5 Written Questions

1. d. Table of Drugs and Chemicals
2. d. The symptom should be coded as the principal diagnosis, and the contrasting/comparative diagnoses should be coded as additional diagnoses.
3. d. culture and sensitivity test
4. b. cystic fibrosis
5. d. acute infection due to streptococcal bacteria

5 Matching Questions

1. Mary Jones has been experiencing a fever, rapid respiration and heart rate, and an increased white blood cell count. She has been diagnosed with systemic inflammatory response syndrome. This encounter would be coded using which of the following codes?
   780.60 Fever
   785.0 Rapid heart rate
   786.06 Rapid respiration
   995.90 SIRS, unspecified
   995.91 SIRS, due to infectious process without organ dysfunction
   995.92 SIRS, due to infectious process with organ dysfunction
   a. 780.60, 785.0, 786.06, and 995.90
   b. 780.60, 785.0, 786.06, and 995.92
   c. 995.90
   d. 995.91
2. Subcategory codes contain how many digits?
   a. two
   b. three
   c. four
   d. five
3. Mary Smith works in a physician's office, She want to work towards becoming credentialed. Which credential would best match her work experience in a physician's office?
   a. CCS or CPC
   b. CCS-P or CPC
   c. CCS or CPC-H
   d. CCS-P or CPC-H
4. Which of the following are unicellular fungi that reproduce by budding?
   a. bacteria
   b. mold
   c. parasites
   d. yeast infections
5. Dr Jones examined Kathy Simpson in the office for complaints of abdominal pain that has lasted for 48 hours. There is tendering the lower right quadrant. Dr. Jones ordered a CBC to determine whether she has an elevated WBC and an abdominal ultrasound to rule out appendicitis or colitis. What is the diagnosis that should be coded for this?
   a. appendicitis
   b. abdominal pain
   c. elevated WBC
   d. colitis

1. a b. abdominal pain
2. b d. yeast infections
3. c b. CCS-P or CPC
4. d d. 995.91
5. e c. four

5 Multiple Choice Questions

1. a. back pain
   1. Which of the following conditions would not be coded using a code from Chapter 5, "Mental Disorders?"
      a. personality disorder
      b. acute pain on the left side of head
      c. alcoholic dementia
      d. paranoid reaction
   2. Which of the following applies when two or more comparative or contrasting diagnoses are documented as "either/or" in an inpatient record?
      a. They should not be coded.
      b. They are coded as though the diagnoses were confirmed, and the diagnoses are sequenced according to the circumstances of the admission.
      c. The signs and symptoms that the patient presents with should be coded and not the contrasting diagnoses.
      d. The first listed diagnosis should be listed as the principal diagnosis.
   3. Mark Muscle was lifting furniture when he felt something "pop" in his lower back. Because of the intensity of the pain, he went to a walk-in clinic for evaluation. After examing him, the provider suspects that Mark may have injured a disk in his lumbar region. The provider sends Mark to the local ER for an MRI. What diagnosis(es) should be reported for this encounter?.
      a. back pain
      b. disk injury
      c. protruding lumbar disk
      d. back pain and possible protruding lumbar disk injury
   4. The phrase "acute appendicitis with peritonitis due to rupture" would be located in the Alphabetic Index referencing which of the following main terms?
      a. acute
      b. appendicitis
      c. peritonitis
      d. rupture
2. b. three
   1. Category codes in the ICD-9-CM contain a series of how many digit codes?
      a. two
      b. three
      c. four
      d. five
   2. A combination code is used to classify all of the following except"
      a. two diagnoses
      b. a diagnosis and a procedure
      c. a diagnosis with an associated secondary manifestation
      d. a diagnosis with an associated complication
   3. When are codes that describe symptoms and signs acceptable for reporting purposes?
      a. when a face sheet does not list a diagnosis
      b. when the signs and symptoms are an integral part of the disease coded
      c. when a definitive diagnosis has not been established by the physician
      d. when the computer input screen allow for multiple codes
   4. Subcategory codes contain how many digits?
      a. two
      b. three
      c. four
      d. five
3. c. entire chapter
   1. When an inclusion note is place after a chapter heading in the ICD-9-CM, the notation applies to which of the following
      a. first category code listed in the chapter
      b. first section of the chapter
      c. entire chapter
      d. only the codes listed in the inclusion notation
   2. Where does the "CODE FIRST UNDERLYING CONDITION:" instructional notation appear?
      a. in the Alphabetic Index
      d. in the Alphabetic Index and in the Tabular List
      c. in the Tabular List
      d. in the Alphabetic Index (instucts the coder to reference the Tabular List)
   3. The Classification of Diseases and Injuries is contained in which colum of the ICD-9-CM?
      a. one
      b. two
      c. three
      d. four
   4. Updates to the procedural classification of the ICD-9-CM are coordinated by which of the following?
      a. American Medical Association
      b. Centers for Medicare and Medicaid Services
      c. National Center for Health Statistics
      d. Would Health Organization
4. a. History codes (V10-V19) are used as secondary codes if they history has an impact on current care.
   1. Which of the following statement is true?
      a. Bacteria are multiple -celled organisms.
      b. E. coli are found in the large intestine of humans.
      c. Ringworm is a type of bacteria that affects humans.
      d. Parasites are a form of microscopic plant life
   2. Which of the following statements is true
      a. History codes (V10-V19) are used as secondary codes if they history has an impact on current care.
      b. History codes (V10-V19) are used as principal diagnosis if they history has an impact on current care.
      c. Resolved conditions from a previous admission listed on the face sheet are sequenced as the principal diagnosis.
      d. Status-post procedures from previous conditions that have no bearing on the current stay are listed as secondary diagnosis by use of a V code.
   3. Which of the following statement is true
      A. Morbidity and mortality are synonymous terms.
      B. Morbidity is the rate of deaths
      C. Mortality is the frequency of deaths.
      D. Mortality is the rate or frequency of diseases
   4. Which of the following statements is true?
      a. The AAPC's mission is focused on all aspects of health information.
      b. The AHIMA's mission is focused on coding and reimbursement of health care.
      c. The AHIMA's mission is focused on all aspects of health information
      d. The AAMA's mission is focused on coding and reimbursement of health care.
5. b. "Diseases of the Musculoskeletal System and Connective Tissue"
   1. Updates to disease classification of the ICD-9-CM are coordinated by which of the following?
      a. American Medical Association
      b. Centers for Medicare and Medicaid Services
      c. National Center for Health Statistics
      d. Would Health Organization
   2. For outpatient and physician office vistis, what codes hould be listed first for coding and reporting purposes?
      a. first complain describe by the patient
      b. diagnosis to be chiefly responsible for the services provided
      c. diagnosis, condition, problem, or other reason for the encounter shown in the medical record to be chiefly responsible for the services provided
      d. diagnoses that describe coexisting condtions.
   3. Mary Smith works in a physician's office specializing in orthopedic. Which of the following chapters of the ICD-9-CM would she most commonly use?
      a. "Disease of the Respiratory System"
      b. "Diseases of the Musculoskeletal System and Connective Tissue"
      c. "Endocrine, Nutritional, and Metabolic Disease and Immunity Disorders"
      d. "Symptoms, Signs, and Ill-Defined Conditions"
   4. Updates to the procedural classification of the ICD-9-CM are coordinated by which of the following?
      a. American Medical Association
      b. Centers for Medicare and Medicaid Services
      c. National Center for Health Statistics
      d. Would Health Organization

5 True/False Questions

1. The phrase "acute appendicitis with peritonitis due to rupture" would be located in the Alphabetic Index referencing which of the following main terms?
   a. acute
   b. appendicitis
   c. peritonitis
   d. rupture → b. appendicitis

   True        False

2. Which of the following statements are false?
   a. Chronic disease treated on an ongoing basis should be coded and reported as many times as the patient receives treatment and care for the condition
   b. Probable conditions are coded for inpatient records.
   c. When an admission is for treatment of a complication resulting from surgery or other medical care, the reason for the surgery is sequenced as thee "principal diagnosis."
   d. When a symptom is followed by a comparative diagnosis, the symptom code is sequenced first. → c. The AHIMA's mission is focused on all aspects of health information

   True        False

3. Where are square brackets used?
   a. only in the Alphabetic Index
   b. only in the Tabular List
   c. in the Alphabetic Index and Tabular List
   d. to enclose alternative codes → b. only in the Tabular List

   True        False

4. V codes provide a classification for which of the following?
   a. disease
   b. history of disease
   c. injuries
   d. signs and symptoms → b. history of disease

   True        False

5. What is the smallest infectious pathogen?
   a. bacteria
   b. fungus
   c. mold
   d. virus → c. four

   True        False