Question 1

a fractured distal radius and ulna; closed Patient diagnosed with tubal pregnancy; unilateral salpingectomy for removal of tubal pregnancy performed.

Accepted Answer

The correct ICD-9-CM code for a tubal pregnancy without intrauterine pregnancy is 633.10, and the procedure code for unilateral salpingectomy is 66.62.

Question 2

Dermatitis due to prescription topical antibiotic cream used as directed by physician

Accepted Answer

Dermatitis due to prescription topical antibiotic cream used as directed by physician is coded as 692.3 (Dermatitis due to drugs and medicaments) with E930.9 (Adverse effect of antibiotic and antimicrobial drugs, unspecified).

Question 3

Vaginal delivery of a full-term liveborn infant. Patient undergoes episiotomy with repair and post delivery elective tubal ligation.

Accepted Answer

Vaginal delivery of a full-term liveborn infant is coded as 650. Episiotomy with repair is coded as 73.6. Elective tubal ligation is coded as 66.32. V25.2 is for episiotomy and V27.0 is for elective tubal ligation.

Question 4

Abscess with cellulitis of the abdominal wall. Culture is positive for Staph aureus.

Accepted Answer

The correct codes are 682.2 for abscess and 041.11 for infection due to Staph aureus. Cellulitis is not coded separately because it is included in the term "infection." 707.8 is not needed because there is already a specific code for the infection.

Question 5

Acute urinary tract infection due to E. coli

Accepted Answer

Acute urinary tract infection due to E. coli is coded as 599.0 (Urinary tract infection, unspecified) and 041.4 (Escherichia coli as the cause of diseases classified elsewhere).

Question 6

Abscessed pilonidal cyst; excision of cyst

Accepted Answer

The answer of Abscessed pilonidal cyst; excision of cyst
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Question 7

Hemorrhagic cystitis; cystoscopy with biopsy of bladder

Accepted Answer

The answer of Hemorrhagic cystitis; cystoscopy with biopsy of bladder
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Question 8

Pathological fracture of the femur due to metastatic bone cancer. Patient has a history of lung cancer.

Accepted Answer

The code for pathological fracture of the femur due to metastatic bone cancer is 733.14. The code for the history of lung cancer is V10.11. Both of these codes should be included. Code 198.5 is for secondary malignant neoplasm of bone, which is already implied by the term “metastatic bone cancer” and not necessary to include as a separate code. Code 821.00 is for fracture of the femur, but adding “pathological” and “due to metastatic bone cancer” requires the more specific code of 733.14. Code 162.9 is for lung cancer and is not directly related to the pathological fracture.

Question 9

End-stage kidney disease which resulted from malignant hypertension

Accepted Answer

The correct coding for end-stage kidney disease due to malignant hypertension is 403.01 (Hypertensive chronic kidney disease with stage V chronic kidney disease or end-stage renal disease) and 585.6 (End-stage renal disease).

Question 10

Delivery of a single newborn at 43 weeks' gestation; manually assisted delivery

Accepted Answer

The correct ICD-9-CM code for post-term delivery (after 42 weeks) is 645.21. The V27.0 code indicates a single liveborn, and 73.59 is the procedure code for manually assisted delivery.

Question 11

Incomplete spontaneous abortion complicated by excessive hemorrhage; dilation and curettage performed.

Accepted Answer

The answer of Incomplete spontaneous abortion complicated by excessive hemorrhage;...

Question 12

Chronic kidney disease due to hypertension and type I diabetes mellitus

Accepted Answer

The answer of Chronic kidney disease due to hypertension and...

Question 13

Patient presents with complaint of gross hematuria. Diagnosis of benign prostatic hypertrophy is made and patient undergoes transurethral prostatectomy.

Accepted Answer

- 600.00 (Hyperplasia of prostate without urinary obstruction and other lower urinary tract symptoms): this code represents the diagnosis of benign prostatic hypertrophy.
- 599.71 (Hematuria): this code represents the patient's complaint of gross hematuria.
- 60.29 (Transurethral resection of prostate): this code represents the procedure performed on the patient, transurethral prostatectomy.

Question 14

Patient had a cholecystectomy 6 days ago and is now coming back with evidence of staphylococcal cellulitis at the site of operative incision.

Accepted Answer

The answer of Patient had a cholecystectomy 6 days ago...

Question 15

Chronic ulcers of the calf and back. Both ulcers are excisionally debrided and the ulcer on the back has a split-thickness skin graft.

Accepted Answer

The correct codes are 707.12 for the chronic ulcer of the calf, 707.8 for the chronic ulcer of the back, 86.22 for the excisional debridement of both ulcers, and 86.69 for the split-thickness skin graft on the back.

Question 16

Herniated lumbar intervertebral disc with paresthesia; lumbar laminectomy with diskectomy performed.

Accepted Answer

The answer of Herniated lumbar intervertebral disc with paresthesia; lumbar...

Question 17

Boil, left face; incision and drainage

Accepted Answer

The correct ICD-9-CM code for a boil (furuncle) on the face is 680.0. The procedure code for incision and drainage of skin and subcutaneous tissue is 86.04.

Question 18

Female, 26 weeks' pregnancy is treated for reduction of fracture performed

Accepted Answer

The correct coding includes the fracture code (813.44), the procedure code for reduction (79.02), and the pregnancy complication code (648.93) to indicate the treatment during pregnancy.

Question 19

Obstructed labor due to breech presentation; single liveborn delivered via Cesarean section

Accepted Answer

The correct codes are 660.01 for obstructed labor due to breech presentation, 652.21 for breech presentation, V27.0 for single liveborn, and 74.99 for Cesarean section.

Question 20

Male patient presents to the ER in acute renal failure; he is also being treated for hypertension

Accepted Answer

The correct ICD-9 codes for acute renal failure and unspecified essential hypertension are 584.9 and 401.9, respectively.

Exam 1: Registered Health Information Administrator