Medical Coding Quiz On Mental, Behavioral, And Neurodevelopmental Disorders (F01-f99)

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| By Naushad207

Naushad207

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Quizzes Created: 7 | Total Attempts: 14,182

Questions: 10 | Attempts: 1,344 | Updated: Mar 22, 2023

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Questions and Answers

1.

Patient is receiving behavioral therapy for treatment of chronic pain syndrome with associated psychological factors:
- A.
  
  G89.21, F45.41
- B.
  
  G89.29, F54
- C.
  
  G89.4, F45.42
- D.
  
  G89.29, F59
Correct Answer
C. G89.4, F45.42

Explanation
Pain disorders related to psychological factors
Assign code F45.41, for pain that is exclusively related to psychological disorders. As indicated by the Excludes 1 note under category G89, a code from category G89 should not be assigned with code F45.41 Code F45.42, Pain disorders with related psychological factors, should be used with a code from category G89, Pain, not elsewhere classified, if there is documentation of a psychological component tor a patient with acute or chronic pain.
See Section I.C.6. Pain

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2
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2.

Patient is 70 years old and has dementia with delirium:
- A.
  
  F19.121, F01.50
- B.
  
  F02.8, F19.231
- C.
  
  F03.91, F07
- D.
  
  F03.90, F05
Correct Answer
D. F03.90, F05

Explanation
The answer F03.90, F05 indicates that the patient has both unspecified dementia without behavioral disturbance and delirium due to a known physiological condition. This means that the patient is experiencing cognitive decline and confusion, which are common symptoms of dementia, as well as delirium, which is a sudden state of confusion often caused by an underlying medical condition. The combination of these two diagnoses suggests that the patient's dementia is contributing to the development of delirium.

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1
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3.

Alcoholic gastritis with alcohol abuse:
- A.
  
  K29.20
- B.
  
  K29.20, F10.10
- C.
  
  K29.21, Z72.89
- D.
  
  F10.14, K29.21
Correct Answer
B. K29.20, F10.10

Explanation
Upon verification of code K29.20 in the Tabular, there are instructions to use an additional code to identify alcohol abuse and dependence.

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3
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4.

Seizure due to alcohol withdrawal. Patient is an alcoholic who usually drinks every day but hasn't had a drink in 2 days:
- A.
  
  F10.230, R56.9
- B.
  
  G40.89, F10.14
- C.
  
  F10.220, G40.909
- D.
  
  T51.8X1A, G40.109
Correct Answer
A. F10.230, R56.9

Explanation
The correct answer is F10.230, R56.9. This answer indicates that the patient is experiencing alcohol withdrawal seizures (F10.230) and unspecified convulsions (R56.9). The patient's history of alcoholism and the fact that they haven't had a drink in 2 days suggest that the seizures are a result of alcohol withdrawal. The other answer options do not accurately reflect this scenario.

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5.

Following numerous tests, the patient was diagnosed with conversion disorder with seizures:
- A.
  
  F44.4
- B.
  
  F44.5
- C.
  
  F44.6
- D.
  
  F44.7
Correct Answer
B. F44.5

Explanation
The correct answer is F44.5. Conversion disorder is a condition where a person experiences physical symptoms, such as seizures, that cannot be explained by any underlying medical condition. This diagnosis is made after ruling out other possible causes for the seizures. F44.5 specifically refers to conversion disorder with seizures, indicating that the patient's seizures are a manifestation of this disorder.

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6.

Patient takes medication for ADHD, combined type:
- A.
  
  F90.0
- B.
  
  F90.1
- C.
  
  F90.2
- D.
  
  F90.8
Correct Answer
C. F90.2

Explanation
The correct answer is F90.2 because it represents the specific type of ADHD that the patient has, which is combined type. This means that the patient exhibits symptoms of both inattentive and hyperactive-impulsive behaviors. The other options (F90.0, F90.1, F90.8) represent different subtypes or categories of ADHD, but they do not match the specific type mentioned in the question.

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7.

Encounter for mental health services for victim of non-parental child abuse:
- A.
  
  Z69.010
- B.
  
  Z69.011
- C.
  
  Z69.11
- D.
  
  Z69.020
Correct Answer
D. Z69.020

Explanation
The correct answer is Z69.020 because it is the most specific code that accurately represents the encounter for mental health services for a victim of non-parental child abuse. The other options (Z69.010, Z69.011, Z69.11) do not specifically mention non-parental child abuse and may not fully capture the reason for the encounter.

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8.

Patient has an obsessive-compulsive personality disorder :
- A.
  
  F60.5
- B.
  
  F60.89
- C.
  
  F69
- D.
  
  F07.89
Correct Answer
A. F60.5

Explanation
The correct answer is F60.5 because it is the specific code for obsessive-compulsive personality disorder in the International Classification of Diseases (ICD-10). This disorder is characterized by a pattern of preoccupation with orderliness, perfectionism, and control, which can significantly interfere with daily functioning and relationships.

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9.

Patient is treated for impotence due to psychogenic cause:
- A.
  
  N52.9
- B.
  
  F52.21
- C.
  
  F52.12
- D.
  
  Q75.8
Correct Answer
B. F52.21

Explanation
The correct answer is F52.21. This code is used to indicate the diagnosis of "male erectile disorder," which is characterized by the inability to attain or maintain an erection sufficient for satisfactory sexual performance. In this case, the patient's impotence is attributed to a psychogenic cause, meaning it is related to psychological factors rather than physical issues.

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10.

The patient is a former smoker:
- A.
  
  Z72.0
- B.
  
  F17.200
- C.
  
  F17.210
- D.
  
  Z87.891
Correct Answer
D. Z87.891

Explanation
The code Z87.891 represents the personal history of tobacco use. This code is appropriate for the patient because they are a former smoker, indicating that they have a history of tobacco use. It is important to document this history as it can have implications for the patient's current and future health.

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Current Version
Mar 22, 2023

Quiz Edited by
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Mar 31, 2017

Quiz Created by
Naushad207

Medical Coding Quiz On Mental, Behavioral, And Neurodevelopmental Disorders (F01-f99)

Patient is receiving behavioral therapy for treatment of chronic pain syndrome with associated psychological factors:

Patient is 70 years old and has dementia with delirium:

Alcoholic gastritis with alcohol abuse:

Seizure due to alcohol withdrawal. Patient is an alcoholic who usually drinks every day but hasn't had a drink in 2 days:

Following numerous tests, the patient was diagnosed with conversion disorder with seizures:

Patient takes medication for ADHD, combined type:

Encounter for mental health services for victim of non-parental child abuse:

Patient has an obsessive-compulsive personality disorder :

Patient is treated for impotence due to psychogenic cause:

The patient is a former smoker: