Deck 10: Coding Dysfunction of the Optical and Auditory Systems

Question 1

How many layers make up the cornea?

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

Answer 1

B

Question 2

Which of the following are portions of the interior of the eye?

A) Eyeball
B) Optic nerves
C) Extraocular muscles
D) All of these

Answer 2

D

Question 3

What is the function of the cornea?

A) To refract light rays
B) To connect to the optic nerve
C) To process light and color
D) To adjust for varying focal distances

Answer 3

A

Question 4

Which of the following is not in the middle layer of the eye?

A) Ciliary body
B) Choroid
C) Cornea
D) Iris

Question 5

What are the correct codes for a patient who has myopathy of the extraocular muscles of the right orbit and a cyst and atrophy of the left orbit?

A) H05.821, H05.811, H05.312
B) H05.821, H05.812, H05.312
C) H05.822, H05.811, H05.312
D) H05.822, H05.812, H05.312

Question 6

Which of the following is a receptor in the retina that is responsible for light and color?

A) Cone
B) Rod
C) Pupil
D) Lens

Question 7

Which of the following is the round, pigmented part of the eye?

A) Ciliary body
B) Choroid
C) Cornea
D) Iris

Question 8

Which of the following is not a gland within the palpebrae?

A) Moll's
B) Meibomian
C) Bulbar
D) Zeis

Question 9

What is the outer protective layer of the eyeball known as?

A) Cornea
B) Iris
C) Pupil
D) Sclera

Question 10

_______ is a condition in which the rims of the eyelids become inflamed and appear red.

A) Conjunctivitis
B) Blepharitis
C) Dacryocystitis
D) Keratitis

Question 11

Which of the following is the area of the eye that contains nerve endings?

A) Retina
B) Rod
C) Pupil
D) Iris

Question 12

What is the correct code for cellulitis of the right orbit?

A) H05.01
B) H05.11
C) H05.011
D) H05.0113

Question 13

Which of the following is photosensitive in low light?

A) Retina
B) Rod
C) Pupil
D) Iris

Question 14

What is another name for the eyelids?

A) Levator
B) Palpebrae
C) Superioris
D) Bulbar

Question 15

Jane Janson is seen today for cellulitis of her left orbit. The coder should assign code:

A) H05.011
B) H05.012
C) H05.013
D) H05.019

Question 16

What is the correct code for a hordeolum externum, right upper eyelid?

A) H00.011
B) H00.012
C) H00.013
D) H00.014

Question 17

What is the correct code for a patient with a corneal abscess of the left eye?

A) H16.311
B) H16.312
C) H16.313
D) H16.3129

Question 18

Which of the following is the opening in the center of the iris that permits light to enter and continue on to the lens and retina?

A) Retina
B) Rod
C) Pupil
D) Iris

Question 19

Which of these is the curved, multilayer, transparent portion of the eye?

A) Cornea
B) Iris
C) Pupil
D) Sclera

Question 20

What are the correct codes for a patient with blepharitis of the left lower eyelid and chronic dacryocystitis of the right lacrimal passage?

A) H01.005, H04.411
B) H01.005, H04.412
C) H01.006, H04.411
D) H01.006, H04.412

Question 21

What is the correct code for capsular glaucoma with pseudoexfoliation of lens in the right eye, moderate stage?

A) H40.141
B) H40.131
C) H40.1412
D) H40.1310

Question 22

What is the correct code for recurrent pterygium of both eyes?

A) H11.051
B) H11.063
C) H11.069
D) H11.113

Question 23

What is the correct code for acute conjunctivitis of the left eye?

A) H10.31
B) H10.32
C) H10.401
D) H10.402

Question 24

Which of the following is an abnormal displacement of the eyeball?

A) Blepharitis
B) Dacryocystitis
C) Proptosis
D) Conjunctivitis

Question 25

John Johnson is seen by the optometrist today for a granuloma of the left orbit, xeroderma of the right lower eyelid, and bilateral aphakia. What are the correct codes assigned?

A) H05.111, H01.141, H27.00
B) H05.111, H01.142, H27.01
C) H05.112, H01.141, H27.02
D) H05.112, H01.142, H27.03

Question 26

Which of the following conditions is a malfunction of the fluid pressure within the eye?

A) Cataract
B) Glaucoma
C) Macular degeneration
D) Hordeolum

Question 27

Which of the following is a sign or symptom of diabetic retinopathy?

A) Blurry vision
B) Blank spots
C) Pain in one or both eyes
D) All of these

Question 28

What is the correct code assigned for a patient with deep vascularization of the cornea in both eyes?

A) H16.432
B) H16.433
C) H16.443
D) H16.449

Question 29

What is the correct code assigned for a patient with anterior scleritis of the right eye?

A) H15.011
B) H15.012
C) H15.001
D) H15.002

Question 30

What is the correct code assigned for a patient with bilateral stage 5 retinopathy of prematurity?

A) H35.151
B) H35.109
C) H35.123
D) H35.163

Question 31

Which of the following is a condition also known as exophthalmos?

A) Blepharitis
B) Dacryocystitis
C) Proptosis
D) Conjunctivitis

Question 32

Mary Matheson is seen in the eye clinic today for pain in her left eye. The physician determines she has Soemmering's ring of the left eye with a cyst of the ora serrata. The coders should assign codes:

A) H26.411, H33.112
B) H26.412, H33.112
C) H26.413, H33.119
D) H26.419, H33.119

Question 33

Which of the following is not a sign or symptom of retinal detachment?

A) Floaters
B) Photopsia
C) Headache
D) Loss of vision

Question 34

Which of the following is also known as pink eye?

A) Blepharitis
B) Dacryocystitis
C) Proptosis
D) Conjunctivitis

Question 35

What is the correct code assigned for a patient with Coats retinopathy, left eye?

A) H35.00
B) H35.02
C) H35.20
D) H35.022

Question 36

How many categories of glaucoma are there?

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

Question 37

Which is the first stage of diabetic retinopathy?

A) Mild nonproliferative retinopathy
B) Moderate nonproliferative retinopathy
C) Severe nonproliferative retinopathy
D) Proliferative retinopathy

Question 38

What are the correct codes for a patient with proliferative bilateral retinopathy with bilateral bullous keratopathy?

A) H35.23, H18.10
B) H35.23, H18.11
C) H35.23, H18.12
D) H35.23, H18.13

Question 39

What is the correct code assigned for a patient with adherent leukoma of the left eye?

A) H17.00
B) H17.01
C) H17.02
D) H17.03

Question 40

How many stages of diabetic retinopathy development are there?

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

Question 41

What is another name for earwax?

A) Cerumen
B) Vestibule
C) Cochlea
D) Saccule

Question 42

What is the correct code assigned for a patient with Eales disease in the right eye?

A) H35.06
B) H35.061
C) H35.062
D) H35.069

Question 43

What are the correct codes assigned for a patient with a horseshoe tear of the left eye, Harada's disease of both eyes, and retinal vasculitis of the right eye?

A) H33.312, H30.813, H35.061
B) H33.311, H30.813, H35.061
C) H33.313, H30.813, H35.069
D) H33.319, H30.819, H.35.069

Question 44

What is the correct code for chronic serous otitis media of the left ear?

A) H65.21
B) H65.22
C) H65.31
D) H65.32

Question 45

Which of the following is not a function of cerumen?

A) Protecting the skin of the ear canal
B) Protecting the middle ear from bacteria
C) Enabling cleaning and lubrication
D) Transferring sound waves from the eardrum to the incus

Question 46

Which of the following is a symptom of hearing loss?

A) Hearing muffled speech
B) Asking others to speak more slowly
C) Avoiding some social settings
D) All of these

Question 47

Which unit of measurement determines the intensity, or loudness, of sound?

A) dB
B) Hz
C) Db
D) hZ

Question 48

What is the correct code for high-frequency deafness, right ear?

A) H91.90
B) H91.91
C) H91.92
D) H91.93

Question 49

What is the correct code for noise effects on the right inner ear?

A) H83.3X1
B) H83.3X2
C) H83.3X3
D) H83.3X9

Question 50

What are the correct codes for ototoxic hearing loss, right ear, after taking gentamicin?

A) H91.01, T36.5X5A
B) H91.02, T36.5X1A
C) H91.01, T36.5X5
D) H91.02, T36.5X1

Question 51

What is the correct code for presbycusis, left ear?

A) H91.10
B) H91.11
C) H91.12
D) H91.13

Question 52

Refer to the ICD-10-CM Official Guidelines I.C.7.a.5 which states: Assignment of the seventh character ________ for "indeterminate stage" should be based on the clinical documentation.

A) 2
B) 3
C) 4
D) 5

Question 53

Which of the following is the correct code for acute reactive otitis externa, bilateral?

A) H60.551
B) H60.552
C) H60.553
D) H60.559

Question 54

Which of the following is not a sign or symptom of hypertensive retinopathy?

A) Headache
B) Double vision
C) Vision loss
D) Nausea

Question 55

What is the correct code for a patient with an osseous obstruction of the left eustachian tube?

A) H68.101
B) H68.102
C) H68.112
D) H68.122

Question 56

What is the correct code for mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side?

A) H90.42
B) H90.5
C) H90.72
D) H90.8

Question 57

Which of the following can contribute to hearing loss?

A) Genetics
B) Congenital anomalies
C) Pathogens
D) All of these

Question 58

Refer to the ICD-10-Cm Official Guidelines I.C.7.a.1 which states: Assign as many codes from category ________, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

A) H39
B) H40
C) H41
D) H42

Question 59

What is/are the correct code(s) assigned for a patient with hypertensive retinopathy of the left eye?

A) H35.031
B) H35.032, I10
C) H35.033, I10
D) H35.039, I11

Question 60

Which of the following medications might cause ototoxic hearing loss?

A) Gentamicin
B) Cisplatin
C) Carboplatin
D) All of these

Question 61

Which of the following is an inflammation of the middle ear?

A) Otitis media
B) Otitis externa
C) Ménière's disease
D) Otosclerosis

Question 62

What is the correct code assigned for a patient with swimmer's ear, left ear?

A) H60.331
B) H60.332
C) H60.333
D) H60.339

Question 63

What is the correct code assigned for a patient with Ménière's disease of the left ear?

A) H81.01
B) H81.02
C) H81.03
D) H81.09

Question 64

Callin Collin is seen in the office today for bilateral hyperacusis and bilateral perceptive hearing loss. What are the correct codes?

A) H93.231, H90.0
B) H93.232, H90.3
C) H93.233, H90.3
D) H93.239, H90.8

Question 65

Max Maxwell was seen in the office today for left cochlear otosclerosis and recurrent cholesteatoma of a postmastoidectomy cavity of the right ear. What are the correct codes?

A) H80.21, H95.01
B) H80.21, H92.03
C) H80.22, H95.01
D) H80.22, H95.02

Question 66

What is the correct code assigned for a patient with impacted cerumen of the left ear?

A) H61.20
B) H61.21
C) H61.22
D) H61.23

Question 67

What is the correct code assigned for a patient with an abscess of the right external ear?

A) H60.00
B) H60.01
C) H60.02
D) H60.03

Question 68

Which of the following is a condition of increasing growth of spongy bone in the otic capsule?

A) Otitis media
B) Otitis externa
C) Ménière's disease
D) Otosclerosis

Question 69

What is the correct code assigned for a patient with acute mastoiditis, right ear?

A) H70.001
B) H70.091
C) H70.11
D) H70.221

Question 70

What is the correct code assigned for a patient with a cholesteatoma of the mastoid in his left ear?

A) H71.11
B) H71.12
C) H71.21
D) H71.22