Name: Class: Date: 292 Drug-induced mental disorders INCLUDES Organic brain syndrome associated with consumption of drugs

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1 Name: Class: Date: Bowie AAPC CEU Test Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The following appears as an entry for category code 292: 292 Drug-induced mental disorders INCLUDES Organic brain syndrome associated with consumption of drugs Use additional code for any associated drug dependence ( ). Use additional E code to identify drug. Which one of the following statements is true in reference to the above entry for category code 292? a. A patient has abused Oxycontin, which has resulted in a mental disorder. A V code would be used to identify the drug. b. Sally Smith has been diagnosed with a drug-induced mental disorder and drug dependence. Two codes would be used in coding this case. c. Organic brain syndrome associated with the consumption of drugs is not classified to category code 292. d. E codes are used with codes from category 292 to identify associated drug dependence. 2. The following alphabetic entry appears: Diverticula, diverticulosis, diverticulum (acute) (multiple) (perforated) (ruptured) with diverticulitis Which of the following is correct? a. Assign code for ruptured diverticulitis. b. Assign code for perforated diverticula with diverticulitis. c. The term acute must be documented to assign code d. Code can be assigned if the terms acute, multiple, perforated, ruptured are documented to describe the diverticulitis. 3. Tommy Sick was admitted to Sunny Valley Hospital for an inguinal hernia repair because of increased pain due to the hernia. One hour before the surgery he was notified that his father had died, so the surgery was not completed. Which of the following is true regarding the principal diagnosis for this admission? a. not recorded because the patient was discharged prior to completion of treatment b. pain c. inguinal hernia d. failed attempted surgery 1

2 Name: 4. Billy Best had a colon resection in March. Four months later, he was readmitted for a repair of an incisional hernia and increased abdominal discomfort. What is the principal diagnosis? a. abdominal discomfort b. complication due to colon resection c. incisional hernia d. either the abdominal discomfort or the incisional hernia 5. Susie Smith is five years old and has been experiencing the following symptoms for the last four weeks: bruising easily, fever, weight loss, and joint pain. Last week when she was seen, laboratory tests were ordered. Today she and her parents have returned to discuss the results of a test that confirmed acute lymphoid leukemia. She also was examined today, and it was determined that she has an upper respiratory infection. Which of the following codes would be used? Select the proper sequence Fever Weight loss Joint pain Leukemia, lymphoid, acute, without mention of remission Leukemia, lymphoid, without mention of remission Respiratory infection, upper, acute a , c , b , d , , , and Anthony Smith, a patient at Valley Hospital, was admitted for malnutrition. His wife died three weeks ago, and he has felt quite alone. After a diagnostic work-up, it was found that he also is hypokalemic. Select the appropriate code(s) Malnutrition Hypokalemia 311 Depression Anorexia, loss of appetite a , 311 c. 311, b , d , 276.8, 311, Linda Smith was admitted to the hospital because she is in a coma due to her diabetes. She is diagnosed with uncontrolled type 2 diabetes. Select the appropriate code(s) Diabetes Diabetes with other coma Diabetes with other coma, type Diabetes with other coma, type 2, uncontrolled Coma a , c b , d

3 Name: 8. Andy Moon is diagnosed with juvenile diabetes that is uncontrolled. Which is the correct fifth digit? Fifth Digit Description 0 Type 2 or unspecified type, not stated as uncontrolled 1 Type 1 (juvenile type), not stated as uncontrolled 2 Type 2 or unspecified type, uncontrolled 3 Type 1 (juvenile type), uncontrolled a. 0 c. 2 b. 1 d Molly Bennett is diagnosed with vitamin A deficiency with night blindness. What would be the correct code(s) for this encounter? a , c , b d The tabular entry for appears as follows: Dwarfism, not elsewhere classified Dwarfism: NOS constitutional EXCLUDES: dwarfism: achondroplastic (756.4) intrauterine (759.7) nutritional (263.2) pituitary (253.3) renal (588.0) progeria (259.8) Which of the following diagnoses would be coded to 259.4? a. nutritional c. constitutional b. progeria d. pituitary 11. Tom presents with neck pain in the thyroid area. An infection has caused an abscess of the thyroid. Culture of the site reveals that the abscess is caused by a streptococcal infection. Identify the codes for this encounter. a , c , b , d ,

4 Name: 12. Mark Anthony is a patient at Valley Nursing Home. Over the last three weeks the staff has noticed that he has lost interest in playing cards and social hour. These are activities that he has regularly attended since being admitted to the nursing home. The physician was asked to speak to Mark about this and concluded that besides his presenile dementia, which was diagnosed previously, Mark is now experiencing depressive features. Select the appropriate code(s) Senile dementia, uncomplicated Presenile dementia, uncomplicated Presenile dementia, with depressive features Acute depressive reaction 311 Depression a , 311 c , 311 b , d Todd Man is a college freshman who has been brought to the ER by his roommates because he is vomiting due to consumption of eight cans of beer. Select the appropriate code(s) Alcohol dependence, acute alcoholic intoxication, unspecified Alcohol dependence, acute alcoholic intoxication, episodic Alcohol abuse, unspecified Alcohol abuse, continuous a c b d Terry Stanford has lost 15 pounds in the last two months. Her initial weight was 118. She comes to Dr. Smith today because her mother states that she has not been eating. Dr. Smith has seen Terry in the past for depression, and after today s encounter he concludes that she is experiencing an eating disorder due to anorexia nervosa. Select the appropriate code(s) Anorexia nervosa Eating disorder, unspecified 311 Depression Loss of appetite Weight loss a , c , b d , 307.1, Mike Bold is admitted to the emergency room of General Hospital with blurred vision. An eye exam revealed detachment of the retina with giant tear. Select the appropriate ICD-9-CM code Detachment of retina Recent detachment of retina, partial with giant tear Blurred vision a c b , d ,

5 Name: 16. Sally Samuels is diagnosed with lupus vulgaris infective dermatitis of eyelid with deformity of left eye. The following entry appears in the Tabular List of the ICD-9-CM Infective dermatitis of eyelid of types resulting in deformity Code first underlying disease as: Leprosy ( ) Lupus vularis (tuberculous) (017.0) Yaws ( ) The entry for is instructing the coder to select the codes for this condition as which of the following? a c , b , d Physician Office Note: This five-year-old patient has had recurrent attacks of tonsillitis, loss of appetite, and recurrent colds. He is seen today and is found to have another attack of tonsillitis, which at this point is determined to be chronic. I have discussed with his parents the need to see an ENT for possible tonsillectomy. Select the appropriate ICD-9-CM code(s). 463 Acute tonsillitis Chronic tonsillitis 460 Common cold Loss of appetite a. 463, , 460, c b. 463 d , 463, 460, Pyogenic granuloma is reported by which of the following codes? a c b d Which of the following is not a subterm for the main term urticaria? a. allergic c. serum b. acute d. nonallergic 20. Which of the following diseases would not code to code 703.9? a. skin deposits c. epithelial hyperplasia b. subcutaneous calcification d. colloid milium 21. Megan Friend plays tennis and has had three dislocations of her shoulder in the last two years. She is being seen today because of pain in her shoulder. It is determined that she has again dislocated her shoulder. Select the appropriate ICD-9-CM code Recurrent dislocation of shoulder region Instability of shoulder joint Pain in shoulder Closed dislocation of shoulder, unspecified a , c b , d , ,

6 Name: 22. Following a motor vehicle accident, Maria Links was brought to the ER with low back pain and back spasms. She was medicated with muscle relaxants, but the pain and spasms did not decrease. The physician ordered an MRI, which showed a herniated lumbar intervertebral disk. Select the appropriate ICD-9-CM code Displacement of lumbar intervertebral disk without myelopathy Back spasm Displacement of lumbar vertebra Low back pain a c b d Tom Tucker is a live-born infant with a congenital dislocation of both hips upon this birth admission. Select the appropriate ICD-9-CM code(s) for this admission Bilateral congenital dislocation of hip Congenital dislocation of hip V27.0 Single, live-born infant, outcome of delivery V30.0 Single, live-born infant a , V27.0 c. V30.0, b , V30.0 d. V27.0, Tim Mack, born in the hospital, is a full-term infant. His mother is an alcoholic, and Tim is diagnosed with fetal alcohol syndrome. Select the appropriate ICD-9-CM code(s) Alcohol withdrawal Noxious influence affecting the fetus, alcohol V30.00 Single live born, born in hospital, no mention of c-section a. V30.00, c. V30.00 b. V30.00, , d. V30.00, Kathy went to the doctors for a repeat Pap smear as the lab report noted that the previous sample obtained was inadequate. Kathy s doctor would report this visit using which ICD-9-CM code? a c b d Amy presented to the doctor s office with swollen glands and a fever. The doctor used the fever as his assessment. The doctor s office should report which ICD-9-CM diagnosis code(s)? a c , b d Dana presented to the hospital complaining of being able to feel my heart beating. After a work-up in which NO clinical findings were present, what would be the ICD-9-CM code assignment for this visit? a c b d ,

7 Name: 28. A 39-year-old male is seen today in the walk-in clinic complaining of pain in his left shoulder and arm. He is unable to lift his arm. He has a laceration on his left arm that was cleaned and dressed with sterile bandages. Suspected fracture of arm. X-ray ordered. Results pending. Select the appropriate ICD-9-CM code(s) Pain in limb Fracture of upper limb, closed Wound, open, arm a c b , d , A five-year-old child is seen in the ER with a third-degree burn of the ankle and a second-degree burn of the hand. The patient was transferred to the burn unit at University Hospital. Select the appropriate ICD-9-CM code(s) Disturbance of skin sensation Second-degree burn of hand Third-degree burn of ankle a c b d , A special screening for rheumatoid arthritis is reported by using which V code? a. V82.1 c. V82.3 b. V80.0 d. V11.3 Select the appropriate ICD-9-CM procedure code using an ICD-9-CM codebook. 31. Terry needed a thalamotomy. Terry s doctor would report this procedure using which IDC-9-CM procedure code? a c b d Mark had a division of nerves to the adrenal glands. a c b d Sarah had a unilateral exploration of the adrenal field. a c b d Injection of the trigeminal nerve would be reported using which ICD-9-CM procedure code? a c b d A total pinealectomy would be coded to which procedure code? a c b d

8 Name: 36. Mary Jones was seen for a biopsy of the pituitary gland via a transfrontal approach. a c b d

9 Bowie AAPC CEU Test Answer Section MULTIPLE CHOICE 1. ANS: B PTS: 1 DIF: D 2. ANS: B PTS: 1 DIF: D 3. ANS: C PTS: 1 DIF: D 4. ANS: C PTS: 1 DIF: D 5. ANS: B PTS: 1 DIF: D 6. ANS: B PTS: 1 DIF: D 7. ANS: C PTS: 1 DIF: D 8. ANS: D PTS: 1 DIF: E 9. ANS: B PTS: 1 DIF: E 10. ANS: C PTS: 1 DIF: E 11. ANS: A PTS: 1 DIF: M 12. ANS: D PTS: 1 DIF: D 13. ANS: C PTS: 1 DIF: M 14. ANS: B PTS: 1 DIF: M 15. ANS: C PTS: 1 DIF: M 16. ANS: B PTS: 1 DIF: D 17. ANS: C PTS: 1 DIF: D 18. ANS: C PTS: 1 DIF: E 19. ANS: B PTS: 1 DIF: E 20. ANS: C PTS: 1 DIF: D 21. ANS: C PTS: 1 DIF: M 22. ANS: D PTS: 1 DIF: M 23. ANS: C PTS: 1 DIF: D 24. ANS: D PTS: 1 DIF: D 25. ANS: D PTS: 1 DIF: D 26. ANS: C PTS: 1 DIF: M 27. ANS: A PTS: 1 DIF: M 28. ANS: C PTS: 1 DIF: D 29. ANS: D PTS: 1 DIF: D 30. ANS: A PTS: 1 DIF: M 31. ANS: C PTS: 1 DIF: E 32. ANS: B PTS: 1 DIF: M 33. ANS: B PTS: 1 DIF: M 34. ANS: A PTS: 1 DIF: E 35. ANS: C PTS: 1 DIF: E 36. ANS: B PTS: 1 DIF: M 1