Deck 16: Coding Injury, Poisoning, and External Causes

Question 1

How many codes are needed to properly report a burn diagnosis?

A) 1
B) 2
C) 3
D) 4

Answer 1

C

Question 2

An injury in which all the layers of the skin are traumatically torn away from the body is known as a(n):

A) abrasion.
B) avulsion.
C) laceration.
D) puncture wound.

Answer 2

B

Question 3

Which of the following burns would show blisters on the skin?

A) First degree
B) Second degree
C) Third degree
D) Deep third degree

Answer 3

B

Question 4

When coding a burn, which character in the code identifies the severity of the burn?

A) Second
B) Third
C) Fourth
D) Fifth

Question 5

Which of the following is commonly known as a bruise?

A) Abrasion
B) Contusion
C) Laceration
D) Puncture

Question 6

What is the correct code for a penetrating foreign body stuck in the left eyeball, initial encounter?

A) S05.52XA
B) S05.61XA
C) S05.50XA
D) S05.60XA

Question 7

What is the correct code for a puncture wound of the left foot, initial encounter?

A) S91.332A
B) S91.332D
C) S91.331A
D) S91.321D

Question 8

When coding a burn, which of the following should be the first-listed diagnosis?

A) Site
B) Site and severity
C) Extent
D) External cause

Question 9

What acronym do coders need to remember when coding burns?

A) S/S.E
B) S/S.E.E.
C) S.E.E.
D) S.E.

Question 10

When a bleeding area has coagulated into a blood clot, it is known as a(n):

A) abrasion.
B) contusion.
C) hematoma.
D) wound.

Question 11

Sophia Smith was weeding her garden this morning and got a splinter stuck in her right thumb. What codes are assigned?

A) S61.041A, W45.8XXD, Y92.017XA, Y93.H2
B) S61.041A, W45.8XXA, Y92.017, Y93.H2
C) S61.042A, W45.8XXD, Y92.017, Y93.H2
D) S61.042A, W45.8XXA, Y92.017, Y93.H2

Question 12

Which of the following burns would show necrosis?

A) First degree
B) Second degree
C) Third degree
D) Deep third degree

Question 13

What is the correct code for a patient seen today for a left index fingernail avulsion?

A) S61.201A
B) S61.301A
C) S61.200A
D) S61.300A

Question 14

What is/are the correct code(s) for a corrosion of the breast, third degree due to accidental spillage of concentrated lye?

A) T21.1XA
B) T54.3X1A, T21.71XA
C) T21.71XA, T54.3X1A
D) T54.3X1A

Question 15

Preston Pitte was seen today for a snake bite on his right middle finger. Preston was playing outside at the beach when he picked up a water snake. The snake bit him, and his parents want to make sure that he is okay. The examination reveals a puncture wound to his right middle finger consistent with a snake bite. What are the correct codes assigned?

A) S61.252A, W59.11XA, Y92.832
B) S61.252A, W59.12XA, Y92.832
C) S61.352A, W59.11XA, Y92.832
D) S61.352A, W59.12XA, Y92.832

Question 16

Which of the following burns would destroy all layers of the skin?

A) First degree
B) Second degree
C) Third degree
D) Deep third degree

Question 17

Which of the following is generally a ragged wound?

A) Abrasion
B) Avulsion
C) Laceration
D) Puncture wound

Question 18

What is the correct code for an open bite of the right wrist, initial encounter?

A) S61.531A
B) S61.551A
C) S61.552A
D) S61.559D

Question 19

What is the correct code for a second-degree burn of the right palm, initial encounter?

A) T23.151A
B) T23.251A
C) T23.351A
D) T23.451A

Question 20

Which of the following burns would show redness of the epidermis?

A) First degree
B) Second degree
C) Third degree
D) Deep third degree

Question 21

Sam Sampson was working at a cheese factory when a vat of boiling liquid cheese accidentally spilled over, landing on Sam. Sam has third-degree burns on both of his posterior forearms, as well as his abdomen and chest. What are the correct codes assigned?

A) T21.31XA, T21.32XA, T22.711A, T22.712A, X12.XXXA, Y92.63
B) T21.31XA, T21.32XA, T22.311A, T22.312A, T31.22, X12.XXXA, Y92.63, Y99.0
C) T21.31XA, T22.711A, T22.712A, T31.23, X12.XXXA, Y92.63
D) T21.31XA, T21.32XA, T22.311D, T22.312D, X12.XXXA, Y92.63

Question 22

What is the correct code for an air embolism following a transfusion?

A) T80.0XXA
B) T80.1XXA
C) T80.211A
D) T80.212A

Question 23

A health-related reaction caused by a harmful substance is known as (a[n]):

A) caustic.
B) poisoning.
C) adverse effect.
D) toxic effect.

Question 24

A condition produced by a substance that is harmful or causes death is known as (a[n]):

A) caustic.
B) poisoning.
C) adverse effect.
D) toxic effect.

Question 25

Calvin Cutler was drinking a cup of coffee when he burned his lip. He got a first-degree burn from the hot coffee. What codes are assigned?

A) T20.12XA, X10.0XXA
B) T20.22XA, X10.0XXA
C) T20.32XA, X10.0XXA
D) T20.42XA, X10.0XXA

Question 26

Which of the following is used to estimate the extent of burns?

A) Rule of fives
B) Rule of nines
C) Rule of sides
D) Rule of skin

Question 27

To be considered an adverse effect, which of the following must occur?

A) A healthcare professional must correctly prescribe the drug for the patient.
B) The patient must receive the correct drug.
C) The correct route of administration must be used.
D) All of these

Question 28

What is the correct code for an adverse effect of niacin?

A) T46.7X1A
B) T46.7X3A
C) T46.7X4A
D) T46.7X5A

Question 29

Brady Branson accidentally took his mom's Camazepam today. What code is assigned?

A) T42.4X1A
B) T42.4X2A
C) T42.4X3A
D) T42.4X4A

Question 30

What is the correct code for confirmed child neglect, initial encounter?

A) T74.01XA
B) T74.02XA
C) T74.11XA
D) T74.11

Question 31

Which of the following is the correct code for an encounter for examination following an alleged rape, adult?

A) Z04.41
B) Z04.51
C) Z04.42
D) Z04.21

Question 32

What is the correct code for a subsequent encounter for postprocedural cardiogenic shock?

A) T81.11
B) T81.11XA
C) T81.11XD
D) T81.11XS

Question 33

An unexpected bad result is known as (a[n]):

A) caustic.
B) poisoning.
C) adverse effect.
D) toxic effect.

Question 34

What is the correct code for sunburn, third degree?

A) L55.0
B) L55.1
C) L55.2
D) L55.3

Question 35

Carson Canterbury is seen in the office today. Carson is two years old and accidentally drank a bottle of Metamucil. Carson has been vomiting for about two hours. What is/are the correct code(s) assigned?

A) T47.4X1A
B) T47.4X2A, R11.10
C) T47.4X1A, R11.10
D) R11.10

Question 36

What is the correct code for a patient with solar keratosis?

A) L57.0
B) L57.1
C) L57.2
D) L57.3

Question 37

When coding adverse effects, poisoning, underdosing, and toxic effects, which character in the code describes the intent of the circumstance?

A) Fourth
B) Fifth
C) Sixth
D) Seventh

Question 38

What is the correct code for an adverse effect to Ritalin?

A) T43.635A
B) T43.634A
C) T43.633A
D) T43.632A

Question 39

What are the correct codes for acute pain from a recently implanted cardiac defibrillator?

A) T82.897A, G89.18
B) T82.897D, G89.18
C) T82.897A, G89.28
D) T82.897D, G89.28

Question 40

Sally Jo came to the office today for a tetanus shot. She went into anaphylactic shock due to the tetanus vaccine. What code(s) is/are reported?

A) Z23, T80.52XA
B) T80.59XA
C) T80.52XA
D) Z28.01

Question 41

Which of the following types of fractures happens when a vertebra has been crushed in all directions?

A) Avulsion
B) Burst
C) Comminuted
D) Depressed

Question 42

________ is a fractured bone that did not heal back together; no mending or joining together of the broken segments.

A) Site
B) Malunion
C) Extent
D) Nonunion

Question 43

External cause codes are used to report which of the following?

A) Cause of injury
B) Place of injury
C) Patient status
D) All of these

Question 44

________ is the displacement of a limb, bone, or organ from its customary position.

A) Avulsion
B) Corrosion
C) Laceration
D) Dislocation

Question 45

________ is a fractured bone that did not heal correctly; healing of bone that was not in proper position or alignment.

A) Site
B) Malunion
C) Extent
D) Nonunion

Question 46

What is the medical term for muscle pain?

A) Myalgia
B) Rupture
C) Arthropathy
D) Myopathy

Question 47

What is the correct external cause code for a blizzard, initial encounter?

A) X37.0XXA
B) X37.1XXA
C) X37.2XXA
D) X37.3XXA

Question 48

What is the correct external cause code for a patient who drowned after falling off a merchant ship?

A) V92.00XA
B) V92.01XA
C) V92.02XA
D) V92.03XA

Question 49

Refer to the ICD-10-CM Guidelines I.C.19.e.5.b, which states: When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories ________.

A) T51-T56
B) T36-T50
C) T66-T68
D) T80-T88

Question 50

________ is the percentage of the body that has been affected by the burn or corrosion.

A) Burn
B) Extent
C) Site
D) Severity

Question 51

Refer to the ICD-10-CM Guidelines I.C.19.a, which states: The aftercare ________ codes should not be used for aftercare for conditions such as injuries or poisonings, where ________ characters are provided to identify subsequent care.

A) 7^th, Z
B) Z, 7^th
C) 7^th, W
D) W, 7^th

Question 52

________ is the specific anatomical location of the disease or injury.

A) Site
B) Malunion
C) Extent
D) Nonunion

Question 53

Denise Davenport thought her cat bit her today. She sees Dr. Dunbar as a precaution. Dr. Dunbar diagnoses Denise with a cat bite to the right forearm. What codes are assigned?

A) S51.811A, W55.01XA
B) S51.851A, W55.03XA
C) S51.811A, W55.03XA
D) S51.851A, W55.01XA

Question 54

Refer to the ICD-10-CM Guidelines I.C.19.a, which states: Most categories in chapter 19 have a ________ character requirement for each applicable code.

A) 4^th
B) 5^th
C) 6^th
D) 7^th

Question 55

________ is a burn caused by a chemical; chemical destruction of the skin.

A) Avulsion
B) Corrosion
C) Laceration
D) Burn

Question 56

Refer to the ICD-10-CM Guidelines I.C.20.j.3, which states: Assign code ________, Terrorism, secondary effects, for conditions occurring subsequent to the terrorist event

A) Y37.9
B) Y36.8
C) Y38.9
D) Y39.9

Question 57

What is the correct code for a leaking heart valve prosthesis, initial encounter?

A) T82.01XA
B) T82.02XA
C) T82.03XA
D) T82.04XA

Question 58

What is the correct external cause code for contact with a hot saucepan, initial encounter?

A) X15.0XXA
B) X15.1XXA
C) X15.2XXA
D) X15.3XXA

Question 59

Refer to the ICD-10-CM Guidelines I.C.19.d.8, which states: When appropriate, both a code for a current burn or corrosion with 7th character ________ and a burn or corrosion code with 7th character "S" may be assigned on the same record (when both a current burn and sequelae of an old burn exist).

A) "A" or "K"
B) "A" or "D"
C) "D" or "P"
D) "G" or "B"

Question 60

Refer to the ICD-10-CM Guidelines I.C.20.k, which states: Assign a code from category ________, External cause status, to indicate the work status of the person at the time the event occurred.

A) Y99
B) Y98
C) Y97
D) Y96

Question 61

The Table of Drugs and Chemicals is set up as a seven-column table organized by the information in column 1-the table lists the names of drugs and chemicals, in alphabetic order. Moving to right what information is in sixth column?

A) Poisoning, accidental
B) Poisoning, intentional self-harm
C) Poisoning, assault
D) Adverse Effect

Question 62

Which of the following types of fractures is typically caused by a severe blow to the eye?

A) Basal skull
B) Blowout
C) Depressed skull
D) Stellate

Question 63

Code category ________ reports that the physician knows (confirms) abuse, neglect or maltreatment.

A) T73
B) T74
C) T76
D) T78

Question 64

Which of the following types of fractures is a fracture of the epiphyseal plate?

A) Fissured
B) Impacted
C) Oblique
D) Salter-Harris

Question 65

Which of the following types of fractures identifies the breaking of the bone into several pieces?

A) Avulsion
B) Burst
C) Comminuted
D) Depressed

Question 66

What is the correct code for physical abuse complicating pregnancy, second trimester?

A) O9A.312
B) O9A.412
C) O9A.512
D) O9A.311

Question 67

The Table of Drugs and Chemicals is set up as a seven-column table organized by the information in column 1-the table lists the names of drugs and chemicals, in alphabetic order. Moving to the right, what information is in third column?

A) Poisoning, accidental
B) Poisoning, intentional self-harm
C) Poisoning, assault
D) Poisoning, undetermined

Question 68

Which of the following seventh characters is used to show that the patient was seen for a subsequent encounter for fracture with malunion?

A) B
B) G
C) K
D) P

Question 69

Which of the following seventh characters is used to show that the patient was seen for an initial encounter for open fracture?

A) A
B) B
C) D
D) G

Question 70

Which of the following types of fractures happens when the bone has been placed inward?

A) Avulsion
B) Burst
C) Comminuted
D) Depressed