HIT182 Chapter 3 Review Exercises

When a patient is to have outpatient surgery and the surgery is not performed due to contraindication, the reason that the surgery was not performed is the first-listed diagnosis. T/F
It is appropriate to code the postoperative diagnosis as it is the most definitive diagnosis for ambulatory surgery. T/F
Chronic diseases that are treated on an ongoing basis should be coded and reported as often as the patient recieves treatment and care for the chronic conditions. T/F
In the physician office it is acceptable to report Z codes as a first-listed diagnosis. T/F
In the physician office it is unacceptable to have a sign or symptom as the first-listed diagnosis. T/F
When coding an encounter for preoperative evaluation, the reason that the patient is having the surgery or procedure performed is the first-listed diagnosis. T/F
In the outpatient setting, diagnoses that are documented as “probable”, “suspected”, “rule out”, or “questionable” are reported to the highest degree of certainty. T/F
The first-listed diagnosis is defined as the diagnosis that is the most serious. T/F
It is acceptable to report a code from Chapter 15 in conjunction with Z34.00 or Z34.80. T/F
It is acceptable to code signs and symptoms even when a definitive diagnosis has been confirmed. T/F
Initial office visit for diaper rash
First listed: diaper rash
Code: L22
Established patient presents with dyspnea and lower extremity edema. The physician determined that the patient’s symptoms were due to an exacerbation of congestive heart failure.
First listed: congestive heart failure
Code: I50.9
Established patient seen for management of vitamin B12 deficiency and hypertension
First listed: vitamin B12 deficiency
Code: E53.8
Other diagnosis: hypertension
Code: I10
Patient was admitted as an outpatient for a left arthroscopic knee procedure to repair old anterior cruciate ligament tear.
First listed: left ACL tear
Code: M23.8X2
Patient is admitted to observation for syncope. Patient has diabetes mellitus. After testing, no cardiac or other cause was found.
First listed: syncope
Code: R55
Other diagnosis: diabetes mellitus
Code: E11.9
Patient was admitted for pain management following biopsy of the kidney for Stage IV chronic kidney disease.
First listed: kidney pain
Code: G89.18
Other dianosis: chronic kidney disease
Code: N18.4
Patient is seen by pulmonologist for surgical clearance for upcoming surgery. Patient has emphysema and is scheduled to have an endarterectomy for severe carotid stenosis on the right.
First listed: respiratory surgical clearance
Code: Z01.811
Other diagnoses: occlusion of the right carotid artery, emphysema
Codes: I65.21, J43.9
Patient had an outpatient cystoscopy. The preoperative diagnosis is hematuria. Postoperative diagnosis is hematuria due to bladder cancer.
First listed: bladder cancer
Code: C67.9
Assign the appropriate Z code to: exposure to asbestos.
Assign the appropriate Z code to: personal history of colonic polyps.
Assign the appropriate Z code to: heart transplant status.