1.
Code the following scenario, Assessment: Elevated homocysteine, Plan: hyperhomocysteinemia controlled
Correct Answer
A. 270.4
Explanation
The given code "270.4" represents the diagnosis code for hyperhomocysteinemia, which is a medical condition characterized by elevated levels of homocysteine in the blood. The assessment states that the patient has elevated homocysteine, and the plan is to control the condition. Therefore, the correct answer "270.4" aligns with the given scenario and accurately represents the diagnosis and plan for the patient.
2.
DM hypoglycemia is mentioned in PMH. Do we need to see other MEAT for hypoglycemia or should it be coded as direct submittal as DM manifestation?
Correct Answer
A. Need to check for current evidence to resolve
Explanation
The correct answer suggests that before coding hypoglycemia as a direct submittal as a manifestation of DM, it is necessary to check for current evidence as it may resolve. This implies that the presence of hypoglycemia may not always be directly linked to DM and could be a temporary condition that resolves on its own. Therefore, further investigation is required to determine if there is a current and ongoing association between hypoglycemia and DM.
3.
What is the code for Type-2 Diabetes ketoacidosis ?
Correct Answer
A. 250.12
Explanation
The correct code for Type-2 Diabetes ketoacidosis is 250.12. This code specifically identifies the condition of ketoacidosis in patients with Type-2 Diabetes. The other codes listed (250.13, 250.11, 250.10) may be related to different types or complications of diabetes, but they do not specifically indicate ketoacidosis in Type-2 Diabetes.
4.
Code the following scenario:
Assessment: Cholesterolemia, elevated triglyceride and hyperlipidemia,
Correct Answer
C. 272.2
Explanation
The correct answer is 272.2. This code represents the diagnosis of hyperlipidemia, which is a condition characterized by high levels of lipids (such as cholesterol and triglycerides) in the blood. The other codes listed in the scenario (272.1, 272.4, 272.0) are also related to lipid disorders, but they do not specifically represent hyperlipidemia. Therefore, 272.2 is the most accurate code for the given scenario.
5.
Code for the following scenario:
Physical Exma: Left side hemiparesis
Assessment: CVA in 2005 due to vehicle accident
Correct Answer
C. 342.90
Explanation
The correct answer is 342.90. This code represents "Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side" which is the most accurate code for the given scenario of left side hemiparesis resulting from a cerebrovascular accident (CVA) in 2005 due to a vehicle accident.
6.
We can code Differential Diagnosis as submittal, if current MEAT is found.
Correct Answer
B. False
Explanation
The given statement suggests that if the current MEAT (Measure, Examine, Assess, Treat) is found, then we can code Differential Diagnosis as a submittal. However, the correct answer is False. This means that the statement is not true. There is no direct correlation between finding the current MEAT and coding Differential Diagnosis as a submittal.
7.
CVA is disease of the ________________ .
Correct Answer
B. Nervous system
Explanation
CVA, or cerebrovascular accident, is a disease that affects the nervous system. It is commonly known as a stroke, which occurs when there is a sudden interruption of blood flow to the brain, leading to damage or death of brain cells. This interruption can be caused by a blood clot or a ruptured blood vessel. The symptoms of CVA can vary depending on the area of the brain affected but often include sudden weakness or numbness on one side of the body, difficulty speaking or understanding, and loss of coordination. Therefore, the correct answer is nervous system.
8.
What is the code for Left Heart Failure with CHF?
Correct Answer
A. 428.0
Explanation
The correct answer is 428.0. This code represents Left Heart Failure with congestive heart failure (CHF). Left Heart Failure occurs when the left side of the heart is unable to pump blood effectively, leading to fluid buildup in the lungs and other parts of the body. The addition of CHF specifies that the left heart failure is accompanied by symptoms of fluid congestion, such as shortness of breath, fatigue, and edema.
9.
Code the following scenario:
Assessment: Asthma with status Asthmaticus and Asthma with acute exacerbation
Correct Answer
B. 493.91
Explanation
The correct answer is 493.91, which represents asthma with acute exacerbation. In medical coding, assigning the appropriate ICD-10 code is crucial for accurately describing a patient's condition. In this case, the code 493.91 specifies asthma, a chronic respiratory condition, along with an acute exacerbation, indicating a sudden worsening of symptoms requiring immediate medical attention.
10.
Code the following scenario:
Assessment: Patient has history of right leg amputation.
Correct Answer
B. V49.70
Explanation
The correct answer is V49.70 because this code represents the encounter for fitting and adjustment of prosthetic device for the right leg amputation stump. It is the most appropriate code to use in this scenario as it specifically relates to the patient's history of right leg amputation. The other codes mentioned are not relevant to the given scenario.
11.
What is the Code for displacement of cardiac pacemaker electrode?
Correct Answer
B. 996.01
Explanation
The correct answer is 996.01. This code represents the displacement of a cardiac pacemaker electrode. When a pacemaker electrode becomes dislodged or moved from its original position, it can cause issues with the functioning of the pacemaker. This code is used to indicate this specific complication and is important for accurate medical coding and billing purposes.
12.
What is the code for Chronic interstitial cystitis due to indwelling catheters?
Correct Answer
D. 996.64, 595.1
Explanation
The correct answer is 996.64, 595.1. Chronic interstitial cystitis is a condition characterized by inflammation of the bladder wall. Indwelling catheters, which are long-term catheters placed in the bladder, can increase the risk of developing this condition. The code 996.64 represents complications due to indwelling catheters, while 595.1 represents chronic interstitial cystitis. Therefore, both codes are necessary to accurately describe the diagnosis of chronic interstitial cystitis due to indwelling catheters.
13.
Code for Following scenario:
Assessment: Diabetes with osteomyelitis, uncontrolled DM
Correct Answer
B. 250.82, 731.8, 730.20
Explanation
The correct answer is 250.82, 731.8, 730.20. This is because the patient has a diagnosis of uncontrolled diabetes (250.82), which is associated with both osteomyelitis (731.8) and diabetic foot ulcer (730.20). The other options either do not include the correct diabetes code or do not include both of the associated conditions.
14.
Which of the following is not a example of an artificial opening?
Correct Answer
C. Colectomy
Explanation
A colectomy is the surgical removal of all or part of the colon, whereas tracheostomy, gastrostomy, and colostomy are all examples of artificial openings. Tracheostomy is the creation of an opening in the windpipe to assist with breathing, gastrostomy is the creation of an opening into the stomach for feeding, and colostomy is the creation of an opening in the abdominal wall to divert the flow of stool. Therefore, colectomy is the correct answer as it is not a procedure that involves creating an artificial opening.
15.
Patient complaints of palpitations and feeling tired often. Patient previously had cardiac ablation for afib approx. 6 months ago. Today on telemetry shows arrythmia. Providers Plan in record Reads: We will start beta blockers due to the reoccurrence of afib.
Correct Answer
A. 427.31-Submittal
Explanation
The correct answer is 427.31-Submittal because the patient is experiencing a reoccurrence of atrial fibrillation (afib) as shown on telemetry. The provider's plan is to start beta blockers, which are commonly used to treat afib. Therefore, the code 427.31, which represents paroxysmal atrial fibrillation, should be submitted.
16.
HCC stands for.
Correct Answer
D. Hierarchical Condition Category
Explanation
HCC stands for Hierarchical Condition Category. This term is used in the healthcare industry and refers to a system that classifies patients based on their health conditions and the severity of those conditions. The HCC system is used for risk adjustment in healthcare reimbursement, as it helps to accurately predict the expected healthcare costs for each patient.
17.
When aneurysm is ruptured, is it considered an acute or chronic condition?
Correct Answer
A. Acute
Explanation
When an aneurysm is ruptured, it is considered an acute condition. Acute conditions are characterized by a sudden onset and a short duration. In the case of a ruptured aneurysm, there is a sudden and severe rupture of the blood vessel, leading to potentially life-threatening complications. Chronic conditions, on the other hand, develop slowly over time and have a longer duration. Since a ruptured aneurysm is a sudden event, it falls under the category of an acute condition.
18.
Code for Atherosclerotic PVD and only PVD documented in same DOS. What is the code?
Correct Answer
C. 440.20
Explanation
The correct code for Atherosclerotic PVD and only PVD documented in the same DOS is 440.20. This code specifically represents atherosclerosis of the extremities with intermittent claudication. It is the appropriate code to use when both atherosclerotic PVD and only PVD are documented in the same date of service.
19.
We can code subsequent episode of care MI from Outpatient visit.
Correct Answer
A. True
Explanation
It is possible to code subsequent episodes of care for myocardial infarction (MI) from outpatient visits. This means that even if a patient has already been diagnosed with MI and is receiving follow-up care, their outpatient visits can still be coded to reflect the ongoing treatment and management of their condition. This allows for accurate documentation and billing for the services provided during these visits.
20.
What is the code for Non sustained ventricular tachycardia (NSVT)?
Correct Answer
A. 427.1
Explanation
Code 427.1 is the correct answer for Non sustained ventricular tachycardia (NSVT). This code is used to classify NSVT, which is a type of abnormal heart rhythm characterized by rapid and irregular electrical activity in the ventricles of the heart. The code 427.1 is specific to NSVT and accurately represents this condition for medical coding and billing purposes.