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HIT 205 Final Exam Answers (DeVry University)

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DeVry HIT 205 Final Exam Answers

  1. (TCO 2) Which of the following does not represent a characteristic of combination codes?
  2. (TCO 2) Which instruction following a main term in the Alphabetic Index indicates that there is another main term that may also be referenced to provide additional Alphabetic Index entries that may be useful?
  3. (TCO 2) In determining the principal diagnosis, which rule takes precedence over all guidelines?
  4. (TCO 2) Adherence to the Official Guidelines for Coding and Reporting is required under
  5. (TCO 2) A patient is admitted to the hospital for surgery. The patient develops a fever after surgery, and the final diagnosis includes “possible postoperative infection.” Which is the correct POA indicator for the postoperative infection?
  6. (TCOs 2, 4, 5, and 6) There is an aftercare encounter for management of a subtrochanteric fracture of the left femur. The patient fell and fractured the left femur 2 weeks earlier. How should the encounter be coded?
  7. (TCOs 2, 4, 5, and 6) When a female patient has undergone a breast lumpectomy for a malignant carcinoma of the upper-outer quadrant of the left breast and is brought back into the hospital solely for the administration of chemotherapy, how should the encounter be coded?
  8. (TCOs 2, 4, 5, and 6) Which is the correct diagnosis code(s) for bilateral congenital dislocation of hip?
  9. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:premature baby, 2,000 g birth weight, 35 4/7 weeks of gestation, born in Hospital #1 and transferred to Hospital #2 (code for Hospital #2).
  10. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:Metastatic carcinoma of the liver, carcinoma of descending colon.
  11. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:tracheostomy infection with cellulitis of head and neck.
  12. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: congestive heart failure, hypertension.
  13. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:benign prostatic hypertrophy with urinary retention.
  14. TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: urinary tract infection due to the presence of an indwelling urinary catheter, initial encounter.
  15. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: premature baby, 990 gm. birth weight, 29 5/7 weeks of gestation, born in Hospital #1 and transferred to Hospital #2 (Code for hospital #2).
  16. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:elective abortion, 12 weeks, fetus diagnosed with anencephaly (reason for abortion).
  17. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:polyarthropathy due to dermatological condition, erythema nodosum, multiple sites     .
  18. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: insect bites on lower extremities, initial encounter.
  19. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:pregnancy, delivered, with premature labor, third trimester, single live-born infant.
  20. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition:cellulitis of both feet.
  21. (TCOs 3, 4, 5, and 6) Using your coding manual (not the encoder or internet) assign the correct ICD-10-CM code(s) for the following condition: endometriosis of ovaries and tubes.
  22. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:

    This patient was admitted for repair of a left common carotid stenosis. Two months earlier, an endarterectomy of a right carotid stenosis had been performed. Six months earlier, she had suffered a cerebral hemorrhage that resulted in apraxia and oropharyngeal phase dysphagia, both of which required additional nursing assistance. The open left endarterectomy was successfully accomplished, and the patient was discharged on the fourth hospital day.

    Discharge diagnoses: (1) Left carotid stenosis, (2) residuals of old cerebrovascular accident.

  23. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:

    The patient, an elderly female nursing home resident, was under medical management for chronic senile dementia, postherpetic neuralgia, hyperlipidemia. She also had a history of renal cyst. She was admitted with nausea and emesis, which cleared after several days. She also complained of increasing nasal sinus congestion and headache. She was treated with antibiotics and decongestants for sinusitis. Recovery was uneventful, and she was returned to the nursing home for further care.

    Discharge diagnoses: (1) Postherpetic neuralgia, (2) sinusitis, (3) chronic senile dementia, Hyperlipidemia.

  24. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:

    The patient, a six-day-old female, was admitted with respiratory distress, wheezes, and a heart murmur. She was intubated on admission and improved on the ventilator. She was extubated 48 hours later. Respiratory syncytial viral bronchiolitis was diagnosed. Other treatment included antibiotics and aerosols. An echocardiogram indicated a ventricular septal defect. She was to return at a later date for further evaluation.

    Discharge diagnoses: (1) Respiratory syncytial viral bronchiolitis, (2) ventricular septal defect, (3) respiratory distress.

  25. Code the following inpatient scenario by assigning ICD-10-CM codes only, do not assign ICD-10-PCS codes:

    The patient was admitted after visiting the emergency department for shortness of breath, chest pain, hypoxia, and a white cell count of 32,600. The patient had a history of chronic obstructive pulmonary disease. Interstitial infiltrate at the right middle and lower lobes of the lung was seen on chest X-ray. Sputum culture grew Streptococcus pneumoniae. He tolerated the antibiotics, and the symptoms improved significantly.

    Discharge diagnoses: (1) Right lower lobe pneumonia due to Streptococcus pneumoniae, (2) acute exacerbation of chronic obstructive lung disease.

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