Coding Clinic for ICD-10-CM/PCS

[Pages:2]Coding Clinic for ICD-10-CM/PCS

Continuing Education Quiz 192-10 Postmarked no later than December 30, 2019

Second Quarter 2019

1. Assign the appropriate ICD-10-CM code for an elevated troponin level when an acute myocardial infarction and/or myocardial injury has been ruled-out.

2. An 89-year-old woman was admitted for further cardiology management. The provider's diagnostic statement listed, "non-traumatic myocardial injury." Assign the correct ICD-10-CM code for non-traumatic myocardial injury.

3. A patient with pregnancy induced hypertension presents at 40 weeks for induction of labor due to pre-eclampsia. She delivered during the admission without any indications of elevated blood pressure or severe range blood pressure. The provider diagnosed "pre-eclampsia without severe features." Assign the correct ICD-10-CM code for pre-eclampsia without severe features.

4. A 17-year-old male with a history of ulcerative colitis, status post colectomy with rectal mucosectomy and ileoanal J-pouch reconstruction, is diagnosed with ileoanal anastomotic stricture. Ano-proctoscopy demonstrated stricture proximal to the ileoanal anastomosis. The stricture was serially dilated. Assign the correct ICD-10-CM code(s) for the ileoanal anastomotic stricture.

5. A 56-year-old patient, who is status post coronary angioplasty with stent placement in the LAD two days prior, is readmitted for a non-ST elevation myocardial infarction (NSTEMI) due to thrombus in the stent. Assign the correct ICD-10-CM codes for an acute myocardial infarction (MI) due to stent thrombus following coronary angioplasty and stent placement.

6. A patient presents for removal of a wound vacuum assisted closure (VAC) sponge that was being used to treat a gastric perforation. During the procedure, a scope was inserted into the stomach and the wound VAC was removed via the scope. Assign the correct ICD-10-PCS code for the removal of the wound VAC.

7. A patient with a pathologic compression fracture at L5 presented for kyphoplasty via the Kiva? treatment system that utilizes an implant rather than a balloon technique. A needle was advanced via a transpedicular approach into the vertebral body. The needle was exchanged over a K wire for the Kiva? cannula. The Kiva? system was utilized to deploy the implant followed by injection of cement. Assign the correct ICD-10-PCS code(s) for a kyphoplasty utilizing the Kiva? device and bone cement.

8. A 62-year-old patient underwent evacuation of intraparenchymal hemorrhage using NICO BrainPath? technology. A burr hole was created and a circular craniotomy was completed. The bone flap was elevated, a dural incision was completed, and the brain started to gently bulge out. The Mitaka arm was placed and the dedicated Storz exoscope was placed in the desired position. Using the NICO Brainpath ? technology, a 60-mm port was gently advanced all the way down to the bottom of the clot. Clot fragments were suctioned and removed. Assign the correct ICD-10-PCS codes for this procedure.

9. A patient, who has been diagnosed with cervical spinal stenosis, myelopathy and radiculopathy, presents for surgical treatment consisting of percutaneous posterior placement of DTRAX interfacet stabilization device with bone graft (C3 through C6). Under fluoroscopic guidance, procedures performed included posterior laminectomy for decompression, partial facetectomy and harvesting of bone graft from the left iliac crest. Assign the correct ICD-10-PCS codes for these procedures.

10. The patient, a 72-year-old who was admitted with heart failure secondary to constrictive pericarditis, underwent pericardiectomy involving excision of the pericardium and lysis of adhesions. At surgery, calcified portions of the pericardium were excised anterior to the phrenic nerve. Extensive calcifications of the diaphragmatic pericardium were excised, and dissection was carried out posteriorly to the level of the left atrium, where pericardium was excised. On the right side of the heart, pericardium was dissected off the surfaces of the right ventricle, right atrium, superior vena cava (SVC) and aorta. Extensive adhesions and scarring of the right pleura were lysed. Pericardium was excised from the anterior surface of the SVC. The heart was freed from adhesions to the pericardium using sharp dissection. Assign the correct ICD-10-PCS codes for this procedure.

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Coding Clinic

Continuing Education Quiz

Due on or before December 30, 2019

Instructions

Registered Health Information Technicians, Registered Health Information Administrators,

Certified Coding Specialists and Certified Coding Specialists??Physician-based may earn one hour of continuing

education credit toward AHIMA's continuing education requirement by completing this test with a minimum score of 70%.

This test is available to both personal subscribers and employees of institutions that subscribe to Coding Clinic. Complete

the quiz, fill in information on both sides, and type or print clearly your name and mailing address in the space provided.

Fold the insert on the dotted lines on this page, and mail to the following address:

Central Office on ICD-10-CM/PCS

Attention: Continuing Education

American Hospital Association

P.O. Box 92247

Chicago, IL 60675-2247

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Enclose check or money order for $25 (handling fee). Make check payable to the American Hospital Association. Do not send cash.

The quiz will not be graded and the $25 fee will be forfeited if the quiz is not postmarked on or before the date indicated on each test.

No credit will be given if the score is less than 70%, the test is incomplete, postmarked after the designated date, or submitted without the $25 handling fee.

Forms may be photocopied for use by directors of medical records or coding supervisors for assessment of coding staff's understanding of topics presented in Coding Clinic.

Note: The Central Office on ICD-10-CM/PCS will not retain records of achievement. The practitioner is responsible for retaining the verification form returned by AHA and reporting the credit on AHIMA's official continuing education reporting form.

Do not send the AHA verification form to the American Health Information Management Association.

Please duplicate your completed Continuing Education Quiz and retain the copy for your purposes.

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