HIT205 ICD-10-CM II Final Exam

HIT205 ICD-10-CM II Final Exam 1.Which of the following does not represent a characteristic of combination codes? 2.Which instruction following a main term in the alphabetical index indicates that there is another main term that may also be referenced to provide additional alphabetical index entries that may be useful? 3.Which instruction following a main term in the alphabetical index indicates that another term should be referenced? 4.Adherence to the Official Guidelines for coding and reporting is required under: 5. 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 post operation infection? 6. What is the correct diagnosis code for bilateral congenital dislocation of the hip? 7. There is an aftercare encounter for management of a subtrochanteric fracture of the left femur. The patient fell and fractured the left femur two weeks earlier. How should the encounter be coded? 8. Which is the correct coding and sequencing for contract dermatitis due to new detergent, initial encounter? 9. 5-day old infant, light-for-dates, 2,200g birth weight, 35 6/7 week gestational age at birth. 10. Orchitis due to streptococcus. 11. Endometriosis of ovaries and fallopian tubes. 12. UTI due to the presence of an indwelling urinary catheter, initial encounter. 13. Coma due to Barbiturate overdose, attempted suicide, initial encounter. 14. Granuloma of skin due to residual foreign, retained glass fragment. 15. Premature baby, 990gm birth weight, 29 5/7 weeks of gestation, born in hospital #1 and transferred to hospital #2 (code for hospital #2). 16. Generalized convulsions due to accidental Darvon overdose, initial encounter. 17. Elective abortion, 12 weeks, fetus diagnosed with anencephaly (reason for abortion). 18. Burn, second and third degree, of lower legs, initial encounter. 19. Admission for chemotherapy, left ovarian carcinoma. 20. Pregnancy, delivered with premature labor, 3rd trimester, single live-born infant. 21. Insect bites on lower extremities, initial encounter. 22. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient was admitted for an evaluation of her adrenal malfunction. She had a four-year history of hypertension and hypokalemia with evidence of primary aldosteronism. A non-contrast CT scan of the abdomen also suggested a left adrenal mass. She was discharged and was to return for a left adrenalectomy the following week. Discharge diagnoses: (1) Probable adrenal mass, left; (2) hypertension and hypokalemia probably due to primary aldosteronism. Correct answers: 23. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient was admitted for a hysterectomy. Prior to admission, a diagnostic workup showed extensive endometriosis involving the uterus, ovaries, and fallopian tubes. Because the patient had asthma, she was seen by the pulmonary consult service and cleared for surgery. A total abdominal hysterectomy and a bilateral salpingo-oophorectomy were performed without complication. Postoperatively, the patient did well and was discharged. Discharge diagnoses: (1) Endometriosis of uterus, ovaries, and fallopian tubes; (2) asthma. Correct answers: 24. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient, a newborn preterm male infant delivered by cesarean section, weighed 2,300 grams at birth and had Apgar scores of 8 and 9. Shortly after birth, an increased respiratory rate, effort, and grunting required that he be placed on oxygen. A classical hyaline membrane disease then developed, consistent with his 32- to 33-week gestational age and size. A catheter was percutaneously placed in the umbilical vein and advanced into the inferior vena cava immediately to allow ease in administration of IV fluids and medication. A right pneumothorax, identified on chest X-ray, was immediately needle aspirated, and a chest tube was placed. Subsequently, he was transferred to the newborn intensive care nursery at another hospital. Discharge diagnoses: (1) Prematurity, (2) hyaline membrane disease, (3) spontaneous right pneumothorax. Correct answers: 25. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes: The patient came to the emergency department because she was unable to speak well. She was admitted because she appeared to be somewhat aphasic. Following admission, she was found to be in atrial fibrillation and has hypertension. A CT scan of the head showed only some probable old defects, and the aphasia was thought to probably be due to a recent cerebral embolus. By the fifth day, she was stable and able to go home. The aphasia had cleared, and the fibrillation was controlled with medication. Discharge diagnoses: (1) Cerebral embolism, (2) atrial fibrillation, (3) Aphasia, (4) Hypertension. Correct answers: