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The Reason for the Encounter
100
What sequencing guideline applies when a person with HIV is admitted to the hospital for an unrelated condition?
sequence the unrelated condition first.
100
When a person is classified as Morbidly Obese, what other diagnosis may be required to code?
BMI
100
Which category of diseases would you code the diagnosis: Sunburn
The diseases of skin and subcutaneous
100
Nathan took his daily allergy medication as prescribed, then when to the concert had a "dab" of cocaine. Afterward Nathan fell unconscious. How would you code: Adverse Effect, Poisoning, or Toxic Effect?
Poisoning: ICD 10 CM provides the following examples for Poisoning: Error made in prescription, overdose of the drug intentionally taken, non-prescribed drug taken with correctly prescribed and properly administered drug, interaction of drug(s) and alcohol..
100
High Blood Pressure and Hypertension are coded the same.
True
200
When coding septic shock, what is coded first?
Underlying organism
200
For Psychoactive substance use, when both USE and ABUSE are documented, which code is assigned?
Abuse
200
A patient has a healthy pregnancy and is visiting the Dr. for a routine prenatal visit. How do you code the encounter?
Z33.1 or a Z code incidental pregancy
200
True or False: Some Z codes can be first listed
True - see chapter 21 #16 in the Guidelines (Page 72)
200
A 4 year old is diagnosed with diabetes. How do you code? Type I or Type II
Type II, if the type is not specified, you code type II
300
True or False: Use B95.62(MRSA) if no specific combination code is available?
True
300
Which do you code first, acute or chronic?
Acute
300
78 year old Mary is being seen by the ER physician after falling down the stairs. The Dr. Diagnosed Mary with a severe fracture. How would you code? Open or Closed?
Closed. Per guidelines Chapter 19, C. A fracture not indicated as open or closed should be coded as closed... If a displaced fx is not documented as non displaced or displaced, it should be coded as displaced
300
If you had a heart attack 28 days ago it is considered an old heart attack.
True - I25.2
300
Mona has Stage 3 CKD, and receiving dialysis for End Stage Renal Disease. Which Stage(s) do you code?
Code only the End Stage
400
When a patient is admitted with Breast Cancer that has metastasized to the bone, and the treatment is directed toward the bone cancer, which diagnosis is the primary diagnosis?
The Bone Cancer (Secondary Cancer) is sequenced first.
400
Hypertension: When these two diagnoses are present or diagnosed in the same encounter, the physician does not have to link the 2 or specify a casual relationship.
Hypertension and CKD (Chronic Kidney Disease)
400
An HIV/AIDS patient is pregnant is seeing the OB/GYN. How do you sequence the encounter?
O98.7 (HIV in Pregnancy), B20 (HIV/AIDS), Z3A
400
True or False: It is okay to code an Acute CVA with a Sequelae of stroke code?
False, you may never code an acute stroke with the sequelae.
400
True or False, congenital malformations at birth can no longer be coded once the patient is an adult even in they malformation still exists.
False
500
When a patient has diabetes type II prior to pregnancy and having complications, how is that coded?
Code the Pregnancy complication first (O, then Diabetes code E11.8, then pregnancy weeks using a Z3A code).
500
What sequencing guideline applies when a person is admitted due to an broken foot then has his first AMI while hospitalized?
Sequence the broken foot first, then the AMI.
500
The Dr. Diagnosis the patient with Hypertension, Heart Disease, and Chronic Kidney Disease, specify how you would code : I.e. Hypertensive........
Hypertensive CKD, and Heart Disease. Remember the Dr. Did not link the CKD and the Heart Disease, and the Dr. Does not have to Link the CKD and the HTN.
500
True or False: If a patient was diagnosed with Diabetes Due to Cushions disease, you sequence the Cushions disease first then E08
True. The red code "first code" indicates the coding sequence rule.
500
True or Fales: TAP is an ICD 10 CM Annotation Technique created by AMCI. It was the first ICD 10 CM Annotation Technique ever published.
What is True!