About This Chapter
This question series explores providing assessment items covering subjects like inuring Care and Aftercare, y Detection, tall exams and preventive care. Ivers thoroughly tested questions with accurate answers, comprehensive explanations, and terminology definitions supported by verified answers and in-depth explanatory guidance. Immediate access to correct answers and detailed explanations ensures effective learning and quick verification. The learning goals consist of the following: Apply diagnosis/procedure codes according to current
Question 1

What is the correct code for replacing the battery in a cardiac pacemaker?

  • Z45.018
  • Z45.010
  • Z45.02
  • Z45.09
Correct Answer: Z45.010
Explanation:

Z45.010 is the correct code for an encounter for replacing a cardiac pacemaker battery. Z45.010: Index>admission>adjustment>device>implanted>cardiac>pacemaker>pulse generator.

Glossary:

ICD-10-CM: The acronym for International Classification of Diseases, Tenth Revision, Clinical Modification.

Question 2

Jane Jillson is seen today for a thrombosis in her lower distal left leg vein. Jane has been taking birth control pills for three years and the physician decides to stop this because blood clots are a side effect of long-term use of birth control pills. What is the correct code assignment?

  • Z79.2
  • I82.4Z2, Z79.3
  • I82.4Z2
  • Z79.3, I74.3
Correct Answer: I82.4Z2, Z79.3
Explanation:

The correct codes for this visit are I82.4Z2 and Z79.3. I82.4Z2: Index>thrombosis>vein>lower extremity>distal>deep>left. Z79.3: Index>long-term>birth control.

Glossary:

Sign: Objective evidence of a disease or condition.

Question 3

Grayson Gustefson was discharged one week ago after an amputation at his left elbow. He is being seen in the office today to evaluate the healing of his amputation stump. What is the correct code assignment?

  • Z47.81, S58.012A
  • Z47.81, S58.012D
  • Z47.82, S58.012A
  • Z47.82, S58.012D
Correct Answer: Z47.81, S58.012D
Explanation:

The correct codes for a follow-up visit for an amputation at the left elbow are Z47.81 and S58.012D. Z47.81: Index>aftercare>following surgery>amputation. S58.012D: Index>amputation>traumatic>arm>at>elbow>left>subsequent encounter.

Glossary:

Sign: Objective evidence of a disease or condition.

Question 4
Multiple Choice
Medium
Early Detection exam

Mary Matthews is concerned about her breast cancer risk because her mother passed away as a result of breast cancer five years ago. She presented to the office today for a routine mammogram to screen for breast cancer. What is the correct code assignment?

  • Z12.31, Z80.3
  • Z12.31
  • Z12.39, Z80.3
  • Z12.39
Correct Answer: Z12.31, Z80.3
Explanation:

The correct codes for an encounter for a mammogram for a patient with a family history of breast cancer are Z12.31 and Z80.3. Z12.31: Index>screening>neoplasm>breast>routine. Z80.3: Index>history>family>malignant neoplasm>breast.

Glossary:

Sign: Objective evidence of a disease or condition.

Question 5
Multiple Choice
Hard
Early Detection exam

What is the correct code assignment for a patient coming in for screening for a mitral valve prolapse with a family history of this condition?

  • Z13.6
  • Z13.7
  • Z13.6, Z82.49
  • Z13.7, Z82.49
Correct Answer: Z13.6, Z82.49
Explanation:

The correct codes for an encounter for cardiovascular disorders with a family history of mitral valve prolapse are Z13.6 and Z82.49. Z13.6: Index>screening>cardiovascular. Z82.49: Index>history>family>disease>cardiovascular.

Glossary:

Condition: A health-related situation.

Question 6
Multiple Choice
Medium
Early Detection exam

What is the correct code for a patient coming in for cholesterol screening?

  • Z13.22
  • Z13.220
  • Z13.228
  • Z13.29
Correct Answer: Z13.220
Explanation:

The correct code for a cholesterol screening is Z13.220. Z13.220: Index>screening>disease>nutritional>metabolic>lipoid disorders.

Glossary:

Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.

Question 7
Multiple Choice
Medium
Early Detection exam

Sally Smith is being seen today in the office for allergy testing. What code is assigned?

  • Z01.8
  • Z01.810
  • Z01.82
  • Z01.89
Correct Answer: Z01.82
Explanation:

The correct code for an encounter for allergy testing is Z01.82. Z01.82: Index>testing>skin, diagnostic>allergy.

Question 8
Multiple Choice
Medium
Early Detection exam

What is the correct code assignment for a patient who received a blood pressure screening only with results within the normal range?

  • Z01.3
  • Z01.30
  • Z01.31
  • Z01.31, R03.0
Correct Answer: Z01.30
Explanation:

The correct code for an encounter for blood pressure screening with normal results is Z01.30. Z01.30: Index>blood>pressure>examination only.

Question 9
Multiple Choice
Medium
Genetic Susceptibility exam

A patient has a genetic susceptibility to multiple endocrine neoplasia. What code is assigned?

  • Z15.02
  • Z15.03
  • Z15.04
  • Z15.81
Correct Answer: Z15.81
Explanation:

Z15.81 is used for a patient with a genetic susceptibility to multiple endocrine neoplasia. Z15.81: Index>susceptibility>multiple endocrine neoplasia.

Question 10
Multiple Choice
Medium
Genetic Susceptibility exam

A patient is a carrier of typhoid. What code is assigned?

  • Z22.0
  • Z22.1
  • Z22.2
  • Z22.39
Correct Answer: Z22.0
Explanation:

Z22.0 is used for carriers of typhoid. Z22.0: Index>carrier>typhoid.

Question 11
Multiple Choice
Medium
Observation exam

A patient is seen today for suspected placental problems. The physician completes the testing and determines there is no placental problem. What code is assigned for the visit?

  • Z03.72
  • Z03.73
  • Z03.74
  • Z03.75
Correct Answer: Z03.72
Explanation:

Z03.72 is used for an encounter for suspected placental problem, ruled out. Z03.72: Index>suspected>placental problem.

Question 12
Multiple Choice
Medium
Observation exam

Six-year-old Chrissy Chrimson is brought in today by her mother. Her parents are divorced and Chrissy's mother is concerned that her father abused her over the weekend while he had custody of Chrissy. The physician examines Chrissy and discusses the weekend's events with her. The physician does not find any physical or mental indication of abuse. How is this visit coded?

  • Z04.41
  • Z04.42
  • Z04.71
  • Z04.72
Correct Answer: Z04.72
Explanation:

Z04.72 is used for an encounter for suspected child abuse, ruled out. Z04.72: Index>observation>suspected>abuse>child.

Glossary:

Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.

Question 13
Multiple Choice
Medium
Observation exam

What is the correct code for an examination following a work accident?

  • Z04.1
  • Z04.2
  • Z04.3
  • Z04.6
Correct Answer: Z04.2
Explanation:

Z04.2 is used to code for an examination following a work accident. Z04.2: Index>observation>accident>at work.

Glossary:

Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.

Question 14
Multiple Choice
Medium
Observation exam

Twenty-three-year-old Susie Sommbers is seen today for examination after an alleged rape. A rape kit was ordered and the police were called. The rape kit came back negative. What code is assigned for the visit?

  • Z04.4
  • Z04.41
  • Z04.42
  • Z04.6
Correct Answer: Z04.41
Explanation:

Z04.41 is used for an alleged adult rape, ruled out. Z04.41: Index>observation>alleged rape>adult.