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Exam 27: Inpatient Coding

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Question 1

True/False

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

A) True
B) False

Correct Answer

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False

Question 2

Multiple Choice

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

A) the reason for the patient's outpatient procedure
B) a code for cancellation of the procedure
C) an aftercare V code
D) exacerbation of asthma

E) B) and C)
F) A) and B)

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Question 3

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

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 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): ____________________

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

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

The acronym UHDDS stands for:

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

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

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

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

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

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

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

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

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