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Pearson's |! Comprehensive |! Medical |! Coding |!
Exam |! 1 |! with |! precise |! detailed |! solutions
Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! A |! 67 year |! old |! patient |! who |! had |! right |! breast |! cancer |! treated |! 2 |! years |! ago, |! is admitted |! to |! the |! ambulatory |! clinic |! for |! examination |! following |! surgical excision |! of |! tumor |! 2 |! years |! ago. |! - |! Correct |! answer |! ✔Z08(Examination) Z90.1(Absence, |! acquired) Z85.3 |! (History/personal /malignant |! neoplasm/breast Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! A |! 77 year |! old |! patient |! is |! here |! for |! Examination |! following |! treatment |! of |! healed fracture |! - |! Correct |! answer |! ✔Z09((Exam/follow |! up/fracture) |! see |! tabular |! code |! additional |! code |! to identify |! applicable |! history |! of |! disease- |! N/A Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! An asymptomatic |! patient |! who |! had |! a |! resection |! of |! the |! descending |! colon |! a year |! earlier |! is |! admitted |! for |! colonoscopy |! to |! evaluate |! the |! anastomosis and |! determine |! whether |! there |! is |! a |! recurrence |! of |! malignancy. Colonoscopy |! proved |! the |! anastomosis |! to |! be |! normal, |! and |! there |! was |! no
evidence |! of |! cancer |! recurrence. |! - |! Correct |! answer |! ✔Z08 |! Examination/following |! treatment/malignant, |! neoplasm Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! The patient |! presents |! with |! generalized |! complaints |! involving |! nonspecific abdominal |! pain, |! minimal |! weight |! loss, |! and |! change |! of |! bowel |! habits. Because |! of |! a |! strong |! family |! history |! of |! colon |! cancer, |! the |! patient |! is admitted |! for |! evaluation |! for |! suspected |! malignancy. |! The |! presence |! of |! a neoplasm |! is |! ruled |! out, |! and |! no |! alternative |! diagnosis |! is |! made; |! it |! seems obvious |! that |! the |! symptoms |! reported |! are |! largely |! subjective. |! - |! Correct |! answer |! ✔Z03. Z80. Assign |! the |! appropriate |! ICD-10-CM |! diagnosis |! code(s) |! and |! sequencing for |! the |! following: |! A |! 36 |! year |! old |! woman |! with |! no |! symptoms |! is |! referred |! to the |! hospital |! outpatient |! radiology |! department |! for |! screening mammogram. |! The |! patient |! is |! considered |! high |! risk |! for |! breast |! cancer secondary |! to |! family |! history |! of |! breast |! malignancy |! in |! her |! mother |! and sister. |! - |! Correct |! answer |! ✔Z12. Z80. A |! patient |! with |! a |! history |! of |! mitral |! valve |! repair, |! aortic |! valve |! replacement and |! bypass |! surgery |! is |! admitted |! for |! dental |! extractions |! because |! of |! dental caries. |! The |! patient |! is |! admitted |! prior |! to |! the |! scheduled |! dental |! procedure
recent |! years. |! A |! percutaneous |! endometrial |! biopsy |! was |! performed. |! - |! Correct |! answer |! ✔N85. Z92. OUB43ZX Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! A |! patient |! presents |! for |! management |! of |! insulin-dependent |! secondary |! to |! diabetes |! status |! post |! partial |! pancreatectomy |! for |! benign |! insulinoma. |! - |! Correct |! answer |! ✔E89. E11. Z90. Z79. Assign |! the |! correct |! ICD-10-CM |! diagnosis |! code(s) |! for |! the |! following: |! A |! 5 year |! old |! patient |! adoptee |! presents |! for |! a |! preschool |! admission examination. |! Upon |! review |! of |! record, |! the |! physician |! documents |! underimmunization status |! and |! orders |! antibody |! testing. |! - |! Correct |! answer |! ✔Z02. Z28. ICD-10-CM |! and |! ICD10 |! PCS |! has |! been |! implemented when? |! - |! Correct |! answer |! ✔October |! 1, |! 2015 GEM |! is |! an |! abbreviation |! for |! - |! Correct |! answer |! ✔General |! Equivalence |! Mappings
An |! "x" |! in |! the |! fifth |! or |! sixth |! position |! is |! used |! to |! as |! a |! placeholder |! to |! indicate |! - |! Correct |! answer |! ✔Future |! Expansion Match |! the |! condition |! with |! the |! ICD-10-CM |! chapter |! in |! which |! each condition |! will |! be |! located....
- |! Diabetes |! Mellitus
- |! Hypertension
- |! Cholecystitis
- |! Breast |! Cancer
- |! Fractures a. |! Chapter |! 2 b. |! Chapter |! 4 c. |! Chapter |! 9 d. |! Chapter |! 11 e. |! Chapter |! 19 |! - |! Correct |! answer |! ✔1. |! b
- |! c
- |! d
- |! a
- |! e Discuss |! three |! advantages |! ICD10CM |! has |! over |! ICD9CM |! (7 |! total) |! - |! Correct |! answer |! ✔1. |! Expandable |!
True |! or |! False: |! In |! ICD10CM, |! injuries |! are |! grouped |! by |! anatomical |! site |! rather |! than |! injury category. |! - |! Correct |! answer |! ✔True What |! is |! the |! maximum |! number |! of |! characters |! in |! ICD10CM? |! - |! Correct |! answer |! ✔ 7 How |! many |! chapters |! does |! ICD10CM |! contain? |! - |! Correct |! answer |! ✔ 21 Gout |! is |! classified |! to |! the |! _________________chapter |! in |! ICD10CM. |! - |! Correct |! answer |! ✔Musculoskeletal |! system |! and |! connective |! tissue True |! or |! False: |! The |! United |! States |! is |! the |! only |! industrialized |! nation |! that |! has |! not |! yet implemented |! ICD10CM. |! - |! Correct |! answer |! ✔False All |! of |! the |! following |! are |! structural |! differences |! between |! ICD9CM |! and ICD10CM, |! except: A. |! Addition |! of |! a |! sixth |! character |! in |! some |! chapters B. |! Addition |! of |! placeholder C. |! Diseases |! and |! conditions |! of |! the |! eyes |! and |! ears |! are |! classified |! in |! the |! same chapter |! as |! diseases |! of |! the |! nervous |! system D. |! Postoperative |! complications |! have |! been |! moved |! to |! procedure-specific |! body |! system |! chapters |! - |! Correct |! answer |! ✔C. |! Diseases |! and |! conditions |! of |! the |! eyes |! and |! ears |! are |! classified |! in |! the |! same
chapter |! as |! diseases |! of |! the |! nervous |! system True |! or |! False: |! The |! WHO |! version |! of |! ICD10 |! was |! implemented |! in |! the |! United |! States |! in 2015? |! - |! Correct |! answer |! ✔False Which |! of |! the |! following |! is |! a |! feature |! of |! ICD10CM? A. |! Combination |! codes |! have |! been |! created |! for |! both |! symptom |! and |! diagnosis B. |! The |! obstetric |! codes |! indicate |! which |! trimester |! the |! patient |! is |! in |! rather |! than |! episode |! of |! care C. |! Codes |! for |! postoperative |! complications |! have |! been |! expanded |! and |! a |! distinction |! has |! been |! made |! between |! intraoperative |! complications |! and |! post |! procedural |! disorders D. |! All |! of |! the |! above |! - |! Correct |! answer |! ✔D. |! All |! of |! the |! above Which |! of |! the |! following |! statements |! is |! true? A. |! All |! codes |! in |! ICD10CM |! include |! full |! code |! titles B. |! All |! chapters |! in |! ICD10CM |! require |! the |! addition |! of |! code |! extentions C. |! All |! codes |! in |! ICD10CM |! are |! seven |! characters |! in |! length D. |! All |! codes |! in |! ICD10CM |! use |! the |! placeholder |! x |! - |! Correct |! answer |! ✔A. |! All |! codes |! in |! ICD10CM |! include |! full |! code |! titles The |! ICD |! 10CM |! code |! to |! report |! a |! disease |! of |! the |! genitourinary |! system begins |! with |! what |! letter? |! - |! Correct |! answer |! ✔N
wound |! infection, |! only |! one |! code |! is |! assigned |! in |! both |! ICD9CM |! and ICD10CM. |! - |! Correct |! answer |! ✔False What |! is |! the |! purpose |! of |! the |! fifth |! character |! for |! category |! Y38, |! Terrorism? |! - |! Correct |! answer |! ✔A |! placeholder True |! or |! False: |! The |! seventh |! character |! is |! always |! a |! letter. |! - |! Correct |! answer |! ✔False True |! or |! False: |! ICD10CM |! contains |! codes |! that |! specify |! laterality. |! - |! Correct |! answer |! ✔True True |! or |! False: |! For |! every |! code |! where |! ICD10Cm |! provides |! codes |! for |! laterality, |! bilateral |! is listed |! as |! an |! option. |! - |! Correct |! answer |! ✔False Which |! of |! the |! following |! abbreviations |! is |! used |! in |! ICD10CM? A. |! NOC B. |! NES C. |! NEC D. |! NIC |! - |! Correct |! answer |! ✔C. |! NEC What |! is |! the |! purpose |! of |! the |! x |! in |! the |! subcategory |! O45.8? |! - |! Correct |! answer |! ✔To |! provide |! further |! specificity |! about |! the |! condition |! being |! coded |! (??)
Assign |! external |! cause |! codes |! for |! this: |! An |! 18 |! year |! old |! driver |! of |! a |! car collided |! with |! a |! pickup |! truck |! on |! the |! interstate |! highway. |! The |! driver confessed |! to |! using |! his |! cell |! phone |! to |! send |! a |! text |! message |! to |! his girlfriend. |! - |! Correct |! answer |! ✔V43.53xA Y92. Y93.C Assign |! only |! external |! cause |! codes |! for |! this |! case: |! An |! Air |! Force |! officer was |! injured |! while |! on |! patrol |! on |! the |! military |! base |! in |! Afghanistan |! by |! an |! explosion |! of |! an |! IED. |! - |! Correct |! answer |! ✔Y37.230A Y92. Y99. Assign |! only |! external |! cause |! codes |! for |! this |! case: |! The |! patient |! was |! bitten by |! a |! dog |! while |! attempting |! to |! rescue |! it |! from |! an |! abandoned |! barn |! while performing |! his |! job |! at |! animal |! control. |! - |! Correct |! answer |! ✔W54.0xxA Y92. Y93.K Y99. Assign |! only |! external |! cause |! codes |! for |! this |! case: |! A |! cook |! in |! a |! fast |! food restaurant |! was |! accidently |! burned |! with |! hot |! oil |! while |! cooking |! french |! fries while |! on |! duty. |! - |! Correct |! answer |! ✔X10.2xxA
This |! 10 |! year |! old |! female |! is |! seen |! for |! continued |! pain |! related |! to |! her |! elbow fracture. |! Six |! weeks |! ago, |! this |! patient |! injured |! her |! elbow |! when |! she |! fell while |! skating |! at |! the |! local |! roller |! rink. |! After |! further |! evaluation, |! the attending |! physician |! found |! a |! nonunion |! of |! the |! previously |! displaced |! right |! distal |! humerus |! fracture. |! She |! will |! be |! scheduled |! for |! surgery |! in |! the |! next |! two |! days. |! What |! diagnosis |! codes |! are |! assigned? |! - |! Correct |! answer |! ✔S42.401K V00.121D AHA |! - |! Correct |! answer |! ✔(American |! Hospital |! Association) |! - |! sponsors |! Central |! Office |! of |! ICD9/10 |! and |! publishes |! Coding |! Clinic |! (source |! of |! the |! Official |! coding |! guidelines) |! for |! ICD9/ NCHS |! - |! Correct |! answer |! ✔(National |! Center |! for |! Healthcare |! Statistics) |! - |! Maintains |! the |! disease |! classification |! (Volume |! 1 |! and |! 2); |! also |! makes |! up |! the |! ICD9/10 |! Coordination |! and |! Maintenance |! Committee AHIMA |! - |! Correct |! answer |! ✔(American |! Health |! Information |! Management |! Association)- |! provides |! coding |! education |! and |! certifies |! professional |! coders CMS |! - |! Correct |! answer |! ✔(Central |! Office |! Medicare/Medicaid |! Services)- |! Maintains |! the |! procedure |! classification |! (Volume |! 3); |! also |! makes |! up |! the |! ICD9/10 |! Coordination |! and |! Maintenance |! Committee
