Midterm Review

Front 1

ICD-9-CM code 420.90 is an example of a _____ code.

Back 1

subclassification

Front 2

Chronic Rheumatic Heart Disease (393-398) is an example of an ICD-9-CM _____.

Back 2

Section

Front 3

ICD is published by the _____.

Back 3

WHO

Front 4

To code the diagnosis “allergic rash due to penicillin,” the coder would need to assign a(n) _____.

Back 4

Table of Drugs and Chemicals code

Front 5

Which is the last section of the ICD-9-CM Index to Diseases?

Back 5

Alphabetic Index to External Causes of Injury

Front 6

ICD-9-CM Appendix E contains which of the following?

Back 6

List of Three-Digit Categories

Front 7

Which is an example of an ICD-9-CM procedure category code?

Back 7

28

Front 8

The diagnostic terminology Status cardiac pacemaker would be assigned a(n) _____ code.

Back 8

V

Front 9

The cooperating parties for the ICD-9-CM include the _____.

Back 9

AHA, AHIMA, CMS, NCHS

Front 10

Locate the main term for the diagnosis “acute bronchial pneumonia with influenza” in the ICD-9-CM Index to Diseases. Which of the following is a nonessential modifier?

Back 10

Bronchial

Front 11

Onycholysis is reported with ICD-9-CM code _____.

Back 11

703.8

Front 12

When coding a diagnosis using a three-volume set of ICD-9-CM, the coder should refer to which volume first?

Back 12

Volume 2

Front 13

The Glossary of Mental Disorders is found in _____.

Back 13

DSM

Front 14

The Classification of Drugs by AHFS List is found in Appendix _____.

Back 14

C

Front 15

The AHFS List can be referenced in the ICD-9-CM Table of Drugs and Chemicals by locating the main term _____.

Back 15

Drug

Front 16

A patient falls on ice and breaks her wrist. While in the hospital, she undergoes a closed reduction procedure and then develops a urinary tract infection. Which condition or procedure is assigned an E code?

Back 16

Fall on ice

Front 17

Which of the following is reported to state cancer registries?

Back 17

M codes

Front 18

A morphology code contains the letter M followed by _____ digit(s) before the slash.

Back 18

four

Front 19

The ICD-9-CM Alphabetic Index to External Causes of Illness and Injury is located in the _____.

Back 19

Index to Diseases

Front 20

When coding the procedure “open reduction of closed radial fracture,” which is the main term?

Back 20

Reduction

Front 21

In the ICD-9-CM, which code is an “other” and “other specified” code?

Back 21

364.89

Front 22

Millin-Read operation is an example of a(n) _____.

Back 22

Eponym

Front 23

ICD-9-CM code 473.8 Other Chronic Sinusitis is an example of the use of _____.

Back 23

NEC

Front 24

Which punctuation is used to identify manifestation codes in the ICD-9-CM Index to Diseases?

Back 24

Slanted brackets

Front 25

A condition that occurs as the result of another condition is a(n) _____.

Back 25

manifestation

Front 26

The ICD-9-CM Index to Diseases entry for “amyloid neuritis” lists two codes, 277.39 [357.4]. How is code 357.4 reported?

Back 26

357.4 is reported second.

Front 27

In the ICD-9-CM Index to Procedures entry “Venotomy, Abdominal,” the word Abdominal is a _____.

Back 27

subterm

Front 28

Which ICD-9-CM code is an “unspecified” code?

Back 28

354.9

Front 29

Which statement regarding etiology/manifestation codes is correct?

Back 29

The etiology code is always sequenced first.

Front 30

Which statement regarding the phrase due to is correct?

Back 30

Due to indicates the presence of a cause-and-effect relationship between two conditions.

Front 31

Which statement regarding usage of the word with is correct?

Back 31

With is located in the ICD-9-CM Index to Diseases and Index to Procedures.

Front 32

Which is a cross-reference instruction?

Back 32

See category

Front 33

Which is a mandatory instruction?

Back 33

See

Front 34

Which are used in the ICD-9-CM alphabetic indexes to enclose italicized codes, which signify the use of more than one code to describe a diagnosis or procedure?

Back 34

Slanted brackets

Front 35

Which is equivalent to “unspecified” and “unqualified”?

Back 35

See also

Front 36

HOSPITAL ADMISSION SUMMARYPATIENT: Miller, MaumaMEDICAL RECORD: #:263335151 Date of Service 01/12/ADMITTING PHYSICIAN: Marlow Obstretric, M.D.HISTORY: This is a 35-year-old woman, who was 25 weeks pregnant, underwent insertion of a VP shunt for hydrochephalus, secondary to a bithalamic glioma. It is now two months later, she represented with symptoms of raised intracranial pressure and MRI scan revealed increased ventricular size. PHYSICAL: Hypertension (140/98) and tachycardia (102) with bounding central and peripheral pulses. The patient is anxious, diaphoretic, and in mild distress. Cardiovascular examination reveals a prominent and sustained apical impulse, and an indistinct S2 with S4 audible at the apex, and a grade 2/6 diastolic decrescendo murmur heard best at the left sternal bord er. HEENT examination shows grade II arteriovenous nicking on funduscopic examination. The remainder of the physical examination is unremarkable. Neuro: CN’s intact, EOMI, sensation is equal in the extremities bilaterally as are the DTR’s. Motor function of the upper and lower extremities shows minor weakness to the right as compared to the left. There is no tongue deviation or facial droop. The patient's illness, at this point, would seem most consistent with shunt malfunction.ASSESSMENT: Hydrocephalus, secondary to bithalamic glioma.ADMITTING DIAGNOSES: Shunt MalfunctionPLAN: She will be admitted to the hospital for the term of her pregnancy. Dr. Neuro had been asked to do an emergency consultation and exploration of the shunt.Abstract all primary and/or secondary diagnoses: Primary________________, and Secondary: _________________, ________________.

Back 36

237.5, 331.4, 996.2

237.5, 331.4, 996.2, Neoplasm of uncertain behavior of brain and spinal cord, Obstructive hydrocephalus, secondary to bithalamic glioma, Mechanical complication of nervous system device, implant, and graft. Note: Code the Glioma as primary, since the hydrocephalus is a manifestation or complication of the brain cancer.

Front 37

Hospital Consult PATIENT: Conrad, ShockaMEDICAL RECORD: #:2656565 Date of Service 12/20/CONSULTING PHYSICIAN: Gooda Specialist, MD, Infectious Disease, PAPRIMARY CARE PHYSICIAN: John Williams, MDChief complaint: Septic Shock Syndrome with Renal FailureHPI: This 79 year old male with known BPH was admitted through the ED due to fever of 104, rapid breathing and heart rate of 110, blood pressure was at 90/52 and disoriented to time and place. ROS: Unable to obtain due to the patient’s statusPFSH: Unable to obtain due to the patient’s status CONSTITUTIONAL: Well developed adequately nourished elderly male who is obtunded and unable to respond to commands.PHYSICAL EXAM: HEENT: Dry palpabral conjunctiva (Links to an external site.) , Neck: Supple, no LAD, Resp: Good air entry, minimal lagging on R with deep inhalation, decreased breath sounds R base, + egophony, occasional inspiratory crackles, no wheezes, CVS: RRR S1 and S2 audible no murmur, Abd: Obese, good BS, soft, non tender, no bruit, no organomegaly, + laparotomy scar, Neuro: Obtunded, CN’s intact, DTRs sluggish but equal. Rectal: Negative for occult blood, with brown stool present. Ext: No C/C/E, ++ pedal pulses, Skin: warm diaphoretic.Impression: Septic Shock SyndromePlan: Urine Culture and Sensitivities, Blood Cultures x 3cc: Dr. John Williams, Referring PCPPRIMARY DIAGNOSIS AND SECONDARY DIAGNOSES: ________________, _________________, ________________,Correct!

Back 37

038.9, 995.92, 585.9

038.9, Unspecified septicemia, 995.92, Severe sepsis, 585.9, Chronic kidney disease, unspecified, 785.52, Septic shock

Front 38

The word and in a title should be interpreted as _____.

Back 38

and/or

Front 39

Barlow syndrome is an example of a(n) ____.

Back 39

eponym

Front 40

Which of the following things should a coder do when coding an encounter?

Back 40

Assign codes based on the documentation in the chart.

Front 41

Typically, which of the following is NOT a reason claims for payment may be suspended?

Back 41

When the claims manager has a hunch, something is inaccurate.

Front 42

Which volume of the ICD-9-CM is a list of all diagnosis codes in numerical order?

Back 42

volume 1

Front 43

Select the correct ICD 9 codes for the following:need for prophylactic vaccination with diphtheria-tetanus-pertussis combined vaccine

Back 43

V06.1

Front 44

In ICD-10-CM, codes for secondary diabetes mellitus are divided by:

Back 44

cause

Front 45

Select the correct ICD 9 codes for the following: penicillin poisoning

Back 45

960.0

Front 46

Select the correct ICD 9 codes for the following: secondary cardiomyopathy

Back 46

425.9

Front 47

Select the correct ICD 9 codes for the following:

unspecified malignant neoplasm of the skin

Back 47

173.90

Front 48

Which of the following is NOT true in relation to the terminology differences between ICD-9-CM and ICD-10-CM/PCS?

Back 48

Bleeding in ICD-9-CM refers only to ulcers.

Front 49

Coding burns using ICD-10-CM will be different from coding burns using ICD-9-CM. Why?

Back 49

ICD-10-CM makes a distinction between burns and corrosions. Burns are classified by heat source, electricity, and radiation. Corrosions are burns due to chemicals.

Front 50

Which is TRUE about ICD-10-CM codes?

Back 50

The first character is always alphabetic; the second character is always numeric.

Front 51

Entries that require a seventh character extension are referred to as subcategories because it cannot be called a code until the extension is added.

Back 51

False

Front 52

How is chronic ulcerative proctitis coded?

Back 52

K51.20

Front 53

What is the FIRST subterm a coder encounters when looking up the Main Term "genu"?

Back 53

Congenital

Front 54

What range of codes is included in the chapter Diseases of the Eye and Adnexa?

Back 54

H00 to H59

Front 55

CA in situ is defined as:

Back 55

cells that have started to change but still remain in the epithelial layer.

Front 56

Select the correct code for each of the diagnoses:

History of testicular cancer:

Back 56

Z85.47

Front 57

Select the correct code for each of the diagnoses:

Malignant hydatidiform mole:

Back 57

D39.2

Front 58

Select the correct code for each of the diagnoses:

John Jones is 56-year-old male with a history of right breast CA six years ago. He had a recurrence of the cancer with breast tissue found at the mastectomy site.

Back 58

C50.821

Front 59

Select the correct code for each of the diagnoses:

Bowen's disease—localized—skin of right arm:

Back 59

D04.61

Front 60

The signs and symptoms one might expect to see with allergic contact dermatitis would be which of the following?

Back 60

B and C

(rash and burning)

Front 61

Select the correct code for each of the diagnoses:Patient presents with RUQ pain that radiates to his back. He is diagnosed with cholecystitis. Which codes would be assigned?

Back 61

K81.9

Front 62

Select the correct code for each of the diagnoses:

Microcalcifications, both breasts, diagnosed on screening mammogram:

Back 62

R92.0

Front 63

Select the correct code for each of the diagnoses:

Micturition hesitancy:

Back 63

R39.11

Front 64

Select the correct code for each of the diagnoses:

Halitosis:

Back 64

R19.6

Front 65

The instructional note found at Z38 indicates that the Z code is:

Back 65

used on the initial birth record only.

Front 66

Select the correct code for each of the diagnoses: TB screening:

Back 66

Z11.1

Front 67

Select the correct code for each of the diagnoses: Patient has an AICD

Back 67

Z95.810

Front 68

Select the correct code for each of the diagnoses: Fertility testing:

Back 68

Z31.41

Front 69

Select the correct code for each of the diagnoses:

DNR:

Back 69

Z66

Front 70

When searching the Index for burns caused by a hot object search under the Main Term:

Back 70

burn

Front 71

Select the correct code for each of the diagnoses:

Patient works at Sea World and was bitten by one of the dolphins while they were performing a show. This is a subsequent encounter.

Back 71

S41.153D, W56.01XD

Front 72

Select the correct code for each of the diagnoses:

Patient ran into the goal post while playing hockey at a public park with a hockey arena and a few of his friends. He fell and sustained a torn meniscus of the left leg. This is a subsequent encounter.

Back 72

S83.207D, W18.01XD, Y92.830

Front 73

Select the correct code for each of the diagnoses:

Fractured sacrum; patient was thrown by a horse he was riding.

Back 73

S32.10XA, W17.89XA, Y93.52

Front 74

Of the following, which digestive system cancer is relatively rare?

Back 74

Gallbladder

Front 75

Select the correct code for each of the diagnoses:

Diaphragmatic hernia with obstruction:

Back 75

K44.0

Front 76

Select the correct code for each of the diagnoses:

Dental caries, pit and fissure surfaces, with penetration to dentin:

Back 76

K02.52

Front 77

Select the correct code for each of the diagnoses:

Acute appendicitis with perforation and peritoneal abscess

Back 77

K35.2

Front 78

Symptoms of DKA include all of the following EXCEPT:

Back 78

incontinence

Front 79

Select the correct code for each of the diagnoses:

Type 1 familial aldosteronism

Back 79

E26.02

Front 80

Select the correct code for each of the diagnoses:

DM due to chronic pancreatitits:

Back 80

K86.1, E08.9

Front 81

Select the correct code for each of the diagnoses:

Type 2 diabetic nephropathy; patient requires insulin:

Back 81

E11.21, Z79.4

Front 82

Under which block in Chapter 12 will coders find the codes for sunburn?

Back 82

Radiation-related disorders of the skin and subcutaneous tissue

Front 83

Select the correct code for each of the diagnoses:

Stage 2 decubitis ulcer of back

Back 83

L89.102

Front 84

2 / 2 ptsSelect the correct code for each of the diagnoses:

Pilonidal cyst with abscess:

Back 84

L05.01

Front 85

Select the correct code for each of the diagnoses:

Generalized pustular psoriasis:

Back 85

L40.1

Front 86

The combining form chondr/o means:

Back 86

cartilage

Front 87

Acute osteomyelitis, right ankle, due to Group B streptococcus:

Back 87

M86.171, B95.1

Front 88

Maxillary hypoplasia:

Back 88

M26.02

Front 89

Paget's disease, both femurs:

Back 89

M88.851, M88.852