Deck 15: Coding Muscular and Skeletal Conditions

Question 1

What is the correct code for a patient with a contusion of the right hand, initial encounter?

A) S60.221A
B) S60.221D
C) S60.222A
D) S60.222D

Answer 1

A

Question 2

________ is a chronic degeneration of the articular cartilage simultaneous with the formation of bone spurs on the underlying bone within a joint.

A) Myositis
B) Osteoarthritis
C) Epicondylitis
D) Torticollis

Answer 2

B

Question 3

Which of the following is an autoimmune systemic inflammatory disease that affects joints as well as the surrounding muscles, tendons, and ligaments?

A) Myasthenia gravis
B) Duchenne's muscular dystrophy
C) Rheumatoid arthritis
D) Congenital myopathies

Answer 3

C

Question 4

________ is a condition in which the sternocleidomastoid muscle becomes spasmed (shortened), causing the head to bend to one side and the chin to the opposite side:

A) Bursitis
B) Epicondylitis
C) Achilles tendon contracture
D) Torticollis

Question 5

Which of the following is caused by a muscle strain?

A) Myositis
B) Tendonitis
C) Epicondylitis
D) Torticollis

Question 6

What is the correct code for a Baker's cyst of the right knee?

A) M71.2
B) M71.20
C) M71.21
D) M71.22

Question 7

What is the correct code for infective myositis of the left shoulder?

A) M60.011
B) M60.012
C) M60.021
D) M60.022

Question 8

What is the correct code for a muscle spasm of the back?

A) M62.83
B) M62.830
C) M62.838
D) M62.89

Question 9

________ is an inflammation of the elbow joint that typically begins as a small tear in the muscle and then is aggravated by activities.

A) Bursitis
B) Epicondylitis
C) Achilles tendon contracture
D) Torticollis

Question 10

Which of the following is a chronic autoimmune disorder that causes muscle weakness?

A) Myasthenia gravis
B) Duchenne's muscular dystrophy
C) Rheumatoid arthritis
D) Congenital myopathies

Question 11

What is the correct code for Reiter's disease, right hip?

A) M02.242
B) M02.351
C) M02.871
D) M02.362

Question 12

What is the correct code for a patient with a strain of the extensor muscle, fascia, and tendon of the right little finger at the forearm level, initial encounter:

A) S56.417A
B) S56.417D
C) S56.418A
D) S56.418D

Question 13

What is the correct code for contracture of a muscle in the right ankle and foot?

A) M62.451
B) M62.461
C) M62.471
D) M62.472

Question 14

Refer to the ICD-10-CM Official Guidelines I.C.13.a, which states: Most of the codes within Chapter ________ have site and laterality designations.

A) 11
B) 12
C) 13
D) 14

Question 15

________, the backward curving of the knee joint, as well as other bowing of the long bones of the leg, may be treated with braces, casting, and/or orthotics.

A) Myositis
B) Osteoarthritis
C) Gout
D) Genu recurvatum

Question 16

Refer to the ICD-10-CM Official Guidelines I.C.13.c, which states: 7th character ________ is for use as long as the patient is receiving active treatment for the fracture.

A) A
B) D
C) P
D) S

Question 17

________ are involuntary twitches often caused by myositis or fibromyositis.

A) Achilles tendon contracture.
B) Torticollis.
C) Muscle spasms.
D) Type III traumatic spondylolisthesis.

Question 18

What is the correct code for patellofemoral disorder, right knee?

A) M22.2
B) M22.2X1
C) M22.2X2
D) M22.3X1

Question 19

________ is a disease or dysfunction of a joint.

A) Articulation
B) Dorsopathy
C) Myopathy
D) Arthropathy

Question 20

What is the correct code for villonodular synovitis, left shoulder?

A) M12.211
B) M12.271
C) M12.252
D) M12.212

Question 21

What are the correct codes for a patient who slipped on the ice and fractured the head of his left femur, initial encounter?

A) S72.032A, W00.0XXA
B) S72.042A, W00.0XXA
C) S72.045A, W00.0XXA
D) S72.052A, W00.0XXA

Question 22

What is the correct code for a patient being seen for a stress fracture of the ischium with delayed healing?

A) S32.602A
B) S32.601D
C) M84.350G
D) M84.353D

Question 23

What is the correct code for a patient being seen for delayed healing of a Le Fort III fracture?

A) S02.413A
B) S02.413B
C) S02.413D
D) S02.413G

Question 24

The torso of the human body is also called the:

A) thoracic cavity.
B) thoracic vertebrae.
C) ribs.
D) sternum.

Question 25

How many bones are in the adult human body?

A) 113
B) 145
C) 206
D) 228

Question 26

What is the correct code for spina bifida, lumbar?

A) Q05.3
B) Q05.5
C) Q05.7
D) Q05.9

Question 27

What is the correct code for a patient with rheumatoid bursitis of the left knee?

A) M06.062
B) M06.262
C) M06.062A
D) M06.262A

Question 28

Refer to the ICD-10-CM Official Guidelines I.C.13.d.1, which states: For patients with a history of osteoporosis fractures, status code ________, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

A) Z87.210
B) Z87.310
C) Z87.410
D) Z87.510

Question 29

What is the correct code for a patient seen for malunion of a displaced fracture of the coronoid process of the right ulna?

A) S52.041A
B) S52.041D
C) S52.041G
D) S52.041P

Question 30

What is the correct code for a patient being seen for a follow-up visit for a healing fracture of the sacrum? The fracture was a nondisplaced Zone 1 fracture.

A) S32.110A
B) S32.110B
C) S32.110D
D) S32.110G

Question 31

Refer to the ICD-10-CM Official Guidelines I.C.13.d.1, which states: Category ________, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past.

A) M78
B) M79
C) M81
D) M82

Question 32

________ is a disease affecting the back of the torso.

A) Arthropathy
B) Chondropathy
C) Dorsopathy
D) Myopathy

Question 33

What is the correct code for a patient seen for a nonunion of a greenstick fracture of the shaft of the right humerus?

A) S42.311D
B) S42.311K
C) S42.311P
D) S42.311S

Question 34

What is the correct code for congenital acetabular dysplasia?

A) Q65.9
B) Q65.89
C) Q65.30
D) Q65.00

Question 35

What are the correct codes for a patient with a displaced trimalleolar fracture of the right lower leg resulting from a fall into a manhole, initial encounter?

A) S82.841A, W17.1XXA
B) S82.844A, W17.1XXA
C) S82.851A, W17.1XXA
D) S82.854A, W17.1XXA

Question 36

What is the correct code for a displaced oblique fracture to the shaft of the left tibia, initial encounter?

A) S82.231D
B) S82.222A
C) S82.232A
D) S82.242G

Question 37

What is the correct code for localized osteoporosis?

A) M81.0
B) M81.6
C) M81.8
D) M83.0

Question 38

What is the correct code for a patient with a Salter-Harris type I physeal fracture of the upper end of the right femur being seen today for a recheck of the healing fracture:?

A) S79.011A
B) S79.011D
C) S79.011G
D) S79.011K

Question 39

What is the correct code for adolescent postural kyphosis in the thoracolumbar region?

A) M40.00
B) M40.03
C) M40.04
D) M40.05

Question 40

What is the correct code for a patient seen for a sequela for a torus fracture of the lower end of the right ulna?

A) S52.621A
B) S52.621D
C) S52.621G
D) S52.621S

Question 41

There are ________ thoracic vertebrae.

A) 4
B) 5
C) 7
D) 12

Question 42

Which of the following is not a congenital disorder?

A) Developmental dysplasia of the hip
B) Ectromelia
C) Myasthenia gravis
D) Klippel-Feil syndrome

Question 43

________ are conditions in which muscle control is reduced or nonexistent.

A) Paralytic syndromes
B) Myasthenia gravis
C) Duchenne's muscular dystrophy
D) Muscle tumors

Question 44

Turn to code M36.8 in the Tabular List. You will found a Code first notation under code M36.8. Under the Code first notation, what is the code associated with ochronosis?

A) E70.2
B) D80.-
C) T80.6-
D) D66

Question 45

________ is a disease affecting the vertebrae.

A) Arthropathy
B) Chondropathy
C) Dorsopathy
D) Spondylopathy

Question 46

The patient is being seen for rheumatoid heart disease with rheumatoid arthritis of right knee. The coder should assign code:

A) M05.151
B) M05.361
C) M06.022
D) M06.071

Question 47

Which of the following seventh characters is used to show that the patient was seen for subsequent care for a pathological fracture with delayed healing?

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

Question 48

Turn to subcategory S02.1 in the Tabular list. What notation(s) is/are found under the code?

A) Excludes1
B) Excludes2
C) Includes
D) Excludes1 and Excludes2

Question 49

Which of the following seventh characters is used to show that the patient was seen to check for healing of a fracture?

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

Question 50

________ is a condition characterized by the development of a short, wide neck due to either an abnormal number of cervical vertebrae or fused hemivertebrae.

A) Developmental dysplasia of the hip
B) Ectromelia
C) Myasthenia gravis
D) Klippel-Feil syndrome