Deck 11: Coding Cardiovascular Conditions

Question 1

What is the correct code for a fast heartbeat?

A) R00.0
B) R00.1
C) R00.2
D) R00.8

Answer 1

A

Question 2

Which of these conditions is an irregular heartbeat?

A) Angina
B) Cardiac arrest
C) Dyspnea
D) Arrhythmia

Answer 2

D

Question 3

Refer to the ICD-10-CM Official Guidelines I.C.9.b which states: If a patient with coronary artery disease is admitted due to an acute myocardial infarction (AMI), the AMI should be sequenced ________ the coronary artery disease.

A) after
B) before
C) simultaneously
D) concurrently

Answer 3

B

Question 4

To determine the diagnosis code for heart failure, the coder needs to know

A) what type of heart failure.
B) if it is acute or chronic.
C) what type of heart failure and if it is acute or chronic.
D) none of these.

Question 5

What is the correct code for left heart failure?

A) I50.1
B) I50.20
C) I50.30
D) I50.40

Question 6

What is the correct code for a patient who is in cardiac arrest?

A) I46.2
B) I46.8
C) I46.9
D) I45.9

Question 7

The mitral valve is the gateway between the ________ and ________:

A) left atrium, left ventricle
B) right atrium, right ventricle
C) left atrium, right ventricle
D) right atrium, left ventricle

Question 8

Dr. Joyner prescribed Plavix, 300mg b.i.d., for Tony's cardiac condition. Tony has been taking the medication as prescribed and presents today for therapeutic drug level monitoring. The coder should assign code:

A) Z79.01
B) Z79.82
C) Z51.81
D) Z79.02

Question 9

Approximately how many times does the heart beat per minute?

A) 20
B) 30
C) 60
D) 90

Question 10

What is the correct code for ventricular flutter?

A) I49.01
B) I49.02
C) I49.1
D) I49.2

Question 11

What is the correct code for a patient diagnosed with crescendo angina?

A) I20.0
B) I20.1
C) I20.8
D) I20.9

Question 12

________ means the heart actually stops beating.

A) myocardial infarction
B) Cardiac arrest
C) STEMI
D) Coronary spasm

Question 13

Amanda was diagnosed with tachycardia-bradycardia syndrome. The coder should assign code:

A) P29.12
B) G90.09
C) R00.1
D) I49.5

Question 14

Bob suffered cardiac arrest after cardiac surgery performed three hours ago. The coder should assign code:

A) I46.0
B) I46.8
C) I97.710
D) I97.120

Question 15

Which of the following underlying conditions is/are possible cause(s) of cardiac arrest?

A) arrhythmia
B) electric shock
C) drug interaction
D) all of these

Question 16

June was diagnosed with nonrheumatic mitral (valve) prolapse. The main term is ________; the correct code is ________.

A) mitral, I34.1
B) prolapse, I34.1
C) prolapse, I34.0
D) nonrheumatic, I34.2

Question 17

What is the correct code for a slow heartbeat?

A) R00.0
B) R00.1
C) R00.2
D) R00.8

Question 18

________ is a condition resulting from plaque buildup on the interior walls of the arteries, causing reduced blood flow:

A) Thrombus
B) CVA
C) Atherosclerosis
D) Infarction

Question 19

Chest pain is also referred to as:

A) angina.
B) cardiac arrest.
C) dyspnea.
D) arrhythmia.

Question 20

Which of the following is the correct code for ventricular septal defect?

A) I51.0
B) I51.1
C) Q21.0
D) Q21.2

Question 21

What are the correct codes for a patient diagnosed with hypertensive heart and chronic kidney disease without heart failure, stage 4?

A) I13.10, N18.3
B) I13.10, N18.4
C) I13.11, N18.3
D) I13.11, N18.4

Question 22

According to the CDC, what is the percentage of American adults with hypertension?

A) 15 percent
B) 22 percent
C) 29 percent
D) 40 percent

Question 23

What are the correct codes for a patient diagnosed with hypertensive chronic kidney disease, stage 2?

A) I12.0, N18.1
B) I12.0, N18.2
C) I12.9, N18.1
D) I12.9, N18.2

Question 24

In hypotension the systolic blood pressure is below:

A) 50 mmHg.
B) 70 mmHg.
C) 90 mmHg.
D) 110 mmHg.

Question 25

Chuck comes in today to see Dr. Lovell due to an ongoing headache, some confusion, and insomnia. After the appropriate tests, Chuck is diagnosed with hypertensive encephalopathy. The coder should assign codes:

A) I67.4, I10
B) G93.40, I10
C) I11.0, I67.4
D) G93.40, I11.0

Question 26

What are the correct codes assigned for a patient diagnosed with hypertension secondary to Grave's disease?

A) I15.1, E05.00
B) I15.2, E05.00
C) I15.1, E05.01
D) I15.2, E05.01

Question 27

James Tedder, a 62-year-old male, complains of chest tightness with activity. Dr. Franklin completes a stress ECG which confirms a diagnosis of silent myocardial ischemia. The coder should assign code:

A) I25.2
B) I25.5
C) I25.6
D) I25.9

Question 28

In your ICD-10-CM book turn to code I25.84 in the Tabular List. What notation do you find under this code?

A) Use additional code
B) Code also
C) Code first
D) Excludes1

Question 29

What is the correct code for a patient diagnosed with chronic hypotension?

A) I10
B) I95.81
C) R03.0
D) I95.89

Question 30

Which of the following is used to measure a patient's blood pressure?

A) Chest x-ray
B) Sphygmomanometer
C) Ophthalmoscopy
D) Electrocardiogram

Question 31

What is the correct code for a patient diagnosed with renovascular hypertension?

A) I10
B) I11.0
C) I15.0
D) I15.9

Question 32

Which of the following is also known as a stroke?

A) Left heart failure
B) Right heart failure
C) Cerebral infarct
D) Cerebrovascular accident

Question 33

What is the correct code for a patient diagnosed with idiopathic hypertension?

A) I10
B) I11
C) R03.0
D) I10.0

Question 34

Refer to the ICD-10-CM Official Guidelines I.C.9.a.2 which states: The appropriate code from category ________ should be used as a secondary code with a code from category ________ to identify the stage of chronic kidney disease.

A) I12, N18
B) N17, I11
C) I11, N17
D) N18, I12

Question 35

What is the systolic/diastolic measurement for a patient diagnosed with normal blood pressure?

A) <90/60 mmHg
B) 90-120/60-80 mmHg
C) 120-139/80-89 mmHg
D) 140-159/90-99 mmHg

Question 36

What is the systolic/diastolic measurement for a patient diagnosed with hypertension stage 1?

A) <90/60 mmHg
B) 90-120/60-80 mmHg
C) 120-139/80-89 mmHg
D) 140-159/90-99 mmHg

Question 37

Betty presents today with vision difficulty. After an examination, Betty is diagnosed with hypertensive retinopathy of the right eye. The coder should assign codes:

A) H35.031, I10
B) I10, H35.032
C) I11.0, H35.031
D) H35.032, I10

Question 38

In your ICD-10-CM book turn to code sub-category I25.7 in the Tabular List. You will find a "Use additional code" notation. Under the "Use additional code" notation find coronary atherosclerosis due to lipid rich plaque. What is the code next to this notation?

A) I25.84
B) I25.83
C) I25.85
D) I25.82

Question 39

What is/are the correct code(s) for a patient diagnosed with hypertensive heart disease with chronic diastolic congestive heart failure?

A) I10, I50.32
B) I11.0
C) I11.0, I50.32
D) I12.0

Question 40

________ blood vessels that carry oxygenated blood from the heart to the tissues and cells throughout the body.

A) Cardiovascular
B) Veins
C) Arteries
D) Thrombosis

Question 41

Refer to the ICD-10-CM Official Guidelines I.C.9.d.2 which states: Codes from category I69 may be assigned on a health care record with codes from ________, if the patient has a current cerebrovascular disease and deficits from an old cerebrovascular disease.

A) I30-I52
B) I60-I67
C) I70-I79
D) I80-I89

Question 42

CVA stands for:

A) Combined Value Accident.
B) Corpus Vasorum Antiquorum.
C) Cerebrovascular Accident.
D) Compiled Vertex Angle.

Question 43

What is the correct code for a patient being treated for dysphasia following nontraumatic subarachnoid hemorrhage?

A) I69.020
B) I69.021
C) I69.022
D) I69.023

Question 44

What is the correct code assigned for a patient with a nontraumatic intracerebral hemorrhage, subcortical?

A) I61.0
B) I61.4
C) I61.8
D) I61.9

Question 45

Which of the following is a hypertension (I10) nonessential modifier?

A) accelerated
B) idiopathic
C) malignant
D) all of these

Question 46

Code category ________ National Institutes of Health Stroke Scale (NIHSS) score provides you with 43 codes from which to choose to accurately report the score.

A) R29.0
B) R29.5
C) R29.7
D) R29.8

Question 47

Dysphasia means:

A) Impaired speech.
B) Difficulty swallowing.
C) Difficulty urinating.
D) Impaired vision.

Question 48

Refer to the ICD-10-CM Official Guidelines I.C.9.a.1 which states: Hypertension with heart conditions classified to I50.- or I51.4I51.9, are assigned to a code from category ________, Hypertensive heart disease.

A) I10
B) I11
C) I12
D) I13

Question 49

Billy suffered a nontraumatic acute subdural hemorrhage. The coder should assign code:

A) I62.00
B) I62.01
C) I62.02
D) I62.03

Question 50

What is the correct code for a patient being treated for aphasia following other nontraumatic intracranial hemorrhage?

A) I69.220
B) I69.221
C) I69.222
D) I69.223

Question 51

Refer to the ICD-10-CM Official Guidelines I.C.9.a.3 which states: The codes in category ________, Hypertensive heart and chronic kidney disease, are combination codes that include hypertension, heart disease and chronic kidney disease.

A) I10
B) I11
C) I12
D) I13

Question 52

What does the abbreviation CAD stand for?

A) Cardiac artery disease
B) Coronary artery disease
C) Cardiac artery disorder
D) Coronary artery disorder

Question 53

Which of the following conditions is the result of a ventricle of the heart being unable to fill as it should:

A) Left heart failure
B) Right heart failure
C) Diastolic heart failure
D) Systolic heart failure

Question 54

In cases where a physician states that a patient has heart failure due to hypertension, you will need to:

A) use the appropriate fourth character.
B) use additional code to specify the type of heart failure from category I50.-.
C) use the appropriate fifth character.
D) use the appropriate fourth character and Use additional code to specify the type of heart failure from category I50.-.

Question 55

What is the correct code for a patient being treated for a facial droop after a CVA 1 year ago?

A) I69.990
B) I69.991
C) I69.992
D) I69.993

Question 56

What is the correct code for an old myocardial infarction?

A) I21.11
B) I21.10
C) I25.2
D) I22.2

Question 57

What is the correct code for a patient being treated for stuttering following nontraumatic subarachnoid hemorrhage?

A) I69.123
B) I69.021
C) I69.122
D) I69.023