Covell Wkbk 2008 FM.qxd

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1 Exam Questions for ICD-9-CM Name Directions: Use the appropriate coding manual to determine the correct choice for each situation. 1. A patient seen in the office today has known Graves disease, now with signs and symptoms of a thyroid storm Three-year-old patient was brought in by her mother because of fever, fussiness, and tugging at the right ear. Otoscopy confirmed acute infection, with erythema and pus of the canal Patient was seen because of pain and swelling of the right elbow. The joint does not appear to be unstable. Rule out fracture The patient took the Ampicillin as directed but returns today with urticaria and swelling, classic signs of allergic reaction E E Newly diagnosed asthma patient was counseled regarding asthma therapy and the correct use of a nebulizer. V65.2 V65.40 V65.49 V Select the correct code for ulcerative impetigo caused by a superficial staph infection Patient was seen for evaluation of pilonidal cyst Patient came to the office for examination of a penile lesion; physician determined it is a classic plaque of Peyronie s disease Patient was seen for annual gynecological exam including Pap smear. V70.0 V70.9 V72.31 V

2 10. Counseling regarding contraceptive use; patient received Norplant contraceptive 1 month ago. V25.09 V25.40 V25.43 V Patient fell while snowboarding, suffering a dislocation of the left shoulder E E Select the correct code for a bilateral, nonstrangulated inguinal hernia Patient was seen for vaginal spotting in her twenty-first week of pregnancy A 35-year-old female was seen in the office today for evaluation of a breast lump A 16-year-old male was seen in the clinic for severe sore throat, redness, cough, and erythema. Rapid strep test was positive Select the correct code for personal history of cervical carcinoma V10.40 V Patient was seen for continuing treatment of post-traumatic stress disorder Patient was diagnosed with bulimia Patient complains of diarrhea, abdominal cramping, and bloody stools. Rule out ulcerative colitis

3 20. Child was seen for erythema and puncture wounds of the right forearm due to cat bite E906.3 E Patient came to the office to discuss treatment options for new diagnosis of malignant melanoma of the forehead Infant was brought in for evaluation of skin tags of the outer ear/earlobe Patient s daughter brought her father in for follow-up of progressive Alzheimer s dementia Child was brought into the office for evaluation and examination after swallowing a dime Vacationing patient was seen in the urgent care clinic for second-degree sunburn of both shoulder areas Select the correct code for Lyme disease Patient came into the office seeking treatment for fungal toenail infection Patient was seen in the office today requesting medications to assist with alcohol withdrawal Patient was seen for follow-up of replantation of amputated long finger A 6-year-old patient was brought in for additional testing for color blindness

4 31. Patient was evaluated for somnolence relating to reactive hypoglycemia Select the correct code(s) for malignant hypertensive heart disease with renal failure Patient was seen for preoperative cardiovascular evaluation prior to undergoing cholecystectomy. V72.81 V72.83 V72.85 V Patient was seen in follow-up for boxer s fracture of the right extremity Select the correct code(s) for cellulitis of the colostomy site Select the correct code for congenital bowleggedness Patient was seen by the gastroenterologist for evaluation of prolapsed internal hemorrhoids and anal fissure Patient was seen in the office for severe vertigo and loss of hearing. The patient was diagnosed with viral labyrinthitis Select the correct code(s) for idiopathic scoliosis with backache Patient was evaluated for varicose veins with stasis dermatitis of the left lower extremity Twenty-year-old patient was seen for continuing evaluation of Turner s syndrome

5 42. Patient was seen with complaints of melena and anemia. Patient has strong family history of stomach cancer V V V16.0 V Select the correct codes for diabetic cataracts Patient was seen in follow-up for right bundle branch block with incomplete left bundle branch block The patient is status post PTCA, in for a oneweek follow-up visit. V45.81 V45.82 V67.00 V Patient was seen for complaints of fatigue and was noted to have diffuse adenopathy. Rule out leukemia Patient s chief complaint is losing her sense of smell after a bout of the flu Patient was seen for treatment of situational depression due to impending divorce Select the correct code for acquired trigger finger Select the correct code for rupture of the Achilles tendon Patient was seen for vaginal bleeding; placenta previa was detected. Patient is in early second trimester of pregnancy Select the correct code for narcolepsy

6 53. Patient had episodes of zoning out and, after extensive observation and testing, was diagnosed with absence seizures Child was found to have a severe allergy to dog hair Patient was seen for treatment of frostbite of the toes Patient received an accidental, self-inflicted laceration of the palm of his hand while using a kitchen knife E E E E Patient was seen in consultation for several episodes of hydrocodone addiction Patient visiting from out of state was treated for headache, nausea, and vomiting. The patient was diagnosed with altitude sickness E Select the correct code for acute viral conjunctivitis Select the correct codes for accidental poisoning with whiskey E E E E Patient returns to the office for ongoing evaluation of dysphasia. He suffered a cerebrovascular accident six months ago Select the correct codes for metastatic carcinoma of the liver with unknown primary

7 63. The patient was seen in the office for complaints of halitosis Select the correct code for central corneal ulcer probably due to improper contact lens use and care The patient was seen by the orthopedic physician regarding carpal tunnel syndrome The patient suffered a severe burn over one year ago and is being evaluated for continued neuropathy of the left thigh secondary to the burn Patient was seen in the office for pain due to phantom limb syndrome Select the correct code for arteriovenous malformation of the right lower extremity requiring surgical treatment Infant was seen in the office today for followup of Tetrology of Fallot Patient is being treated in the hospital for severe mitral regurgitation Patient was treated for a laceration and puncture wound of the right nostril; fish hook accidentally embedded in nostril E E E E Select the correct code for chronic familial pemphigus

8 73. Patient returns to the office for physical therapy to regain strength in his back after a thoracic muscle strain at work V V57.1 V V Select the correct code for temporomandibular joint syndrome (TMJ) Patient was seen for evaluation and treatment of neurogenic bladder Patient came to the office with urinary symptoms. On digital exam, the patient was found to have a multinodular prostate gland The patient was seen today for weekly chemotherapy infusion; recent diagnosis of primary carcinoma of the descending colon. V V V V Patient is being seen for acute reactive depression due to recent diagnosis of pancreatic cancer Select the correct code for acute sinusitis, in conjunction with influenza The patient was assaulted and suffered a periorbital hematoma, nasal bone fracture, and chipped tooth E E E E Select the correct code(s) for a hiatal hernia with obstruction Patient complains of insomnia

9 83. Patient is evaluated for sudden total blindness of the right eye; left eye was not affected Select the correct code for cardiac asthma Adult male was diagnosed with whooping cough due to parapertussis Patient was suffering from near-syncope episodes and was diagnosed with an electrolyte imbalance Patient is HIV positive and now has evidence of Kaposi lesions on the skin V Female in her third trimester of pregnancy has obvious dependent edema The patient has been diagnosed with multiple sclerosis Select the correct code for a pathologic fracture of the distal radius The patient was seen today for arthritis related to a salmonella infection Female diagnosed with Darling s endocarditis The patient worked with talc for many years and is now diagnosed with pneumoconiosis A 17-year-old male has second degree burns of both ankles and feet caused by fireworks E E E E

10 95. The patient will take an early retirement due to complications of post-polio syndrome An elderly woman is seen for multiple neuropathies following shingles The patient fell from his horse and was diagnosed with a C2 fracture and posterior cord syndrome E E E E A 78-year-old became comatose when given the insulin ordered for the patient in the next bed The patient was diagnosed with septicemia secondary to anthrax The patient received a laceration of the carotid artery while harvesting hay E E E E

11 Answers to Exam Questions: ICD 9 CM Name

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1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :