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19. A patient was admitted for abdominal pain with diarrhea and was diagnosed
with infectious gastroenteritis. The patient also has angina and chronic obstructive
pulmonary disease. Which of the following would be the correct coding and
sequencing for this case?
a. Abdominal pain; infectious gastroenteritis, chronic obstructive pulmonary
disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary
disease; angina - CORRECT ANSWER ✔✔- b. Infectious gastroenteritis; chronic
obstructive pulmonary disease; angina
Gastroenteritis is characterized by diarrhea, nausea, and vomiting, and
abdominal cramps. Codes for symptoms, signs, and ill-defined condition from
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,Chapter 16 of the CPT codebook are not to be used as the principal diagnosis
when a related definitive diagnosis has been established. Patients can have
several chronic conditions that coexists at the time of their hospital admission
and quality as additional diagnosis such as COPD and angina.
21. A patient is admitted with abdominal pain. The physician states that the
discharge diagnosis is prancreatitis versus noncalculus cholecystitis. Both
diagnoses are equally treated. The correct coding and sequencing for this case
would be:
a. Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
b. Pancreatitis; noncalculus cholecystitis; abdominal pain
c. Noncalculus cholecystitis; pancreatitis; abdominal pain
d. Abdominal pain; pancreatitis; noncalculus cholecystitis - CORRECT ANSWER
✔✔- a. Sequence either the pancreatitis or noncalculus cholecystitis as principal
diagnosis
In the unusual instance when two or more diagnoses equally meet the patients
for principal diagnosis, as determined by the circumstances of admission,
diagnostic workup, and the therapy provided, and the Alphabetic Index,
Tabular List, or another coding guideline does not provide sequencing
direction in such as cases, any one of the diagnoses may be sequenced first.
20. A patient is admitted with a history of prostate cancer and with mental
confusion. The patient completed radiation therapy for prostatic carcinoma three
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,years ago and is status post a radical resection of the prostate. A CT scan of the
brain during the current admission reveals metastasis. Which of the following is
the correct coding and sequencing for the current hospital stay?
a. Metastatic carcinoma of the brain; carcinoma of the prostate; mental confusion
b. Mental confusion; history of carcinoma of the prostate; admission for
chemotherapy
c. Metastatic carcinoma of the brain, history of carcinoma of the prostate
d. Carcinoma of the prostate; metastatic carcinoma to the brain - CORRECT
ANSWER ✔✔- c. Metastatic carcinoma of the brain, history of carcinoma of the
prostate
When a primary malignancy has been previously excised or eradicated from
its site and there is no further treatment directed to the site and there is no
evidence of any existing primary malignancy, a code from category V10,
personal history of malignant neoplasm, should be used to indicate the former
site of the malignancy. Any mention of extension, invasion, or metastatic to
another site is coded as a secondary malignant neoplasm to that site. The
secondary site may be the principal. with the V10 code used as a secondary
code.
1. Identify the diagnosis code[s] for carcinoma in situ of vocal cord.
a. 231.0
b. 161.0
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, c. 239.1
d. 212.1 - CORRECT ANSWER ✔✔- a. 231.0
Index Carcinoma, in situ, see also Neoplasm, by site, in situ.
2. Identify the diagnosis code[s] for melanoma of skin of shoulder.
1. 172.8, 172.6
b. 172.6
c. 172.9
d. 172.8 - CORRECT ANSWER ✔✔- b. 172.6
Index Melanoma [malignant], shoulder. Melanoma is considered a malignant
neoplasm and is referenced as such in the index of ICD-9-CM. The term
"benign neoplasm" is considered a growth that does not invade adjacent
structures or spread to distant sties but may displace or exert pressure on
adjacent structures .
Which of the following organizations is responsible for updating the procedure
classification of ICD-9-CM?
a. Centers for Disease Control [CDC]
b. Centers for Medicare and Medicaid Services [CMS]
c. National Center for Health Statistics [NCHS]
c. World Health Organization [WHO] - CORRECT ANSWER ✔✔- b. Centers for
Medicare and Medicaid Services [CMS]
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