HIT182 Chapter 3 Review Exercises
Terms in this set (21)
When a patient is to have outpatient surgery and the surgery is not performed due to contraindication, the reason that the surgery was not performed is the first-listed diagnosis. T/F
It is appropriate to code the postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery. T/F
Chronic diseases that are treated on an ongoing basis should be coded and reported as often as the patient recieves treatment and care for the chronic conditions. T/F
In the physician office it is acceptable to report Z codes as a first-listed diagnosis. T/F
In the physician office it is unacceptable to have a sign or symptom as the first-listed diagnosis. T/F
When coding an encounter for preoperative evaluation, the reason that the patient is having the surgery or procedure performed is the first-listed diagnosis. T/F
In the outpatient setting, diagnoses that are documented as "probable", "suspected", "rule out", or "questionable" are reported to the highest degree of certainty. T/F
The first-listed diagnosis is defined as the diagnosis that is the most serious. T/F
It is acceptable to report a code from Chapter 15 in conjunction with Z34.00 or Z34.80. T/F
It is acceptable to code signs and symptoms even when a definitive diagnosis has been confirmed. T/F
Initial office visit for diaper rash
First listed: diaper rash
Established patient presents with dyspnea and lower extremity edema. The physician determined that the patient's symptoms were due to an exacerbation of congestive heart failure.
First listed: congestive heart failure
Established patient seen for management of vitamin B12 deficiency and hypertension
First listed: vitamin B12 deficiency
Other diagnosis: hypertension
Patient was admitted as an outpatient for a left arthroscopic knee procedure to repair old anterior cruciate ligament tear.
First listed: left ACL tear
Patient is admitted to observation for syncope. Patient has diabetes mellitus. After testing, no cardiac or other cause was found.
First listed: syncope
Other diagnosis: diabetes mellitus
Patient was admitted for pain management following biopsy of the kidney for Stage IV chronic kidney disease.
First listed: kidney pain
Other dianosis: chronic kidney disease
Patient is seen by pulmonologist for surgical clearance for upcoming surgery. Patient has emphysema and is scheduled to have an endarterectomy for severe carotid stenosis on the right.
First listed: respiratory surgical clearance
Other diagnoses: occlusion of the right carotid artery, emphysema
Codes: I65.21, J43.9
Patient had an outpatient cystoscopy. The preoperative diagnosis is hematuria. Postoperative diagnosis is hematuria due to bladder cancer.
First listed: bladder cancer
Assign the appropriate Z code to: exposure to asbestos.
Assign the appropriate Z code to: personal history of colonic polyps.
Assign the appropriate Z code to: heart transplant status.
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