1 A pap smear of the cervix

1 A pap smear of the cervix cannot be interpreted because the sample was inadequate. What type of code should be assigned? Code that designates abnormal smear Code that designates satisfactory smear but lacking transformation zone Code for the abnormal pap smear Code for the unsatisfactory cytology smear 5 points 2 Which of the following statements represents the appropriate use of category Z85, Personal history of malignant neoplasms? Primary malignancy has reoccurred at the original site and chemotherapy is now directed at the site. Primary malignancy has been removed or eradicated and no adjunct treatment is being administered at this time. Secondary malignancy has been removed or eradicated and the patient is admitted for adjunct radiotherapy to the second site. Secondary malignancy is partially removed, and the treatment is refused by the patient even though the physician explains that there is some remaining malignancy. 5 points 3 Symptomatic HIV infection should be coded to which of the following codes? R75 B20 Z72.51 Z21 5 points 4 Which is the correct way to report an encounter for a patient who is menopausal due to natural aging and is asymptomatic? Z78.0, E28.39 Z78.0, N95.1 Z78.0 E89.40 5 points 5 Explain the difference between Not Elsewhere Classified (NEC) and Not Otherwise Specified (NOS). 5 points 6 Everything in the Index is listed by condition- meaning diagnosis, signs, symptoms, and conditions such as pregnancy, admission, encounter, or complication. A coder must reference the Index first and then locate the code identified in the Index in the Tabular list. True False 5 points 7 A 60-year-old patient who was previously diagnosed with benign prostate hypertrophy with urinary retention presents for a TURP. The final diagnosis shows foci of adenocarcinoma. Which of the following codes would be used to report this encounter? D07.5, N40.1, R33.8 C61, N40.0, R33.8 C61, N40.1, R33.8 D07.5, N40.1, R33.9 5 points 8 Define etiology and manifestation. Define etiology and manifestation. p\\ 5 points 9 Z codes are used to capture a story accurately and may be the first-listed code. True False 5 points 10 The patient was seen in the outpatient wound care clinic for treatment of a decubitus ulcer of the sacrum. Upon examination, the physician listed the diagnosis as unstageable ulcer of the sacrum. How would this encounter be coded? L89.100 L89.159 L89.150 L89.109 5 points 11 External cause codes are reported to clarify injury or adverse effects and may be reported as a first-listed diagnosis. True False 5 points 12 Which of the following terms refers to the active management of withdrawal symptoms in a patient who is physically dependent on alcohol or drugs? Therapy Intoxication Detoxification Rehabilitation 5 points 13 Non-healing burns are coded as: Infected burns Chemical burns Acute burns Sunburn 5 points 14 If there is a diagnosis of metastatic carcinoma of the lung, primary site was breast, but a mastectomy was done six years ago, then what is the reason for the encounter today? Metastatic carcinoma of the lung Carcinoma of the breast History of malignant neoplasm of the breast Status post mastectomy 5 points 15 Define fraud. Define fraud. 5 points 16 A diagnosis of elevated blood pressure reading without a diagnosis of hypertension is coded as: I99.8 I10 R03.0 O10 5 points 17 Characters for categories, subcategories, and codes may be a letter or a number and codes may be up to seven characters long. True False 5 points 18 Based on the coding guidelines, what would be the chief complaint and first-listed diagnosis for the following scenario (not codes). Established patient presents complaining of shortness of breath. After further work-up, it is determined the patient has pneumonia. 5 points 19 All the following would be considered sequela of a cerebrovascular disease except: Dysarthria Alteration of senses Dysphagia History of a TIA 5 points 20 A symptom that is defined in ICD-10-CM is defined as the: Condition established after study to be responsible for a patient’s admission to the hospital. Subjective evidence of disease reported by the patient to the physician. Objective evidence of disease as observed by a physician. Type of procedure performed for a definite plan of treatment SCIENCE HEALTH SCIENCE NURSING MCCG 137

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