coding 2

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mid test

The medical root "cutane" means which of the following?
a. pigment
b. integumentary
c. below the skin
d. skin

d. skin

Which condition affects the scalp and face and appears as a scaly inflammation?
a. dermatitis
b. erythematous squamous dermatosis
c. alopecia
d. sebaceous sores

b. erythematous squamous dermatosis

Which layer of the skin has no blood vessels or connective tissue?
a. dermis
b. epidermis
c.melanocyte
d.subcutaneous

b. epidermis

Which of the following is the layer of the skin that allows a person to recognize touch, pain, pressure, and temperature changes?
a. epidermis
b. dermis
c. subcutaneous layer
d. fascia layer

b. dermis

Which of the following statements is true?
a. A boil is an inflammation of the upper layer of the skin.
b. V codes are used to identify the cause of a skin rash and are listed as the primary
diagnosis.
c. E codes are used to identify the cause of a skin rash and are never listed as the primary diagnosis.
d. The ICD-9-CM uses only one code for the various types of dermatitis.

c. E codes are used to identify the cause of a skin rash and are never listed as the primary diagnosis.

10. Sally Smith is seen due to a rash that has been present for 6 days. She was exposed to oils at her job. What is the correct ICD-9-CM diagnostic code?
a 691.8
b. 692.1
c. 691.0
d. 692.4

b. 692.1

Which of the following conditions would not code to 682.0?
a. cellulitis of the lip
b acute abscess of the external nose
c. acute cellulitis of the temple region
d. cellulitis and abscess of the chin

a. cellulitis of the lip

Which of the following is not a subterm for the main term urticaria?
a. allergic
b. acute
c. serum
d. nonallergic

b. acute

Which of the following diseases would not code to code 703.9? (709.3)
a. skin deposits
b. subcutaneous calcification
c. epithelial hyperplasia
d. colloid milium

c. epithelial hyperplasia

Arthropathy is a disorder of which of the following?
a. back
b. joints
c. muscles
d. tendons

b. joints

Which of the following statements is true?
a. Only acquired conditions are coded to Chapter 13, "Diseases of the Musculoskeletal System and Connective Tissue," of the ICD-9-CM.
b. Both acquired and congenital conditions are coded to Chapter 13, "Diseases of the
Musculoskeletal System and Connective Tissue," of the ICD-9-CM.
c. Chondropathy is a disorder of the joints.
d. Bursa is the fluid that acts as a lubricant for joints.

a. Only acquired conditions are coded to Chapter 13, "Diseases of the Musculoskeletal System and Connective Tissue," of the ICD-9-CM.

Tom Smith, a baseball player, has sprained his deltoid muscle. Where is the deltoid muscle located?
a. abdomen
b. lower leg
c upper leg
d. shoulder

d. shoulder

Megan Friend plays tennis and has had three dislocations of her shoulder in the last two years. She is being seen today because of pain in her shoulder. It is determined that she has again dislocated her shoulder. Select the appropriate ICD-9-CM code.
718.32 Recurrent dislocation of shoulder region
718.92 Instability of shoulder joint
719.41 Pain in shoulder
831.10 Closed dislocation of shoulder, unspecified
a. 719.41, 718.92
b. 831.10,719.41
c. 718.32
d. 718.92,719.41,718.32

c. 718.32

Following a motor vehicle accident, Maria Links was brought to the ER with low back pain and back spasms. She was medicated with muscle relaxants, but the pain and spasms did not decrease. The physician ordered an MRI, which showed a hemiated lumbar intervertebral . Select the appropriate ICD-9-CM code.
722.10 Displacement of lumbar intervertebral disk without myelopathy
724.8 Back spasm
839.20 Displacement of lumbar vertebra
724.2 Low back pain
a. 724.2
b. 724.8
c. 839.20 7
d 722.10

d 722.10

Helen, 89 years old, is seen today because she is complaining of increasing pain in her lower back. She is known to have osteoporosis, because of of this, an X-ray of her spine is taken. The X-ray shows a pathological compression fracture of two vertebrae in the lumbar region. Select the appropriate ICD-9-CM code.
733.00 Osteoporosis
733.13 Pathological fracture fracture of vertebrae
805.8 Fracture of vertebrae

a. 733.00,733.13
b. 733.13,733.00
c. 805.8,733.00
d. 805.8

b. 733.13,733.00

To code the diagnostic phrase "closed fracture of shaft of femur due to fall from ladder," the coder would first reference which term?
a. femur
b. fracture
c. closed
d. fall

b. fracture

To code the diagnostic phrase "localized degenerative joint disease of the hand," the coder would first reference such term?
a. disease
b. degenerative
c. joint
d. hand

a. disease

Ankylosing spondylitis is a form of which of the following?
a. arthritis
b. chondritis
c. rheumatoid arthritis
d. osteoarthrosis

c. rheumatoid arthritis

Which of the following is a medical term that refers to a disease or disorder of the kidneys?
a. nephritis
b. nephrosis
c. nephroplasty
d. nephralgia

b. nephrosis

Which of the following are the anatomical structures that move urine from the kidneys to the bladder?
a. nephrons
b. urinary tubules
c. ureters
d. urethra

c. ureters

Chronic renal failure can be confirmed by which of the following?
a. decrease in serum creatinine
b. decrease in serum creatinine and increase in BUN values
c. increase in serum creatinine and decrease in BUN values
d. increase in serum creatinine and BUN values

d. increase in serum creatinine and BUN values

Which of the following statements is true?
a. The code for family history of a malignant neoplasm of the kidneys is found in Chapter
10 of the ICD-9-CM, "Diseases of the Genitourinary System."
b. Urine is removed from the bloodstream by the kidneys.
c. The urethra passes through the penis to the outside of the body.
d. Patients with acute renal failure are commonly treated with dialysis

c. The urethra passes through the penis to the outside of the body.

David Cousin presents today for a follow-up after a scan of his kidneys. He was sent for the scan because o low back pain and hematuria that continues at this time. The scan reveals a stone in the left kidney and hypertrophy of the left kidney. Select the appropriate ICD-9-CM code(s).
592.0 Calculus of kidney
1 Hypertrophy of kidney
599.70 Hematuria
2 Low back pain
788.0 Renal colic
a. 599.70,724.2,592.0,593.1
b. 599.70,592.0,593.1,788.0
c 592.0,593.1
d. 592.0,593.1,788.0

c 592.0,593.1

Which of the following conditions can cause urinary obstruction?
a. acute renal failure and hyperplasia
b. hyperplasia and cancer of the prostate
c. cancer of the prostate and dysplasia of the cervix
d. dysplasia of the cervix and acute renal failure

b. hyperplasia and cancer of the prostate

Which of the following statements is true?
a. BPH can affect both males and females.
b. When a provider documents an abnormal mass in the breast, the coder should always code this as a rule out of cancer of the breast.
c. Endometriosis is an abnormal growth of the endometrial tissue.
d. An ovarian cyst is always a malignant condition.

c. Endometriosis is an abnormal growth of the endometrial tissue.

A urinalysis reveals hematuria and a scan reveals two kidney stones for a patient who is admitted. The final diagnosis(es) would record which of the following?
a. hematuria
b. calculus of kidneys
c. calculus of kidneys and hematuria as a secondary diagnosis
d. hematuria and calculus of kidneys as a secondary diagnosis

c. calculus of kidneys and hematuria as a secondary diagnosis

Code 650 may be used if the patient has a complication during which of the following times?
a. during her pregnancy, but it is not present at the time of admission for delivery
b. at the time of delivery
c. at the time of delivery and postpartum
d. during the perinatal period

a. during her pregnancy, but it is not present at the time of admission for delivery

Code 650 would be assigned for which of the following cases?
a. normal delivery of twins
b. delivery with episiotomy of single-born infant
c. delivery with fetal manipulation due to presentation
d. uncomplicated cesarean delivery

b. delivery with episiotomy of single-born infant

What does the outcome of delivery code identify?
a. whether the children born are live born or stillborn b. the number of children born
c. the number of children born and whether the children are live born or stillborn
d. the fetal presentation

c. the number of children born and whether the children are live born or stillborn

When may additional codes from other chapters of the ICD-9-CM be used with code 650?
a. when they are listed as the primary diagnosis
b. when they are listed as the secondary diagnosis
c. when they are not related to or are in any way complicating the pregnancy
d. when they are related to a complication of pregnancy that affects delivery

c. when they are not related to or are in any way complicating the pregnancy

When does stage two of labor start?
a. when the contractions become regular
b. following fetal birth
c. from fetal birth until the expulsion of the placenta and membranes
d. from the time when complete dilation of the cervix occurs through the birth of the fetus

d. from the time when complete dilation of the cervix occurs through the birth of the fetus

For prenatal outpatient visits with high-risk pregnancies, what should be the first-listed diagnosis?
a. V22.1, Supervision of other normal pregnancy
b. a code for the high-risk condition
c. V23, Supervision of high-risk pregnancy
d. a code from Chapter 11 of ICD-CM,
"Complications of Pregnancy, Childbirth, and the Puerperium"

c. V23, Supervision of high-risk pregnancy

A woman who had four pregnancies but who lost one fetus at 15 weeks would be described as which of the
following? .
a. gravida 3, para 1
b. para 1, gravida 3
c. gravida 4, para 1
d. para 3, gravida 4

d. para 3, gravida 4

Suzie Small presents for admission due to threatened premature labor at 26 weeks. Contractions stopped after two hours, and she was confined to bed rest. Select the appropriate ICD-9-CM code(s).
644 Early or threatened labor
644.0 Threatened premature labor
Premature labor after 22 weeks, but before 37 completed weeks of gestation without delivery
644.1 Other threatened labor
False labor:
Not otherwise specified, without delivery
After 37 completed weeks of gestation, without delivery
Threatened labor, not otherwise specified, without delivery
644.2 Early onset of delivery
Onset (spontaneous) of delivery, before 37 completed weeks of gestation Premature labor with onset of delivery, before 37 completed weeks of gestation
a. 644
b. 644.0
c. 644.1
d. 644.2

b. 644.0

Which of the following is the condition in which exudates and pus infiltrate the lungs and cause an
inflammation?
a. asthma c. emphysema
b. bronchitis d. pneumonia

d. pneumonia

A patient's failure to respond to therapy administered during an asthmatic episode that is life threatening is
known as which of the following?
a. asthmatic attack c. chronic asthmaticus
b. asthmaticus d. status asthmaticus

d. status asthmaticus

Chris Cold is seen by Dr. Card today for acute pain in the center of his face and a feeling of pressure. He is also complaining of a headache and fever and chills. After examination Dr. Card records a diagnosis of acute sinusitis. This is the second time this month that Chris has been diagnosed with sinusitis. Select the
appropriate ICD-9-CM code(s).
784.0 Headache
780.60 Fever, with chills
780.99 Chills
461.9 Acute sinusitis
473.9 Chronic sinusitis
a. 784.0,780.6,461.9 c. 461.9,473.9
b. 461.9,784.0,780.60 d. 461.9

d. 461.9

Harry Smith has been experiencing a sore throat, fever, and chills for the past two days. For the last four days he says he has been coughing and the coughing has become more frequent. Exam: Throat appears irritated Lungs: Not clear. Bronchial wheeze. Assessment: Cough and fever due to acute bronchitis. Plan: Antibiotic as per prescription, rest for two to three days, and drink plenty of fluids. Select the appropriate ICD-9-CM

462 Sore throat
466.0 Bronchitis, acute
490 Bronchitis
780.60 Fever, with chills
786.2 Cough
a. 462, 780.6, 466.0 c. 490
b. 466.0, 462, 780.60, 786.2 d. 466.0

d. 466.0

Physician Office Note:
This five-year-old patient has had recurrent attacks of tonsillitis, loss of appetite, and recurrent colds. He is seen today and is found to have another attack of tonsillitis, which at this point is determined to be chronic, have discussed with his parents the need to see an ENT for possible tonsillectomy. Select the appropriate ICD-9-CM code(s).
463
474.00
460
783.0
Acute tonsillitis Chronic tonsillitis Common cold Loss of appetite


a. 463, 474.00, 460, 783.0
b. 463
c. 474.00
d. 474.00, 463, 460, 783.0

c. 474.00

Tom Smith is seen for status asthmaticus with acute bronchitis. Which of the following statements is true?
a. The acute bronchitis is the only diagnosis coded.
b. The code for the status asthmaticus is sequenced first, followed by the code for the acute
bronchitis.
c. The status asthmaticus is the only diagnosis coded.
d. Either code can be sequenced first.

b. The code for the status asthmaticus is sequenced first, followed by the code for the acute
bronchitis.

Which of the following is an inflammation of the bronchus that lasts for a short period of time and is
typically caused by spreading of an inflammation from the nasopharynx?
a. acute bronchitis
b. aspiration pneumonia
c. inhalation pneumonia
d. obstructive pneumonia

a. acute bronchitis

The anatomical structure in which the exchange of oxygen and carbon dioxide occurs is which of the following?
a. bronchi
b. larynx
c. lungs
d. pharynx

c. lungs

Which of the following organs is not considered an accessory organ of the digestive system?
a. gallbladder
b. liver
c. pancreas
d. small intestine

d. small intestine

The following fifth-digit subclassification is for use with code 550. 1 , inguinal hernia with obstruction, without mention of gangrene:
0 Unilateral or unspecified (not specified as recurrent)
1 Unilateral or unspecified, recurrent
2 Bilateral (not specified as recurrent)
3 Bilateral, recurrent
Tom Jones has a diagnosis of a bilateral obstructive inguinal hernia. What is the correct fifth digit to use?
a. 0
b. 1
c. 2
d. 3

c. 2

To what does the term hepatic refer?:
a. gallbladder
b. liver
c. pancreas
d. colon

b. liver

Which organ secretes gastric juices necessary for digestion but also regulates blood sugar levels through the release of the hormone insulin?
a. gallbladder
b. liver
c. pancreas
d. small intestine

c. pancreas

Hernias are classified in the ICD-9-CM according to which of the following explanatory phrases?
a. acute and chronic
b. unilateral and recurrent
c. gangrenous and non-gangrenous
d. primary and secondary

b. unilateral and recurrent

Sammy Jones" seen today in the walk-in clinic complaining of pain on the left side of his mouth. His temperature is 100.1° F. Exam reveals a dental abscess of his first left .upper; molar. He was started on antibiotics, instructed to take Advil to reduce the fever, and to follow-up with his dentist. What would be the correct code(s) for this-encounter?
522.5 Dental Abscess
780.60 Fever
528.9 Pain, mouth
a. 780.60
b. 522.5
c. 528.9
d. 522.5,780.60

b.) 522.5

In the diagnostic statement "acute duodenal peptic ulcer with hemorrhage and obstruction, " what is the main term to reference in the Alphabetic Index?
a. duodenal
b. peptic
c. hemorrhage
d. ulcer

d. ulcer

Which of the following diagnoses would not be coded using ICD-9-CM Chapter 9, "Diseases of the Digest
System?"
a. diarrhea
b. embedded prenatal teeth
c. mesenteric vascular insufficiency
d. diverticular disease

a. diarrhea

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