Deck 22: Congenital Malformations, Deformations, and Chromosomal Abnormalities

Question 1

ICD-10-CM assigns the same code for acquired and congenital aortic stenosis.

Answer 1

False

Question 2

Which of the following diagnoses are not reported with code Q87.2?

A) Nail patella syndrome
B) Weaver syndrome
C) VATER syndrome
D) Sirenomelia syndrome

Answer 2

B

Question 3

Spina bifida can be an acquired or a congenital condition.

Answer 3

False

Question 4

Operative report:
Pre-op diagnosis: cleft palate with cleft lip.
Post-op diagnosis: cleft soft palate with bilateral cleft lip.
Procedure: repair of cleft palate and cleft lip.
This case would be reported with code(s) ____________________.

Question 5

Chromosomal testing reveals trisomies due to extra rings. This is reported with code Q93.89.

Question 6

Dorsal spina bifida with hydrocephalus is reported with code(s) _____.

A) Q05.9
B) Q76.0
C) Q05.9, G91.9
D) Q05.1

Question 7

Dr. Smith completed a repair of the aortic septum due to an aortic septal defect. The diagnostic code for this case is _____.

A) Q20.0
B) Q21.1
C) Q21.4
D) Q22.4

Question 8

When a deformation does not have a unique code assignment, assign an additional code for any manifestation that may be present.

Question 9

Congenital bowing of the right femur would be reported with code _____.

A) Q65.8
B) Q66.5
C) Q65.9
D) Q68.3

Question 10

Angelman syndrome is reported with code _____.

A) Q92.9
B) Q93.0
C) Q93.51
D) Q95.9

Question 11

If a congenital malformation has been corrected, the code for the malformation is used on subsequent encounters.

Question 12

A congenital dislocation of the knee is reported with code Q74.1.

Question 13

A chromosomal abnormality is always listed as the principal or first-listed diagnosis.

Question 14

When coding the phrase "supravesical fissure of urinary bladder," the main term to reference in the index is _____.

A) supravesical
B) fissure
C) urinary
D) bladder

Question 15

Discharge summary: "This 3-year-old infant was placed under anesthesia for an insertion of a ureteral catheter due to congenital stenosis of the left ureter. The procedure was uneventful." This case is reported with code(s) ____________________.

Question 16

When a code assignment specifically identifies a chromosomal abnormality, manifestations that are an inherent component should be coded separately.

Question 17

Which of the following conditions would not be reported with code Q65.8?

A) congenital coxa valga
B) congenital dislocation of right hip
C) congenital femoral neck anteversion
D) congenital acetabular dysplasia

Question 18

Congenital absence of rib is reported with code Q76.9.

Question 19

Congenital absence of the pancreas is reported with code(s) ____________________.

Question 20

For birth admissions, when an infant is born with a congenital anomaly, the code for the congenital anomaly is sequenced first.

Question 21

Congenital macrocornea with glaucoma is reported with code _____.

Question 22

Roger's disease is reported with code(s) _____.

Question 23

Congenital hourglass stomach is reported with code _____.

Question 24

Congenital partial anomalous pulmonary venous return is reported with code _____.

Question 25

Imaging of the renal area reveals congenital left renal agenesis and right renal hypoplasia. This case would be reported with code(s) ____________________.

Question 26

Operative report:
Pre-op diagnosis: congenital defect of right upper limb.
Post-op diagnosis: congenital shortening of upper right arm.
Procedure: placement of rod to lengthen upper right arm.
This encounter would be reported with code(s) ____________________.

Question 27

Sacral spina bifida with hydrocephalus is reported with code _____.

Question 28

Lumbar spina bifida is reported with code(s) _____.

Question 29

Congenital malformation of parathyroid gland is reported with code ____________________.

Question 30

Isomerism of atrial appendages is reported with code(s) _____.

Question 31

Congenital renal agenesis of left and right kidney is reported with code(s) _____.

Question 32

Inpatient progress note: "This 12-hour-old male patient was sent to Radiology for an X-ray of the left ankle. The X-ray revealed a congenital malformation of the ankle joint. I am requesting an orthopedic consult for further workup." This encounter would be reported with code(s) ____________________.

Question 33

Dorsal spina bifida with hydrocephalus is reported with code(s) _____.

Question 34

Cleft uvula is reported with code(s) _____.

Question 35

Congenital poikiloderma is reported with code ____________________.