Question 1

Intrauterine pregnancy, twins, 33 weeks. Premature rupture of membranes. Spontaneous delivery of premature twins, vertex presentation, both live born.

Accepted Answer

The answer of Intrauterine pregnancy, twins, 33 weeks. Premature rupture...

Question 2

Chronic interstitial cystitis; cystoscopy with biopsy performed

Accepted Answer

The answer of Chronic interstitial cystitis; cystoscopy with biopsy performed...

Question 3

Chronic pelvic inflammatory disease with dysmenorrhea. Patient undergoes ft diagnostic laparoscopy.

Accepted Answer

The answer of Chronic pelvic inflammatory disease with dysmenorrhea. Patient...

Question 4

Julia is an 80-year-old female with osteoporosis. She presents to the emergency department complaining of severe back pain. X-rays revealed pathological compression fractures of several vertebrae.

Accepted Answer

The answer of Julia is an 80-year-old female with osteoporosis....

Question 5

Cheryl has had chronic worsening pain of her left knee from rheumatoid arthritis. She has decided to undergo a total knee replacement as recommended by her physician. The surgery goes well; however, she develops a urinary tract infection that requires an additional day of stay in the hospital.

Accepted Answer

The answer of Cheryl has had chronic worsening pain of...

Question 6

Infertility secondary to pelvic peritoneal adhesions. Surgery performed is laparoscopic lysis of adhesions.

Accepted Answer

The answer of Infertility secondary to pelvic peritoneal adhesions. Surgery...

Question 7

When an open biopsy is followed by a more extensive definitive procedure the coder reports

Accepted Answer

When an open biopsy is followed by a more extensive definitive procedure, the coder should report both the open biopsy and the extensive definitive procedure. This is because the open biopsy was performed as a preliminary step to determine the diagnosis and plan for the more extensive procedure. Both procedures should be coded to accurately reflect the medical necessity and complexity of the overall treatment.

Question 8

Roscoe is 57-years old and has been diagnosed with gynecomastia. Roscoe also is on medication for temporal arteritis. Roscoe is admitted and bilateral mammectomy is performed. Roscoe's intravenous catheter infiltrates and he develops cellulitis at the IV site in the arm. This condition requires additional treatment.

Accepted Answer

- 611.1 is the ICD-10 code for gynecomastia, which Roscoe has been diagnosed with.
- 999.39 is the ICD-10 code for complications due to medical care, which is needed for the infiltrated IV site and cellulitis.
- 682.3 is the ICD-10 code for cellulitis, which is the condition that requires additional treatment.
- 446.5 is the ICD-10 code for temporal arteritis, which Roscoe is also being treated for.

Question 9

Sara has Dupuytren's contracture of the right middle finger. She has an incision and division of the palmar fascia.

Accepted Answer

The correct diagnosis code for Dupuytren's contracture of the right middle finger is 728.71. The procedure code for incision and division of the palmar fascia is 82.19. Therefore, the correct choice is 728.71, 82.19 which is option B.

Question 10

Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and sequence the coding from the following codes.

Accepted Answer

The answer of Patient is admitted for elective cholecystectomy for...

Question 11

Melissa is status post mastectomy due to breast cancer. There has been no recurrence of the disease. She is admitted for insertion of unilateral breast implant.

Accepted Answer

The answer of Melissa is status post mastectomy due to...

Question 12

A patient who is HIV positive and currently asymptomatic is admitted with a compound fracture of the tibia. The patient was treated previously for pneumocystis carinii pneumonia. Given the following codes, which is the correct coding and sequencing?

Accepted Answer

The answer of A patient who is HIV positive and...

Question 13

Hepatic coma with ascites due to Laennec's cirrhosis

Accepted Answer

The answer of Hepatic coma with ascites due to Laennec's...

Question 14

Admission for intestinal obstruction due to adhesions. Peripheral vascular disease and chronic urinary tract infections, both conditions treated with oral medication.

Accepted Answer

The answer of Admission for intestinal obstruction due to adhesions....

Question 15

A physician lists the final diagnosis as diarrhea and constipation due to either irritable bowel syndrome or diverticulitis. The following codes are assigned:

Accepted Answer

The answer of A physician lists the final diagnosis as...

Question 16

Fibrocystic disease of the breast; needle biopsy of breast

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The answer of Fibrocystic disease of the breast; needle biopsy...

Question 17

Scott has a deformity of his left ring finger, due to an old tendon injury. He is admitted and undergoes a transfer of the flexor tendon from the distal phalanx to the middle phalanx.

Accepted Answer

The answer of Scott has a deformity of his left...

Question 18

The diagnosis reads "first-, second-, and third-degree burns of the right arm." You would code

Accepted Answer

In medical coding, when multiple degrees of burns occur on the same site, only the highest degree is coded. Therefore, only the third-degree burn would be coded for the right arm.

Question 19

Max is 80% bald. He is admitted for a hair transplant, which he undergoes without complication. Max is also treated for congestive heart failure and hypertension for which he is on medication.

Accepted Answer

Since Max is only undergoing a hair transplant and treatment for his heart and hypertension, the only relevant ICD-10-CM codes are for those conditions. The correct codes are:
- I50.9 (Unspecified heart failure)
- I10 (Essential (primary) hypertension)
- Z42.81 (Hair transplant)

Therefore, the correct choice is C, which includes all three relevant codes. The other choices either include incorrect codes or unnecessary codes.

Question 20

Brandon has an infected ingrown toenail that his physician removes.

Accepted Answer

The answer of Brandon has an infected ingrown toenail that...

Exam 1: Registered Health Information Administrator