Question 1

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Accepted Answer

A)  Acute and chronic conditions may be coded separately, with one code for the acute condition and another for the chronic condition. 
B)  If the subterms for acute and chronic are connected by a with statement, ICD has provided a combination code to indicate both conditions. 
C)  All of these statements are true. 
D)  Acute and chronic conditions may be coded as a combination code that identifies both the chronic and acute forms of the condition in one code. 
A)  Acute and chronic conditions may be coded separately, with one code for the acute condition and another for the chronic condition. 
B)  If the subterms for acute and chronic are connected by a with statement, ICD has provided a combination code to indicate both conditions. 
C)  All of these statements are true. 
D)  Acute and chronic conditions may be coded as a combination code that identifies both the chronic and acute forms of the condition in one code.

Question 2

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

Accepted Answer

A)  Unlisted procedures 
B)  Appendix A 
C)  Index 
D)  Guidelines and parenthetical notes 
A)  Unlisted procedures 
B)  Appendix A 
C)  Index 
D)  Guidelines and parenthetical notes

Question 3

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

Accepted Answer

A)  ?25 
B)  ?55 
C)  ?58 
D)  ?24 
A)  ?25 
B)  ?55 
C)  ?58 
D)  ?24

Question 4

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

Accepted Answer

A)  Z21, R63.4, E86.0 
B)  B20, T37.5X5A, R63.4, E86.0 
C)  N18.2 
D)  I12.9, Z49.31, N18.2 
A)  Z21, R63.4, E86.0 
B)  B20, T37.5X5A, R63.4, E86.0 
C)  N18.2 
D)  I12.9, Z49.31, N18.2

Question 5

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Accepted Answer

A)  Acute and chronic conditions may be coded as a combination code that identifies both the chronic and acute forms of the condition in one code. 
B)  Acute and chronic conditions may be coded separately, with one code for the acute condition and another for the chronic condition. 
C)  All of these statements are true. 
D)  If the subterms for acute and chronic are connected by a with statement, ICD has provided a combination code to indicate both conditions. 
A)  Acute and chronic conditions may be coded as a combination code that identifies both the chronic and acute forms of the condition in one code. 
B)  Acute and chronic conditions may be coded separately, with one code for the acute condition and another for the chronic condition. 
C)  All of these statements are true. 
D)  If the subterms for acute and chronic are connected by a with statement, ICD has provided a combination code to indicate both conditions.

Question 6

Four people were seen in the ED. Which one will receive a diagnosis of poisoning?
Patient A: digitalis toxicity
Patient B: allergic reaction to contrast dye used for a CT exam
Patient C: syncope after taking antihistamine with alcohol
Patient D: reaction between two properly administered prescription drugs

Accepted Answer

A)  Patient C 
B)  Patient D 
C)  Patient B 
D)  Patient A 
A)  Patient C 
B)  Patient D 
C)  Patient B 
D)  Patient A

Question 7

A nonhealing burn should be coded as which type of burn?

Accepted Answer

A)  Acute burn 
B)  Late effect 
C)  Chronic burn 
D)  Severe burn 
A)  Acute burn 
B)  Late effect 
C)  Chronic burn 
D)  Severe burn

Question 8

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

Accepted Answer

A)  Appendix A 
B)  Unlisted procedures 
C)  Guidelines and parenthetical notes 
D)  Index 
A)  Appendix A 
B)  Unlisted procedures 
C)  Guidelines and parenthetical notes 
D)  Index

Question 9

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s):

Accepted Answer

A)  E28.310 
B)  E28.39 
C)  N18.6, Z99.2 
D)  E23.0, N95.8 
A)  E28.310 
B)  E28.39 
C)  N18.6, Z99.2 
D)  E23.0, N95.8

Question 10

Which is an example of a pathologic fracture?

Accepted Answer

A)  Greenstick fracture due to fall from bed 
B)  Vertebral fracture with cord injury due to automobile accident 
C)  Compression fracture of vertebrae due to metastatic carcinoma 
D)  Compression fracture after sustaining injury to head 
A)  Greenstick fracture due to fall from bed 
B)  Vertebral fracture with cord injury due to automobile accident 
C)  Compression fracture of vertebrae due to metastatic carcinoma 
D)  Compression fracture after sustaining injury to head

Question 11

What is a two-digit modifier used for in CPT coding?

Accepted Answer

A)  Code changes 
B)  Add-on codes 
C)  Alteration of a procedure or service 
D)  Conscious sedation 
A)  Code changes 
B)  Add-on codes 
C)  Alteration of a procedure or service 
D)  Conscious sedation

Question 12

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

Accepted Answer

A)  This is the law. 
B)  Reimbursement will be more. 
C)  This ensures accurate coding. 
D)  Reimbursement will be less. 
A)  This is the law. 
B)  Reimbursement will be more. 
C)  This ensures accurate coding. 
D)  Reimbursement will be less.

Question 13

CPT code range 90281-99607 is located in which section of the CPT manual?

Accepted Answer

A)  Evaluation and Management 
B)  Radiology 
C)  Anesthesia 
D)  Medicine 
A)  Evaluation and Management 
B)  Radiology 
C)  Anesthesia 
D)  Medicine

Question 14

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

Accepted Answer

A)  E46, I69.391 
B)  E46, E87.6, I69.391, R13.10 
C)  E46, R13.10 
D)  E43, I69.391 
A)  E46, I69.391 
B)  E46, E87.6, I69.391, R13.10 
C)  E46, R13.10 
D)  E43, I69.391

Question 15

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

Accepted Answer

A)  I13.0, Z49.32, N18.9 
B)  N18.5, Z99.2 
C)  N18.6, Z99.2 
D)  I12.9, Z49.31, N18.9 
A)  I13.0, Z49.32, N18.9 
B)  N18.5, Z99.2 
C)  N18.6, Z99.2 
D)  I12.9, Z49.31, N18.9

Question 16

Which is an example of a pathologic fracture?

Accepted Answer

A)  Compression fracture after sustaining injury to head 
B)  Compression fracture of vertebrae due to metastatic carcinoma 
C)  Greenstick fracture due to fall from bed 
D)  Vertebral fracture with cord injury due to automobile accident 
A)  Compression fracture after sustaining injury to head 
B)  Compression fracture of vertebrae due to metastatic carcinoma 
C)  Greenstick fracture due to fall from bed 
D)  Vertebral fracture with cord injury due to automobile accident

Question 17

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

Accepted Answer

A)  R65.20, A41.9, N17.9, J96.00, E11.8 
B)  A41.9, R65.20, N17.9, J96.00, E11.8 
C)  R65.20, A41.9, N17.9, J96.00 
D)  A41.9, R65.20, E11.8 
A)  R65.20, A41.9, N17.9, J96.00, E11.8 
B)  A41.9, R65.20, N17.9, J96.00, E11.8 
C)  R65.20, A41.9, N17.9, J96.00 
D)  A41.9, R65.20, E11.8

Question 18

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

Accepted Answer

A)  ?58 
B)  ?25 
C)  ?55 
D)  ?24 
A)  ?58 
B)  ?25 
C)  ?55 
D)  ?24

Question 19

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

Accepted Answer

A)  Both code first and use additional code 
B)  Use additional code 
C)  Code first 
D)  Excludes 
A)  Both code first and use additional code 
B)  Use additional code 
C)  Code first 
D)  Excludes

Question 20

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

Accepted Answer

A)  A41.9, R65.20, N17.9, J96.00, E11.8 
B)  R65.20, A41.9, N17.9, J96.00, E11.8 
C)  R65.20, A41.9, N17.9, J96.00 
D)  A41.9, R65.20, E11.8 
A)  A41.9, R65.20, N17.9, J96.00, E11.8 
B)  R65.20, A41.9, N17.9, J96.00, E11.8 
C)  R65.20, A41.9, N17.9, J96.00 
D)  A41.9, R65.20, E11.8

Exam 22: Fundamental Coding Guidelines

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

A nonhealing burn should be coded as which type of burn?

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s):

Which is an example of a pathologic fracture?

What is a two-digit modifier used for in CPT coding?

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

CPT code range 90281-99607 is located in which section of the CPT manual?

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

Which is an example of a pathologic fracture?

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

When a condition is produced as a manifestation of another condition or a complication of a treatment, disease, or condition, more than one code is needed to clearly define the condition, injury, or disease. This is noted by which instructional note or notes in the ICD manual?

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

The Certified Professional Coder

Foundations of ICD-10-CM

ICD-Specific Guidelines

Foundations of CPT

Evaluation and Management

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Cardiovascular and Lymphatic Systems

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

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