Exam 27: Inpatient Coding

Patient is admitted with epigastric pain due to acute pancreatitis.

The use of a POA indicator is required for all acute-care facilities that are reimbursed under MS-DRGs.

The removal of a tooth is an example of an extraction in the ICD-10-PCS system.

A significant procedure is one that:

The American Hospital Association is responsible for the development of ICD-10-PCS.

The Centers for Medicare and Medicaid Services (CMS) is responsible for the development of ICD-10-PCS.

Patient was admitted with severe diarrhea. The physician documents the discharge diagnosis as gastroenteritis versus food poisoning.

Patient is admitted with dysuria due to a severe urinary tract infection. Which diagnoses should be reported?

The Official Guidelines for Coding and Reporting are updated every year.

The discharge summary states the patient's diagnoses are peptic ulcer disease versus chronic cholecystitis. Which diagnoses should be reported?

The root operation that is defined as restoring, to the extent possible, a body part to its natural anatomic structure is:

Patient was discharged with a diagnosis of probable myocardial infarction.

The ICD-10-PCS has a seven-character alphanumeric code structure.

When two or more diagnoses equally meet the definition for principal diagnosis, either one can be selected as the principal diagnosis.

The root operation that is defined as taking or letting out of fluids and/or gases in a part of a body is:

Patient was admitted with shortness of breath and edema due to decompensation of congestive heart failure.

The root operation that is defined as correcting a portion of a previously performed procedure is:

Patient is admitted following an outpatient procedure because of an exacerbation of the patient's asthma. What is the principal diagnosis?

In the inpatient setting, a CPT code would be assigned for a procedure code.

The root operation that is defined as cutting out or off, without replacement, all of a body part is: