AHIMA CCA: Practice Questions WITH COMPLETE SOLUTIONS

1. Identify the CPT code for a 42-year-old diagnosed with ESRD who requires home dialysis for the month of April. a. 90965 b. 90964 c. 90966 d. 90970 Correct Answer: Correct Answer: C Dialysis, end-stage renal disease. Code 90966 is for end-stage renal disease (ESRD) related services for home dialysis per full month for patients 20 years of age and older (Smith 2012, 227). 2. Exceptions to the consent requirement include: a. Medical emergencies b. Provider discretion c. Implied consent d. Informed consent Correct Answer: Correct Answer: A The law permits a presumption of consent during emergency situations, regardless of whether the patient is an adult or minor (Brodnik et al. 2009, 99). 3. An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. The attending physician documents "urosepsis." How should the coder proceed to code this case? a. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as secondary diagnosis. b. Code urinary tract infection with sepsis as the principal diagnosis. c. Query the physician to ask if the patient has septicemia because of the symptomatology. d. Query the physician to ask