Exam 5: Inpatient Coding

ICD-10 What ICD-10 PCS codes are assigned when a laparoscopic procedure is converted to an open procedure

For inpatient coding, the use of "rule out" may be utilized as long as the diagnosis has not been ruled out prior to discharge.

ICD-10 When a physician requests testing to determine HIV status, the following ICD-10-CM diagnostic codes should be assigned:

When a patient presents with a cough and is diagnosed with acute bronchitis, both conditions should be coded.

Assign ICD-9-CM diagnosis codes for the following inpatient scenario. (You will need to assign an admitting diagnosis, a principal diagnosis, and a secondary diagnosis(es).) ​ 57-year-old female presents with nausea and vomiting, which started last evening after the ingestion of tuna salad sandwich. She presented suspecting she had food poisoning. Patient was dehydrated, so she was rehydrated with fluids and given pain meds. She was admitted with gastroenteritis, probably viral.

When a condition exists based on clinical documentation but the physician has not documented, it would be appropriate for the coder to generate __________?

ICD-10 Assign the appropriate ICD-10 diagnostic codes for the following setting: Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered that ruled out ectopic pregnancy.​

Type II diabetes would be assigned the ICD-9-CM diagnostic codes:

ICD-9-CM "V" codes should be utilized for follow-up or aftercare management when the initial treatment for the injury or disease has been completed.

ICD-10 Fracture care codes should only be utilized for encounters for initial treatment?.

ICD-9-CM Assign the appropriate ICD-9-CM diagnostic codes to the following: ​ 82-year-old gentlemen who usually resides at a local nursing home, however, brought to hospital for significant respiratory symptoms over the past week. Chest x-ray was non-conclusive, however, patient was treated with IV antibiotics and IV hydration. ​ IMPRESSION: Acute dyspnea, hypoxia Dehydration Chronic ITP Chronic constipation Peripheral vascular disease​

A significant procedure is defined by which four characteristics?

What diagnosis would neoplasm of the lung be assigned?

ICD-10 When a procedure is performed bilaterally and the ICD-10 PCS procedure code description is NOT specified as bilateral,

Assign the appropriate ICD-9-CM diagnoses for the following outpatient scenario: ​ Patient presents with abdominal pain, duration of 7 days, increasing in severity. Patient awoke this morning with temperature of 104.1 $^\circ$ F along with nausea and chills. Workup in emergency department (ED) was negative for appendicitis and gallbladder disease. Will prescribe pain meds and work up further as an outpatient for the possibility of gastritis.

ICD-9-CM ​ Assign ICD-9-CM diagnostic codes to the following: ​ 62 year old admitted with chest discomfort. Electrocardiogram (EKG) shows atrial fibrillation , with no evidence of angina or myocardial infarction. ​ FINAL DIAGNOSIS: Congestive heart failure with PND Atrial fibrillation Hypercholesterolemia Chronic DJD knee, right Coronary artery disease​

The diagnosis of acute abdominal pain would be assigned the ICD-9-CM diagnostic codes:

A "POA" diagnosis is defined by CMS as present at the time the ____________ ____________ order occurs.

When a physician requests testing to determine HIV status, the following ICD-9-CM diagnostic codes should be assigned:

When a patient presents for chemotherapy for metastatic pancreatic cancer from the colon, the primary diagnosis would be: