p p p p p
QuestionsandVerifiedAnswers 100%Correct|GradeA
p
+
1. Diagnostic-
relatedgroups(DRGs)andambulatorypatientclassifications (APCs)aresimi
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larinthattheyarebothA
a. Determinedby codes
b. Focusedonhospitaloutpatients
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c. Focusedonhospitalinpatients
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d. Prospectivepaymentsystems
Answerd.Prospectivepaymentsystems
**Botharetypesof prospective paymentsystems (CastoandForrestal2015, 6).
p p p p
2. Apatientistreatedforesophagealvariceswithhemorrhageduetocirrho-sis.
Thediagnosticcodesthatwouldbeassignedare
Answer
1p/p102
,I85.01Esophagealvariceswithbleeding
2p/p102
,I85.11Secondaryesophagealvariceswithbleeding K74.60Unspecifiedcirrhosiso
p
ver
Answerd.K74.60,I85.11
K74.60Unspecifiedcirrhosis ofliverI85.11Secondary esophagealvariceswithblee
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ding
**Thepatienthascirrhosis oftheliverwithresultingbleedingesophagealvarices. Cirrhos
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ofliverissequencedfirstfollowedbythecodeforthebleedingesophageal varices (HHS 20 p p p
7, Section I.A.13, 11).
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3. Assignthecode(s)forbronchoscopywithbilateraltransbronchialbiopsyfor e p
achlobeofeachlung.
p
31628Bronchoscopy,rigidorflexible,includingfluoroscopicguidance,when perf p
med;withtransbronchiallungbiopsy(s), singlelobe 31629Bronchoscopy,rigidor
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exible,includingfluoroscopicguidance,when performed; withtransbronchialnee
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dleaspirationbiopsy(s), trachea, mainstem and/orlobarbronchus(i) 31632Bronc
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oscopy,rigidorflexible,includingfluoroscopicguidance,when performed; withtra p p
nsbronchiallungbiopsy(s), each additionallobe
p p
50Bilateralprocedu
3p/p102
, re
4. Assignthecode(s)forendoscopicsinusotomywithbilateralanterioreth-
p moidectomy. 31231Nasalendoscopy,diagnostic,unilateralorbilateral(separat
p
eproce-
dure) 31254Nasal/sinusendoscopy,surgical;withethmoidectomy,partial(anteri
p p
or)50 p
Bilateralprocedurea.
4p/p102