Question 1

Laura is 7 years old and has acute bronchitis and cystic fibrosis. She is admitted to ambulatory surgery for bronchoscopy.

Accepted Answer

The answer of Laura is 7 years old and has...

Question 2

Jane Doe is 6 weeks post mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?

Accepted Answer

The correct sequencing is to first code for the reason for the admission, which is chemotherapy (V58.11), followed by the current condition being treated, which is the malignant neoplasm of the breast (174.9), and then the acquired absence of the breast (V45.71).

Question 3

Given the following diagnosis: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." What is the primary cancer site(s)?

Accepted Answer

The answer of Given the following diagnosis: "Carcinoma of axillary...

Question 4

When is it appropriate to use category V1O, history of malignant neoplasm?

Accepted Answer

Category V1O is used when the primary malignancy has been eradicated and no adjunct treatment is being given, indicating a history of the condition without current treatment.

Question 5

Jessica has been diagnosed with hyperthyroidism due to toxic multinodular goiter with cris She also has hypertension and has a history of sick sinus syndrome with pacemaker insertio Jessica has a partial thyroidectomy on this admission.

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The answer of Jessica has been diagnosed with hyperthyroidism due...

Question 6

The patient was admitted due to increasingly severe pain in his right arm, shoulder, and neck for the past 6 weeks. MRI tests showed herniation of the C5-C6 disc. Patient underwent cervical laminotomy and diskectomy C5-C6 disc. The patient is currently being treated for

Accepted Answer

The answer of The patient was admitted due to increasingly...

Question 7

James is admitted to the hospital for severe anemia that is a result of the chemotherapy treatments he is receiving for metastatic prostate cancer to bone. James receives blood transfusions and is discharged home.

Accepted Answer

The answer of James is admitted to the hospital for...

Question 8

Richard is admitted for chemotherapy for leukemia. Chemotherapy is administered. Given this information,

Accepted Answer

When a patient is admitted for chemotherapy, the principal diagnosis is the admission for chemotherapy code (V code), followed by the leukemia code and the procedure code for the chemotherapy.

Question 9

A 75-year-old man is admitted to your facility with acute cerebral embolism with infarction. He had hemiplegia and dysphagia. Physical therapy was given for the hemiplegia. Dysphagia was resolved at the time of discharge

Accepted Answer

The patient has acute cerebral embolism with infarction (434.11) and hemiplegia (342.90). Physical therapy was given for the hemiplegia and dysphagia (difficulty in swallowing) was resolved at the time of discharge. Therefore, there is no need to include a code for dysphagia or therapy. V57.1 (Encounter for Occupational therapy) is not needed as it does not reflect the reason for the admission or any ongoing treatment. 787.20 (Dysphagia, unspecified) is not needed as the dysphagia was resolved.

Question 10

Six-year-old Alex attended a birthday party where hot dogs and potato salad were served for lunch. Several hours after returning home, Alex began vomiting and having severe diarrhea. Alex was admitted to the hospital for treatment of his vomiting and diarrhea and was diagnosed with Salmonella food poisoning. Alex was given IV fluids for dehydration. Alex

Accepted Answer

The answer of Six-year-old Alex attended a birthday party where...

Question 11

Ralph is a 96-year-old nursing home resident who is admitted for malnutrition. Ralph has suffered a previous stroke that has left him with dysphagia. Ralph is treated for malnutritio_tij with hyperalimentation. Ralph was also found to have hypokalemia that was treated with IVY potassium replacement. On the day prior to discharge, Ralph underwent a PEG tube insertion.

Accepted Answer

The answer of Ralph is a 96-year-old nursing home resident...

Question 12

The patient has hypertensive heart disease and nephrosclerosis with chronic kidney failure. The patient had placement of arteriovenous fistula in his left wrist to prepare for the hemodialysis. Dialysis was also performed on this admission.

Accepted Answer

The answer of The patient has hypertensive heart disease and...

Question 13

David was experiencing chronic fatigue and was experiencing flulike symptoms. Blood testing indicated that he had hepatitis C. A percutaneous liver biopsy was performed to determine the stage of the disease.

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The answer of David was experiencing chronic fatigue and was...

Question 14

Jackie has developed a lesion on her right shoulder. A biopsy was obtained and was positive for malignant melanoma. She is now admitted for radical excision of the melanoma lesion and full-thickness skin graft.

Accepted Answer

The answer of Jackie has developed a lesion on her...

Question 15

Patient is admitted to St. Mary's Hospital with hyperthermia, tachycardia, hypoxemia, and altered mental status. Urinalysis is positive for E. coli and blood cultures are negative. Patient is immediately started on broad-spectrum IV antibiotics. Physician documents urosepsis as the final diagnosis. The coder should

Accepted Answer

The answer of Patient is admitted to St. Mary's Hospital...

Question 16

Mary had resection of the large bowel for carcinoma of the colon. She is admitted for further staging of her cancer and receives radiation therapy during this admission.

Accepted Answer

The answer of Mary had resection of the large bowel...

Question 17

A patient is admitted to the hospital with listlessness, fever, and persistent cough. Work-up reveals HIV infection with HIV-related pneumonia. The patient is treated for pneumonia.

Accepted Answer

The answer of A patient is admitted to the hospital...

Question 18

A 40-year-old female suddenly develops a painful rash. A visit to her physician reveals she has shingles. She is experiencing a great amount of anxiety and stress, so her physician prescribes medication for the shingles and for the anxiety that occurred as a reaction to the stress.

Accepted Answer

The answer of A 40-year-old female suddenly develops a painful...

Question 19

The patient has had abnormal heavy uterine bleeding and abdominal pain. There was bright red blood in the vagina and the right adnexa was enlarged. The woman was admitted. In surgery, a laparoscopy revealed a right follicular ovarian cyst. A laparoscopic ovarian cystectomy was performed. Following surgery she was transfused two units of packed red blood cells for acute blood-loss anemia.

Accepted Answer

The correct codes are 620.0 for follicular ovarian cyst, 285.1 for acute posthemorrhagic anemia, and 65.25 for laparoscopic ovarian cystectomy.

Question 20

Sophia has been diagnosed with metastatic carcinoma of lung, primary site breast. Simple mastectomy performed 2 years ago. What is the principal diagnosis?

Accepted Answer

The principal diagnosis is the most significant diagnosis that is responsible for the patient's current hospitalization or outpatient visit. In this case, Sophia's current diagnosis of metastatic carcinoma of lung is the primary reason for her hospitalization or outpatient visit, making it the principal diagnosis.

Exam 1: Registered Health Information Administrator