CCA Practice Exam 2, Questions with accurate answers, 1005 Accurate, rated A+

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CCA Practice Exam 2, Questions with accurate answers, 1005 Accurate, rated A+ Identify the correct ICD-10-CM diagnosis code(s) and sequencing for the following: patient with a scar on the right ... hand secondary to a laceration sustained two years ago. a. L90.5 b. S61.411S c. L90.5, S61.411S d. S61.411S, L90.5 - ✔✔-C The residual condition or nature of the sequela is sequenced first, followed by the cause of the sequela (Hazelwood and Venable 2014, 5, 181). The seventh character "S" us added to the laceration code to identify the sequela. Identify the correct ICD-10-CM diagnosis code(s) and sequencing for the following: patient with dysphasia secondary to a previous cerebral infarction. a. R13.10, I69.391 b. R47.02, I69.391 c. I69.391, R13.10 d. R13.10, I69.398 - ✔✔-C Index Dysphagia, following, cerebral infarction I69.391. Add R13.10 as an additional code per "use additional code to identify the type of dysphagia, if known (R13.1-)" note under I69.391. Multiple codes may be needed for sequelae...in order to fully describe a condition. In the Tabular List, the instruction of "Use additional code" not indicates it is necessary to assign a secondary code to fully describe a condition or disease process. Identify the correct ICD-10-CM diagnosis code(s) for the following: patient suffered a partial traumatic metacarpophalangeal amputation of his right index and middle fingers. a. S68.011A, S68.012A b. S68.120A, S68.122A c. S68.011D, S68.012D d. S68.011S - ✔✔-B Traumatic amputation classified in chapter 19. Index Traumatic amputation, finger (complete metacarpophalangeal) S68.11-. 7th character "A" initial encounter. Identify the correct ICD-10-PCS code for open thrombectomy, left brachial artery. a. R68.89 b. R79.89 c. R89.8 d. R97.2 - ✔✔-D Index Elevated, elevation, prostate specific antigen (PSA), R97.20 Identify the correct ICD-10-CM diagnosis code(s) for a patient with near-syncope event and nausea. a. R55 b. R55, R11.0 c. R55, R11.2 d. R42, R11.0 - ✔✔-B Near-syncope and nausea are both symptoms and therefore not integral to the other. Both conditions should be coded. Identify the correct ICD-10-CM diagnosis code(s) for a patient with an elevated glucose tolerance test. a. R73.9 b. R73.01 c. R73.01, R73.9 d. R73.02 - ✔✔-D An oral glucose tolerance test helps determine whether a patient has prediabetes or diabetes. Index Elevated, elevation, glucose tolerance (oral) R73.02, which when verified in the Tabular, is a complete code. The Tabular should always be referenced to verify the code. Identify the correct ICD-10-CM diagnosis code(s) for a patient with pneumonia and persistent cough. a. R05, J40 b. J18.9, R05 c. J18.9 d. J18.1 - ✔✔-C Pneumonia, unspecified, is assigned J18.9 in the Alphabetic Index. The persistent cough is a symptom of the pneumonia and should not be coded separately. Identify the correct ICD-10-CM diagnosis code(s) for a patient with seizures; epilepsy ruled out. a. R56.9 b. G40.901 c. R56.9, G40.909 d. G40.909 - ✔✔-A Code signs and symptoms when a condition is ruled out, which means the condition has been proven not to exist. The code for seizures (R56.9) is assigned when a more specific diagnosis cannot be made even after all the bearing on the case have been investigated. Identify the correct ICD-10-CM diagnosis code for a male patient with stress urinary incontinence. a. N39.46 b. R32 c. N39.3 d. N39.498 - ✔✔-C Urinary incontinence is a loss of urine without warning and may be associated with many conditions. ICD-10-CM classifies stress incontinence to N39.3 for both male and female types. Index Incontinence, stress (female) (male), N39.3. Subcategory N39.498 Other specified urinary incontinence is not correct because the type (stress) has a specific code. Identify the correct ICD-10-CM diagnosis code(s) for a patient hospitalized and treated for vancomycinresistant sepsis requiring treatment with other special antibiotics. a. A49.01 b. A41.2, Z16.3 c. A41.9, Z16.21 d. Z16.3, A41.02 - ✔✔-C Category Z16, Resistance to Antimicrobial Drugs, is used as additional code. Assign sepsis for principal as "code first the infection." Identify the punctuation mark that is used to supplement words or explanatory information that may or may not be present in the statement of a diagnosis in ICD-10-CM coding. The punctuation does not affect the code number assigned to the case and is considered a nonessential modifier. a. Parentheses ( ) b. Square brackets [ ] c. Slanted brackets [ ] d. Braces { } - ✔✔-A Parentheses enclose supplementary words or explanatory information that may or may not be present in the statement of a diagnosis or procedure. They do not affect the code number assigned in the case. Bronchiectasis (fusiform) (postinfectious) (recurrent) is an example of a diagnosis statement with nonessential modifiers noted with parentheses Identify the correct ICD-10-CM diagnosis code(s) for a patient with ST elevated anterolateral all myocardial infarction. a. I21.3 b. I21.09 c. I21.4 d. I21.09, I21.29 - ✔✔-B Index Infarction, myocardium, myocardial, ST elevation (STEMI). anterior (anteroapical) (anterolateral) (anteroseptal) (Q wave) (wall) I21.09. There is no mention of a prior infarction within the last 28 days, so category I21 is appropriate. See Includes note under I21 Identify the correct ICD-10-CM diagnosis code(s) and sequencing for a patient with disseminated candidiasis secondary to AIFS-related complex. a. B20,B37.7, Z20.6 b. B37.7, B20 c. B20, B37.7, Z21 d. B20, B37.7 - ✔✔-D Only confirmed cases of HIV infection or illness are reported, using code B20, Human immunodeficiency virus (HIV) disease per ICD-10-CM Official Guidelines for Coding and Reporting, Guideline I.C.1.a.1 Patients with an HIC-related illness should be coded to category b20, which includes AIDS, AIDS-like syndrome, AIDS-related complex, and symptomatic HIV infection. When a patient is seen for an HIVrelated condition, B20 Human immunodeficiency virus is the first listed diagnosis code. Any HIV-related conditions should be listed as additional diagnosis codes Identify the correct ICD-10-CM diagnosis code(s) and proper sequencing for urinary tract infection due to E. coli a. N39.0 b. N39.0, B96.20 c. B96.20 d. B96.20, N39.0 - ✔✔-B The connecting term "due to" connects the organism E. coli to the urinary tract infection. The instructional not "Use additional code" (B95-B97) is found in the Tabular List of ICD-10-CM under Code N39.0. This notation indicates that use of an additional code may provide a more the health record provides supportive documentation. Infection, urinary (tract) Tabular List-use additional code to identify organism. Infection, Escherichia coli. Index: Infection, Escherichia (E.) coli NEC, as cause of disease classified elsewhere B96.20. The 7th character A is used as long as the patient is receiving active treatment for the fracture. When the patient is seen by a new or different provider over the course of treatment for a pathological fracture, assignment of the 7th character is based on _______. a. Whether the patient is undergoing active treatment b. Whether the provider is seeing the patient for the first time c. Whether routine healing will occur d. Whether there is a complication in the healing process (i.e., malunion, nonunion, sequelae) - ✔✔-A Per Coding Guideline I.C.13.c, the 7th character A is used as long as the patient is receiving active treatment for the fracture. While the patient may be seen by a new or different provider over the course of treatment for the pathological fracture, assignment of the 7th character is based on whether the patient is undergoing active treatment and not whether the provider is seeing the patient for the first time. Identify the correct ICD-10-CM diagnosis codes for metastatic carcinoma of the colon to the left lung. a. C18.9, C34.92 b. C78.00, C18.9 c. C18.9. C78.02 d. C18.9, D49.1 - ✔✔-C The terms metastatic to and direct extension to are used for classifying secondary malignant neoplasms in ICD-10-CM. For example, cancer described as "metastatic to a specific site" is interpreted as a secondary neoplasm of that site. The colon (C18.9) is the primary site, and the left lung (C78.02) is the secondary site. Identify the correct ICD-10-CM diagnosis code(s) for a patient with sepsis due to Staphylococcus aureus. a. A41.01 b. A41.2 c. A41.9, B95.61 d. A41.9 - ✔✔-A Index: Sepsis, Staphylococcus, staphylococcal, aureus (methicillin susceptible) (MSSA) A41.01. Sepsis is the systemic infection. Because the organism is indicated in the sepsis code, B95.61 is redundant and should not be coded. Identify the ICD-10-CM diagnosis code(s) for poorly controlled Type 2 diabetes mellitus; mild malnutrition. a. E11.65, E46 b. E10.65, E44.1 c. E11.65, E44.1 d. E10.65, E46 - ✔✔-C ICD-10-CM classifies inadequately controlled, out of control, and poorly controlled diabetes mellitus as "code to diabetes, by type, with hyperglycemia." In this case, diabetes, diabetic, type 2, with hyperglycemia. Malnutrition, mild, not stated as related to diabetes Index: Malnutrition, degree, mild E44.1. Identify the ICD-10-CM diagnosis code(s) for neutropenic fever. a. D70.9 b. D70.9, R50.9 c. D50.81 d. D70.9, R50.81 - ✔✔-D D70.9, Fever, neutropenic. Instructional note under D70 states to use additional code for any associated fever (R50.81). Time may be considered the key or controlling factor to qualify for a particular level of Evaluation and Management services when _____ percent of the service is ________. a. 50 percent; counseling coordination b. 25 percent; examination and counseling c. 100 percent; telephone orders d. 50 percent; consultation and coordination - ✔✔-A Both counseling and coordination of care are contributing factors in the selection of an E/M level of service. When counseling and coordination of care constitute more than 50 percent of the face-to-face time, time may be considered the key or controlling factor. Category II codes cover all but one of the following topics. Which is not addressed by Category II codes? a. Patient management b. New technology c. Therapeutic, preventative, or other interventions d. Patient safety - ✔✔-B New technology is addressed by the Category III codes. Per CPT guidelines, a separate procedure is ______. a. Coded when it is performed as part of another, larger procedure b. Considered to be an integral part of another, larger service c. Never coded under any circumstance d. Both a and b - ✔✔-B Because a separate procedure is considered a part of, and integral to, another, larger procedure, it is not coded when performed as part of the more extensive procedure. See Surgery Guidelines. It may, however, be coded when it is not performed as part of another, larger service; therefore, answer "c" is not correct. CPT was developed and is maintained by __________. a. CMS b. AMA c. Cooperating parties d. WHO - ✔✔-B The AMA developed and maintains CPT. CMS developed and maintains HCPCS Level II codes. The codes in the musculoskeletal section of CPT may [Show More]

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