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59-year-old male patient with chronic hypertension and chronic asthma received level 4 emergency department evaluation and management services due to unrelenting headaches and blurred vision, and buzzing in his ears over several days. He called his primary care physician today and was told to go immediately to his local emergency department. Patient denies history of migraine headaches or recent fall. He takes Hyzaar for his hypertension and albuterol nebulizer inhaler for his asthma. The patien...

Implementation of ICD-10-CM and ICD-10-PCS resulted in the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) becoming a ______ classification system. - ANSWERSlegacy The NCHS and CMS publish general equivalence ________ (abbreviated ____), to facilitate the location of corresponding diagnosis codes between ICD-9-CM and ICD-10-CM. - ANSWERSmappings GEMs ICD-9-CM was the classification (or coding) system used since the year ____ in the United States to...

A patient is admitted to the hospital for repair of an open fracture, type 1, of the head of the left femur. The patient has been previously diagnosed with symptomatic HIV. Applying the coding concept from ICD-10-CM guideline 1.C.1.a.2.b, which ICD-10-CM code(s) is/are reported for the admission? A.) B20 B.) S72.052B C.) B20, S72.052B D.) S72.052B, B20 - ANSWERSD.) S72.052B, B20 A 22-year old female is admitted to ICU for acute renal (Kidney) failure due to sepsis (casual organism unknown...

Codes that might indicate an influence on care but that are not themselves a current illness or injury are called ______ codes. - ANSWERSZ To locate a code for a person suffering from a psychosocial problem, the coder references the ____-_____ code range. - ANSWERSZ55-Z65 In determining the proper code for a routine physical exam, the coder must know whether there were or were not _______ findings - ANSWERSabnormal When coding for a patient who presents for an annual gynecological exam,...

A woman is readmitted one week after delivery with a diagnosis of delayed hemorrhage due to retained placental fragments. Which ICD-10-CM code(s) should be reported? - ANSWERSO72.2 Rationale: Look in the ICD-10-CM Alphabetic Index for Retention/placenta/portions or fragments (with hemorrhage) O72.2. Verification in Tabular List confirms correct code choice. Which statement is true regarding the perinatal period? - ANSWERSIt ends at 28 days Rationale: According to the ICD-10-CM Guidelines fo...

1. The index of the ICD-10-CM indicates the following: Failure, failed renal N19 acute N17.9 chronic N18.9 The medical record states the patient has chronic renal failure and has now been admitted with acute renal failure. Which represents the correct sequence? A. N18.9, N17.9 B. N17.9, N18.9 C. N19, N17.9 D. Either A or B - ANSWERSB. N17.9, N18.9 2. A 4-year-old patient presents to the ED with her mother. The patient is an asthmatic with dyspnea and is in obvious distres...

PREVENTIVE MEDICINE SERVICES Use Preventive Medicine Services codes to report the routine evaluation and management of a patient who is healthy and has no complaint or when the patient has a chronic condition or disease that is controlled but involves yearly routine physicals. The codes in this subsection would be used to report a routine physical examination done at the patient's request, such as a well-baby checkup. Preventive Medicine codes are intended to be used to identify comprehens...

The nurse is counseling the family of an older adult who died today. Which factor facilitates attainment of a positive bereavement outcome? - ANSWERSpossessing adequate financial resources Having adequate financial resources facilitates bereavement. Younger people are at higher risk for negative bereavement outcomes. Having a history of depressive illness or anxiety is a risk factor for negative bereavement outcomes. Being a spouse does not make grieving easier. Which philosophy should the...

A four year old female established patient received Evaluation and Management Services, which included a problem focused history, an expanded problem focused exam, and medical decision making of a low level. The patient is diagnosed with influenza. - ANSWERS99213 A 16 year old outpatient who is a new patient to the office complans of severe facial acne. The history and physical examination are expanded problem focused. The physician must consider related organ systems in addition to the integ...

A nurse is planning care for a 2 year-old hospitalized child. Which issue will produce the most stress at this age? Loss of control Separation anxiety Bodily injury Fear of pain - ANSWERSSeparation anxiety A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline to ask for advice. She states, "I have had the worst headache for the past two days. It pounds and by the middle of the after...