Relias (5-19) Questions And Answers Respectively

RELIAS (5-19) QUESTIONS AND ANSWERS
RESPECTIVELY 2024 - 2025
If,two,or,more,procedures,meet,the,definition,,the,principal,procedure,is,the,one,that,relates,to,the,princi
pal,diagnosis.,ANS,-true



The,coding,supervisor,should,instruct,coding,staff,on,the,types,of,procedures,that,should,be,coded,and,re
ported,for,the,facility.,ANS,-true.



Procedures,performed,on,the,skin,with,the,use,of,topical,anesthesia,carry,an,anesthetic,risk.,ANS,-false.



The,UHDDS,definition,for,a,significant,procedure,is,one,that,is,typically,provided,by,a,specialized,professio
nal,other,than,a,physician,and,that,requires,specialized,training,over,and,above,training,typically,provided
,to,a,physician,,nurse,,or,technician.,ANS,-True




According,to,the,UHDDS,guidelines,,a,suture,repair,of,a,2,inch,open,wound,of,the,calf,should,be,coded,an
d,reported.,ANS,-True



A,patient,was,admitted,for,repair,of,a,fractured,hip,also,received,suturing,of,a,1,inch,open,wound,of,the,sc
alp.,Repair,of,the,hip,would,be,the,principal,procedure.,ANS,-True.



Abdominal,ultrasound,ANS,-diagnostic,procedure,typically,not,coded.



Joint,aspiration,ANS,-Uses,local,anesthetic,but,is,considered,a,surgical,procedure,because,it,is,invasive.



Open,reduction,of,fracture,ANS,-surgical,procedure,that,carries,an,anesthetic,risk.



Bronchoscopy,ANS,-Diagnostic,procedure,but,also,can,be,considered,surgical.

,A,patient,was,admitted,following,delivery,of,a,term,pregnancy,spontaneous,delivery,at,home.,Upon,admi
ssion,she,requested,sterilization,with,a,partial,salpingectomy.,What,is,the,appropriate,reporting,and,sequ
encing,of,the,procedures?,ANS,-Sterilization,by,partial,salpingectomy,only



A,patient,was,admitted,after,a,fall,from,a,deck.,Following,a,series,of,x-
rays,and,an,MRI,of,the,leg,,the,patient,received,a,reduction,of,the,open,fracture,of,his,femur,with,internal,
fixation,and,a,suture,repair,of,an,8,inch,open,wound,of,his,arm.,What,is,the,appropriate,reporting,and,seq
uencing,of,the,procedures?,ANS,-
Open,fracture,reduction,of,the,femur,with,internal,fixation,,suture,repair,of,8,inch,open,wound,of,the,arm



Which,of,the,following,does,not,define,a,significant,procedure?,ANS,-
It,is,diagnostic,and,does,not,require,anesthesia.



Which,procedure,should,be,coded,because,it,would,be,considered,surgical,in,nature?,ANS,-
Heart,catheterization



History,codes,(categories,Z80-
Z87),may,be,used,as,secondary,codes,if,the,historical,condition,or,family,history,has,an,impact,on,current,
care,or,influences,treatment.,ANS,-True



What,is,the,program,where,participating,hospitals,are,paid,for,inpatient,acute,care,services,based,on,the,
quality,of,care?,ANS,-VBP



In,which,one,of,the,following,settings,are,the,UHDDS,definitions,not,used?,ANS,-Outpatient,clinic



A,patient,was,admitted,because,of,difficulty,breathing.,A,chest,x-
ray,reveals,a,lung,mass.,A,bronchoscopy,with,biopsy,is,performed,,determining,a,lung,carcinoma.,During,t
he,same,admission,,a,segmental,lung,resection,is,performed.,What,is,the,appropriate,reporting,and,seque
ncing,of,the,procedures?,ANS,-Segmental,lung,resection,,bronchoscopy



Which,is,an,example,of,a,significant,procedure,that,should,be,reported,in,the,inpatient,setting?,ANS,-
Transfusion,at,bedside

, A,patient,is,admitted,following,an,auto,accident.,During,the,stay,several,fractures,were,surgically,repaired
,and,the,patient,was,treated,for,several,chronic,conditions.,Which,diagnosis,is,an,example,of,an,additional
,diagnosis,that,would,be,reported,if,documented,by,the,attending,physician?,ANS,-Diabetes.




Excision,ANS,-In,ICD-10-
PCS,,cutting,out,or,off,,without,replacement,,a,portion,of,a,body,part.,The,qualifier,"diagnostic",is,used,to,
identify,excision,procedures,that,are,biopsies.

such,as,a,breast,lumpectomy



resection,ANS,-In,ICD-10-PCS,,cutting,out,or,off,,without,replacement,,all,of,a,body,part.

such,as,a,total,mastectomy



Detachment,ANS,-In,ICD-10-PCS,,cutting,off,all,or,a,portion,of,the,upper,or,lower,extremities

an,amputation



destruction,ANS,-In,ICD-10-
PCS,,physical,eradication,of,all,or,a,portion,of,a,body,part,by,the,direct,use,of,energy,,force,,or,a,destructiv
e,agent.

a,fulguration



extraction,ANS,-In,ICD-10-
PCS,,pulling,or,stripping,out,or,off,all,or,a,portion,of,a,body,part,by,the,use,of,force.

suction,dilation,and,curettage.



drainage,ANS,-In,ICD-10-PCS,coding,,the,taking,or,letting,out,fluids,and/or,gases,from,a,body,part.

an,incision,and,drainage



extirpation,ANS,-In,ICD-10-PCS,,taking,or,cutting,out,solid,matter,from,a,body,part.

taking,or,cutting,solid,matter,from,a,body,part,,such,as,a,thromectomy.



Fragmentation,ANS,-In,ICD-10-
PCS,,breaking,solid,matter,in,a,body,part,into,pieces.,The,pieces,are,not,taken,out.