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Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension.
I10 Essential (primary) hypertension
I11.9 Hypertensive heart disease without heart failure
I11.0 Hypertensive heart disease with heart failure
I50.9 Heart failure, unspecified
I50.1 Left ventricular failure
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
A. I10, I50.9
B. I11.0
C. I50.23, I10
D. I11.0, I50.9
Answer: d. I11.0, I50.9
Assign the best answer to complete the following sentence. The CPT codes for treatment of
fractures:
A. Use The Terminology "Manipulation" Rather Than "Reduction" Of Fracture
B. Include Internal Fixation In All Codes
C. Do Not Include Application Of Cast
D. Do not differentiate between open and closed treatment; CPT only specifies the site of the
fracture
Answer: a. Use the terminology "manipulation" rather than "reduction" of fracture
In CPT, if a patient has two lacerations of the arm that are repaired with simple closures,
the coder would assign:
,A. Two Cpt Codes Expressing Each Laceration Repair
B. One Cpt Code For The Largest Laceration
C. One Cpt Code, Adding The Lengths Of The Lacerations Together
D. One CPT code for the most complex closure
Answer: c. One CPT code, adding the lengths of the lacerations together
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-
PCS procedure code for this surgery.
0BQR4ZZ Repair right diaphragm, percutaneous endoscopic approach
0BQROZZ Repair right diaphragm, open approach
0BQS4ZZ Repair left diaphragm, percutaneous endoscopic approach
0BQSOZZ Repair left diaphragm, open approach
A. 0BQR4ZZ
B. 0BQR0ZZ
C. 0BQS4ZZ
D. 0BQSOZZ
Answer: a. 0BQR4ZZ
When trying to determine if documentation is present to substantiate status asthmaticus,
the coder should review the record for what terms and phrases?
A. Intractable Pneumonia
B. Refractory Asthma And Severe, Intractable Wheezing
C. Airway Obstruction Relieved By Bronchodilators
D. Limited but pronounced wheezing
Answer: b. Refractory asthma and severe, intractable wheezing
Gastrointestinal bleeding can manifest as:
A. Hematemesis, Which Indicates Acute Upper Gastrointestinal Hemorrhage
B. Petechia
C. Vomiting
D. Constipation, which indicates upper or lower gastrointestinal hemorrhage
Answer: a. Hematemesis, which indicates acute upper gastrointestinal hemorrhage
, Which types of pacemaker devices have a unique ICD-10-PCS code?
A. Dual Chamber Rate Responsive
B. Single Chamber, Single Chamber Rate Responsive, And Dual Chamber
C. Multiple Chamber
D. Multiple chamber rate responsive
Answer: b. Single chamber, single chamber rate responsive, and dual chamber
Mechanical ventilation codes require consideration of which of the following?
A. The Time When A Tracheal Tube Is Inserted
B. The Replacement Of An Endotracheal Tube
C. The Start Time Of Endotracheal Tube Insertion Followed By Mechanical Ventilation
D. Mechanical ventilation during surgery
Answer: c. The start time of endotracheal tube insertion followed by mechanical ventilation
Abbreviations can be a source of patient safety issues due to misinterpretation and
miscommunication. Abbreviations in the health record:
A. Are Not Permitted By Joint Commission Standards
B. Should Have Only One Meaning
C. Enhance Patient Safety
D. Are critical to an electronic health record system
Answer: b. Should have only one meaning
In ICD-10-PCS, what value is used if there is a character that does not apply to a given
code?
a. X
B. Z
C. 0
D. Y
Answer: b. Z