Deck 2: Icd-9-Cm

Question 1

ICD-9 official coding guidelines are exactly the same for inpatient and outpatient settings.

Answer 1

False

Question 2

How is HIV coded when a patient is HIV positive but has never had a specific HIV type of illness up to this point in time?

A) HIV is not coded at all since they have not had any related illness
B) 042
C) 795.71
D) V08

Answer 2

V08

Question 3

Signs and symptoms that are not part of a disease process are coded.

Answer 3

True

Question 4

If a patient is being treated with hypertension medications and the physician states that her blood pressure is well controlled, a code from the "benign" column of the hypertension table is assigned.

Question 5

Anatomic terms such as elbow or brain are never main terms.

Question 6

When coding for neoplasms, what code is assigned when the physician did not specify the exact behavior of the cancer but noted to be of a specific site?

A) Uncertain Behavior
B) Unspecified
C) Benign
D) In Situ

Question 7

ICD-9 is updated twice a year: each April and October.

Question 8

It is important for the coder to read all subterms under a procedure to help determine if it is the operative approach. How would this be indicated?

A) "see primary procedure performed"
B) any term that ends in "oscopy" or "otomy" is not coded
C) omit code
D) "not otherwise specified"

Question 9

Words following the main term located in parentheses are modifiers that have no impact on assigning that code.

Question 10

Coding Clinic contains coding advice given by the cooperating parties for coders in the inpatient setting only.

Question 11

E codes can be sequenced as a principal diagnosis for ER visits.

Question 12

Morphology codes are required for all patients treated for carcinoma.

Question 13

If a procedure is canceled part way through, the coder should not code the procedure at all.

Question 14

Diagnoses listed as "probable," "suspected," and "rule out" are always coded as if they occurred regardless of the setting when diagnostic work-up was performed.

Question 15

E codes are used as the principal diagnosis for instances of injury or poisoning.

Question 16

ICD-9 Volume 3 is used exclusively in _____.

A) ERs
B) inpatient admissions
C) same day surgery centers
D) hospital-based surgery centers

Question 17

Codes located in slanted brackets [ ] indicate that the code _______.

A) must be assigned as a secondary code
B) must be assigned as principal
C) is optional
D) was replaced with the code not in brackets

Question 18

When coding diseases that are caused by a specific organism, the coder should assign a code for the condition and the causative organism. Under what term would the organism be located?

A) Infection
B) Organism
C) Microorganism
D) Bacteria

Question 19

E codes have a sequencing rule where codes for child or adult abuse are sequenced before all other E codes.

Question 20

A visible clinical observation or evidence determined by the physician is called a _____.

A) symptom
B) sign
C) chief complaint
D) None of the above

Question 21

An elderly woman is taking multiple prescription medications for hypertensive heart disease and depression. She proceeded to take pseudophedrine over the counter and began experiencing palpitations. She went to the ER and was treated and released. How would this be coded?

A) Poisoning
B) Adverse Effect
C) Palpitations
D) Complication

Question 22

______________________________ is a side effect due to a medication properly prescribed and administered.

Question 23

Selecting the appropriate principal diagnosis is called ____________________.

Question 24

A 32-year-old is admitted for a scheduled c-section for her first pregnancy because the woman is very petite and carrying twins. She has had a normal pregnancy all term. She is currently at 37 weeks, 5 days. She delivered one male and one female twin. Assign the appropriate code(s).

Question 25

The coder should always review the ______________________________ when coding a surgery if specimens were removed.

Question 26

Patient recently is 3 weeks post nephrectomy for renal cell carcinoma. Patient is being seen today for surgery follow-up and to determine next stage of treatment. What is the primary diagnosis for today's encounter?

A) V65.49, V10.52
B) V67.09
C) V67.09, 189.0
D) 189.0

Question 27

A man was using a ladder to clean out his gutters at home. He fell off the ladder and landed in the shrubs below. He received many scratches and bruises along with a dislocated shoulder. He was treated and released from the ER the same day. How many E codes would be assigned to this chart?

A) one
B) two
C) three
D) four

Question 28

Patient is status post radical hysterectomy for cervical cancer 2 weeks ago. She is seen for her first chemotherapy session today. How is this coded?

A) V58.1, V10.41
B) V58.1, 180.9
C) 180.9, V58.1
D) 233.1, V58.1

Question 29

What is the exception to the coding guideline where if a diagnosis documented at the time of discharge is "probable" or "suspected" or "questionable" is not coded as if confirmed?

Question 30

Patient is admitted from the physician's office for IV hydration. Patient is 3 weeks into chemotherapy for breast cancer of the lower outer quadrant and has not been able to keep foods or fluid down. Patient has lost 10 pounds and is clearly dehydrated. Assign the appropriate code(s).