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Exam 27: Inpatient Coding

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Question 1

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Patient was admitted with shortness of breath and edema due to decompensation of congestive heart failure. ICD-10-CM Code(s): ____________________

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Question 2

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In the inpatient setting, a procedure code from ICD-10-PCS would be assigned to identify a procedure.

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B) False

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Question 3

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In the inpatient setting, a CPT code would be assigned for a procedure code.

It is unacceptable to assign codes in the inpatient setting to diagnoses that are documented as being "probable," "suspected," or "likely."

In the inpatient setting, the physician documents possible aspiration pneumonia in the discharge summary.The aspiration pneumonia is coded as if it exists.

The root operation that is defined as freeing of a body part is:

The American Hospital Association is responsible for the development of ICD-10-PCS.

The use of a POA indicator is required for all acute-care facilities that are reimbursed under MS-DRGs.

The discharge summary states the patient's diagnoses are peptic ulcer disease versus chronic cholecystitis.Which diagnoses should be reported?

Patient is admitted following an outpatient procedure because of an exacerbation of the patient's asthma.What is the principal diagnosis?

When two or more diagnoses equally meet the definition for principal diagnosis, either one can be selected as the principal diagnosis.

The root operation that is defined as cutting out or off, without replacement, all of a body part is:

The Centers for Medicare and Medicaid Services (CMS) is responsible for the development of ICD-10-PCS.

Patient is admitted with epigastric pain due to acute pancreatitis, without necrosis or infection. ICD-10-CM Code(s): ____________________

The principal diagnosis is defined as the most serious condition during a patient's hospital stay.

The acronym UHDDS stands for:

In the inpatient setting, the principal diagnosis is also called the "first-listed" diagnosis.

The root operation that is defined as restoring, to the extent possible, a body part to its natural anatomic structure is:

The root operation that is defined as taking or letting out of fluids and/or gases in a part of a body is:

Patient was admitted with severe diarrhea.The physician documents the discharge diagnosis as gastroenteritis versus food poisoning. ICD-10-CM Code(s): ____________________