HIT 205 Final Exam (Latest) MCQ: DeVry University, Chicago (Verified Answer download to score A)

HIT 205 Final Exam (Latest) MCQ: DeVry University, Chicago Question 1 5 / 5 pts (TCO 2) Which of the following does not represent a characteristic of combination codes? A single code is used to classify two diagnoses. A single code is used to classify a diagnosis with an associated secondary process or manifestation. A single code is used for sequela, complication codes, and obstetric codes to more fully describe a condition. A single code is used to classify a diagnosis with an associated complication. See Chapter 1. Question 2 5 / 5 pts (TCO 2) Which instruction following a main term in the Alphabetic Index indicates that there is another main term that may also be referenced to provide additional Alphabetic Index entries that may be useful? Code also See also See Code first See Chapter 1. Question 3 5 / 5 pts (TCO 2) In determining the principal diagnosis, which rule takes precedence over all guidelines? The coding directives in the Tabular List and the Alphabetic Index take precedence over all the other guidelines. The Official Guidelines for Coding and Reporting take precedence over all the other guidelines. The guidance provided in the Coding Clinic takes precedence over all the other guidelines. Payer-specific guidelines take precedence over all the other guidelines. See Chapter 1. Question 4 5 / 5 pts (TCO 2) Adherence to the Official Guidelines for Coding and Reporting is required under CMS. HIPAA. MMA. IPPS. See Chapter 1. Question 5 5 / 5 pts (TCO 2) A patient is admitted to the hospital for surgery. The patient develops a fever after surgery, and the final diagnosis includes “possible postoperative infection.” Which is the correct POA indicator for the postoperative infection? Y N U W See the ICD-10-CM Official Guidelines for Coding and Reporting, Appendix I. Question 6 5 / 5 pts (TCOs 2, 4, 5, and 6) There is an aftercare encounter for management of a subtrochanteric fracture of the left femur. The patient fell and fractured the left femur 2 weeks earlier. How should the encounter be coded? S72.22xA, WA S72.25xD, WD S72.22xD, WD S72.25xA, WA See ICD-10-CM (OGCR Section 1.C.19.c., a fracture not indicated whether displaced or not displaced should be coded to displaced). Question 7 5 / 5 pts (TCOs 2, 4, 5, and 6) When a female patient has undergone a breast lumpectomy for a malignant carcinoma of the upper-outer quadrant of the left breast and is brought back into the hospital solely for the administration of chemotherapy, how should the encounter be coded? Z51.11 Z51.11, Z85.3 C50.412 Z51.11, C50.412 See ICD-10-CM (ICD-10-CM and ICD-10-PCS Coding Handbook 2013 with Answers, American Hospital Association). Question 8 5 / 5 pts (TCOs 2, 4, 5, and 6) Which is the correct diagnosis code(s) for bilateral congenital dislocation of hip? Q65.01, Q65.02 Q65.1 Q65.2 Q65.00 See ICD-10-CM (ICD-10-CM and ICD-10-PCS Coding Handbook 2013 with Answers, American Hospital Association). Question 9 10 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:premature baby, 2,000 g birth weight, 35 4/7 weeks of gestation, born in Hospital #1 and transferred to Hospital #2 (code for Hospital #2). Your Answer: P07.18, P07.38 P07.18, P07.38 (ICD-10-CM) Question 10 8 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:Metastatic carcinoma of the liver, carcinoma of descending colon. Your Answer: C18.6, C78.87 C78.7, C18.6 (ICD-10-CM) Question 11 9 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:tracheostomy infection with cellulitis of head and neck. Your Answer: J95.02 L03.811 L03.221 J95.02, L03.811 (ICD-10-CM) Question 12 6 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: congestive heart failure, hypertension. Your Answer: I11.0 I11.0, I50.9 (ICD-10-CM) Question 13 10 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:benign prostatic hypertrophy with urinary retention. Your Answer: N40.1 R33.8 N40.1, R33.8 (ICD-10-CM) Question 14 1 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: urinary tract infection due to the presence of an indwelling urinary catheter, initial encounter. Your Answer: T83.098A T83.511A, N39.0 (ICD-10-CM) Question 15 2 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: premature baby, 990 gm. birth weight, 29 5/7 weeks of gestation, born in Hospital #1 and transferred to Hospital #2 (Code for hospital #2). Your Answer: P07.18, P07.38 P07.03, P07.32 (ICD-10-CM) Question 16 9 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:elective abortion, 12 weeks, fetus diagnosed with anencephaly (reason for abortion). Your Answer: Z33.2, O35.0XX0, Z3A.12 Z33.2, O35.0XX0 (ICD-10-CM) Question 17 10 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:polyarthropathy due to dermatological condition, erythema nodosum, multiple sites . Your Answer: L52, M14.89 L52, M14.89 (ICD-10-CM) Question 18 6 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: insect bites on lower extremities, initial encounter. Your Answer: S80.861A S80.861A, S80.862A (ICD-10-CM) Question 19 7 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:pregnancy, delivered, with premature labor, third trimester, single live-born infant. Your Answer: O60.13X1, Z37.0, Z3A.00 O60.14X0, Z37.0 (ICD-10-CM) Question 20 10 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:cellulitis of both feet. Your Answer: L03.115, L03.116 L03.115, L03.116 (ICD-10-CM) Question 21 10 / 10 pts (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: endometriosis of ovaries and tubes. Your Answer: N80.1 , N80.2 N80.1, N80.2 (ICD-10-CM) Question 22 2 / 20 pts Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: This patient was admitted for repair of a left common carotid stenosis. Two months earlier, an endarterectomy of a right carotid stenosis had been performed. Six months earlier, she had suffered a cerebral hemorrhage that resulted in apraxia and oropharyngeal phase dysphagia, both of which required additional nursing assistance. The open left endarterectomy was successfully accomplished, and the patient was discharged on the fourth hospital day. Discharge diagnoses: (1) Left carotid stenosis, (2) residuals of old cerebrovascular accident. Your Answer: I65.29, I69.30 I65.22 Occlusion and stenosis of left carotid artery I69.390 Apraxia following cerebral infarction I69.391 Dysphagia following cerebral infarction R13.12 Dysphagia, oropharyngeal phase Question 23 0 / 20 pts Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient, an elderly female nursing home resident, was under medical management for chronic senile dementia, postherpetic neuralgia, hyperlipidemia. She also had a history of renal cyst. She was admitted with nausea and emesis, which cleared after several days. She also complained of increasing nasal sinus congestion and headache. She was treated with antibiotics and decongestants for sinusitis. Recovery was uneventful, and she was returned to the nursing home for further care. Discharge diagnoses: (1) Postherpetic neuralgia, (2) sinusitis, (3) chronic senile dementia, Hyperlipidemia. Your Answer: B02.29 J01.90 G31.1 J32.9 Chronic sinusitis, unspecified B02.29 Other postherpetic nervous system involvement F03.90 Unspecified dementia without behavioral disturbance E87.5 Hyperlipidemia Question 24 14 / 20 pts Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient, a six-day-old female, was admitted with respiratory distress, wheezes, and a heart murmur. She was intubated on admission and improved on the ventilator. She was extubated 48 hours later. Respiratory syncytial viral bronchiolitis was diagnosed. Other treatment included antibiotics and aerosols. An echocardiogram indicated a ventricular septal defect. She was to return at a later date for further evaluation. Discharge diagnoses: (1) Respiratory syncytial viral bronchiolitis, (2) ventricular septal defect, (3) respiratory distress. Your Answer: P39.8 P22.8 Q21.0 V21.0 P39.8 Other specified infections specific to the perinatal period J21.0 Acute bronchiolitis due to respiratory syncytial virus P22.8 Other respiratory distress of newborn Q21.0 Ventricular septal defect Question 25 4 / 20 pts Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient was admitted after visiting the emergency department for shortness of breath, chest pain, hypoxia, and a white cell count of 32,600. The patient had a history of chronic obstructive pulmonary disease. Interstitial infiltrate at the right middle and lower lobes of the lung was seen on chest X-ray. Sputum culture grew Streptococcus pneumoniae. He tolerated the antibiotics, and the symptoms improved significantly. Discharge diagnoses: (1) Right lower lobe pneumonia due to Streptococcus pneumoniae, (2) acute exacerbation of chronic obstructive lung disease. Your Answer: J15.4, J44.1 J13 Pneumonia due to Streptococcus pneumoniae J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection R09.02 Hypoxemia