Question 1

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

Accepted Answer

A)  Both the laparoscopic and open procedure 
B)  Laparoscopic procedure with modifier 74 
C)  Only the open procedure 
D)  Laparoscopic procedure only

Question 2

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

Accepted Answer

A) True 
 B)False

Question 3

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

Accepted Answer

A)  Z11.4 
B)  signs and symptoms and Z71.7 
C)  R75 
D)  Z21

Question 4

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

Accepted Answer

A) True 
 B)False

Question 5

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.

Accepted Answer

The answer of Assign ICD-9-CM diagnosis codes for the following...

Question 6

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

Accepted Answer

The answer of When a condition exists based on clinical...

Question 7

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.​

Accepted Answer

The answer of ICD-10
Assign the appropriate ICD-10 diagnostic codes for...

Question 8

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

Accepted Answer

A)  250.00. 
B)  250.01. 
C)  250.02. 
D)  250.0.

Question 9

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.

Accepted Answer

A) True 
 B)False

Question 10

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

Accepted Answer

A) True 
 B)False

Question 11

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​

Accepted Answer

The answer of ICD-9-CM
Assign the appropriate ICD-9-CM diagnostic codes to...

Question 12

A significant procedure is defined by which four characteristics?

Accepted Answer

The answer of A significant procedure is defined by which...

Question 13

What diagnosis would neoplasm of the lung be assigned?

Accepted Answer

A)  Neoplasm, lung, uncertain behavior 
B)  Neoplasm, primary, malignant, lung 
C)  Neoplasm, primary, benign, lung 
D)  Neoplasm, lung, unspecified behavior

Question 14

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

Accepted Answer

A)  assign the ICD-10 PCS code twice. 
B)  assign the ICD-10 PCS code once. 
C)  assign the ICD-10 PCS code with modifier 50. 
D)  assign the ICD-10 PCS code with modifiers RT/LT.

Question 15

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.

Accepted Answer

The answer of Assign the appropriate ICD-9-CM diagnoses for the...

Question 16

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​

Accepted Answer

The answer of ICD-9-CM
​
Assign ICD-9-CM diagnostic codes to the following:
​
62...

Question 17

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

Accepted Answer

A)  789.00. 
B)  338.29. 
C)  338.19. 
D)  338.19, 789.00.

Question 18

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

Accepted Answer

The answer of A "POA" diagnosis is defined by CMS...

Question 19

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

Accepted Answer

A)  V73.89 
B)  V08. 
C)  V73.89 and V08. 
D)  042.

Question 20

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

Accepted Answer

A)  Encounter for Chemotherapy. 
B)  Secondary Neoplasm Pancreas. 
C)  Colon Cancer. 
D)  Neoplasm, Site Unknown.

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.

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?.

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,

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:

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.

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?.

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,

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:

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.

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