A 70-year-old patient came to Emergency Dept. for a right wrist injury and an x-ray showed a non-displaced. Colles fracture. A short arm prefabricated splint was applied. How would the diagnosis, x-ray, splint, and splint application be coded for CMS billing?
a) ICD-10-CM for diagnosis, CPT for x-ray, CPT for splint application, and HCPCS level II L code for the splint.
b) ICD-10-CM for diagnosis, CPT for x-ray, CPT for splint application, and CPT for splint.
c) ICD-10-CM for diagnosis, HCPCS level II R code for x-ray, CPT for splint application, and CPT for splint.
d) ICD-10-CM for diagnosis, CPT for X-ray, and HCPCS level II code L for splint (includes application).
A patient has a primary diagnosis of prostatic cancer (C61) but is admitted for radiation treatment (Z51.0) for metastasis to the bones (C79.51), and has also been receiving long-term treatment for diabetes mellitus, type 2, with polyneuropathy (E11.42). How would these diagnoses be sequenced (first to last) ?
a) Z51.0 , C79.51 , C61 , E11. 42
b) Z51.0 , C 61 , C79.51 , E11.42
c) E11.42 , Z51.0 , C61 , C79.51
d) E11.42 , C79.51 , C61 , Z51.0
150) If the Master Patient Index (MPI) includes a Soundex field, how would the name "Parker" be coded ?
B, F, P , V 1
C,G, J, K, Q, S, X, Z 2
D, T 3
A,E,I,O, W,Y No code
If less than 3 digits long Add 0
164) When conducting testing on HIT projects in the HIM dept, testing should be done in which of the following orders?
a. (1) system , (2) integration , (3) units, (4) usability
b. (1) unit , (2) integration , (3) system , (4) usability
c. (1) system , (2) unit , (3) usability , (4) integration
d. (1) unit , (2) system , (3) integration, (4) usability
A patient is being treated specifically with antineoplastic immunotheraphy (Z51.12) for multiple myeloma (C90.00), which has not yet achieved remission. The patient also has a history of supra-ventricular tachycardia (I46.1), controlled by medication. How would these diagnoses be sequenced, first to last ?
a) Z51.12 , C90.00, and I46.1
b) I46.1, C90.00, and Z51.12
c) I46.1, Z51.12, and C90.00
d) C90.00, Z51.12, and I46.1
113) A patient was schedule for a bilateral simple complete mastectomy but, following the procedure on the right breast & after an incision was made for the left, the patient developed severe cardiac dysrhythmias that could not be stabilized. The surgery was discontinued, the incision closed, and the patient sent to the cardiac care unit. Possible modifier include : incision closed, and the patient sent to the cardiac care unit. Possible modifiers include :
53, Reduced services.
52, Discontinued procedure.
RT, Right Side
Lt, Left side
How could the procedure be coded?
CPT/HCPCS Code Description of Procedure
19303 Mastectomy, simple, complete
Answer : C. Diagnoses don't have to be removed when de-identifying data as diagnoses are essential for research purposes. Elements that must be removed include names, date (except year) directly related to the individual ( such as birthdate, date of death), identifying numbers (medical record, FAZ, email addresses, health plan, account, certificate/license, vehicle identifier, device identifier, and IP address), identifying geographic information, biometric information, full face photographic images, and comparable images. 146) A patient is being treated for recent onset of depression (F06.31), associated with uncontrolled hypothyroidism due to atrophy of the thyroid gland ( E03.4). The patient has a history of breast cancer 10 years previously, treated with no current evidence of any existing malignancy (Z85). The patient is currently also receiving treatment for long-term essential hypertension (I10). How would these diagnoses be sequenced (first to last)?
a) F06.31, E03.4, I10, and Z85.
b) E03.4, F06.31, Z85, and I10.
c) E03.4, F06.31, I10, and Z85.
d) F06.31, E03.4, Z85, and I10.
159) According to the physician's notes, an outpatient complained of pain in the right knee. The physician ordered an x-ray of the right knee as well as a Complete Blood Count (CBC), metabolic panel, and chest x-ray. The CBC showed an elevated white count (10,000) and the metabolic panel showed a slightly elevated glucose (106). How should the coding professional code the diagnosis?
a) Code M25.561, Pain in right knee only.
b) Code M25.561, Pain in right knee, and query physician regarding further diagnoses.
c) Code M25.561, Pain in right knee; and A49.9 bacterial infection, unspecified.
d) Code M25.561, Pain in right knee; A49.9 bacterial infection, unspecified; and Z13.1 encounter for screening for diabetes.