Medical Billing and Coding Test Bank
Course Introduction
Medical Billing and Coding introduces students to the essential processes, terminology, and regulations involved in the management of healthcare billing and administrative data. The course covers foundational topics such as the assignment of diagnostic and procedural codes using industry-standard coding systems (ICD, CPT, and HCPCS), patient billing cycles, insurance claim submissions, reimbursement procedures, and compliance with legal and ethical standards. Students will gain practical skills in accurately translating medical documentation and services into standardized codes, preparing insurance claims, and navigating electronic health record systems. Emphasis is placed on detail orientation, regulatory compliance, data privacy, and effective communication between healthcare providers, patients, and payers.
Recommended Textbook
ICD 10 CM PCS Coding Theory and Practice 2016 Edition 1st Edition by Karla R. Lovaasen
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27 Chapters
1674 Verified Questions
1674 Flashcards
Source URL: https://quizplus.com/study-set/2139
Page 2
Chapter 1: The Rationale for and History of Coding
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/42600
Sample Questions
Q1) CPC-H stands for Certified Professional Coder-Health Care Based.
A)True
B)False
Answer: False
Q2) The two most well-known professional associations for coders are __________ and __________.
Answer: AHIMA;AAPC
AAPC;AHIMA
Q3) CCS
A)American Academy of Professional Coders
B)Certified Coding Specialist
C)American Hospital Association
D)National Center for Health Statistics
E)Registered Health Information Technician
Answer: B
Q4) ICD-10-CM stands for __________.
Answer: International Classification of Diseases,10th Revision,Clinical Modification
Q5) Without the __________ system,the comparison of data would be impossible. Answer: classification
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Chapter 2: The Health Record As the Foundation of Coding
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42601
Sample Questions
Q1) Assessment
A)Accredits and certifies healthcare organizations
B)The problem in the patient's own words
C)The approach the practitioner is taking to solve the patient's problem
D)The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care
E)Codes reported on health insurance claim forms that should be supported by documentation in the medical record
F)Person qualified by education and legally authorized to practice medicine
G)Requested by the attending physician to gain an expert opinion on the treatment of a particular aspect of the patient's condition that is outside the expertise of the attending physician
H)People who treat patients
I)The physician identifies the history,physical examination,and diagnostic tests
J)Where the subjective and objective combine for conclusion
K)Words of the patient;the reason the patient has presented to a healthcare facility for treatment
Answer: J
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4
Chapter 3: ICD-10-Cm Format and Conventions
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42602
Sample Questions
Q1) The code "L05.0 pilonidal cyst and sinus with abscess" represents a ____.
A)chapter
B)section
C)category
D)subcategory
Answer: D
Q2) The bolded subterm in the diagnostic statement purulent pneumonia is a(n) ____ modifier.
A)essential
B)nonessential
Answer: B
Q3) An "Excludes1 note" under a code indicates that the terms excluded from the code are to be coded elsewhere.
A)True
B)False
Answer: True
Q4) The word "__________" in the Alphabetic Index is sequenced immediately following the main term,not in alphabetic order.
Answer: with
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Chapter 4: Basic Steps of Coding
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42603
Sample Questions
Q1) The admitting diagnosis is usually a sign or a symptom.
A)True
B)False
Q2) Which of the following is a basic step in coding?
A)Review the medical record
B)Identify main term(s) in the Alphabetic Index
C)Assign codes to the highest level of specificity by verifying in the Tabular
D)All of the options are correct
Q3) Have no effect on the main term
A)Tabular List
B)See also
C)Subterms
D)Discharge summary
E)Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers
Q4) What is the main term in "rheumatoid arthritis"?
Page 6
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Chapter 5: General Coding Guidelines for Diagnosis
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient is admitted to the hospital with Crohn's disease,hypertension,and rheumatoid arthritis for bowel resection.In the OR before incision,the patient develops tachycardia,and the procedure is canceled.What is the principal diagnosis?
Q2) When a coder notices on a laboratory test result that a patient's sodium is below normal,it is acceptable to code hyponatremia.
A)True
B)False
Q3) When you assign separate codes that are used to identify acute and chronic conditions,the acute code is sequenced first.
A)True
B)False
Q4) A(n) ____ is a residual effect (condition produced) after the acute phase of an illness or injury has terminated.
A)combination effect
B)acute effect
C)sequela
D)chronic effect
Q5) What is the diagnosis code(s) for acute and chronic bronchitis?
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Chapter 6: General Coding Guidelines for Medical and Surgical Procedures
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173 Verified Questions
173 Flashcards
Source URL: https://quizplus.com/quiz/42605
Sample Questions
Q1) Operative procedure performed on paired anatomic organs or tissues during the same operative session
A)Non-OR procedure affecting MS-DRG assignment
B)Limited coverage
C)Noncovered OR procedure
D)Valid OR procedure
E)Bilateral procedure
Q2) The parietal bone is in what body system?
Q3) A character "Z" is available to indicate that no qualifier is necessary for a given procedure.
A)True
B)False
Q4) Episiotomy with vaginal delivery
Q5) The Uniform Hospital Discharge Data Set (UHDDS) definitions are used by chronic care,long-term hospitals to report inpatient data elements in a standardized manner.
A)True
B)False
Q6) Endometrial ablation via natural opening,endoscopic
Q7) ESWL-right ureter
8
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Chapter 7: General Coding Guidelines for Other Medical-
and Surgical-Related Procedures and Ancillary Procedures
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107 Verified Questions
107 Flashcards
Source URL: https://quizplus.com/quiz/42606
Sample Questions
Q1) Root type is the sixth character in the physical rehabilitation and diagnostic audiology section.
A)True
B)False
Q2) Stereotactic radiosurgery to spinal cord using gamma beam
Q3) EEG monitoring,external
Q4) Compression is limiting or preventing motion of a body region.
A)True
B)False
Q5) Bedside swallow
Q6) Diagnostic ultrasound right breast
Q7) The fourth character is the body part that is the focus of the radiation therapy.
A)True
B)False
Q8) The seventh character identifies whether the procedure is a physical rehabilitation procedure or a diagnostic audiology procedure.
A)True
B)False
Q9) ECMO,circulatory,continuous Page 9
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Page 10
Chapter 8: Symptoms,
Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Problems with mother-in-law: __________
Q2) The patient was admitted to the hospital for monitoring of seizure like spells.Video electroencephalogram monitoring (external) of these episodes was performed and did not reveal any epileptic activity.Final Diagnosis: Transient alteration of awareness.Seizure disorder ruled out.
A)R40.4,4A10X4Z
B)R40.4,4A00X4Z
C)Z13.858,4A00X4Z
D)R40.4,Z13.858,4A10X4Z
Q3) The patient was admitted for prophylactic breast removal.The patient has a strong family history of breast cancer and the patient has severe fibrocystic disease in both breasts,making breast examination difficult.The patient was taken to the OR,and a bilateral simple mastectomy was performed.The patient recovered with no problems.The pathology report showed no evidence of malignancy.Final Diagnosis: Family history of breast cancer;severe fibrocystic disease.Procedure: Bilateral simple mastectomy.
A)Z40.8,,N60.11,N60.12,0HTV0ZZ
B)Z40.01,Z80.3,N60.11,N60.12,0HTV0ZZ
C)Z40.01,Z80.3,N60.19,0HTT0ZZ,0HTU0ZZ
D)N60.11,N60.12,Z40.01,0HTT0ZZ,0HTU0ZZ
Page 11
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Chapter 9: Certain Infectious and Parasitic Diseases
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/42608
Sample Questions
Q1) Assign the code for suspected carrier of group B strep.
Q2) A patient was admitted to the hospital with fever,cough,and low blood pressure.CXR shows infiltrates,and sputum culture is positive for MRSA.The discharge summary indicates that the patient was admitted and was given IV antibiotics for MRSA pneumonia.
A)Z16.11,J15.212
B)J15.212,Z16.11
C)B95.62,Z16.11
D)J15.212
Q3) ____________________ is found as white plaques on the lips,inner cheeks,or tongue.It is seen in babies,people with cancer,and diabetics.
Q4) What disease is caused by a fungus?
A)Syphilis
B)HIV
C)Gonorrhea
D)Candidiasis
Q5) The CDC considers a patient to have AIDS if a CD4+ T-cell count is less than ___ cells/ml.
Q6) What virus is spread to individuals by a mosquito bite?
Q7) TB stands for ____________________.
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Chapter 10: Neoplasms
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68 Verified Questions
68 Flashcards
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Sample Questions
Q1) Metastasis to Zuckerkandl's organ: __________
Q2) All of the following are considered by the National Cancer Institute to be the most common sites for cancer in the United States EXCEPT ____.
A)breast
B)lung
C)brain
D)skin
Q3) The patient has a history of chronic hepatitis C.On routine ultrasonography,a suspicious mass of the liver was discovered.Biopsy confirmed primary hepatocellular carcinoma,and the patient was admitted for open partial hepatectomy.Final Diagnoses: Chronic hepatitis C.Hepatocellular carcinoma.Procedure: Partial hepatectomy for resection of HCC.
A)C22.0,B18.2,0FB00ZZ
B)C22.9,B18.2,0FB00ZX
C)C22.0,B18.9,0FB00ZZ
D)B18.2,C22.9,0FB00ZX
Q4) Cancer of the white blood cells that begins in the blood-forming cells of the bone marrow is called ____________________.
Q5) Cancer of the lymphatic system is called ____________________.
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Chapter 11: Diseases of the Blood and Blood-Forming
Organs and Certain Disorders Involving the Immune
Mechanism
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70 Verified Questions
70 Flashcards
Source URL: https://quizplus.com/quiz/42610
Sample Questions
Q1) Characterized by ecchymoses or small hemorrhages in the skin,mucous membranes,or serosal surfaces due to blood disorders,vascular abnormalities,or trauma
A)Apheresis
B)Blood
C)Autologous transfusion
D)5000 to 10,000/mm3
E)Hemoglobin (HGB)
F)Purpura
G)Idiopathic
H)Hematocrit (Hct)
I)Bone marrow biopsy
J)WBC
K)Secondary thrombocytopenia
Q2) When looking up anemic conditions in the code book,you should look up ____.
A)anemia first and then the various subterms
B)the type of anemia first and then "anemia" as a subterm
C)the symptoms that have presented
D)none of the above
Q3) Coagulopathy due to chronic liver disease: __________
Q4) ____________________ is an increased number of white cells in the blood. Page 14
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Page 15
Chapter 12: Endocrine, Nutritional, and Metabolic Diseases
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69 Verified Questions
69 Flashcards
Source URL: https://quizplus.com/quiz/42611
Sample Questions
Q1) In ICD-10-CM,there is no designation for out-of-control diabetes mellitus.
A)True
B)False
Q2) Myxedema is a skin or tissue disorder usually resulting from severe,prolonged hypothyroidism.
A)True
B)False
Q3) What does NIDDM stand for?
Q4) When there is hypersecretion of hGH after puberty,a condition called acromegaly,where does the overgrowth occur?
Q5) Dietary surveillance and counseling
A)Z79.890
B)Z90.411
C)Z83.49
D)Z86.39
E)Z71.3
Q6) Diabetic cataract: __________
Q7) A(n) ____________________ is an enlargement of the thyroid gland.
Q9) Diabetes mellitus with hypoglycemic coma: __________ Page 16
Q8) Iritis right eye due to diabetes,type 2,out of control: __________
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Page 17
Chapter 13: Mental, Behavioral, and Neuro developmental Disorders
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/42612
Sample Questions
Q1) Asexual transsexualism: __________
Q2) Assuming the appearance,manner,or roles traditionally associated with members of the opposite sex (cross-dressing)
A)Masochism
B)Fetishism
C)Exhibitionism
D)Sadism
E)Transvestism
F)Voyeurism
Q3) Occur(s) when there has been a change in mood for a prolonged period of time
A)Sexual problems
B)PTSD-posttraumatic stress disorder
C)Phobias
D)Panic disorder
E)Generalized anxiety disorder
F)Mood disorders
G)Schizophrenia
Q4) Munchausen's syndrome: __________
Page 18
Q5) What are the two most common mood disorders?
Q6) Korsakoff's alcoholic psychosis due to alcohol dependence: __________
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Page 19
Chapter
Eye and Adnexa,and Diseases of the Ear and Mastoid Process
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/42613
Sample Questions
Q1) The spinal cord is located in the ____________________ foramen.
Q2) A(n) ____________________ is a device that is used to treat intractable epilepsy.
Q3) Patient came to the ER after falling off her horse at the county fair rodeo.X-rays reveal two fractured ribs on the left.Patient is admitted for acute pain control.
A)S22.42xA,G89.11,V80.010A,Y92.39,Y93.52
B)G89.18,S22.42xA,V80.010A,Y92.39,Y93.52
C)G89.11,S22.42xA,V80.010A,Y92.39,Y93.52
D)S22.42xA,R52,V80.010A,Y92.39,Y93.52
Q4) Amaurosis: __________
Q5) Bilateral vitreous floaters: __________
Q6) The central nervous system is made up of the ____________________ and ____________________.
Q7) What are the two main divisions of the nervous system?
Page 20
Q8) Which of the following is not a layer of the meninges that covers the brain?
A)Endocardium
B)Dura
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Page 21
Chapter 15: Diseases of the Circulatory System
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66 Verified Questions
66 Flashcards
Source URL: https://quizplus.com/quiz/42614
Sample Questions
Q1) Patient is admitted with CHF and known hypertensive heart disease.
A)I50.9,I11.0
B)I11.0,I50.9
C)I50.9,I10
D)I11.0,I50.30
Q2) Patient comes into the ER after fainting at work.The physician determines that the fainting was caused by hypertensive urgency.
A)R55.0,R03.0
B)R55.0
C)I10,R55
D)I10
Q3) A stroke that lasts only a few minutes
A)Transient ischemic attack
B)Atherosclerosis
C)Aneurysm
D)Pericarditis
E)Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization
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Chapter 16: Diseases of the Respiratory System
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73 Verified Questions
73 Flashcards
Source URL: https://quizplus.com/quiz/42615
Sample Questions
Q1) ____ occurs when the linings of one or more sinuses become infected,usually as the result of viruses or bacteria.
A)Black lung
B)Asthma
C)Sinusitis
D)Bronchitis
Q2) ____ is a lower respiratory tract or bronchial tree infection that is characterized by cough,sputum production,and wheezing.
A)Empyema
B)Asthma
C)Sinusitis
D)Bronchitis
Q3) Patient was admitted to the hospital in acute respiratory failure due to congestive heart failure.The patient was intubated and placed on mechanical ventilation for 2 days.The patient responded well to IV diuretics.
A)J96.00,I50.9,5A1945Z,0BH17EZ
B)J96.01,I50.1,5A1935Z
C)J96.02,I50.20,5A1955Z,0BH13EZ
D)J96.22,I50.30,5A1945Z,0BH17EZ
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Page 23
Chapter 17: Diseases of the Digestive System
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/42616
Sample Questions
Q1) What is the term for degeneration of the liver tissue that causes blockage of the blood through the liver and inhibits its function?
Q2) Patient comes to the ER with severe abdominal pain and a long history of alcoholism.Physician documents that patient is currently drinking a fifth of liquor a day.Patient is admitted to the hospital with a diagnosis of acute pancreatitis secondary to alcohol use.
A)K85.8,F10.10
B)K85.2,F10.20
C)K85.9,F10.10
D)K85.0,F10.20
Q3) Patient with vomiting and abdominal pain is admitted to the hospital.After workup,it is determined that the patient has appendicitis.The patient is taken to the OR for a laparoscopic appendectomy.The pathology report shows that the patient suffered from acute appendicitis with an abscess.
A)K35.3,R10.9,0DYJ0ZZ
B)K35.3,0DTJ4ZZ
C)R10.9,K35.1,0DTJ4ZZ
D)K35.9,R10.9,0DTJ0ZZ
Q4) What is the abbreviation for esophagogastroduodenoscopy?
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Chapter 18: Diseases of the Skin and Subcutaneous Tissue
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) What are the two most common bacteria associated with skin infections?
1.Streptococcus pyogenes
2)Escherichia coli
3)Staphylococcus aureus
4)Treponema pallidum
5)Pseudomonas aeruginosa
A)1 and 2
B)2 and 3
C)3 and 4
D)1 and 3
E)3 and 5
Q2) Which of the following is NOT a layer of the skin?
A)Epidermis
B)Endodermis
C)Dermis
D)Subcutaneous layer
Q3) What usually causes hives?
Q4) Asteatosis cutis: __________
Q5) The skin and its accessory organs are part of the ____________________ system.
Q6) Granuloma pyogenicum: __________
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Chapter 19: Diseases of the Musculoskeletal System and Connective Tissue
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A patient is admitted for right THR for hip rheumatoid arthritis.The patient has a past medical history of CVA and MDS.The patient has an open total hip replacement (ceramic on ceramic prosthesis) and on day 1 is transfused with two autologous units of red blood cells via peripheral vein.Coder queries physician regarding the reason for the blood transfusion,and the physician documents acute blood loss anemia.__________
Q2) The patient was admitted from the ER for chest pain to rule out MI.The patient also had some difficulty breathing and pain when taking a deep breath.The patient does have a family history of ischemic heart disease and is positive for the following cardiac risk factors: male,older than age 65,hypertension,smoker,and overweight.After evaluation and monitoring,an MI was ruled out.Cardiology thought the most likely cause for his chest pain was costochondritis.Final Diagnoses: Chest pain due to costochondritis.Hypertension.Smoker,current nicotine dependence (cigarettes).Overweight.Family history of ischemic heart disease.
A)M94.20,I10,E66.2,F17.211,Z82.49
B)M94.0,I11.9,F17.229,E66.3,Z82.41
C)M94.0,I10,F17.210,E66.3,Z82.49
D)M94.1,I10,Z72.0,E66.8,Z82.49
Q3) Ankylosis of right shoulder: __________
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Chapter 20: Diseases of the Genitourinary System
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73 Verified Questions
73 Flashcards
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Sample Questions
Q1) The main parts of the male genital or reproductive tract include the testes,epididymis,vas deferens,seminal vesicles,prostate,and penis.
A)True
B)False
Q2) Term that describes a stone or calculus in the urinary system
A)Urolithiasis
B)Nephrotic syndrome
C)Fistula
D)Prostatitis
E)Urinary tract infections (UTIs)
F)Hemodialysis
G)Endometritis
H)Renal colic
I)Mastitis
J)Acute renal failure
Q3) Ulceration of the vulva: __________
Q4) ____________________ is a chronic condition in which endometrial material,the tissue that lines the inside of the uterus,grows outside the uterus and attaches to other organs in the pelvic cavity.
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Chapter 21: Pregnancy, Childbirth, and the Puerperium
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) Pregnant
A)Young obstetric patient
B)Antepartum
C)Primigravida
D)Puerperium
E)Gravid
F)Elderly OB patient
Q2) In ICD-10-CM,the diagnosis used for an elective abortion comes from the pregnancy chapter.
A)True
B)False
Q3) If code O80 is assigned,other codes in the O00-O9A range should also be assigned,if applicable.
A)True
B)False
Q4) Which of the following codes are correct when a normal pregnancy is coded?
A)O80 Normal delivery
B)Z37.0 Single liveborn
C)10E0XZZ Manually assisted delivery
D)All of the above
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Chapter 22: Certain Conditions Originating in the Perinatal
Period and Congenital Malformations, deformations, and
Chromosomal Abnormalities
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48 Verified Questions
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Sample Questions
Q1) What is a congenital anomaly?
Q2) Newborn is delivered vaginally and is ruled in for group B strep sepsis.
A)Z38.00,A41.9,R65.20,P00.2
B)Z38.01,P00.2
C)Z38.01,R65.20,A41.9
D)Z38.00,P36.0
Q3) A congenital heart defect manifested by four key features,all involving the heart
A)Klinefelter's syndrome
B)Spina bifida
C)Meckel's diverticulum
D)Marfan syndrome
E)Tetralogy of Fallot
F)Down syndrome
Q4) In most cases,pregnancies with chromosomal anomalies end with a natural miscarriage.
A)True
B)False
Q5) What does LGA stand for?
29
Q6) Cesarean delivery at term of interlocking twins,Twin A: __________
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Page 30
Chapter 23: Injuries and Certain Other Consequences of
External Cases and External Causes of Morbidity
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70 Verified Questions
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Sample Questions
Q1) All of the following are true of external cause codes EXCEPT they capture____.
A)the cause
B)the intent
C)how to screen patients
D)the place where the event occurred
Q2) A patient suffered a blowout fracture 1 week ago and is being seen by an orthopedic consultant and is scheduled to have surgery in 2 days.Assign only the injury code.
A)S02.3xxA
B)S02.3xxD
C)S02.3xxG
D)S02.3xxK
Q3) A(n) ____________________ is a partial or completed dislocation.
Q4) Where are foreign bodies most likely to enter?
Q5) When air or gas bubbles get into the bloodstream,this is called a(n)
Q6) When air or gas bubbles get into the bloodstream,what is one thing that can happen?
Q7) Fractured coccyx,initial encounter: __________
Q8) Anaphylactic shock due to ingestion of milk: __________ Page 31
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Chapter 24: Burns, adverse Effects, and Poisonings
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/42623
Sample Questions
Q1) A patient is admitted to the hospital after being found by family members in her bedroom at her house (single-family).They were unable to awaken her.A note and an empty bottle of antifreeze (ethylene glycol) were found by her bed.Patient is intubated and admitted to ICU for mechanical ventilation and treatment.The patient's condition deteriorated with multisystem failure and she expired on day 2.Ventilator time was greater than 24 hours.Discharge Diagnoses: Suicide by antifreeze.Multisystem organ failure,including acute respiratory,acute liver,and acute kidney failure.
Q2) Deep necrosis of underlying tissues
A)First-degree
B)Second-degree
C)Third-degree
D)Fourth-degree
Q3) A patient has SIRS due to an accidental burn from the flames from a single-family house fire.The patient has full-thickness skin loss burns of the legs (11%) with second-degree burns of the trunk (4%).
A)T24.302A,T24.301A,T21.20xA,R65.10,T31.11,X00.0xxA,Y92.019
B)T24.302S,T24.301S,T21.20xS,R65.11,T31.11,X00.0xxS,Y92.019
C)T24.302D,T24.301D,T21.20xD,R65.10,T31.11,X00.0xxD,Y92.019
D)T24.302A,T21.20xA,R65.11,T31.11,X00.0xxA,Y92.019
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Page 33
Chapter 25: Complications of Surgical and Medical Care
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Sample Questions
Q1) Pneumonitis due to organism growing in ventilation (air conditioning) system:
Q2) If the documentation is unclear whether the diagnosis was the result of a procedure or condition,a physician query should be initiated.
A)True
B)False
Q3) There is a time limit for complications to occur.
A)True
B)False
Q4) Displacement of an insulin pump,initial encounter;patient has type 1 DM:
Q5) Patient had an outpatient ERCP for extraction of a common bile duct stone.The patient developed acute abdominal pain and was admitted to rule out post ERCP pancreatitis.Impression: Post ERCP pancreatitis.
A)K91.89,K80.50,K85.9,Y83.8,0FC98ZZ
B)K86.1,K80.51,K91.89,Y83.9,0FC98ZZ
C)K85.1,K80.60,Y84.9,0F998ZZ
D)K85.9,K80.61,Y84.8,0F798ZZ
Q6) Mechanical complications are related to ____________________ malfunctions.
Page 34
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Chapter 26: Reimbursement Methodologies
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Specialized software (called "groupers") is used to assign the appropriate MS-DRG.Groupers are often part of encoder or coding software that is used to assign the diagnosis and procedure codes.
A)Both statements are true
B)Both statements are false
C)The first statement is true;the second statement is false
D)The first statement is false;the second statement is true
Q2) Clinical documentation specialists would perform a concurrent review of a patient's health record for any missing or incomplete nursing documentation.
A)True
B)False
Q3) MS-DRG stands for __________.
Q4) ____ is the process of striving to obtain optimal reimbursement or the highest possible payment to which the facility is legally entitled based on the documentation in the health record.
A)Comorbidity
B)Complication
C)Maximization
D)Optimization
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Chapter 27: Out patient Coding
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Sample Questions
Q1) When a patient is admitted for observation for a medical condition,assign a code for the medical condition as the ____________________.
Q2) Patient with right carpal tunnel syndrome had an endoscopic carpal tunnel release:
Q3) Encounter for exam of an adult following an alleged rape
A)Z33.1
B)O09.01
C)Z30.431
D)Z00.129
E)Z04.41
F)Z01.811
Q4) Patient comes to physician's office with extreme headache.Physician suspects TIA VS CVA and sends the patient to the hospital: __________
Q5) Patient is sent to cardiologist for a pre-op consult before cataract surgery because of the preexisting condition of congestive heart failure: __________
Q6) What is CPT coding?
Q7) What are ancillary service visits?
Q8) When outpatient procedures are coded,codes from ____________________ are used.
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