HIM 1125 FINAL EXAM......QUESTIONS AND ANSWERS ,....100%

External Cause codes are optional for providers and facilities unless what is in place? Selected Answer: State based mandates Answers: State based mandates Federal mandates HIPAA mandates CMS mandates • Question 2 1 out of 1 points The codes to classify traumatic fractures to single body regions start with which letter? Selected Answer: S Answers: T X S Z • Question 3 0 out of 1 points When a Z code is used to code a screening, which of the following statements is false? Selected Answer: The Z code for screening is necessary if the screening is inherent to a routine examination. Answers: The Z code can be a First Listed Diagnosis in outpatient coding. The Z code can be used as a Secondary Diagnosis code. The Z code for screening is used when a test is run to confirm or rule out a suspected diagnosis. The Z code for screening is necessary if the screening is inherent to a routine examination. • Question 4 1 out of 1 points How many codes would be needed to code the following documentation? “The patient was admitted with fever, neck pain, and headache. Meningitis was tested for and ruled out during the admission.” Selected Answer: 3 Answers: 4 3 1 2 • Question 5 0 out of 1 points When anemia is caused by chemotherapy, immunotherapy, or radiation therapy due to a malignant neoplasm and the patient is seen for treatment of the anemia; how many codes would be needed to code this type of scenario to prove medical necessity and what is the correct sequencing? Selected Answer: Only code the adverse effect of the treatment, the anemia, and then the neoplasm. Answers: Code the neoplasm and treatment only. Code the neoplasm, adverse effect of the treatment, and the anemia. Only code the adverse effect of the treatment, the anemia, and then the neoplasm. Code the anemia, the neoplasm, and the adverse effect of the treatment. • Question 6 1 out of 1 points If the treatment of the malignancy is directed to the secondary site and is solely for the administration of chemotherapy, immunotherapy, or external beam radiation, you would need to assign why type of code as the Principal or First Listed Diagnosis? Selected Answer: Z code Answers: C code with a Z code Y code for place of occurrence C code Z code • Question 7 An ABN (Advanced Beneficiary Notice) is given to a patient when: Selected 1 out of 1 points Answer: The insurance company or CMS may not cover the service. Answers: The insurance company or CMS has approved payment. The insurance company or CMS may not cover the service. The patient is sent to the Emergency Room or Hospital from the provider’s office. When a patient has applied for insurance or Medicare and has been approved. • Question 8 1 out of 1 points Which code is used if a patient has tested positive for HIV but is asymptomatic? Selected Answer: Z21 Answers: Z21 Z71.7 B20 R75 • Question 9 If COPD is unspecified as to type, which code is used? Selected Answer: J44.9 Answers: J44.1 J44.9 J44.2 J44.0 • Question 10 1 out of 1 points 0 out of 1 points What is NOT a factor when finding the accurate code for the diagnosis of Osteoporosis? Selected Answer: Type Answers: With or without fracture Site Drug induced Type • Question 11 1 out of 1 points In Asthma, the term “Status Asthmaticus” indicates which of the following: Selected Answer: There is an exacerbation that is not controlled by usual asthma therapy. Answers: There is an exacerbation that is controlled by an inhaler. There is an exacerbation that is not controlled by usual asthma therapy. The patient is status post an asthma attack. The severity has been identified as the most severe which is “Severe Persistent”. • Question 12 1 out of 1 points In the Tabular List, when a code description indicates the diagnosis is “other” as a choice for the most accurate code it means the documentation is what? Selected Answer: More descriptive than is available in the ICD 10 CM codes. Answers: Unspecified. Indicated by another provider. More descriptive than is available in the ICD 10 CM codes. Not specific enough. • Question 13 1 out of 1 points Which of the following is NOT an example of an instructional note found in the Tabular List? Selected Answer: Code additional tests Answers: Code first Code also Code additional tests Excludes 1 • Question 14 1 out of 1 points Epilepsy and Recurrent Seizures are classified to code category G40. Which of the medical terms below would NOT be found to code from code category G40? Selected Answer: Convulsive Seizure Answers: Grand Mal Seizure Convulsive Seizure Seizure Disorder Petit Mal Seizure • Question 15 How many choices are there in pressure ulcers staging system? Selected Answer: 4 Answers: 3 4 6 8 • Question 16 0 out of 1 points 1 out of 1 points If the type of diabetes is not documented, what code category does a coder default to for accurate coding? Selected Answer: E11 Answers: E10 E08