Deck 8: Coding Endocrine Conditions

Question 1

Tim presents today with the complaints of fatigue, lethargy, and weight gain. Tim is accompanied by his wife who states she has noticed some depression. Dr. Williams completes the appropriate tests and diagnosis Tim with myxedema coma. The main term is ________; the correct code is ________.

A) lethargy, E03.0
B) depression, E03.1
C) myxedema, E03.5
D) coma, E03.9

Answer 1

C

Question 2

The ________ gland transmits thyroid-stimulating hormone to the ________, which then extracts iodine from the blood system to create two hormones.

A) thyroid, anterior pituitary
B) posterior pituitary, thyroid
C) anterior pituitary, thyroid
D) thyroid, posterior pituitary

Answer 2

C

Question 3

Refer to the ICD-10-CM Official Guidelines I.C.4.a which states: Assign as many codes from categories ________ as needed to identify all of the associated conditions that the patient has.

A) E00-E07
B) E08-E13
C) E15-E16
D) E20-E35

Answer 3

B

Question 4

What is the correct code for thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm?

A) E05.0
B) E05.00
C) E05.01
D) E05.1

Question 5

Abnormally high levels of glucose is known as ________.

A) hyperglycemia
B) hypoglycemia
C) hypoglycemics
D) hypothyroidism

Question 6

________ is caused by excessive production of corticotropin in the hypothalamus and too much secretion from the adenohypophysis.

A) Diabetes insipidus
B) Cushing's syndrome
C) Dyslipidemia
D) Hypothyroidism

Question 7

Ann presents today with the complaint of headaches and visual disturbances. Dr. Thompson notes intense skin pigmentation. Ann is diagnosed with Nelson's syndrome. The coder should assign code:

A) E24.0
B) E24.1
C) E24.2
D) E24.3

Question 8

A form of diabetes mellitus with a gradual onset that may develop at any age but most often occurs in adults over the age of 40 is known as:

A) Type I Diabetes Mellitus.
B) Type 2 Diabetes Mellitus.
C) Secondary Diabetes Mellitus.
D) Gestational Diabetes Mellitus.

Question 9

Code E06.1 includes which of the following?

A) Pyogenic thyroiditis
B) Abscess of thyroid
C) de Quervain thyroiditis
D) Hashimoto's thyroiditis

Question 10

________ is caused by an insufficient production of thyroid hormone.

A) Diabetes insipidus
B) Cushing's syndrome
C) Dyslipidemia
D) Hypothyroidism

Question 11

Allan has been diagnosed with 21-hydroxylase deficiency. The coder should assign code:

A) E25
B) E25.0
C) E25.8
D) E25.9

Question 12

If you recognize a patient's condition from a lab report, but the physician did not document a confirmed diagnosis, you must ________ the physician.

A) answer
B) doubt
C) query
D) reply to

Question 13

E23.0 is the correct code for:

A) fertile eunuch syndrome.
B) Kallmann's syndrome.
C) Lorain-Levi short stature.
D) all of these

Question 14

How many lobes are in the parathyroid gland?

A) 1
B) 2
C) 3
D) 4

Question 15

Jeff is being seen today for his hypopituitarism, induced by the drug bleomycin, initial encounter. The coder should assign code(s):

A) E23.1
B) T45.1X5A, E23.1
C) E23.1, T45.1X5A
D) T45.1X5A

Question 16

A sudden onset of insulin deficiency that may occur at any age but most often arises in childhood and adolescence is known as:

A) Type I Diabetes Mellitus.
B) Type 2 Diabetes Mellitus.
C) Secondary Diabetes Mellitus.
D) Gestational Diabetes Mellitus.

Question 17

A chronic systemic disease that results from insulin deficiency or resistance and causes the body to improperly metabolize carbohydrates, proteins, and fats is known as ________:

A) Diabetes Mellitus
B) Cushing's syndrome
C) Dyslipidemia
D) Hypothyroidism

Question 18

How many lobes are in the thyroid gland?

A) 1
B) 2
C) 3
D) 4

Question 19

Diabetes caused by medication or another condition or disease is known as:

A) Type I Diabetes Mellitus.
B) Type 2 Diabetes Mellitus.
C) Secondary Diabetes Mellitus.
D) Gestational Diabetes Mellitus.

Question 20

Polydipsia means:

A) excessive urination.
B) low levels of thirst.
C) excessive thirst.
D) high levels of glucose.

Question 21

Sally has been diagnosed with type 2 DM with gastroparesis. The coder should assign code:

A) E11.42
B) E11.43
C) E11.44
D) E11.49

Question 22

Peter has been diagnosed with alcohol-induced pseudo-Cushing's syndrome. The main term is ________; the correct code is ______:

A) Cushing's syndrome, E24.0
B) alcohol-induced, E24.1
C) pseudo, E24.2
D) pseudo-Cushing's syndrome alcohol-induced, E24.4

Question 23

In which form of DM are the pancreatic cells affected negatively by certain drugs or chemicals?

A) Type 1 DM
B) Type 2 DM
C) Secondary DM
D) Gestational DM

Question 24

Diana is diagnosed with type 1 DM without complications. The coder should assign code:

A) E10.10
B) E10.11
C) E10.1
D) E10.9

Question 25

In which form of DM do pancreatic cells produce insulin, but glucose transport is ineffective in delivering that insulin to the rest of the body?

A) Type 1 DM
B) Type 2 DM
C) Secondary DM
D) Gestational DM

Question 26

Which of the following is not a sign or symptom of diabetes:

A) excessive energy
B) excessive thirst
C) unusual weight loss
D) dry mouth

Question 27

Kevin has been diagnosed with type 1 DM, coma with ketoacidosis. The main term is ________; the correct code is ________.

A) coma, E10.10
B) diabetes, E10.11
C) ketoacidosis, E10.22
D) diabetes, E10.29

Question 28

Which of the following conditions is a disorder of water metabolism that is the result of an ADH deficiency?

A) Type 1 DM
B) Diabetes insipidus
C) Secondary DM
D) Gestational DM

Question 29

Which of the following could be a manifestation of diabetes mellitus?

A) neurological
B) renal
C) circulatory
D) all of these

Question 30

What does the abbreviation DI stand for?

A) Diabetes iatrogenic
B) Diabetes insipidus
C) Diabetic insulin
D) Diabetic infection

Question 31

What is the correct code assigned for type 1 DM with diabetic neuralgia:

A) E10.40
B) E10.41
C) E10.42
D) E10.49

Question 32

Daniel has been extremely thirsty and has been excreting an excessive amount of diluted urine. After the appropriate tests are run Daniel is diagnosed with diabetes insipidus. The coder should assign code:

A) E23.0
B) E23.1
C) E23.2
D) E23.3

Question 33

What is the correct code assigned for type 1 DM with mild nonproliferative diabetic retinopathy and macular edema of the left eye:

A) E10.311
B) E10.3212
C) E10.319
D) E10.339

Question 34

Jonathan has been diagnosed with type 1 DM with diabetic glaucoma. The coder should assign codes:

A) E10.351, H40.89
B) E10.359, H40.9
C) E10.36, H40.9
D) E10.39, H40.89

Question 35

Which of the following is a type of diabetic retinopathy?

A) background
B) bronze
C) Characot's
D) brittle

Question 36

What is the correct code assigned for long-term use of insulin?

A) Z79.0
B) Z79.1
C) Z79.2
D) Z79.4

Question 37

Which of the following means weighing too much?

A) Obesity
B) Morbid obesity
C) Overweight
D) None of these

Question 38

What are the correct codes for a patient with type 2 DM, morbid obesity, and Niemann-Pick disease, type C:

A) E11.51, E66.01, E75.242
B) E11.49, E66.01, E75.242
C) E11.9, E66.01, E75.243
D) E11.9, E66.01, E75.242

Question 39

The malfunction of the pancreatic beta cells, resulting in no production of insulin naturally occurs in which form of diabetes?

A) Type 1 DM
B) Type 2 DM
C) Secondary DM
D) Gestational DM

Question 40

Randy has not been taking his insulin because he is unable to afford the medicine. The coder should assign code(s):

A) Z91.120
B) Z91.120, T38.3X6A
C) T38.3X6A, Z91.120
D) Z91.128

Question 41

Susan has been diagnosed with cardiomyopathy due to glycogen storage. The coder should assign code(s):

A) E74.00, I43
B) E74.01
C) E74.02, I43
D) E74.09

Question 42

What is the correct code assigned for a patient with bulimia?

A) F50.2
B) F50.8
C) F50.9
D) F50.00

Question 43

What is the correct code assigned for a patient with gangliosidosis, GM3?

A) E75.10
B) E75.19
C) E75.00
D) E75.01

Question 44

What is the correct code assigned for a 33-year-old patient with pica?

A) F50.2
B) F50.89
C) F50.9
D) F50.00

Question 45

Refer to your ICD-10-CM Official Guidelines I.C.4.a.5.a which states: An underdose of insulin due to an insulin pump failure should be assigned to a code from subcategory ________, Mechanical complication of other specified internal and external prosthetic devices, implants and grafts, that specifies the type of pump malfunction, as the principal or first-listed code, followed by code ________, Underdosing of insulin and oral hypoglycemic [antidiabetic] drugs.

A) T38.3x1-, T85.6
B) T85.6, T38.3x6-
C) T38.x6-, T85.6
D) T85.6, T38.3x1

Question 46

What is the correct code assigned for a patient with Hunter's syndrome:

A) E76.1
B) E76.21
C) E76.3
D) E77.1

Question 47

A patient with hyperglycemia is ________ diagnosed with diabetes.

A) not
B) always
C) sometimes
D) otherwise

Question 48

Refer to the ICD-10-CM Official Guidelines the ICD-10-CM Official Guidelines I.C.4.a.6.a which states: Code ________ should not be assigned if insulin is given temporarily to bring a patient's blood sugar under control during an encounter.

A) Z79.84
B) Z79.4
C) Z79.8
D) Z79.83

Question 49

What is the correct code assigned for a patient with localized amyloidosis?

A) E85.1
B) E85.2
C) E85.3
D) E85.4

Question 50

Dr. Gibbons documents Bryan's has a body mass index as 32.4. The coder should assign code:

A) Z68.25
B) Z68.28
C) Z68.30
D) Z68.32

Question 51

Refer to your ICD-10-CM Official Guidelines I.C.4.b.i which states: For postpancreatectomy diabetes mellitus (lack of insulin due to the surgical removal of all or part of the pancreas), assign code ________, Postprocedural hypoinsulinemia.

A) E89.0
B) E89.4
C) E89.1
D) E89.5

Question 52

What is the correct code assigned for a patient with abetalipoproteinemia?

A) E78.0
B) E78.1
C) E78.5
D) E78.6

Question 53

In your ICD-10-CM book turn to code E16.0 in the Tabular List. Just under the code what notation do you find?

A) Includes
B) Code first
C) Use additional code
D) Excludes2

Question 54

What is the correct code assigned for a patient with testicular hyperfunction?

A) E29.0
B) E29.1
C) E29.8
D) E29.9

Question 55

Brent has been diagnosed with type 2 diabetes with hypoglycemia. The coder should assign code(s):

A) E11.641
B) E11.649
C) E11.641, E16.2
D) E11.649, E16.3

Question 56

What is the main term and correct code for a patient diagnosed with anorexia nervosa, restricting type?

A) anorexia, F50.0
B) nervosa, F50.01
C) anorexia, F50.01
D) restricting, F50.02