Question 1

A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:

Accepted Answer

D57.01 is the ICD code for Sickle-cell anemia with acute chest syndrome, and J96.90 is for Respiratory failure, unspecified, which accurately reflects the patient's condition.

Question 2

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

Accepted Answer

Modifier -50 is used to indicate a bilateral procedure, which is appropriate when a procedure like a simple mastectomy is performed on both sides (left and right breasts) during the same operative session.

Question 3

A nonhealing burn should be coded as which type of burn?

Accepted Answer

The answer of A nonhealing burn should be coded as...

Question 4

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

Accepted Answer

E46 represents malnutrition, E87.6 represents hypokalemia, I69.391 represents dysphagia following cerebral infarction, and R13.10 represents dysphagia, unspecified. All these conditions are relevant to the patient's diagnosis and treatment.

Question 5

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

Accepted Answer

The Guidelines and parenthetical notes in the CPT manual provide the necessary instructions for properly coding a procedure, including how to use the codes correctly and any special instructions related to specific procedures or categories of procedures.

Question 6

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s):

Accepted Answer

E28.310 is the correct ICD-10-CM code for primary ovarian failure, which is synonymous with premature menopause. This code specifically addresses the condition described.

Question 7

Four people were seen in the ED. Which one will receive a diagnosis of poisoning?
Patient A: digitalis toxicity
Patient B: allergic reaction to contrast dye used for a CT exam
Patient C: syncope after taking antihistamine with alcohol
Patient D: reaction between two properly administered prescription drugs

Accepted Answer

The answer of Four people were seen in the ED....

Question 8

Which is an example of a pathologic fracture?

Accepted Answer

A pathologic fracture occurs when a bone breaks in an area weakened by some other disease, such as cancer, osteoporosis, or infection. In this case, option C (Compression fracture of vertebrae due to metastatic carcinoma) is an example of a pathologic fracture because the bone's integrity is compromised by the metastatic carcinoma, not primarily by an external trauma.

Question 9

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

Accepted Answer

The answer of The language that is built on medical...

Question 10

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

Accepted Answer

Modifier -50 is used to indicate a bilateral procedure, which is appropriate for a service performed on both sides of the body during the same operative session.

Question 11

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

Accepted Answer

E46 represents malnutrition, E87.6 represents hypokalemia, I69.391 represents dysphagia following cerebral infarction, and R13.10 represents dysphagia, unspecified. These codes collectively cover the patient's conditions and treatments mentioned.

Question 12

A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:

Accepted Answer

Z51.11 (Encounter for antineoplastic chemotherapy) is listed first to indicate the reason for the current encounter is chemotherapy. C40.21 (Malignant neoplasm of upper end of right fibula) is incorrect as it specifies the fibula; the correct code for osteosarcoma located above the right knee would involve codes for bones of the upper leg, but the principle remains to list the chemotherapy code first followed by the cancer diagnosis.

Question 13

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

Accepted Answer

N18.6 is the ICD-10-CM code for Chronic Kidney Disease (CKD), Stage 5. Z99.2 represents dependence on renal dialysis. These codes accurately describe a patient with stage 5 CKD undergoing dialysis.

Question 14

The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:

Accepted Answer

The revenue cycle encompasses all the steps from when a service is rendered (incurring charges) until the payment is fully received or adjusted, making it the correct term for this process.

Question 15

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

Accepted Answer

All of the statements provided are true regarding the coding guidelines for acute and chronic conditions. Combination codes can be used to identify both forms of a condition in one code, they can also be coded separately, and the ICD indeed provides combination codes for conditions where the subterms for acute and chronic are connected by a "with" statement.

Question 16

A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:

Accepted Answer

D57.01 is the ICD code for Sickle-cell anemia with acute chest syndrome, and J96.90 is for Respiratory failure, unspecified, which accurately reflects the patient's condition without unnecessary additional codes.

Question 17

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

Accepted Answer

Using the most current edition of the AMA CPT manual ensures accurate coding, which is crucial for correct billing and compliance with medical coding standards.

Question 18

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

Accepted Answer

The correct coding sequence according to the ICD-10-CM guidelines is: Sepsis (A41.9), Systemic Inflammatory Response Syndrome (SIRS) of non-infectious origin without acute organ dysfunction (R65.20), Acute renal failure (N17.9), Acute respiratory failure (J96.00), and Type 2 diabetes mellitus with other specified complications (E11.8). This sequence follows the guidelines for coding sepsis first, followed by associated conditions and complications.

Question 19

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

Accepted Answer

The answer of The language that is built on medical...

Question 20

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

Accepted Answer

The correct codes include sepsis (A41.9), severe sepsis (R65.20), acute renal failure (N17.9), respiratory failure (J96.00), and type 2 diabetes mellitus with other specified complications (E11.8).

Quiz 22: Fundamental Coding Guidelines

A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

A nonhealing burn should be coded as which type of burn?

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

Where in the CPT manual will a coder locate all the instructions necessary to properly code a procedure?

A 32-year-old female was diagnosed with premature menopause that is symptomatic of ovarian failure and is experiencing headaches, flushing, and night sweats. Select the correct ICD-10-CM code(s) :

Which is an example of a pathologic fracture?

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

A physician performed a simple mastectomy on both the left and right breasts-19303 mastectomy, simple, complete. Assign the appropriate modifier to be added to 19303 to indicate that both breasts were removed in the same operative session:

An elderly patient was admitted with malnutrition. He had suffered a stroke 2 years previously that left him with dysphagia. He was treated for the malnutrition with hyperalimentation. He was also diagnosed with hypokalemia. What are the correct codes?

A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:

A 67-year-old female patient with stage 5 chronic kidney disease presents today for ongoing dialysis. Choose the appropriate ICD-10-CM codes:

The flow of a practice's revenue, which begins when charges for services, procedures, or supplies are incurred and continues until those charges are paid in full or adjusted off the account is known as the:

Which of the following are true statements concerning acute and chronic conditions and their coding guidelines?

A patient is diagnosed with sickle cell crisis and acute chest syndrome with respiratory failure. Select the correct ICD codes:

Why is it necessary for a medical coder to use a current edition of the AMA CPT manual?

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only: