Deck 16: Diseases of the Digestive System

Question 1

Symptoms of gastrointestinal ulcers include weight loss, nausea, vomiting, and anemia.

Answer 1

True

Question 2

The main purpose of the pancreas is to store bile secreted by the liver.

Answer 2

False

Question 3

Hyperplasia of the appendix is reported with code ____________________, while fistula of the appendix is reported with code ____________________.

Answer 3

K38.0, K38.3

Question 4

When coding the phrase "cholestasis with hepatocyte injury," the main term to reference is hepatocyte.

Question 5

When coding the phrase "occlusion of bile duct without cholelithiasis," the main term to reference is _____.

A) bile
B) duct
C) occlusion
D) cholelithiasis

Question 6

Code block K40-K46 is used to report diseases of the appendix.

Question 7

Office note: "Sally has been experiencing right upper quadrant pain for the last three months. After extensive testing, gallbladder disease and gall stones have been ruled out. The clinical assessment is spasm of the sphincter of Oddi." The code(s) to report for this case is (are) _____.

A) K83.4, R10.11
B) R10.11, K80.30
C) K82.9, K80.30
D) K83.4

Question 8

Gastric ulcers occur in the upper part of the small intestine.

Question 9

GERD is the abbreviation for _____.

A) gastric esophagus reactive disease
B) gastroesophageal reversal disease
C) gastroenteral reflux disease
D) gastroesophageal reflux disease

Question 10

Which of the following conditions is not reported with a code from category K85?

A) acute pancreatitis
B) acute necrosis of pancreas
C) subacute pancreatitis
D) rupture of bile duct

Question 11

Irritable bowel syndrome and irritable bowel syndrome with diarrhea are reported with the same code.

Question 12

The middle portion of the small intestine is the _____.

A) duodenum
B) jejunum
C) ileum
D) cecum

Question 13

Acute appendicitis with generalized peritonitis is reported with code K35.20.

Question 14

An inflammation of pouches or sacs in the lining of the intestines is known as _____.

A) peritonitis
B) diverticulosis
C) diverticulitis
D) enteritis

Question 15

A sudden and severe onset of inflammation of the gallbladder is known as _____.

A) cystitis
B) cholecystitis
C) cholelithiasis
D) colitis

Question 16

Admitting physician discharge summary note: "This patient was admitted due to weakness and pain in the lower abdominal area. After workup it was determined that the patient has bilateral femoral hernia with gangrene. I then referred the patient to Dr. Dave for surgery. I will follow the patient for his medical concerns after discharge." The correct code for this encounter is ____________________.

Question 17

Accessory organs of the digestive system include the esophagus, liver, gallbladder, and small intestine.

Question 18

Category code K25 is used to report _____.

A) gastric ulcers
B) duodenal ulcers
C) peptic ulcers
D) gastrojejunal ulcers

Question 19

Periapical abscess is an infection of the tongue and the teeth.

Question 20

Diseases of the appendix are reported with category codes in the range K35-K38.

Question 21

Recurrent cholangitis is reported with code _____.

Question 22

Gangrene of gallbladder is reported with code(s) _____.

Question 23

Calculus of bile duct with cholecystitis with obstruction is reported with code(s) ____________________.

Question 24

Fecalith of appendix is reported with code _____.

Question 25

Fistula of bile duct is reported with code _____.

Question 26

Chronic duodenal ulcer with perforation and hemorrhage is reported with code(s) ____________________.

Question 27

Tom was admitted to rule out IBS and enteritis. After workup it was determined that he has diverticulitis of the small intestine with perforation and abscess with bleeding. The code(s) for this case is (are) ____________________.

Question 28

Nontraumatic tear of anal sphincter is reported with code _____.

Question 29

Patient has a diagnosis of vesicular stomatitis and also smokes cigars. This is reported with code(s) _____.

Question 30

Gangrenous umbilical hernia is reported with code(s) ______.

Question 31

Diagnostic testing shows acute duodenal ulcer with hemorrhage and perforation. This would be reported with code(s) _____.

Question 32

Juvenile periodontosis is reported with code _____.

Question 33

Operative report:
Pre-op diagnosis: inguinal hernia.
Post-op diagnosis: bilateral inguinal hernia with obstruction, recurrent.
Procedure: bilateral hernia repair.
This case is reported with code(s) ____________________.

Question 34

Colostomy hemorrhage is reported with code _____.

Question 35

Discharge summary:
Final diagnosis: chronic ulcerative pancolitis.
Secondary diagnosis: rectal bleeding due to above.
The correct code(s) for this case is (are) ____________________.