Hospital Coding and Classification Test Bank
Course Introduction
Hospital Coding and Classification provides students with a comprehensive understanding of the processes and systems used to code, classify, and record medical diagnoses and procedures in a hospital setting. The course covers the principles and guidelines of coding standards such as ICD-10-CM, ICD-10-PCS, and CPT, emphasizing their application in inpatient and outpatient environments. Students learn to interpret medical documentation, ensure accuracy and compliance, and support health information management through effective coding practices. The course also explores the impact of coding on hospital reimbursement, quality reporting, and healthcare analytics, preparing students for roles in medical coding, billing, and health data management.
Recommended Textbook
ICD 10 CM PCS Coding Theory and Practice 2017 Edition 1st Edition by Karla R. Lovaasen
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26 Chapters
1611 Verified Questions
1611 Flashcards
Source URL: https://quizplus.com/study-set/2195 Page 2
Chapter 1: The Rationale for and History of Coding
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/43700
Sample Questions
Q1) Classification systems
A)Has more than 100,000 members and was started in 1981
B)Translating diagnoses and procedures into special alphanumeric characters for the purposes of statistically capturing data
C)Grouping like items together for easy storage and retrieval
D)To maintain credentials,coders must earn these
E)Published by the College of American Pathologists,the most up-to-date system of nomenclature
F)The current coding classification system in use in the United States Answer: C
Q2) CPC-H stands for Certified Professional Coder-Health Care Based.
A)True
B)False Answer: False
Q3) Which organization is NOT responsible for the maintenance of ICD-10-CM?
A)National Center for Health Statistics (NCHS)
B)American Academy of Professional Coders (AAPC)
C)American Hospital Association (AHA)
D)American Health Information Management Association (AHIMA) Answer: B
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Chapter 2: The Health Record As the Foundation of Coding
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/43701
Sample Questions
Q1) What are three of the five purposes of a health record?
Answer: The following are purposes of a health record:
Describes the patient's health history
Serves as a method for clinicians to communicate regarding the treatment plan of care for the patient
Serves as a legal document of care and services provided Serves as a source of data
Serves as a resource for healthcare practitioner education
Q2) The patient history and physical need to be performed and documented within ___________ hours of admission for an inpatient encounter.
Answer: 24
Q3) What year did the Uniform Hospital Discharge Data Set (UHDDS)mandate that hospitals must report a common core of data?
Answer: 1974
Q4) The reason,in the patient's own words,for presenting to the hospital is the _________________.
Answer: chief complaint
Q5) What does AHQA stand for?
Answer: American Health Quality Association
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Chapter 3: ICD-10-Cm Format and Conventions
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/43702
Sample Questions
Q1) The bolded subterm in the diagnostic statement cortical cataract is a(n)____ modifier.
A)essential
B)nonessential
Answer: B
Q2) A(n)__________ is a term that is enclosed in parentheses following a main term or a subterm and whose presence or absence has no effect on code assignment. Answer: nonessential modifier
Q3) The bolded subterm in the diagnostic statement purulent pneumonia is a(n)____ modifier.
A)essential
B)nonessential
Answer: B
Q4) A block in ICD-10-CM is a range of categories.
A)True
B)False
Answer: True
Q5) What are the two tables found in the Alphabetic Index in ICD-10-CM?
Answer: Neoplasm Table and the Table of Drugs and Chemicals
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Chapter 4: Basic Steps of Coding
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) What is the subterm in "rheumatoid arthritis"?
Q2) What is the subterm in "esophageal reflux"?
Q3) Which of the following is a basic step in coding?
A)Review the medical record.
B)Identify main term(s)in the Alphabetic Index.
C)Assign codes to the highest level of specificity by verifying in the Tabular List.
D)All of the options are correct.
Q4) To be sure you have the correct diagnosis code,it is very important to go to the Alphabetic Index first and then to the Tabular List.
A)True
B)False
Q5) The main terms usually are nouns and/or disease conditions.
A)True
B)False
Q6) What is the main term in "rheumatoid arthritis"?
Q7) The admitting diagnosis is usually a sign or a symptom.
A)True
B)False
Q8) What is the main term in "calculus of the ureter"?
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Chapter 5: General Coding Guidelines for Diagnosis
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/43704
Sample Questions
Q1) A(n)__________ code is a single code used to classify two diagnoses,a diagnosis with an associated secondary process,or a diagnosis with an associated complication.
Q2) A patient comes to the hospital with unstable angina.Serial cardiac enzymes and EKGs are performed,and anterolateral myocardial infarction is confirmed.The patient develops congestive heart failure on day 2 of the hospital stay.What is the principal diagnosis?
Q3) A patient is admitted to the hospital with Crohn's disease,hypertension,and rheumatoid arthritis for bowel resection.In the OR before incision,the patient develops tachycardia,and the procedure is canceled.What is the principal diagnosis?
Q4) What is the diagnosis code(s)for memory deficit due to previous cerebral infarction?
Q5) The selection of codes A00.0 through Z99.89 will NOT be used frequently to describe the reason for the admission/encounter.
A)True
B)False
Q6) What is the diagnosis code(s)for acute and chronic cholecystitis?
Q7) List one reason when it is NOT acceptable to code a symptom code from Chapter 18. To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 6: Introduction to ICD-10-PCS
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127 Verified Questions
127 Flashcards
Source URL: https://quizplus.com/quiz/43705
Sample Questions
Q1) Open excisional biopsies of liver and pancreas
Q2) The maxillary sinus is in what body system?
Q3) Entry,by puncture or minor incision,of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure is called ____.
A)open
B)percutaneous
C)percutaneous endoscopic
D)open with percutaneous endoscopic assistance
Q4) If the intended procedure is discontinued,code to the root operation that was achieved.
A)True
B)False
Q5) Body systems designated as "upper" contain body parts above the heart.
A)True
B)False
Q6) When a patient is having a hip replacement,a code for the resection of a joint is assigned in addition to the joint replacement code.
A)True
B)False
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Chapter 7: General Coding Guidelines for Other Medicaland
Surgical-Related Procedures and Ancillary Procedures
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109 Verified Questions
109 Flashcards
Source URL: https://quizplus.com/quiz/43706
Sample Questions
Q1) Extracorporeal therapy uses equipment outside the body for a therapeutic purpose that does not involve the assistance or performance of a physiological function.
A)True
B)False
Q2) When a fifth character stands for duration,this specifies the duration of the procedure.
A)True
B)False
Q3) Measurement is defined as determining the level of physiological or physical function repetitively over a period of time.
A)True
B)False
Q4) Root type is the sixth character in the physical rehabilitation and diagnostic audiology section.
A)True
B)False
Q5) Mechanical respiratory ventilation less than 24 hours
Q6) Medication management for drug dependence with methadone maintenance
Q7) Placement of nasal packing,right nare
9
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Chapter 8: Coding Medical and Surgical Procedures
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66 Verified Questions
66 Flashcards
Source URL: https://quizplus.com/quiz/43707
Sample Questions
Q1) Therapeutic paracentesis of peritoneal cavity,percutaneous
Q2) Transurethral endoscopic laser ablation of prostate
Q3) Heart transplant,cadaver donor with extracorporeal circulation auxiliary during the open heart surgery
Q4) Root operation that alters the diameter/route of a tubular body part
A)Drainage
B)Excision
C)Occlusion
D)Release
E)Removal
F)Reposition
Q5) Closed reduction of right radial fracture
Q6) Laparoscopic-assisted vaginal hysterectomy
Q7) Visually and/or manually exploring a body part is called ____.
Q8) Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part is called ____.
Q9) Each ____________________ should have its own written policy regarding the assignment of ICD-10-PCS codes.
Q10) Nonexcisional debridement of skin-right foot ulcer
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Chapter 9: Symptoms, signs, and Abnormal Clinical and Laboratory Findings
Not Elsewhere Classified, and Z Codes
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Another name for the coma scale is ______________ coma score.
Q2) The patient was admitted from her primary care physician's office for palpitations.The patient has never had an episode like this.The patient does have a family history of coronary artery disease.The patient was monitored by telemetry,but no specific cardiac arrhythmias were identified.The patient was instructed to return for follow-up if palpitations recurred.
Final Diagnosis: Palpitations;cardiac arrhythmia ruled out;family history of coronary artery disease.
A)R00.1,Z82.49
B)R00.2,Z82.49
C)R00.2,Z82.41
D)R00.1,Z82.41
Q3) A ______________ is objective evidence of a disease or of a patient's condition as perceived by the patient's examining physician.
Q4) Which of the following is NOT a specific Z code category?
A)Family history
B)Screening
C)Nutrition
D)Observation
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Chapter 10: Certain Infectious and Parasitic Diseases
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/43709
Sample Questions
Q1) A patient was admitted with a diagnosis of urosepsis.Urine and blood cultures were performed on admittance.Blood cultures came back positive for Escherichia coli.Discharge summary documents sepsis due to Escherichia coli.Urinary tract infection.
A)N39.0,B96.20
B)A41.51,N39.0
C)A41.5,R65.20
D)N39.0,B96.20,R65.20
Q2) According to ICD-10-CM Guidelines,it is not necessary to identify infections documented as antibiotic resistant.
A)True
B)False
Q3) Gonococcal conjunctivitis is coded to ____.
A)A54.30
B)A54.9
C)A54.03
D)A54.31
Q4) Assign the code for bubonic plague.
Q5) Assign the code for chickenpox.
Q6) Assign the code for scarlet fever.
Page 12
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Chapter 11: Neoplasms
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69 Verified Questions
69 Flashcards
Source URL: https://quizplus.com/quiz/43710
Sample Questions
Q1) Adrenocortical carcinoma,left gland: __________
Q2) A patient is currently undergoing treatment for primary left non-small-cell lung cancer,which has metastasized to the right lung.
A)C34.92,C34.91
B)C34.92
C)C34.91
D)C34.92,C78.01
Q3) An example of a carcinoma malignancy is a malignant ____.
A)tumor in the bone marrow
B)stomach tumor
C)tumor in the muscle
D)tumor of the breast
Q4) What does it mean when a tumor is benign?
Q5) When cancers are staged,stage ____________________ means that the cancer has spread into surrounding tissues but not beyond the location of origin.
Q6) Benign neoplasm of the thymus: __________
Q7) Cancer of the lymphatic system is called ____________________.
Q8) The administration of cancer-killing drugs is called ____________________.
Q9) CDC stands for ____________________.
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Chapter 12: Diseases of the Blood and Blood-Forming
Organs and Certain Disorders Involving the Immune
Mechanism
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71 Verified Questions
71 Flashcards
Source URL: https://quizplus.com/quiz/43711
Sample Questions
Q1) Coagulopathy due to chronic liver disease: __________
Q2) The normal WBC count
A)Apheresis
B)Blood
C)Autologous transfusion
D)5000 to 10,000/mm³
E)Hemoglobin (HGB)
F)Purpura
G)Idiopathic
H)Hematocrit (Hct)
I)Bone marrow biopsy
J)WBC
K)Secondary thrombocytopenia
Q3) What is the function of leukocytes (WBCs)?
Q4) A patient is admitted with thrombocytopenia and coagulopathy due to alcoholic cirrhosis of liver and active alcohol dependence.Patient receives platelet transfusion via peripheral vein,percutaneous approach,and vitamin K.Patient's blood count improved prior to discharge.__________
Q5) End-stage renal disease with erythropoietin-resistant anemia: __________ Page 14
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Page 15
Chapter 13: Endocrine, nutritional, and Metabolic Diseases
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68 Verified Questions
68 Flashcards
Source URL: https://quizplus.com/quiz/43712
Sample Questions
Q1) When blood sugar becomes abnormally high,this is called ____.
A)hyperglycemia
B)hypoglycemia
C)hyperpituitarism
D)hypopituitarism
Q2) A patient was seen in the clinic for management of steroid-induced diabetes,which is a sequela of long-term use of prednisone taken for rheumatoid arthritis.
A)T38.0x1S,E09.9,M06.89
B)T38.0x5S,E09.9,M06.9
C)E09.9,T38.0x5S,M06.9
D)E09.9,T38.0x5A,M06.89
Q3) Hypothyroidism in patient who has had a previous thyroidectomy: __________
Q4) A patient is admitted because of uncontrolled diabetes resulting from Cushing's syndrome.Patient is on insulin.
A)E24.9,E08.65,Z79.4
B)E24.8,E08.65,Z79.4
C)E08.65,E24.9
D)E08.9,E24.8
Q5) A(n)____________________ is an enlargement of the thyroid gland.
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Chapter 14: Mental, behavioral, and Neuro developmental Disorders
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/43713
Sample Questions
Q1) A 28-year-old man was brought to the ER by a friend who stated that the patient had been acting bizarrely.The patient has been irritable,pacing the apartment,and talking nonstop.He was admitted to the psychiatric unit for management of his manic symptoms.
Final Diagnosis: Bipolar affective disease.
Severe manic phase.Recurrent episode with psychosis.
A)F31.2
B)F31.73
C)F31.74
D)F31.10
Q2) AIDS-related dementia: __________
Q3) Seizure due to alcohol withdrawal.Patient is dependent on alcohol and usually drinks every day.
A)R56.9,F10.230
B)F10.230,R56.9
C)F10.221,R56.9
D)F10.239,R56.1
Q4) Panic agoraphobia: __________
Q5) Dementia with wandering: __________
Q6) What cognitive impairments can be caused by dementia? Page 17
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Page 18
Chapter
the Eye and Adnexa, and Diseases of the Ear and Mastoid Process
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/43714
Sample Questions
Q1) Mastoid cholesteatoma of the right ear: __________
Q2) Can epilepsy be inherited?
A)True
B)False
Q3) A disorder of the brain characterized by abnormal electrical discharges from the brain cells
A)Glaucoma
B)Hydrocephalus
C)Meningitis
D)Epilepsy
E)Parkinson's disease
F)Cataract
G)Cholesteatoma
H)Mastoiditis
I)Myasthenia gravis
J)Alzheimer's disease
Q4) Bilateral retrolental fibroplasia: __________
Q5) There are no vaccines to prevent meningitis caused by Streptococcus pneumoniae.
A)True
B)False Page 19
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Chapter 16: Diseases of the Circulatory System
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65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/43715
Sample Questions
Q1) Patient is admitted with chest pain and rules in for an anterolateral MI.There is a family history of CAD.
A)I21.3,Z82.49
B)I22.9,Z82.49
C)I21.09,Z82.49
D)I21.11,Z82.49
Q2) History of heart transplant
A)Z82.3
B)Z94.1
C)Z95.811
D)Z95.9
E)Z76.82
Q3) Tachycardia is an abnormally high heart rate of more than 100 beats per minute. A)True
B)False
Q4) Anterolateral myocardial infarct,initial visit: __________
Q5) Bifascicular block: __________
Q6) Right iliac vein phlebitis: __________
Q7) ____________________ is the sudden loss of heart function.
Q8) Stenosis of bilateral carotid arteries: __________
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Chapter 17: Diseases of the Respiratory System
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73 Verified Questions
73 Flashcards
Source URL: https://quizplus.com/quiz/43716
Sample Questions
Q1) Patient was admitted with cough and fever.Patient is HIV positive.Physician documents that the BAL (right main bronchus)confirmed Pneumocystis carinii pneumonia.
A)B20,J16.8,3E1F88X
B)B59,Z21,0B9K8ZX
C)B20,B59,0B938ZX
D)B59,B20,0B9B8ZX
Q2) The abbreviation ABG stands for ____________________.
Q3) H1N1 influenza: __________
Q4) Family history of other chronic respiratory conditions
A)Z82.5
B)Z83.6
C)Z87.891
D)Z85.22
E)Z48.24
F)Z77.090
G)Z93.0
Q5) In ICD-10-CM,two separate codes are assigned for COPD with asthma.
A)True
B)False
Page 22
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Chapter 18: Diseases of the Digestive System
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/43717
Sample Questions
Q1) A(n)____ is a protrusion of an organ or tissue through an abnormal opening of the body.
A)ulcer
B)diverticulum
C)hernia
D)gallstone
Q2) An indirect hernia occurs when the protrusion is through the inguinal ring into the inguinal canal;this is different from a direct hernia.
A)True
B)False
Q3) Diverticulosis: __________
Q4) Patient with known alcoholic cirrhosis of the liver is admitted with ascites and acute spontaneous bacterial peritonitis due to Staphylococcus aureus.Patient is a recovering alcoholic who has been in remission for 2 years.
A)K65.9,K70.30,F10.21,B95.62
B)K65.2,K70.31,F10.20,B95.61
C)K65.2,K70.31,F10.21,B95.61
D)K65.9,K70.31,F10.20,B95.62
Q5) Appendicitis with abscess: __________
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Chapter 19: Diseases of the Skin and Subcutaneous Tissue
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/43718
Sample Questions
Q1) A patient comes to the ER with a crusty,itchy rash.The diagnosis is impetigo of the legs with superimposed cellulitis.The patient is admitted to treat the cellulitis.
A)L03.115,L03.116,L01.00
B)L01.00,L031.19
C)L03.113,L01.00
D)L03.125,L01.00
Q2) Granuloma pyogenicum: __________
Q3) A type of dermatitis that includes inflammation of the lower legs associated with venous incompetence
A)Decubitus ulcer
B)Skin ulcers
C)Cellulitis
D)Stasis ulcer
E)Stasis dermatitis
F)Intertriginous dermatitis
G)Gangrene
H)Hives
I)Dermatitis
Q4) Dermatitis from gold ring: __________
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Chapter 20: Diseases of the Musculoskeletal System and Connective Tissue
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/43719
Sample Questions
Q1) Toward the tail
A)Medial
B)Cranial
C)Ventral
D)Superior
E)Caudal
F)Dorsal
G)Lateral
Q2) Subacute osteomyelitis of sacrum with decubitus sacral ulcer,stage
3.Staphylococcus aureus is the causative organism.
A)M46.28,L89.153,B95.61
B)M46.28,L89.153,B95.62
C)B95.61,M46.28,L89.153
D)M46.27,L89.152,B95.62
Q3) ____ are the connective tissues that attach muscle to bones.
A)Joints
B)Ligaments
C)Tendons
D)All of the above
E)None of the above
Page 25
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Chapter 21: Diseases of the Genitourinary System
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72 Verified Questions
72 Flashcards
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Sample Questions
Q1) Which of the following is NOT a common genitourinary condition?
A)Glomerulonephritis
B)Diabetes
C)Urinary tract infection
D)Chronic renal failure
Q2) A condition marked by proteinuria (protein in the urine);low levels of protein in the blood;swelling of the eyes,feet,and hands;and hypercholesterolemia
A)Urolithiasis
B)Nephrotic syndrome
C)Fistula
D)Prostatitis
E)Urinary tract infections (UTIs)
F)Hemodialysis
G)Endometritis
H)Renal colic
I)Mastitis
J)Acute renal failure
Q3) Acute kidney injury (nontraumatic): __________
Q4) CKD stage 2 in patient who has a kidney transplant: __________
Q5) UTI stands for ____________________.
26
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Chapter 22: Pregnancy, childbirth, and the Puerperium
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) Coding a normal pregnancy requires only three diagnostic codes and one or more procedure codes.
A)True
B)False
Q2) A patient delivered 1 week before admission.She now presents to the ER with SOB and chest pain.CT confirms small pulmonary embolism.Physician documents postpartum pulmonary embolism.Patient is treated with anticoagulants for this blood clot and is discharged in stable condition.What codes are applicable? __________
Q3) When a vaginal delivery occurs,the principal diagnosis should correspond to the main circumstance or complication of the delivery.
A)True
B)False
Q4) The period of time from delivery through the first 6 weeks postpartum
A)Young obstetric patient
B)Antepartum
C)Primigravida
D)Puerperium
E)Gravid
F)Elderly OB patient
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Chapter 23: Certain Conditions Originating in the Perinatal
Period and Congenital Malformations, deformations, and
Chromosomal Abnormalities
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47 Verified Questions
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Sample Questions
Q1) There is abnormal fetal heart rate or rhythm during labor,and infant is therefore delivered by C-section.Mother was instructed on discharge to put the baby in front of the window in the sun to alleviate the mild jaundice.In addition,a lactation consult was performed during this stay because the baby was having difficulty breastfeeding.
A)Z38.01,P92.5,P59.9
B)Z38.00,P92.8,P59.3
C)Z38.00,P03.811,P92.8,P59.9
D)Z38.01,P03.810,P92.5,P59.3
Q2) In most cases,pregnancies with chromosomal anomalies end with a natural miscarriage.
A)True
B)False
Q3) Newborn is delivered vaginally and is ruled in for group B strep sepsis.
A)Z38.00,A41.9,R65.20,P00.2
B)Z38.01,P00.2
C)Z38.01,R65.20,A41.9
D)Z38.00,P36.0
Q4) Achondroplasia: __________
Q5) Congenital pigeon chest: __________ Page 28
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Chapter 24: Injuries and Certain Other Consequences of
External Cases and External Causes of Morbidity
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70 Verified Questions
70 Flashcards
Source URL: https://quizplus.com/quiz/43723
Sample Questions
Q1) When coding injuries,assign separate codes for each injury unless a combination code is provided.
A)True
B)False
Q2) Which of the following is NOT a common site for a laceration?
A)Above the eyebrows
B)Scalp
C)Stomach
D)Knees
E)Face
Q3) A ____ is a stretch and/or tear of a ligament.
A)dislocation
B)subluxation
C)sprain
D)strain
Q4) Where is the best place to look for the petechial rash that forms from fat embolism syndrome?
Q5) Sprained left ankle,initial encounter: __________
Q7) Fractured coccyx,initial encounter: __________ Page 30
Q6) C5 spinal cord injury with complete lesion,initial encounter: __________
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Chapter 25: Burns, Adverse Effects, and Poisonings
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) In a toxic poisoning the toxic poisoning code (T36-T50)should be sequenced first,followed by the external cause code(s).
A)True
B)False
Q2) Patient was admitted with second-degree burns of the left hand and first-degree burns of the left forearm.The patient touched a hot steam pipe.
A)T23.202A,T22.111A,X16.xxxA
B)T23.202A,T22.112A,X16.xxxA
C)T23.202D,T22.112D,X16.xxxD
D)T22.112A,T23.202A,X16.xxxA
Q3) Z codes are never assigned in relation to injuries,burns,adverse effects,and poisoning.
A)True B)False
Q4) Debridement is one of the most common procedures performed on burn victims. A)True B)False
Q5) Hives due to penicillin taken for strep throat.Patient took the medication as prescribed: __________
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Chapter 26: Complications of Surgical and Medical Care
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48 Verified Questions
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Sample Questions
Q1) When looking for a complication code in the Index,the coder should first look under the ____________________.
Q2) Patient had an outpatient ERCP for extraction of a common bile duct stone.The patient developed acute abdominal pain and was admitted to rule out post ERCP pancreatitis.
Impression: Post ERCP pancreatitis.
A)K91.89,K80.50,K85.90,Y83.8,0FC98ZZ
B)K86.1,K80.51,K91.89,Y83.9,0FC98ZZ
C)K85.10,K80.60,Y84.9,0F998ZZ
D)K85.90,K80.61,Y84.8,0F798ZZ
Q3) Occurs when the fracture fragments have united but are not properly aligned.
A)Malunion
B)Nonunion
C)Neuroma
D)Extravasation
E)Contracture
F)Necrosis
Q4) Can code Z94.0 and a T86.1- code be used together?
Q5) Displacement of an insulin pump,initial encounter;patient has type 1 DM:
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