Chapter 26

Chapter 26

Chapter 26, Part 1, Theory
  1. Codes can be assigned to diagnoses that are documented as being “probable,” “suspected,” “likely” in which setting? _Inpatient_
  2. In which setting can any confirmed or definitive diagnoses be coded from the interpretation of a diagnostic test result? _Outpatient_
  3. In which setting would a CPT code be assigned for a herniorrhaphy? _Outpatient_
  4. Which statement about a significant procedure is NOT true? _d. Must be performed in an operating room_
  5. The physician documents flank pain due to renal stone. The flank pain is the principal diagnosis. _False_
  6. In the inpatient setting, the physician documents suspected cholelithiasis in the discharge summary. The cholelithiasis is coded as if it exists. _True_
  7. If the coder doesn’t know if a diagnosis is present on admission, a POA indicator is not assigned. _False_
  8. A patient is admitted with low-grade fever and right upper quadrant pain. The physician documents that the patient’s right upper quadrant pain is due to chronic cholecystitis versus peptic ulcer disease. Which diagnoses should reported? _d. Right upper quadrant pain, chronic cholecystitis, peptic ulcer disease_
  9. Patient is admitted with hyperglycemia due to new-onset diabetes. Type II. Patient has had polydipsia, polyuria, and unexplained weight loss. Which diagnoses should be reported? _b. Diabetes, type II_
  10. Patient is admitted with heartburn due to gastroesophageal reflux disease (GERD). Which diagnoses should be reported? _GERD_
Chapter 26, Part 2, Practical
  11. Headache due to malignant neoplasm of the brain ICD-9-CM Code: _191.9_
  12. Patient was admitted with shortness of breath. Patient was found to have both pneumonia and decompensated congestive heart failure. The pneumonia was treated with IV antibiotics and the congestive heart failure with IV Lasix. Both were present on admission. ICD-9-CM Codes: _486_, _428.0_
  13. Acute cholecystitis...