Question 1

Billy Baker was admitted with pneumococcal sepsis and iron deficiency anemia. What are the correct codes and POA assignments?

Accepted Answer

A)  A40.0-Y, D50.9-Y 
B)  A40.1-Y, D64.9-Y 
C)  A40.3-Y, D50.9-Y 
D)  A40.8-Y, D64.9-Y 
A)  A40.0-Y, D50.9-Y 
B)  A40.1-Y, D64.9-Y 
C)  A40.3-Y, D50.9-Y 
D)  A40.8-Y, D64.9-Y C

Question 2

Which of the following is a summary of the patient's hospital stay?

Accepted Answer

A)  Discharge summary 
B)  Hospital course 
C)  Discharge instructions 
D)  Discharge disposition 
A)  Discharge summary 
B)  Hospital course 
C)  Discharge instructions 
D)  Discharge disposition B

Question 3

Which of the following is a special software program?

Accepted Answer

A)  IPPS 
B)  POA 
C)  DRG grouper 
D)  HAC 
A)  IPPS 
B)  POA 
C)  DRG grouper 
D)  HAC C

Question 4

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

Accepted Answer

A)  Discharge summary 
B)  Hospital course 
C)  Discharge instructions 
D)  Discharge disposition 
A)  Discharge summary 
B)  Hospital course 
C)  Discharge instructions 
D)  Discharge disposition

Question 5

Sandy Summitt delivered a healthy female live-born infant without any complications. What are the correct codes and POA assignments?

Accepted Answer

A)  O80-1, Z37.0-1 
B)  O80-Y, Z37.0-Y 
C)  O82-1, Z37.0-1 
D)  O82-Y, Z37.0-Y 
A)  O80-1, Z37.0-1 
B)  O80-Y, Z37.0-Y 
C)  O82-1, Z37.0-1 
D)  O82-Y, Z37.0-Y

Question 6

Trudy Turnipson is seen today for congenital keratoconus. Upon admission, her blood pressure dropped, and she was diagnosed with hypotension. What are the correct codes and POA assignments?

Accepted Answer

A)  Q13.4-Y, I95.9-N 
B)  Q13.4-N, I95.9-Y 
C)  Q13.4-Y, I95.0-N 
D)  Q13.4-Y, I95.0-1 
A)  Q13.4-Y, I95.9-N 
B)  Q13.4-N, I95.9-Y 
C)  Q13.4-Y, I95.0-N 
D)  Q13.4-Y, I95.0-1

Question 7

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

Accepted Answer

A)  J18.9-Y, Z16.11-Y 
B)  J18.9-Y, Z16.21-Y 
C)  J18.9-Y, Z16.20-Y 
D)  J18.9-Y, Z16.35-Y 
A)  J18.9-Y, Z16.11-Y 
B)  J18.9-Y, Z16.21-Y 
C)  J18.9-Y, Z16.20-Y 
D)  J18.9-Y, Z16.35-Y

Question 8

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

Accepted Answer

A)  U 
B)  W 
C)  N 
D)  Y 
A)  U 
B)  W 
C)  N 
D)  Y

Question 9

What does the abbreviation POA stand for?

Accepted Answer

A)  Persistent on admission 
B)  Present on admission 
C)  Permitted on admission 
D)  Painful on admission 
A)  Persistent on admission 
B)  Present on admission 
C)  Permitted on admission 
D)  Painful on admission

Question 10

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?

Accepted Answer

A)  D64.9-Y, E10.9-Y, I10-Y 
B)  D64.9-Y, E11.9-Y, I10-Y 
C)  D64.9-Y, E11.9-N, I10-Y 
D)  D64.9-Y, E10.9-N, I10-Y 
A)  D64.9-Y, E10.9-Y, I10-Y 
B)  D64.9-Y, E11.9-Y, I10-Y 
C)  D64.9-Y, E11.9-N, I10-Y 
D)  D64.9-Y, E10.9-N, I10-Y

Question 11

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?

Accepted Answer

A)  R10.32, K81.0 
B)  R10.12, K81.9 
C)  K81.0 
D)  K81.9 
A)  R10.32, K81.0 
B)  R10.12, K81.9 
C)  K81.0 
D)  K81.9

Question 12

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

Accepted Answer

A)  Medicare reimbursement 
B)  Medicaid reimbursement 
C)  IPPS 
D)  OPPS 
A)  Medicare reimbursement 
B)  Medicaid reimbursement 
C)  IPPS 
D)  OPPS

Question 13

What does the abbreviation LOS stand for?

Accepted Answer

A)  Length of stay 
B)  Last office stay 
C)  Length of standards 
D)  Last outpatient stay 
A)  Length of stay 
B)  Last office stay 
C)  Length of standards 
D)  Last outpatient stay

Question 14

Which of the following is also called a nosocomial condition?

Accepted Answer

A)  Complication 
B)  Co-morbidity 
C)  Major complication or co-morbidity 
D)  Hospital-acquired condition 
A)  Complication 
B)  Co-morbidity 
C)  Major complication or co-morbidity 
D)  Hospital-acquired condition

Question 15

A patient is seen in the emergency room for nausea and vomiting. Upon work-up, the physician cannot determine the cause. She gives the patient a prescription for Phenergan and instructs her to follow up with her primary care physician if the issue is not resolved. What is the correct code assignment?

Accepted Answer

A)  R11.0 
B)  R11.1 
C)  R11.2 
D)  R11. 11 
A)  R11.0 
B)  R11.1 
C)  R11.2 
D)  R11. 11

Question 16

Twenty-three-month-old Jamee Hudson was found by his mother to have an empty bottle of naproxen. The mother is unsure whether Jamee took any of the pills or where the pills are. Jamee is brought in for work-up. All the labs come back normal, and the examination does not find any evidence that Jamee swallowed any of the pills. What is/are the correct code(s) and POA assignment(s)?

Accepted Answer

A)  Z03.6-1 
B)  Z03.6-Y 
C)  T39.311A-Y 
D)  Z03.6-1, T39.311A-Y 
A)  Z03.6-1 
B)  Z03.6-Y 
C)  T39.311A-Y 
D)  Z03.6-1, T39.311A-Y

Question 17

Concurrent coding is when the coder:

Accepted Answer

A)  codes from the patient's chart while the patient is still in the hospital. 
B)  codes from the patient's chart after the patient is discharged. 
C)  waits until the physician signs all the documents in the charts before coding. 
D)  sits next to the physician while coding the chart. 
A)  codes from the patient's chart while the patient is still in the hospital. 
B)  codes from the patient's chart after the patient is discharged. 
C)  waits until the physician signs all the documents in the charts before coding. 
D)  sits next to the physician while coding the chart.

Question 18

Which of the following is considered the principal diagnosis?

Accepted Answer

A)  The admitting diagnosis 
B)  The most complicated diagnosis 
C)  The condition that takes the greatest number of treatments 
D)  The condition established after study 
A)  The admitting diagnosis 
B)  The most complicated diagnosis 
C)  The condition that takes the greatest number of treatments 
D)  The condition established after study

Question 19

Which of the following is part of the demographic information collected in the UHDDS?

Accepted Answer

A)  Age 
B)  Gender 
C)  Ethnicity 
D)  All of these 
A)  Age 
B)  Gender 
C)  Ethnicity 
D)  All of these

Question 20

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

Accepted Answer

A)  U 
B)  W 
C)  N 
D)  Y 
A)  U 
B)  W 
C)  N 
D)  Y

Exam 23: Hospital Inpatient Diagnosis Coding

Billy Baker was admitted with pneumococcal sepsis and iron deficiency anemia. What are the correct codes and POA assignments?

Which of the following is a summary of the patient's hospital stay?

Which of the following is a special software program?

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

Sandy Summitt delivered a healthy female live-born infant without any complications. What are the correct codes and POA assignments?

Trudy Turnipson is seen today for congenital keratoconus. Upon admission, her blood pressure dropped, and she was diagnosed with hypotension. 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?

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 POA 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?

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?

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

What does the abbreviation LOS stand for?

Which of the following is also called a nosocomial condition?

Concurrent coding is when the coder:

Which of the following is considered the principal diagnosis?

Which of the following is part of the demographic information collected in the UHDDS?

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

Introduction to Diagnostic Coding

Introduction to ICD-10-CM

General Guidelines and Notations

Coding Infectious Diseases

Coding Neoplasms

Coding Diseases of the Blood and Immune Mechanism

Coding Conditions of the Endocrine and Metabolic Systems

Coding Mental and Behavioral Disorders

Coding Nervous System Conditions

Coding Diseases of the Eye and Adnexa

Coding Diseases of the Auditory System Ears

Coding Circulatory Conditions

Coding Respiratory Conditions

Coding Diseases of the Digestive System

Coding Diseases of the Integumentary System

Coding Muscular Conditions

Coding Skeletal Conditions

Coding Diseases of the Urinary System

Coding for Obstetrics and Gynecology

Coding Congenital and Pediatric Conditions

Coding Injuries, Poisonings, and Certain Other Consequences of External Causes

Factors Influencing Health Status and Contact With Health Services

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