer, secondary
Miss Nelson is admitted for a D&C for menorrhagia. During her
preoperative physical examination, the physician notices she had a fever
and her lungs are congested. He cancels surgery because the patient shows
symptoms of acute bronchitis.
Principal Diagnosis:
Other Diagnoses: - CorreCt Answers -Principal diagnosis: menorrhagia
Other diagnoses: acute, bronchitis, canceled surgery
Mr. Anderson regularly sees a physician and is on medication for
management of his chronic bronchitis. Last night he was complaining of
coughing and difficulty breathing. He was admitted with a diagnosis of
chronic bronchitis with acute exacerbation.
Principal Diagnosis:
TEXBOOK ASSIGNMENT.
In which setting would documentation in the discharge summary of a
suspected condition be coded as if it exists? - CorreCt Answers -Inpatient
A significant procedure must be performed in an operating room. - CorreCt
Answers -False
If a patient is admitted from outpatient surgery for a complication, the
reason for the surgery is the principal diagnosis. - CorreCt Answers -False
A patient is admitted with syncope. The physician documents that the
patient's syncope is due to orthostatic hypotension or bradycardia. Which
diagnosis(es) should be reported? - CorreCt Answers -syncope, orthostatic,
hypotension, bradycardia
If it is documented that the patient has a low magnesium level and
magnesium supplements are ordered, the coder should: - CorreCt Answers
-query the physician regarding thw significance of the abnormal lab value
and subsequent treatment
Cutting into a body part without draining fluids and/or gases from the body
part in order to separate or transect a body part is: - CorreCt Answers -
division
An example of fragmentation is: - CorreCt Answers -lithotripsy
, Mr. Jones presents to the emergency department with complaints of leg
pain, inflammation and swelling of the ankle and calf, and a fever. The day
before he had been seen in the physician's office for treatment of cellulitis
and was given antibiotics. Mr. Jones was admitted to the hospital for IV
antibiotics.
Principal Diagnosis:
Other Diagnosis: - CorreCt Answers -cellulitis ankle or leg, none
Mr. Janes was admitted for colon cancer and also had chemotherapy
following surgery. Mr. Janes complained of joint pain while in the hospital,
and an MRI showed metastases to bone.
Principal Diagnosis:
Other Diagnosis: - CorreCt Answers -Principal diagnosis: colon cancer,
primary malignancy Other diagnoses: bone cancer, secondary
Miss Nelson is admitted for a D&C for menorrhagia. During her
preoperative physical examination, the physician notices she had a fever
and her lungs are congested. He cancels surgery because the patient shows
symptoms of acute bronchitis.
Principal Diagnosis:
Other Diagnoses: - CorreCt Answers -Principal diagnosis: menorrhagia
Other diagnoses: acute, bronchitis, canceled surgery
Mr. Anderson regularly sees a physician and is on medication for
management of his chronic bronchitis. Last night he was complaining of
coughing and difficulty breathing. He was admitted with a diagnosis of
chronic bronchitis with acute exacerbation.
Principal Diagnosis:
