5 Written Questions

1. a. only in the Alphabetic Index
2. b. type 1 diabetes
3. d. virus
4. b. Code the cancer first, followed by the code for anemia
5. b. E Codes

5 Matching Questions

1. An abnormal decrease in platelet count causing purpural hemorrhages is known as which of the following
   a. anemia
   b. coagulation defect
   c. neutropenia
   d. thrombocytopenia
2. To code the diagnosis "posterior subcapsularpolar senile cataract of the left eye," the coder would first reference which term in the Alphabetic Index
   
   a. cataract
   b. eye
   c. polar
   d. subcapsular
3. Tommy Sick was admitted to Sunny Valley Hospital for inguinal hernia repair because of increased pain due to the
   
   hernia. One hour before the surgery he was notified that his father had died, so the surgery was no completed.
   
   Which of the following is true regarding the principal diagnosis for this admission
   a. not recorded because the patient was discharged prior to completion of treatment
   b. pain
   c. inguinal hernia
   d. fail attempted surgery
4. 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
5. The tabular entry for 259.4 appears as follows:
   259.4 Dwarfism, not elsewhere classified
   Dwarfism
   NOS
   Constitional
   EXCLUDES: dquafism
   achondroplastic (756.4)
   intrauterine (759.7
   nutritional (263.2)
   pituitary (253.3
   renal (588.0)
   progeria (259.8)
   which of the followin diagnoses would be coded to 259.4?
   a. nutritional
   b. progeria
   c. constitutional
   d. pituitary

1. a b. a diagnosis and a procedure
2. b d. thrombocytopenia
3. c a. cataract
4. d c. inguinal hernia
5. e c. constitutional

5 Multiple Choice Questions

1. d. 995.91
   1. Tommy Sick was admitted to Sunny Valley Hospital for inguinal hernia repair because of increased pain due to the
      
      hernia. One hour before the surgery he was notified that his father had died, so the surgery was no completed.
      
      Which of the following is true regarding the principal diagnosis for this admission
      a. not recorded because the patient was discharged prior to completion of treatment
      b. pain
      c. inguinal hernia
      d. fail attempted surgery
   2. Codes for the external causes of injuries and poisoning are found in the ICD-9-CM chapter that covers which topics?
      a. V Codes
      b. E Codes
      c. injury and poisioning
      d. diseases of the musculoskeletal system and connective tissue
   3. ary 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
   4. For the last three months, Mary J has been experiencing malaise, weight loss, and a change in her bladder habits, for which she has been seen for the past two weeks. Las week she had a cystocopy with biosy completed. Today she is being seen for a follow-up on the result of the biopsy. The biopsy report confirmed transitional cell carcinoma of the bladder. The cystoscopy report stated that the suspicious area of the tumor was on the anterior wall of the bladder. This encounter would be coded using which of the following codes?
      
      188.9 Malignant neoplasm of bladder, primary
      188.3 Malignant neoplasm of bladder, wall, anteriour, primary
      239.f Malignant neoplasm of bladder, wall, anteriour, unspecified
      780.79 Malaise
      783.21 Weight loss
      
      a. 188.9, 780.79, and 783.21
      b. 188.3
      c. 188.3, 780.79 and 783.21
      d. 239.4
2. C. Mortality is the frequency of deaths.
   1. Which of the following is NOT a credential offered by AHIMA?
   2. Which of the following statements is true
      a. The ICD-9-CM assumes that all valve disorders have rheumatic etiology
      b. An anortic disorder is assumed to be rheumatic in orgin
      c. A disorder involving both the mitral and aortic valve is rheumatic in origin
      d. All mitral valve disorders are presumed to be nonrheumatic in orgin
   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. 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. c. 572.3, 456.20
   1. ary 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. Kevin Smith has prostate cancer and is admitted for treatment of cancer. During the admission the laboratory test
      
      indicates that he is anemic. Which of the following is the proper selection of the code(s)?
      a. Code the anemia first, followed by the code for the prostate cancer
      b. Code the cancer first, followed by the code for anemia
      c. Code only the prostate cancer.
      d. Code only the anemia
   3. Tom Smith has been experiencing unstable angina for the last three days. The pains became worse and he was admitted for a work-up. He is known to have coronary artery disease, native arteries, and atrial fibrillation. It was determined that he has had an acute lateral wall myocardial infarction. Select the appropriate code(s) for this encounter
      
      410.50 acute myocardial infarction of lateral wall, episode of care unspecified
      410.51 acute myocardial infarction of lateral wall, initial episode of care
      411.1 Unstable agina
      414.00 Coronary artery disease of unspecified type of vessel, native or graft
      414.01 Coronary artery disease of native coronary arter
      427.31 Atrial fibrillation
      
      a. 410.50, 411.1, 414.01, 427.31
      b. 427.31, 410.51, 414.01,
      c. 410.50,414.01, 427.31
      d. 410.51, 414.01, 427.31
   4. Terry Stanford is experiencing profuse hematemesis. She was known to have portal hypertension, and her physician
      
      has determined that she has bleeding esophageal varices due to the hypertension. Select the appropriate code(s).
      401.9 Hypertension
      456.20 Esophageal varices
      572.3 Hypertension, portal
      578.0 Hematemesis
      
      a. 578.0, 456.20, 572.3
      b. 456.20, 401.9
      c. 572.3, 456.20
      d. 456.20,572.3, 578.0
4. d. V Codes and E Codes
   1. To ensure the collection of accurate information, the ICD-9-CM is sued to capture information for all of the
      
      following except:
      a. continity of patient care
      b. health care statistics
      c. third-party reimbursement
      d. data analysis
   2. E codes provide a classification for which of the following?
      a. endocrine diseases
      b. external cause of diseases
      c. external causes of injuries and poisonings
      d. external cause of adverse effects
   3. Where is the "SEE:" used?
      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)
   4. What are the supplementary classification of the ICD-9-CM known as?
      a. Alphabetice Index to Poisoning and Injuries
      b. Alphabetic Index to Procedures
      c. External Causes of Diseases and Injuries
      d. V Codes and E Codes
5. c. truncated codes
   1. E codes provide a classification for which of the following?
      a. endocrine diseases
      b. external cause of diseases
      c. external causes of injuries and poisonings
      d. external cause of adverse effects
   2. What are codes that do not contain all necessary digits called
      a. category codes
      b. section codes
      c. truncated codes
      d. valid codes
   3. Cranial nerve 1, the olfactory nerve, serves which area of the body?
      a. optic
      b. facial
      c. nasal
      d. abdominal
   4. Which of the following organs regulates insulin in the body?
      a. liver
      b. lymph glands
      c. pancreas
      d. thyroid gland

5 True/False Questions

1. To ensure the collection of accurate information, the ICD-9-CM is sued to capture information for all of the
   
   following except:
   a. continity of patient care
   b. health care statistics
   c. third-party reimbursement
   d. data analysis → d. data analysis

   True        False

2. Which of the following statements is true
   a. The ICD-9-CM assumes that all valve disorders have rheumatic etiology
   b. An anortic disorder is assumed to be rheumatic in orgin
   c. A disorder involving both the mitral and aortic valve is rheumatic in origin
   d. All mitral valve disorders are presumed to be nonrheumatic in orgin → a. History codes (V10-V19) are used as secondary codes if they history has an impact on current care.

   True        False

3. E codes provide a classification for which of the following?
   a. endocrine diseases
   b. external cause of diseases
   c. external causes of injuries and poisonings
   d. external cause of adverse effects → B. International Classification of Diseases, Ninth Revision, Clinical Modification

   True        False

4. Dr. Smith recorded "thorascopic partial excision of lesion of thymus" as the procedure completed. The main term to
   
   reference in the Index to Procedures is which of the folloing
   a. excision
   b. thorascopic
   c. lesion
   d. thymus → c. necrosis

   True        False

5. 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 → b. "Diseases of the Musculoskeletal System and Connective Tissue"

   True        False