Deck 20: Coding Congenital and Pediatric Conditions

Question 1

Sophia Smith is being seen today for her two-week-old well-child check. What is the correct code assigned?

A) Z00.110
B) Z00.111
C) Z00.121
D) Z00.129

Answer 1

B

Question 2

Which of the following is a common condition in a premature infant?

A) Respiratory distress syndrome
B) Bleeding in the brain
C) Patent ductus arteriosus
D) All of these

Answer 2

D

Question 3

What does the abbreviation LBW stand for?

A) Low baby weight
B) Low birth weight
C) Light baby weight

Answer 3

B

Question 4

What does the abbreviation PROM stand for?

A) Premature rupture of membranes
B) Premature rupture of mother
C) Progressive rupture of membranes
D) Progressive rupture of mother PROM is the abbreviation for premature rupture of membranes.

Question 5

Twin infants were born via cesarean section in the hospital today. Twin A lived and Twin B was stillborn. What is the correct code for Twin A?

A) Z38.00
B) Z38.01
C) Z38.30
D) Z38.31

Question 6

About how many babies are born every minute in the United States?

A) 1
B) 4
C) 7
D) 15

Question 7

Which of the following weights is considered a low birth weight?

A) 2,500 grams
B) 3,000 grams
C) 3,500 grams
D) 4,000 grams

Question 8

The well-baby encounter codes are influenced by the baby's:

A) gender.
B) age.
C) weight.
D) health conditions.

Question 9

Which of the following is the correct term used for listening to the baby's heartbeat?

A) Auscultation
B) Palpation
C) Percussion
D) Spirometry

Question 10

Payton Pill was seen today for his six-month well-child check. During the examination, the physician found that Payton has a Molluscum contagiosum infection. The physician prescribed Zymaderm to treat the Molluscum. What is/are the correct code(s)?

A) Z00.121
B) Z00.129
C) Z00.121, B08.1
D) Z00.129, B08.1

Question 11

Ava Avamere is brought in today by her mother for complaints of yellowness. Ava is five days old, and the physician documents her as having jaundice. What is the correct code?

A) P55.1
B) P58.41
C) P58.42
D) P59.9

Question 12

When is an Apgar test performed?

A) 1 minute and 5 minutes after birth
B) 1 minute and 10 minutes after birth
C) 5 minutes and 10 minutes after birth
D) 5 minutes and 8 minutes after birth

Question 13

What is the correct code for a healthy newborn infant who was born vaginally at a birthing center?

A) Z38.00
B) Z38.01
C) Z38.1
D) Z38.2

Question 14

When does a baby get his or her own chart?

A) At conception
B) During the last trimester of the pregnancy
C) At birth
D) After the two-week well-child check

Question 15

What is the correct code for a patient with a bilateral cleft lip?

A) Q36.9
B) Q36.0
C) Q37.8
D) Q37.0

Question 16

Which of the following would be considered a diagnostic procedure?

A) Placing a newborn on a ventilator
B) Circumcising a newborn
C) Giving a newborn a hearing test
D) Placing a newborn under a warming blanket

Question 17

Which of the following would be considered a therapeutic treatment?

A) Placing a newborn under bili lights
B) Giving a newborn a hearing test
C) Giving a newborn a blood test
D) Giving a newborn an x-ray

Question 18

What is the correct code for a routine child health examination without abnormal findings?

A) Z00.110
B) Z00.111
C) Z00.121
D) Z00.129

Question 19

Which of the following maternal health conditions does not increase the possibility of a premature birth?

A) Nutrition
B) Smoking
C) High blood pressure
D) Being overweight

Question 20

Which of the following are clinically significant when coding a baby's chart?

A) Signs
B) Symptoms
C) Conditions
D) All of these

Question 21

What is the correct code for respiratory distress syndrome of a newborn?

A) P22.0
B) P22.1
C) P22.8
D) P22.9

Question 22

There are approximately _______ diseases that can be inherited.

A) 250
B) 500
C) 750
D) 1,000

Question 23

Which of the following describes an irregular structural development?

A) Anomaly
B) Congenital
C) Malformation
D) Preexisting

Question 24

Marissa Mallor was delivered vaginally today at 32 weeks. Marissa is suffering from prematurity at 32 weeks and transient tachypnea of the newborn. What code(s) are assigned?

A) Z38.00, P22.0, P07.34
B) Z38.00, P22.1, P07.35
C) Z38.01, P22.0, P07.34
D) Z38.01, P22.1, P07.35

Question 25

Which of the following terms is used for a condition existing at the time of birth?

A) Anomaly
B) Congenital
C) Malformation
D) Preexisting

Question 26

What is the correct code for a patient with congenital pes planus of the right foot?

A) Q66.50
B) Q66.51
C) Q66.52
D) Q66.6

Question 27

A family tree analysis is called a(n):

A) amniocentesis.
B) karyotype.
C) chorionic villus sampling.
D) pedigree.

Question 28

What is the correct code for maple syrup urine disease?

A) E71.0
B) E71.1
C) E71.110
D) E71.120

Question 29

Which of the following is the leading cause of mortality and morbidity in premature infants?

A) Respiratory distress syndrome
B) Bleeding in the brain
C) Patent ductus arteriosus
D) Intraventricular hemorrhage

Question 30

What is the correct code for a newborn with sepsis due to Staphylococcus aureus?

A) P36.19
B) P36.2
C) P36.3
D) P36.39

Question 31

Which of the following terms is used to describe an abnormal or unexpected condition?

A) Anomaly
B) Congenital
C) Malformation
D) Preexisting

Question 32

Which of the following is a blood test?

A) Amniocentesis
B) Karyotype
C) Chorionic villus sampling
D) Pedigree

Question 33

Jamison Jerm is a seven-day-old infant seen today for complex syndactyly of the right hand. What code is assigned?

A) Q70.00
B) Q70.01
C) Q70.02
D) Q70.03

Question 34

Chronic lung disease is also known as:

A) apnea.
B) bronchopulmonary dysplasia.
C) respiratory distress syndrome.
D) pulmonary ischemia.

Question 35

What is the correct code for X-linked ocular albinism?

A) E70.310
B) E70.311
C) E70.318
D) E70.319

Question 36

What is the correct code for a patient with congenital aortic septum?

A) Q25.1
B) Q25.29
C) Q25.3
D) Q25.40

Question 37

Brady Branson was delivered today via vaginal delivery at 40 weeks. Brady was a large baby at 4,700 grams, and forceps were used to extract him during the delivery. Brady suffered from scalp injury due to the forceps. What are the correct codes to assign?

A) Z38.00, P03.1, P08.0
B) Z38.00, P03.2, P08.0
C) Z38.01, P03.1, P08.0
D) Z38.01, P03.2, P08.0

Question 38

Josh Jumper was born in the hospital today via vaginal delivery. Josh's Apgar scores are 8 and 9. During Josh's examination, the physician noted a penile hypospadias. What are the correct codes to assign?

A) Z38.00, Q54.0
B) Z38.00, Q54.1
C) Z38.01, Q54.0
D) Z38.01, Q54.1

Question 39

Sam Sampson was delivered via cesarean section today at the hospital at 11:50 a.m. Soon after his birth he become cyanotic and was taken to the NICU. In the NICU, the physicians determined Sam was suffering from wet lung syndrome. What are the correct codes to assign?

A) Z38.00, P22.0
B) Z38.00, P22.1
C) Z38.01, P22.0
D) Z38.01, P22.1

Question 40

Carson Canterbury is seen in the office today. Carson is two years old, and his parents are concerned that he is aging too quickly. The physician orders some tests and diagnoses Carson with progeria. What is the correct code assigned?

A) E34.3
B) E34.50
C) E34.8
D) E34.9

Question 41

Which of the following is used to obtain placental tissue samples?

A) Amniocentesis
B) Karyotype
C) Chorionic villus sampling
D) Pedigree

Question 42

Down syndrome is also known as:

A) trisomy 12.
B) trisomy 13.
C) trisomy 18.
D) trisomy 21.

Question 43

Sophia Smith was born vaginally today at the hospital with Apgar scores of 9 and 10. On her day 2 visit, the doctor diagnosed Sophia with congenital lordosis of her lumbar spine. What codes are assigned?

A) Z38.00, Q76.425
B) Z38.00, Q76.426
C) Z38.01, Q76.425
D) Z38.01, Q76.426

Question 44

Which of the following fetal conditions is not eligible for prenatal repair?

A) Closure of neural tube defects
B) Cystic fibrosis
C) Congenital diaphragmatic hernias
D) Spina bifida

Question 45

What is the correct code for a patient with an atrial septal defect?

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

Question 46

Jerika Jones is seen today for Down syndrome. What code is assigned?

A) Q90.0
B) Q90.1
C) Q90.2
D) Q90.9

Question 47

The CDC estimates that there are how many babies are born in the United States each year with congenital heart defects?

A) 100,000
B) 200,000
C) 300,000
D) 400,000

Question 48

What is the correct code for a patient diagnosed with Goldberg-Maxwell syndrome?

A) Q89.9
B) Q89.90
C) E34.5
D) E34.51

Question 49

Which of the following is used to collect amniotic fluid?

A) Amniocentesis
B) Karyotype
C) Chorionic villus sampling
D) Pedigree

Question 50

What is the correct code for a patient with Erdheim syndrome?

A) E22.0
B) E22.1
C) E88.89
D) E88.90