A Complete Test Bank for Pearsons Comprehensive Medical Coding, 2nd Edition by Lorraine M. Papazian-Boyce

Description

4.1 Multiple Choice Theory

1) Sometimes, a confirmed diagnosis is NOT possible because:

1. A) the physician needs multiple encounters with the patient in order to achieve the diagnosis.
2. B) the patient may need extended testing.
3. C) the patient may need surgery.
4. D) all of the above.

Answer: D

2) Pain, fatigue, anxiety, and nausea are examples of:

1. A) symptoms.
2. B) signs.
3. C) objective information as discerned by the doctor.
4. D) diagnoses.

Answer: A

3) The medical term for difficulty swallowing is:

1. A) dysphagia.
2. B) aphagia.
3. C) dysphasia.
4. D) aphasia.

Answer: A

4) The medical prefix poly- means:

1. A) few.
2. B) many.
3. C) bird.
4. D) scanty.

Answer: B

5) The suffix -ptysis means:

1. A) to breathe.
2. B) to choke.
3. C) to spit, cough.
4. D) phlegm.

Answer: C

6) ICD-10-CM Chapter 18, “Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99),” contains ill-defined conditions that do NOT fit anywhere else in ICD-10-CM.

1. A) True
2. B) False

Answer: A

7) In the ICD-10-CM codes for reporting the Glasgow Coma Scale assessment, a ________ character identifies the level of response and a ________ character identifies when the assessment was performed.

1. A) third; fourth
2. B) fourth; fifth
3. C) fifth; sixth
4. D) sixth; seventh

Answer: D

8) Which of the following is NOT true about coding and abstracting signs and symptoms?

1. A) Signs/symptoms/abnormal findings that are integral to the confirmed condition are not coded.
2. B) Do code symptoms that are not related to the confirmed diagnosis.
3. C) All signs/symptoms/abnormal findings that are documented by the physician should be coded.
4. D) None of the other choices.

Answer: C

9) According to the ICD-10-CM OGCR (Official Guidelines for Coding and Reporting), an uncertain diagnosis that is documented at the time of discharge is coded as if it exists. This guideline applies:

1. A) only to the inpatient setting.
2. B) only to the outpatient setting.
3. C) to both the inpatient and outpatient settings.
4. D) This is not a guideline.

Answer: A

10) What should coders do when they encounter abnormal lab and clinical findings documented in an inpatient health record?

1. A) Automatically code and abstract all findings that are outside the normal range.
2. B) Always ask the provider which findings are significant.
3. C) Abstract the information only if the provider documents their clinical significance.
4. D) Code and abstract only the abnormal labs.

Answer: C

11) ICD-10-CM Chapter 18, “Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99),” contains combination codes that identify both the definitive diagnosis and certain related symptoms. When using this type of combination code, the coder ________ assign a code for the related symptom.

1. A) should
2. B) should not

Answer: B

12) When both a confirmed diagnosis and an unrelated symptom are equally responsible for services provided:

1. A) always sequence the confirmed diagnosis.
2. B) always sequence the unrelated symptom first.
3. C) sequence either code first.
4. D) query the provider to ask which to sequence first.

Answer: C

13) If the physician documents symptoms, signs, and abnormal findings but does NOT provide a confirmed diagnosis, the main reason for the encounter is sequenced as the first-listed/principal diagnosis.

1. A) True
2. B) False

Answer: A

14) Which of the following is an example of a sign?

1. A) Vomiting
2. B) Nausea
3. C) Crying
4. D) Anxiety
5. E) Both A and C

Answer: E

15) ICD-10-CM Chapter 18 has how many blocks or subchapters?

1. A) 15
2. B) 14
3. C) 12
4. D) 18

Answer: B

16) The blocks/subchapters in ICD-10-CM Chapter 18 are arranged in alphabetic order.

1. A) True
2. B) False

Answer: B

17) Signs and symptoms that point to a specific diagnosis appear in other ICD-10-CM chapters besides Chapter 18.

1. A) True
2. B) False

Answer: A

18) Chapter 18, “Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99),” contains codes for mammographic microcalcifications found on diagnostic imaging.

1. A) True
2. B) False

Answer: A

19) The OGCR for Chapter 18, “Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99),” is found in section I.C.18, Additional guidelines related to signs and symptoms are found elsewhere in the OGCR.

1. A) True
2. B) False

Answer: B

20) The signs and symptoms one might expect to see with allergic contact dermatitis would be which of the following?

1. A) Pain
2. B) Rash
3. C) Burning
4. D) Nocturia
5. E) B and C

Answer: E

21) Which of the following statements is TRUE?

1. A) Coders can assign codes for documented symptoms to justify the provider’s diagnosis.
2. B) Symptoms are always coded.
3. C) The physician’s diagnosis stands on its own.
4. D) None of the above.

Answer: C

22) An unrelated symptom is defined as those symptoms that are NOT associated with the confirmed diagnosis and may indicate an additional problem or condition. Which of the following is an example of an unrelated symptom that should be coded separately?

1. A) Dyspnea, wheezing, coughing—Dx: asthma
2. B) RLQ pain with positive McBurney’s sign, hyperglycemia—Dx: acute appendicitis
3. C) Fatigue, fever, hemorrhages—Dx: leukemia
4. D) Chest pain, productive cough, fluid in lungs—Dx: pneumonia

Answer: B

23) Which of the following is NOT a sign/symptom of CHF?

1. A) Polydypsia
2. B) Fatigue
3. C) SOB
4. D) Edema

Answer: A

24) Which of the following is NOT a sign/symptom of endometriosis?

1. A) Diarrhea
2. B) Constipation
3. C) Fatigue
4. D) Acid reflux

Answer: D

4.2 Multiple Choice Coding

Select the correct code for each of the diagnoses:

1) RLQ pain:

1. A) R10.32
2. B) R10.31
3. C) R10.813
4. D) R10.30

Answer: B

2) Ascites:

1. A) R18.81
2. B) R18.8
3. C) R18
4. D) R18.01

Answer: C

3) Halitosis:

1. A) R19.60
2. B) R19.61
3. C) R19.7
4. D) R19.6

Answer: D

4) Hepatomegaly with splenomegaly, not elsewhere classified:

1. A) R16.2
2. B) R16.1
3. C) R16.0
4. D) none of the above

Answer: A

5) Patient brought in to ED and subsequently transferred to a trauma center. He was comatose throughout the encounter; he never opened his eyes.

1. A) R40.211
2. B) R40.20
3. C) R40.25
4. D) R40.21

Answer: A

6) Micturition hesitancy:

1. A) R39.12
2. B) R39.11
3. C) R39.13
4. D) R39.16

Answer: B

7) Elevated C-reactive protein:

1. A) R79.89
2. B) R79.82
3. C) R79.9
4. D) R79.81

Answer: B

8) Elevated CA 125:

1. A) R97.0
2. B) R97.2
3. C) R97.1
4. D) R97.8

Answer: C

9) Bence Jones proteinuria:

1. A) R80.2
2. B) R80.8
3. C) R80.1
4. D) R80.3

Answer: D

10) Mammographic microcalcification found on diagnostic imaging of breast:

1. A) R92.0
2. B) R92.1
3. C) R92.2
4. D) R92.8

Answer: A

11) Ataxia, unspecified:

1. A) R27.0
2. B) R27.8
3. C) R27.9
4. D) R27.7

Answer: A

12) Fever, unspecified:

1. A) R50.2, T36.0XA
2. B) R50.81, C91.102
3. C) R50.9
4. D) R50.84

Answer: C

13) Acute abdomen:

1. A) R10.13
2. B) R10.31
3. C) R10.0
4. D) R10.10

Answer: C

14) Rebound abdominal tenderness, RLQ:

1. A) R10.823
2. B) R10.827
3. C) R10.825
4. D) R10.829

Answer: A

15) Patient has lost her entire sense of smell:

1. A) R43.2
2. B) R43.1
3. C) R43.8
4. D) R43.0

Answer: D

16) Abnormal EEG:

1. A) R94.02
2. B) R94.01
3. C) R941.131
4. D) R94.2

Answer: B

17) Abnormal ECG:

1. A) R94.31
2. B) R94.01
3. C) R94.39
4. D) R94.8

Answer: A

18) Patient presents with RUQ pain that radiates to his back. He is diagnosed with cholecystitis. Which codes would be assigned?

1. A) R10.11, K81.0
2. B) K81.0
3. C) K81.9
4. D) K81.9, R10.11

Answer: C

19) Patient complains of a headache, and his right hand is swollen and painful. After the workup, he is diagnosed with a migraine and osteoarthritis of the right hand. What code(s) would be assigned?

1. A) G43.909
2. B) G43.909, M19.041
3. C) M19.041, G43.909
4. D) G43.909, M19.241

Answer: B

20) Patient is seen at urgent care and is diagnosed with dysuria.

1. A) R30.9
2. B) R30.0
3. C) R30.1
4. D) None of the above

Answer: B

21) Hyperuricoscuria:

1. A) R82.99
2. B) R82.991
3. C) R82.993
4. D) R82.994

Answer: C

22) Abnormal radiologic findings on diagnostic imaging of testicles, bilateral:

1. A) R93.81
2. B) R93.811
3. C) R93.812
4. D) R93.813

Answer: D