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Review Chapter 10 & 11

1 year old is diagnosed with toxoplasmosis. Report this with:

130.9

T/F The Official Guidelines for Coding and Reporting are updated every year.

True

Evelyn is diagnosed with bone and liver cancer metastasized from her breast. Which statement is NOT correct?

Answer is (D) bone cancer is primary

A. liver cancer is secondary

B breast cancer is primary

C bone cancer is secondary

D. bone cancer is primary

T/F ICD-9-CM presumes a cause-and-effect relationship between hypertension and chronic kidney disease.

True

T/F HIV infection can be reported if documented as "suspected" or "possible."

False

A stroke may also be termed ___.

cerebrovascular accident

Uncontrolled Type I diabetes with hyperosmolar coma is reported:

250.23

Tito is diagnosed with acute bronchitis with COPD. Report this with:

491.22

T/F The routinely associated signs and symptoms should not be coded in addition to the definitive code for a particular disease or condition.

True

The correct codes for acute cystitis due to E. coli are:

595.0, 041.49

Sidney uses crutches because he had acute poliomyelitis when he was a child. His limb paralysis is a late effect of that condition. Report this with code(s):

344.1, 138

Select the correct codes for acute influenzal myocarditis:

487.8, 422.0

A combination code is a single code used to classify:

A single code for two diagnoses, that are associated

The site to which malignancy spreads is coded as the

secondary site

The first column of the neoplasm table lists:

anatomical site

T/F A late effect is the residual condition that is still present two months after the acute illness or injury.

False

ICD-9-CM code for Infectious diarrhea.

009.2

T/F ICD-9-CM presumes a cause-and-effect relationship between hypertension and chronic kidney disease.

True

Hypertensive retinopathy is coded as:

362.11

T/F When a patient is admitted for chemotherapy, assign the code for the malignancy as the first-listed diagnosis.

False

List the four cooperating parties that agree on coding principles:

American Hospital Association (AHA)
American Health Information Management Association (AHIMA)
Centers for Medicare and Medicaid Services (CMS)
National Center for Health Statistics (NCHS)

FOR ACCURATE CODING: Identify the main ___ in the diagnostic statement.

term or terms

FOR ACCURATE CODING: Locate the main term(s) in the Alphabetic Index (volume___).

2

FOR ACCURATE CODING: Review any ___ under the main term in the Index.

subterms

FOR ACCURATE CODING: Follow any ___-___ instructions, such as "see also".

cross reference

FOR ACCURATE CODING: Verify the code(s) selected from the Index (Volume ____) in the Tabular List (Volume____) (referred to in this text as the Tabular).

2, 1

FOR ACCURATE CODING: Refer to any instructional notations in the ____.

Tabular

FOR ACCURATE CODING: Assign codes to the highest level of ___. For example, if a fourth digit is available, you cannot assign only a three digit code, and if a fifth digit is available, you cannot assign only a four-digit code.

specificity

FOR ACCURATE CODING: Code the diagnosis until all ___ are completely identified.

elements

A combination code is a single code used to classify:

two diagnoses,
a diagnosis with ans associated manifestation,
a diagnosis with an associated complication

T/F Additional signs and symptoms that may not routinely be associated with the disease process being reported should be coded when present.

True

T/F In the outpatient setting, an impeding condition should be coded as if it actually exists.

False

T/F When separate codes exist to identify acute and chronic condition, the chronic code is sequenced first.

False

T/F It is acceptable to use only the Alphabetic Index to assign ICD-9-CM codes.

False

T/F When sequencing codes for residuals and late effect, the residual is sequenced first followed by a late effect code.

True

T/F The official Guidelines for Coding and Reporting are updated annually.

True

List common symptoms associated with kidney stones.

Colicky pain, hematuria, pyuria, dysuria, oliguria, abdominal distention,
nausea and vomiting, fever and chills

List common symptoms associated with pneumonia.

Fever, cough, chills, chest pain, and sputum production

Acute and chronic prostatitis. ICD-9-CM Codes:_______, ____

601.0 (Prostatitis, acute);
601.1 (Prostatitis, chronic)

Headache, stiff neck, and fever due to viral meningitis. ICD-9-CM Code: ___

047.9
(Meningitis, viral, virus NEC) Headache, stiff neck, and fever are
symptoms of meningitis and not coded.

Acute and chronic pyelinephritis. ICD-9-CM codes: ___

590.10 (Pyelonephritis, acute);
590.00 (Pyelonephritis, chronic)

Abdominal pain due to acute and chronic cholecystitis. ICD-9-CM code: ___

575.12
(Cholecystitis, acute and chronic) Abdominal pain is a symptom
of cholecystitis and not coded.

Urinary tract infection due to proteus mirabilis. ICD-9-CM code(s): ___

599.0
(Infection, urinary tract);
041.6
(Infection due to Proteus mirabilis)

Impending cerebrovascular accident. ICD-9-CM Code(s): ___

435.9
(Impending CVA, unspecified)

Traumatic arthritis wrist die to fracture 5 years ago. ICD-9-CM Code(s): ____

716.13
(Arthritis, traumatic, wrist);
905.2
(Late effect, fracture, extremity, upper)

Dysphagia due to previous cerebrovascular accident. ICD-9-CM Code(s): ___

438.82
(Late effect of CVA, dysphagia);
787.20
(Dysphagia). Instructional
note states to assign an additional code for the dysphagia.

What is the code for respiratory syncytial virus (RSV)? ICD-9-CM Code: ___

079.6
(Respiratory syncytial virus) Note that condition is in the ICD-9-CM
Index under "Respiratory," not under "Virus."

T/F ICD-9-CM assumes a relationship between hypertension and renal failure.

True

T/F If a patient is admitted for an HIV-related condition, the first-listed diagnosis is the related condition followed by the diagnosis code 042.

False

T/ F A fifth digit of 1 should be assigned to 305.0X for someone who abuses alcohol by by binge drinking.

False

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