AH216 Week 8 Final

  

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Question 1
For acute gastritis and chronic gastritis, report ICD-10-CM codes __________.
a.
b.
c.
d.
K29.00
K29.00, K29.50
K29.50
K29.50, K29.00
Question 2
The “code, if applicable, any causal condition first” note in the ICD-10-CM tabular lists indicates that this
code may be assigned as a first-listed or principal diagnosis when the causal condition is unknown or not
applicable. When the causal condition is known, the code for that condition should be reported as the
__________ diagnosis.
a.
b.
c.
d.
Comorbidity
Manifestation
Principal
qualified
Question 3
For routine outpatient prenatal visits when no complications are present, report a code from ICD-10-CM
category Z34 (encounter for supervision of normal pregnancy) as the
a.
b.
c.
d.
comorbidity
complication
first-listed diagnosis
secondary diagnosis
Question 4
Which manages and coordinates the patient’s care, including referring the patient to a medical specialist
for consultation and a second opinion?
a.
b.
c.
d.
ED physician
office manager
primary care provider
third-party payer
Question 5
A sequela is the residual condition produced __________.
a. after the acute phase of an illness or injury has ended
b. in the hospital, immediately following patient diagnosis
c. upon resolution of the condition as a result of treatment
d. when the findings of ancillary tests have been reported
Question 6
Which type of note is usually found below the infectious disease code in the ICD-10-CM tabular list,
indicating the need to report the organism code as a secondary code?
a.
b.
c.
d.
code also
cross reference
excludes
use additional code
Question 7
The condition bilateral contusion of ovaries (initial encounter) is assigned ICD-10-CM code(s)
__________.
a.
b.
c.
d.
S37.401A, S37.401A
S37.402A
S37.422A
S37.499A
Question 8
Section I of the Official Guidelines for Coding and Reporting includes guidelines for the __________
a.
b.
c.
d.
coding and reporting of outpatient diagnoses (e.g., physician offices)
reporting of additional diagnoses (e.g., coexisting conditions, complications)
selection of the principal diagnosis for nonoutpatient settings (e.g., nursing facility)
structure and convention of the classification, including general guidelines
Question 9
Which term is used in the official coding guidelines to mean physician or any qualified health care
practitioner who is legally accountable for establishing the patient’s diagnosis.
a.
b.
c.
d.
Encounter
Payer
Provider
record
Question 10
The ICD-10-CM code for an outpatient encounter for routine laboratory/radiology testing in the absence
of any signs, symptoms, or associated diagnosis is
a.
b.
c.
d.
Z01
Z01.8
Z01.89
Z01.89xA
Question 11
In the outpatient setting, the diagnosis, condition, problem, or other reason for encounter/visit that is
documented in the patient record as being chiefly responsible for the services provided is called the
__________ diagnosis.
a.
b.
c.
d.
Comorbidy
first-listed
primary
principal
Question 12
For the diagnosis rheumatic pneumonia, report ICD-10-CM codes __________.
a.
b.
c.
d.
I00
I00, J17
J17
J17, I00
Question 13
ICD-10-CM provides codes to deal with encounters for circumstances other than a disease or an injury in
the __________ chapter.
a.
b.
c.
d.
External Causes of Morbidity
Factors Influencing Health Status and Contact with Health Services
Injury, Poisoning, and External Causes
Symptoms, Signs, and Abnormal Findings
Question 14
Coders must pay attention to the level of detail when assigning codes because diagnosis codes are to be
reported using the __________.
a.
b.
c.
d.
entry located in the ICD-10-CM index
highest number of characters available
insurance claims submitted to payers
official guidelines as their only guidance
Question 15
When a bilateral ICD-10-CM code is not provided and the condition is bilateral, __________.
a.
b.
c.
d.
assign separate codes for both the left and right side
contact the cooperating parties for official guidelines
generate a physician query to determine the code
use CPT modifier -50 with the unspecified side code
Question 16
Janet Bell was seen by her physician and underwent a workers’ compensation evaluation. Report code
_____.
a.
b.
c.
d.
99450
99455
99456
99499
Question 17
Which of the following is a key component?
a.
b.
c.
d.
Counseling
Time
Nature of presenting problem
Medical decision making
Question 18
An out-of-town patient presents to a walk-in clinic to have a prescription refilled for a nonsteroidal antiinflammatory drug. The physician performs a problem-focused history and physical examination with
straightforward decision making. Report code _____.
a.
b.
c.
d.
99201
99202
99211
99212
Question 19
Dr. O’Connor treated a 42-year-old male in the hospital emergency department. The patient complained
of right lower quadrant pain and of feeling faint. Dr. O’Connor documented a chief complaint, a brief
history of present illness, and a systemic review of the gastrointestinal system and respiratory system.
Dr. O’Connor also documented a complete examination of all body systems, which included all required
elements. Medical decision making was of moderate complexity. Report code _____.
a.
b.
c.
d.
99281
99282
99283
99284
Question 20
The physician spent 30 minutes providing telephone services to a distraught patient who had been seen
in the office two weeks ago. The patient was calm by the end of the call, and the physician scheduled an
appointment to see the patient the next day. Which is reported?
a.
b.
c.
d.
99367
99443
99499
No code is reported.
Question 21
Match 90832 with a service from the choices below
a.
b.
c.
d.
Examination of a patient applying for basic life insurance
Patient who saw physician for third opinion regarding ulcer treatment
Sleep study with ECG and oxygen monitoring; technologist in attendance
Psychotherapy with patient; session was 30 minutes
Question 22
Match 95807 with a service from the choices below
a.
b.
c.
d.
Patient who saw physician for third opinion regarding ulcer treatment
Sleep study with ECG and oxygen monitoring; technologist in attendance
Psychotherapy with patient; session was 30 minutes
Unlisted E&M service
Question 23
Match 99242 with a service from the choices
a.
b.
c.
d.
Sleep study with ECG and oxygen monitoring; technologist in attendance
Psychotherapy with patient; session was 30 minutes
Unlisted E&M service
Patient who saw a physician for a third opinion regarding ulcer treatment
Question 24
Match 99450 with a service from the choices below
a.
b.
c.
d.
Unlisted E/M service
Examination of a patient applying for basic life insurance
Patient who saw physician for third opinion regarding ulcer treatment
Sleep study with ECG and oxygen monitoring; technologist in attendance
Question 25
Match 99499 with a service from the choices below
a.
b.
c.
d.
Unlisted E/M service
Examination of a patient applying for basic life insurance
Patient who saw physician for third opinion regarding ulcer treatment
Sleep study with ECG and oxygen monitoring; technologist in attendance
Question 26
Match “physical location where health care is provided to patients” to the type of service from the
choices below.
a.
b.
c.
d.
place of service
critical care services
prolonged services
physician standby services
Question 27
Match “patient who receives immediate care in the hospital emergency room “ to the type of service
from the choices below.
a.
b.
c.
d.
emergency department services
critical care services
prolonged services
physician standby services
Question 28
Match “patient who is admitted to the hospital with severe congestive heart failure and receives critical
care” to the type of service from the choices below.
a.
b.
c.
d.
critical care services
prolonged services
physician standby services
place of service
Question 29
Match “physician who is waiting to determine if a cesarean section is required” to the type of service
from the choices below.
a.
b.
c.
d.
critical care services
prolonged services
physician standby services
place of service
Question 30
An office consultation is performed for a postmenopausal woman who is complaining of spotting in the
past 6 months with right lower quadrant tenderness. A detailed history and physical are performed with
a low complexity of medical decision making.
a.
b.
c.
d.
99263
99273
99242
99243
Question 31
A patient diagnosed with asthma was provided with respiratory care about the correct usage of a
bronchodilator. This service is provided in the patient’s home. Report code _____.
a.
b.
c.
d.
99503
99504
99509
99600
Question 32
Fluorescein angiography with imaging, interpretation of results, and written report. Report code _____.
a.
b.
c.
d.
92230
92235
92240
92260
Question 33
Evaluation and management code selection is based on _____ key components.
a.
b.
c.
d.
Two
Three
Four
Seven
Question 34
Which of the following refers to type of service?
a.
b.
c.
d.
Critical care
Hospital
Emergency department
Home health care
Question 35
Ventilator management performed on May 6 and May 7. Report code(s) _____.
a.
b.
c.
d.
94002
94002, 94002
94002, 94003
94004
Question 36
A 23-minute telephone assessment and management service was performed on a patient who had not
been in the office for any services within 7 days. How would the coder code this service. Report code
_____.
a.
b.
c.
d.
98966
98967
98968
98969
Question 37
Dr. Lee saw Kenya Yatani in her office for the first time for treatment of a mild sprain. A problemfocused history and exam were performed, and medical decision making was straightforward. Report
code _____.
a.
b.
c.
d.
99201
99202
99211
99212
Question 38
A four-digit __________ code is reported on a chargemaster?
a. Diagnosis
b. Procedure
c. Revenue
d. status
Question 39
Dr. Wisniewski treated a 9-month-old new female patient in the office for diaper rash. A detailed history
and examination were performed, and medical decision making was straightforward. Report code
_____.
a.
b.
c.
d.
99201
99202
99203
99381
Question 40
Fitting of single vision eyeglasses. Report code _____.
a.
b.
c.
d.
92340
92341
92352
92353
Question 41
Dr. Lewis treated an established patient in the office who complained of a 3-month history of fatigue
and weight loss. Comprehensive history and exam were performed; medical decision making was of high
complexity. Report code _____.
a.
b.
c.
d.
99205
99215
99223
99236
Question 42
A 75-year-old patient diagnosed with acute renal failure underwent hemodialysis, which was provided
on October 14. Three evaluations were performed on the patient while she was on the dialyzer
machine. Report code _____.
A.
B.
C.
D.
90935
90937
90951
90952
Question 43
Which is used by hospitals to record outpatient encounter data?
a.
b.
c.
d.
Chargemaster
CMS-1500
Encounter form
Superbill
Question 44
Patient comes to the office today with concerns of exposure to HIV. The physician counsels the patient
and orders HIV testing. What are the appropriate diagnosis code(s) for this encounter?
a.
b.
c.
d.
Z11.4
Z71.7, R75
Z20.6, Z11.4, Z71.7
Z60.6
Question 45
Patient presents today with complaints of athletes foot on both feet. He has been showering at the local
gym lately as part of his morning workout routine. Physician diagnoses him with tinea pedis. What is the
correct ICD-10-CM code for this encounter?
a.
b.
c.
d.
B35.1
R21
B85.1
B35.3
Question 46
Choose the codes for cancer of the liver metastatic from an unknown primary location.
a.
b.
c.
d.
C22.8, C80.1
C78.7, C22.9
C22.9, D49.0
C78.7, C80.1
Question 47
Jim was treated previously with Chloramphenicol for a previous eye infection, he now suffers from druginduced aplastic anemia. What are the appropriate ICD-10-CM code(s) for his condition?
a.
b.
c.
d.
D59.2, T36.2×5
T36.2x5A, D61.1
T36.2X1A, D59.2
D61.1, T36.2X5A
Question 48
Bob has been treated ongoing for his type 2 diabetes mellitus. He has been doing well on his insulin and
no changes are needed at this time. What are the appropriate ICD-10-CM codes for his condition?
a.
b.
c.
d.
E11.9, Z79.4
E11.9
E13.9, Z79.4
E13.9
Question 49
James is addicted to marijuana and feels he can’t make it through the day without it. He has no medical
complications at today’s visit. What is the appropriate ICD-10-CM code for this?
a.
b.
c.
d.
F12.20
F12.180
F12.222
F12.90
Question 50
Gene has epilepsy with seizures, at this time they are not responding to medication. What is the
appropriate ICD-10-CM code?
a.
b.
c.
d.
G40.909
G40.919
G40.911
G40.901

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