Inpatient Coding Test

INPATIENT CODING TEST True – False Questions 1. The root operation “extraction” always involves a device.False 2. If the intended procedure is discontinued, code the root operation that was achieved. True 3. Procedures that are performed using an “open approach” with percutaneous endoscopic Assistance is to be coded to the laparoscopic approach. False 4. Ligatures, sutures and clips are considered to be devices.False 5. CMS (Center for Medicare and Medicaid Services) is the chief author for ICD-10-PCS. True 6. In ICD-10-CM, the coronary arteries are considered “one” body part. True 7. Myocardial infarction is considered “acute” for up to 4 weeks (28 days) in ICD-10-CM.True 8. A flap is commonly seen in grafting procedures, particularly in grafts of burn victims. True 9. A total left unilateral adrenalectomy (open) would be considered an “Excision” by ICD-10-PCS. False 10. The root operation for applying pressure on a body region is considered “Assistance” by ICD-10PCS. False MULTIPLE CHOICES: 1. Originating from the recipient, rather than the donor, or transferred from the same individual’s body is called: a. Extracorporeal b. Restoration c. Autologous d. Manipulation 2. Which of the following diagnoses would be considered “incomplete” by coding standards: a. Essential benign hypertension b. Aortic sclerosis, moderate, congenital c. Exacerbation, Chronic Obstructive Lung Disease d. Chronic Renal Insufficiency 3. Which of the following conditions would not necessarily be found together in patient scenario: a. HIV b. Hepatic Encephalopathy c. PCP Pneumonia d. Thrush 4. Patient admitted with BMI of 42.5, along with Acute Renal Failure and Dehydration. What other condition would you potentially query the physician for? a. Diabetes Mellitus, Type II b. Morbid Obesity c. Acute Pancreatitis d. Acute on Chronic Diastolic CHF 5. Taking over a portion of a physiological function by extracorporeal means is: a. Performance b. Assistance c. Restoration d. Measurement CODING PROCEDURES IN ICD-10-PCS ONLY 1. Mechanical ventilation over 96 hours. 5A1955Z ____________________________ 8E0WXY8 2. Removal of suture from abdominal wall ____________________________ HZ91ZZZ 3. Methadone treatment for drug dependence __________________________ 4. Abortion induced with Luminaria 10A07ZW __________________________ D026JZZ 5. Stereotactic radiosurgery to spinal cord using gamma beam ______________ 6. Hemodialysis, multiple sessions 5A1D90Z ________________________ 30233R1 7. Transfusion of platelets, percutaneous, via peripheral vein _______________ 8. Laparoscopic gastric bypass with Roux limb _________________________ 9. Primary low transverse C-section 10D00Z1 _________________________ 10. Intramedullary nailing, right tibia 0QHG36Z _________________________ CODING SCENARIOS: DIRECTIONS: Code the principal diagnosis, secondary diagnoses, and principal procedure codes for each situation in ICD-10-CM. Sequence codes properly. Code ICD-10-PCS for procedures. 1. Patient admitted in severe respiratory distress with admitting diagnosis of rule out carcinoma of the lung. Patient had a long history of chronic obstructive bronchitis. After work-up and treatment, patient was discharged with the following diagnoses listed on the face sheet: chronic obstructive bronchitis and acute bronchitis due to pneumococcus, essential hypertension and arteriosclerotic heart disease. Procedures listed: bronchoscopy with biopsy of lung. J20.2 Principal Dx: ______________________________ J44.0, I25.10, I10 Secondary diagnoses: ____________________, _______________________, _________ 0BBM8ZX Principal Procedure: ____________________________ Secondary Procedure: ___________________________ 2. Patient admitted following automobile accident, driver during head on collision with a Mac Truck, in which he suffered five fractured ribs with opening into thorax and hemothorax. Chest tube inserted for drainage. S27.1XXA Principal Dxs: ______________________________ S22.49XB, S21.90XA Y92.410 Secondary diagnoses: ____________________, ___V44.5XXA____________________, _________ 0W9B30Z, 0W9930Z Principal Procedure: ____________________________ Secondary Procedure: ___________________________ 3. Patient is admitted in acute respiratory failure, high fever and hypotension. On day of admission sputum and blood cultures were done. Patient found to have aspiration pneumonia, severe sepsis due to E-coli, and congestive heart failure due to systolic dysfunction. On third day of admission patient was diagnosed with acute tubular necrosis. Patient History: HTN, hyperlipidemia, and COPD. Patient was intubated and put on a vent in the ER. Extubated on the fifth day. Add POA indicators to this record. A41.51 Principal Dx: ______________________________ R65.20, I110, _________ E78.5, J44.9, I50.20, I50.20- N17.0- Z.86.39, Z86.79, Z87.09 J69.0, Secondary diagnoses: ____________________, __________, _____________, 8C02X6K, 8C02X6L, 5A1955Z Principal Procedure: ____________________________ 0BH17EZ Secondary Procedure: ___________________________