Exam 19: Inpatient Hospital Diagnosis Coding

Sally Sumpter was brought in today for LLQ abdominal pain. She was admitted to the medical floor and Dr. Jones was called in to examine her. After examination, Dr. Jones determines that Sally has acute cholecystitis. What is the correct code assignment?

Refer to the ICD-10-CM Official Guidelines Section II, which states: The circumstances of inpatient admission always govern the selection of ________ diagnosis.

What is the correct code for a patient who was discharged to a nursing home today after a three-day hospital stay due to dementia?

Refer to the ICD-10-CM Official Guidelines Section III. B, which states: ________ findings (laboratory, x-ray, pathologic, and other diagnostic results) are not coded and reported unless the provider indicates their clinical significance.

In outpatient coding, which of the following are you permitted to code?

In an inpatient setting, if documentation is insufficient to determine whether the condition was present on admission, which POA indicator will the coder assign?

Which of the following contains a transfer order for the patient?

Carolyn Crimson was admitted for acute appendicitis. The day after surgery, she had a hemorrhage and hematoma and was taken back to surgery. Which is the correct POA assignment for this case?

Which of the following is a special software program?

What does the abbreviation DRG stand for?

In an inpatient setting, if the provider could not determine whether the condition was present upon admission, which POA indicator will the coder assign?

What does the abbreviation UHDDS stand for:

A patient is admitted today for anemia. The patient also had hypertension and diabetes mellitus, type 2. What are the correct codes and POA assignments?

Trudy Turnipson is seen today for pneumonia resistant to amoxicillin. What are the correct codes and POA assignments?

Who typically assigns the DRG for the patient's case?

In inpatient coding, which of the following are you permitted to code?

What does the abbreviation MCC stand for?

Which of the following will determine how much an acute care facility will be paid?

Which of the following claim forms are POA indicators required to be reported on?

Which of the following is one of the factors in DRG assignment?