1. The patient is seen for acute gastroenteritis, nausea with vomiting, and abdominal pain. Which diagnosis or diagnoses should be reported? 1. The patient is seen for acute gastroenteritis, nausea with vomiting, and abdominal pain. Which diagnosis or diagnoses should be reported?
A. Acute gastroenteritis
B. Acute gastroenteritis, vomiting
C. Nausea with vomiting, and abdominal pain
D. Acute gastroenteritis and abdominal pain
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2. The surgeon performs an arthroscopic distal claviculectomy, bony acromioplasty, and repair of a chronic tear of the supraspinatus, followed by a mini-open repair of the subscapsularis on the patient’s right shoulder. How should this be reported per CPT/NCCI guidelines.
A. 29827-59, 29824, 29826, 23412
B. 23412-22, 29824, 29826
C. 23412, 29824
D. 29827-22, 29824, 29826
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3. You are the coding supervisor. A coder is attempting to assign code K22.11 twice for a patient treated for two bleeding esophageal ulcers, lower and upper. She complains that the computer will allow her to enter the code only once. What is your response?
A. Refer her to the general guideline for laterality.
B. Override the edit and assign the code twice to show two sites.
C. Refer her to the general guideline for reporting the same diagnosis code more than once.
D. Tell her to look for a combination code instead.
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4. Extensive shoulder debridement (29823) may be reported separately with:
A. 29824
B. 29827
C. 29828
D. All of the above
5.What general guideline provides sequencing instructions denoted in the tabular list by the instructions “Code, if applicable, any causal condition first” and “Code first?”
A. Combination codes
B. Signs and symptoms not routinely associated with a disease process
C. Impending or threatened condition
D. Assigning multiple codes for a single condition
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6. Extensive debridement of the shoulder may include:
A. Multiple soft structures
B. Multiple hard structures
C. A combination of hard and soft structures
D. Any of the above
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7.Using your ICD-10-CM code book, how many codes are assigned to the final diagnosis “cellulitis of left toe due to group A streptococcus?” What instruction note is followed for compliance with the guideline?
A. One combination code is assigned based on the instruction note “Includes.”
B. Two codes are assigned based on the instruction note beginning with “Code also…”
C. Two codes are assigned based on the instruction note beginning with “Use additional code…”
D. One code for both conditions is assigned based on the instructions in the alphabetic index.
8. Proper ICD-10-CM coding for cleft lip, bilateral is
A. Q36.0
B. Q36.1
C. Q36.2
D. Q36.9
9. How many codes are assigned for a condition described as acute (subacute) and chronic if the subterms in the alphabetic index are equally indented?
A. Two codes
B. One code
C. Three codes
D. Four codes
10.A person with alcohol dependence goes into withdrawal after the family pours all of the alcohol in the house down the kitchen drain. The final diagnosis is “alcohol dependence with withdrawal, impending delirium tremens.” The patient was treated in time to prevent the delirium tremens. What is the coding for this case?
A. F10.231, Alcohol dependence with withdrawal delirium
B. F10.221, Alcohol dependence with intoxication delirium
C. F10.239, Alcohol dependence with withdrawal, unspecified
D. F10.921, Alcohol use, unspecified with intoxication delirium
i was looking for practice questions for medical coding interviews. This would help me a lot .. Thanks for sharing.
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Give me details about IP DRG coding and Exam..