A primary malignant neoplasm of the right femur is coded as:
- D16.20.
- C79.51.
- C40.20.
- C40.21.
A malignant neoplasm of the long bones of the right lower limb is coded as C40.21. C40.21: Neoplasm table>bone>femur>malignant, primary>right.
Malignant: Invasive and destructive characteristic of a neoplasm; possibly causing damage or death.
Thomas was diagnosed with acute staphylococcal prostatitis. You will code:
- N41.0.
- N41.0, B95.8.
- B95.8.
- B95.8, N41.0.
N41.0, acute prostatitis, is listed first, followed by B95.8 for the organism, Staphylococcus. N41.0: Index>prostatitis>acute. B95.8: Index>infection>staphylococcus>as cause of disease classified elsewhere.
Acute: Severe; serious.
The first-listed code is also called the:
- discharge diagnosis.
- final diagnosis.
- suspected diagnosis.
- principal diagnosis.
The principal diagnosis is the first-listed diagnosis.
Principal Diagnosis: The condition that is the primary, or main, reason for the encounter.
Brandon was diagnosed with whooping cough due to Bordetella pertussis with pneumonia. You will code:
- A37.90.
- A37.91.
- A37.01.
- A37.80.
A37.01 is the correct code for whooping cough due to Bordetella pertussis with pneumonia. A37.01: Index>whooping cough>due to> Bordetella>pertussis>with pneumonia.
Pneumonia: An inflammation of the lungs.
When coding a differential diagnosis, the coder will:
- code two conditions, and the one documented first is the principal diagnosis.
- code two conditions, and the one documented second is the principal diagnosis.
- code two conditions, and either code can be assigned as the principal diagnosis.
- only code symptoms because there is no definitive diagnosis to assign as principal.
as principal. When coding a differential diagnosis, the coder will code two conditions, and either code can be assigned as the principal diagnosis.
Principal Diagnosis: The condition that is the primary, or main, reason for the encounter.
When both acute and chronic conditions are listed as the diagnosis and there is no combination code available, you should:
- report the code for the acute condition first.
- report the code for the chronic condition first.
- report a sign code followed by the acute code and then the chronic code.
- report a sign code followed by the chronic code and then the acute code.
code. When both acute and chronic conditions are listed as the diagnosis and there is no combination code available, the coding rule is to report the code for the acute condition first.
Acute: Severe; serious.
A coder can tell that a condition is a current condition and needs to be coded if:
- the physician wrote a prescription to treat the condition.
- the physician discussed therapy to treat the condition.
- the condition is what brought the patient to see the physician on this visit.
- All of these
A coder can tell that a condition is a current condition and needs to be coded if the physician wrote a prescription to treat the condition, the physician discussed therapy to treat the condition, or the condition is what brought the patient to see the physician on this visit.
Condition: A health-related situation.
When provided with both a preoperative diagnosis and a postoperative diagnosis:
- the postoperative diagnosis is expected to be more accurate and should be used for coding.
- the preoperative diagnosis is expected to be more accurate and should be used for coding.
- the postoperative diagnosis and preoperative diagnosis are always the same.
- None of these
When provided with both a preoperative diagnosis and a postoperative diagnosis, the postoperative diagnosis is expected to be more accurate and should be used for coding.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
Quentin has been diagnosed with secondary esophageal varices due to portal hypertension. You will report:
- K76.6, I85.10.
- I85.10 alone.
- K76.6 alone.
- I85.10, K76.6.
K76.6 and I85.10 are both reported to code the secondary esophageal varices due to portal hypertension. See sequencing instructions under I85.1 subcategory. K76.6: Index>hypertension>portal. I85.10: Index>varix>esophageal>secondary.
Hypertension: High blood pressure, usually a chronic condition; often identified by a systolic blood pressure above 140 mm/Hg and/or a diastolic blood pressure above 90 mm/Hg.
Charles was diagnosed with an acute gastrojejunal ulcer, hemorrhaging, with an obstruction. You will code:
- K28.0.
- K28.1.
- K28.3.
- K28.9.
K28.0 is used for a gastrojejunal ulcer that is hemorrhaging. K28.0: Index>ulcer>gastrojejunal>acute>with hemorrhaging.
Acute: Severe; serious.
Which of these codes has the greatest level of specificity?
- H62
- H62.8
- H62.8X
- H62.8X1
H62.8X1 is the most specific of these code choices.
E Codes: Codes that report how and/or where an injury or poisoning happened.
Marvin was diagnosed with mitral valve failure. You will code:
- I05.8.
- I34.0.
- I34.0, I05.8.
- I05.8, I34.0.
I05.8 is the code assigned for mitral valve failure. I05.8: Index>failure>mitral.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
A statement in which the physician uses the word versus between two diagnostic statements is known as a:
- differential diagnosis.
- possible diagnosis.
- rule-out diagnosis.
- suspected diagnosis.
A differential diagnosis is when a provider uses versus between two diagnostic statements.
Principal Diagnosis: The condition that is the primary, or main, reason for the encounter.
Tamika is diagnosed with phobic anxiety disorder and obsessive-compulsive disorder. What is/are the code(s) you will report?
- F40.9
- F40.9, F42.9
- F41.9
- F42
Two codes are needed to code for phobic anxiety disorder and obsessive-compulsive disorder; there is no combination code to describe both. F40.9 phobic anxiety disorder and F42.9 Obsessive-compulsive disorder, unspecified. F40.9: Index>disorder>anxiety>phobic. F42.9: Index>disorder> obsessive-compulsive.
Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.
Code L13.0 includes all of the following except:
- dermatosis herpetiformis.
- hydroa herpetiformis.
- senile dermatitis herpetiformis.
- Duhring's disease.
Excludes1: Senile dermatitis herpetiformis (L12.0).
Code R60.0 includes all of the following except:
- dropsy.
- anasarca.
- localized edema.
- hydrothorax.
R60.0 Localized edema Excludes1: hydrothorax (J94.8).
Pneumothorax: A condition by which air or gas is present within the chest cavity but outside the lungs.
The correct code to report Gaucher's disease is:
- E75.02.
- E75.21.
- E75.22.
- E75.249.
E75.22 is the code for Gaucher's disease. E75.55: Index>Gaucher's disease.
E Codes: Codes that report how and/or where an injury or poisoning happened.
The code for ornithosis is also used to report:
- parrot fever.
- psittacosis.
- parotitis.
- parrot fever and psittacosis.
Parrot fever and psittacosis are in the code for ornithosis.
Infectious: A condition that can be transmitted from one person to another.
Code B97.0 is a code for:
- adenovirus.
- echo virus.
- viral and chlamydial infections.
- None of these
B97.0 is the code for adenovirus.
Infectious: A condition that can be transmitted from one person to another.
Penny is diagnosed with retrovirus. Report this with code:
- B97.3.
- B97.30.
- B97.31.
- B99.9.
The correct code is B97.30, which is the code for retrovirus. B97.30: Index>retrovirus.
Hypertension: High blood pressure, usually a chronic condition; often identified by a systolic blood pressure above 140 mm/Hg and/or a diastolic blood pressure above 90 mm/Hg.
Frank is diagnosed with gastroenteritis from a Salmonella infection from undercooked chicken. How should this be coded?
- A05.9
- A09
- A02.0
- A02.9
The correct code is A02.0, which is used for Salmonella enteritis. A02.0: Index>gastroenteritis>Salmonella.
Jalesa was diagnosed with bulbar acute paralytic poliomyelitis. How should this be coded?
- A80.0
- A80.3
- A80.9
- A80.39
The correct code is A80.39, which is used for bulbar acute paralytic poliomyelitis. A80.39: Index>poliomyelitis>paralytic>specified NEC.
Diana was in a car accident on her way to work this morning and hurt her neck. After an examination, Dr. Jefferson diagnosed Diana with whiplash. You would report the diagnosis of whiplash with code:
- S09.8XXA.
- S13.4XXA.
- S13.4XXD.
- T14.90.
Whiplash initial encounter is coded as S13.4XXA. S13.4XXA: Index>whiplash injury>initial encounter.
William has a second-degree sunburn. This will be coded with:
- L55.0.
- L55.1.
- L55.2.
- L55.9.
A second-degree sunburn is coded as L55.1. L55.1: Index>sunburn>second-degree.
Second Degree: Blisters on the skin; involvement of the epidermis and the dermis layers.
Hypopiesis and hypotension will be reported with:
- one code for hypertension.
- two codes, one for hypopiesis and one for hypotension.
- one code because hypopiesis and hypotension use the same code.
- two codes, one for hypotension and one for cardiovascular collapse.
One code because hypopiesis and hypotension use the same code.
Hypertension: High blood pressure, usually a chronic condition; often identified by a systolic blood pressure above 140 mm/Hg and/or a diastolic blood pressure above 90 mm/Hg.