Question 1

Lung mass; diagnostic bronchoscopy.

Accepted Answer

- 518.89 refers to other and unspecified diseases of the respiratory system, which is not specific enough for the diagnosis of a lung mass. 
- 793.1 refers to nonspecific abnormal findings on radiological and other examination of the lung field, which again does not indicate the presence of a lung mass. 
- 33.23 and 33.27 both refer to diagnostic bronchoscopy, which is appropriate for investigating a lung mass. However, 33.23 specifically refers to flexible bronchoscopy, while 33.27 refers to rigid bronchoscopy. Without more information about the type of bronchoscopy performed, it is safer to choose the more general code 33.23, and therefore the correct answer is B: 786.6, 33.23.

Question 2

Liveborn infant, born in hospital, cleft palate and lip

Accepted Answer

Code V30.00 is used to indicate a liveborn infant, and code 749.20 is used to indicate that the infant has both a cleft lip and a cleft palate. Therefore, the best choice is C - V30.00, 749.20. Codes 749.00 and 749.10 are not necessary, as the more specific code 749.20 already includes both cleft palate and cleft lip.

Question 3

One-week-old infant admitted to the hospital with diagnosis of urinary tract infection contracted prior to birth. Urine culture positive for E.coli.

Accepted Answer

The correct coding for a urinary tract infection in a newborn contracted prior to birth is 771.82 (Urinary tract infection of newborn), 599.0 (Urinary tract infection, site not specified), and 041.4 (Escherichia coli infection).

Question 4

Newborn infant transferred to Manasota Hospital for treatment of esophageal atresia. Code for Manasota Hospital.

Accepted Answer

The answer of Newborn infant transferred to Manasota Hospital for...

Question 5

Patient presents to the emergency room with ascites. Paracentesis done.

Accepted Answer

The answer of Patient presents to the emergency room with...

Question 6

Pap smear with cervical high-risk human papillomavirus (HPV) DNA test positive

Accepted Answer

The code 795.05 is used for cervical high-risk human papillomavirus (HPV) DNA test positive.

Question 7

Patient admitted with abdominal pain. Discharge diagnosis is listed as abdominal pain due to gastroenteritis or diverticulosis.

Accepted Answer

The discharge diagnosis includes both gastroenteritis (789.00) and diverticulosis (562.10), but it is unclear which one is the primary cause of the abdominal pain. Therefore, both codes should be included as possible causes of the abdominal pain. Additionally, the code 558.9 for unspecified noninfectious gastroenteritis should also be included as a possible cause.

Question 8

Neonatal jaundice in preterm infant born in hospital. Phototherapy done to treat jaundice.

Accepted Answer

The correct coding for a preterm infant born in the hospital with neonatal jaundice treated with phototherapy includes the code for the birth status (V30.00), the condition (774.2 for neonatal jaundice), and the procedure (99.83 for phototherapy).

Question 9

Pyogenic arthritis of the hip due to Group A Streptococcus; arthrocentesis done

Accepted Answer

The correct ICD-9-CM codes for pyogenic arthritis of the hip due to Group A Streptococcus are 711.05 for pyogenic arthritis of the hip, 041.01 for infection due to Group A Streptococcus, and 81.91 for arthrocentesis.

Question 10

Bunion left foot and hammertoe right foot; Keller procedure and hammer toe repair performed.

Accepted Answer

The correct codes are 727.1 (Bunion, left foot), 735.4 (Hammertoe, right foot), 77.59 (Keller procedure), and 77.56 (Hammer toe repair).

Question 11

Full-term newborn, born in hospital. Mother is addicted to cocaine; however, infant tested negative.

Accepted Answer

The answer of Full-term newborn, born in hospital. Mother is...

Question 12

Infant with clubfoot. Correction by Evans operation

Accepted Answer

The ICD-9-CM code 754.70 is used for congenital deformities of the foot, unspecified, which includes clubfoot. The procedure code 83.84 is for other repair of the foot, which would include the Evans operation for clubfoot correction.

Question 13

Cervical spina bifida with hydrocephalus

Accepted Answer

Cervical spina bifida with hydrocephalus is classified as a type of spinal bifida occulta, which is represented by code 741.01 in ICD-10-CM. The other options (A, B, and D) are not specific to cervical spina bifida with hydrocephalus.

Question 14

Preterm infant born via Cesarean section admitted to Children's Hospital for severe birth asphyxia

Accepted Answer

The answer of Preterm infant born via Cesarean section admitted...

Question 15

Hypoglycemia in infant with diabetic mother

Accepted Answer

Hypoglycemia in infant of diabetic mother is coded as 775.0

Question 16

Full-term infant born in hospital. Birth complicated by cord compression which affected newborn.

Accepted Answer

The correct coding for a full-term infant born in a hospital with complications due to cord compression is V30.00 for the liveborn infant and 762.5 for the cord compression affecting the newborn.

Question 17

Recurrent internal derangement of the left knee; diagnostic arthroscopy of the knee.

Accepted Answer

The correct codes for this scenario are 718.36 for recurrent internal derangement of the left knee and 80.26 for diagnostic arthroscopy of the knee. Therefore, option B is the most appropriate choice as it includes both codes. Option A is incorrect as it includes an unspecified code for internal derangement while option C contains a code for a different condition altogether. Option D has an incorrect code for diagnostic arthroscopy.

Question 18

Full-term infant, born in hospital. Diagnosed with polycystic kidneys.

Accepted Answer

The code for the diagnosis of polycystic kidneys is 753.12, and as the infant was born in the hospital, the code for that is V30.00. Both codes need to be reported to fully capture the diagnosis and the place of birth. Therefore, the correct choice is B, which includes both codes.

Question 19

Malunion of humeral fracture (original injury occurred 1 year ago). Open reduction with internal fixation performed.

Accepted Answer

- 733.81: Malunion of fracture, humerus (ICD-9 diagnosis code)
- 905.2: Late effect of fracture (ICD-9 external cause code)
- 79.31: Open reduction of fracture with internal fixation, humerus (ICD-9 procedure code)

Question 20

Newborn, born in hospital with tetralogy of Fallot

Accepted Answer

The correct coding for a newborn born in a hospital with tetralogy of Fallot is V30.00 for a single liveborn infant, born in hospital, and 745.2 for tetralogy of Fallot.

Exam 1: Registered Health Information Administrator