Question 1

Patient arrived at the ER complaining of shortness of breath. Patient was diagnosed and treated for exercise-induced bronchospasm.

Accepted Answer

The correct code for exercise-induced bronchospasm is J45.990. The code J45.901 is for uncomplicated asthma, J45.991 is for asthma with status asthmaticus, and J45.998 is for other specified asthma. Since the patient was specifically diagnosed with exercise-induced bronchospasm, code J45.990 is the most appropriate.

Question 2

Chronic obstructive pulmonary disease is a term used to describe the accumulation of fluid in the pleural space.

Accepted Answer

Chronic obstructive pulmonary disease (COPD) is a lung disorder that makes it hard to breathe. The term used to describe the accumulation of fluid in the pleural space is pleural effusion.

Question 3

In ICD-10-CM, if a respiratory condition occurs in more than one site and is not specifically indexed, each site should be coded separately.

Accepted Answer

The answer of In ICD-10-CM, if a respiratory condition occurs...

Question 4

Patient was seen in the ER for sinus headache. Final diagnosis is acute ethmoidal sinusitis due to Streptococcus pneumoniae.

Accepted Answer

J01.20 is the ICD-10 code for acute ethmoidal sinusitis, and B95.3 is the code for Streptococcus pneumoniae as the cause of diseases classified elsewhere.

Question 5

In ICD-10-CM, two separate codes are assigned for COPD with asthma.

Accepted Answer

In ICD-10-CM, two separate codes are assigned for COPD with asthma. They are J44.0 (chronic obstructive pulmonary disease with acute lower respiratory infection) and J45.51 (severe persistent asthma with (acute) exacerbation).

Question 6

A 1-year-old male was admitted with barking cough, stridor, and hoarseness. The patient was up to date on all vaccinations and had achieved normal developmental milestones. Patient was treated for acute laryngotracheobronchitis and recovered.Discharge Diagnosis: Acute laryngotracheobronchitis

Accepted Answer

The answer of A 1-year-old male was admitted with barking...

Question 7

____________________ is a chronic lung disease that can result from other infections or, most commonly, cigarette smoke.

Accepted Answer

The answer of ____________________ is a chronic lung disease that...

Question 8

Patient is admitted with pneumonia and associated large right pleural effusion requiring therapeutic thoracentesis of right pleural cavity.

Accepted Answer

The correct codes are J18.9 for pneumonia, unspecified, J91.8 for pleural effusion in conditions classified elsewhere (since the effusion is associated with pneumonia), and 0W993ZZ for the therapeutic thoracentesis of the right pleural cavity.

Question 9

Infant was seen in the ER with diagnosis of acute bronchiolitis due to RSV. The infant has been exposed to tobacco smoke.

Accepted Answer

J21.0 represents acute bronchiolitis due to RSV and Z77.22 represents exposure to environmental tobacco smoke. These two codes together explain the situation of the infant in the ER.

Question 10

Patient is admitted for treatment of pneumonia. She has had a cough and fever for the past 3 days. Patient has mild COPD. She is treated with IV fluids for dehydration and antibiotics.Final Diagnoses: Fever due to pneumonia
Dehydration
COPD

Accepted Answer

- J44.0 for mild COPD 
- J18.9 for pneumonia 
- E86.0 for dehydration.

Question 11

The ____________________system's primary function is to supply the body with oxygen.

Accepted Answer

The answer of The ____________________system's primary function is to supply...

Question 12

Asthmatic bronchitis refers to an underlying asthmatic problem in patients in whom asthma has become so persistent that clinically significant chronic airflow obstruction is present despite antiasthmatic therapy.

Accepted Answer

Asthmatic bronchitis is a term used to describe chronic bronchitis with asthma. It is characterized by persistent cough and sputum production and significant chronic airflow obstruction despite antiasthmatic therapy.

Question 13

It is inappropriate for coders to assume a causal organism based on lab or radiology findings alone.

Accepted Answer

Coders should not assume a causal organism based solely on laboratory or radiology findings. A physician's clinical findings and diagnosis should also be taken into consideration.

Question 14

Patient was admitted with flulike symptoms. The final diagnosis on the discharge summary is possible novel influenza A H7N9.

Accepted Answer

The answer of Patient was admitted with flulike symptoms. The...

Question 15

Patient was admitted to the hospital in acute respiratory failure due to congestive heart failure. The patient was intubated and placed on mechanical ventilation for 2 days. The patient responded well to IV diuretics.

Accepted Answer

The correct answer is A because it includes the codes for acute respiratory failure due to congestive heart failure (J96.00), congestive heart failure (I50.9), mechanical ventilation (5A1945Z), and intubation (0BH17EZ).

Question 16

The abbreviation ABG stands for ____________________.

Accepted Answer

The answer of The abbreviation ABG stands for ____________________....

Question 17

Patient is admitted to the hospital and found to have had an NSTEMI. After admission. the patient went into acute respiratory failure.

Accepted Answer

The answer of Patient is admitted to the hospital and...

Question 18

Patient was admitted with cough and fever. Patient is HIV positive. Physician documents that the BAL (right main bronchus) confirmed Pneumocystis carinii pneumonia.

Accepted Answer

The correct codes are B20 for HIV disease, B59 for Pneumocystis carinii pneumonia, and 0B938ZX for the bronchoscopy procedure.

Question 19

Child was seen in the ER complaining of sore throat. Patient was diagnosed and treated for recurrent acute streptococcal tonsillitis.

Accepted Answer

The correct ICD-10 code for recurrent acute streptococcal tonsillitis is J03.01.

Question 20

Sometimes it is necessary to make an emergency artificial opening in a patient's neck into the trachea when the normal airway is blocked. This is called a(n) __________________.

Accepted Answer

The answer of Sometimes it is necessary to make an...

Quiz 17: Diseases of the Respiratory System