Coding Clinic for ICD-10-CM/PCS

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

Continuing Education Quiz 203-10 Postmarked no later than March 1, 2021

Third Quarter 2020

1. A 32-year-old patient was hospitalized a few weeks ago for pneumonia due to COVID-19. The patient now presents to the emergency department with shortness of breath and is admitted. The discharge diagnosis for this admission is "pneumothorax due to a previous history of COVID-19." Assign the appropriate ICD-10-CM codes for this admission.

2. When remdesivir, sarilumab, or tocilizumab is administered for treatment of a clinical condition other than COVID-19, one of the new ICD-10-PCS codes in table XW0 should be assigned. A. True B. False

3. A 72-year-old patient with an ileal conduit neobladder is admitted with fever and abdominal discomfort due to acute pyelonephritis. A query to the provider clarified recurrent acute pyelonephritis secondary to ileal conduit. Assign the appropriate ICD-10-CM code(s) for this condition.

4. A 55-year-old man presented with slurred speech and unsteady gait and the provider diagnosed lacunar stroke. The patient also had moderate stenosis of the right internal carotid artery (ICA). The provider concurred with the radiologist that there was less than 50% stenosis of the right internal carotid artery on computed tomography angiography of the head and documented that the right ICA stenosis was not clinically significant. Assign the appropriate ICD-10-CM code for the lacunar infarction.

5. The patient is a 72-year-old male with a history of congestive heart failure (CHF) and severe aortic stenosis status post transcatheter aortic valve replacement (TAVR). The provider documents chronic CHF with ejection fraction (EF) recovered from 35% to 55% following TAVR. Assign the correct ICD-10-CM code for congestive heart failure with a recovered EF.

6. A 62-year-old male with end-stage renal disease (ESRD) presents for repair of an aneurysm of his right brachiocephalic arteriovenous (AV) fistula. A 4-cm incision was made through the subcutaneous tissue; the fistula was exposed, and the aneurysmal section of the fistula was opened with a blade. Heavily calcified rock-like pieces were then removed from the aneurysm, essentially endovenectomizing the lumen. The excess cephalic vein wall was excised, and the edges were plicated with stitches in order to reduce the size and flow of the fistula. Assign the appropriate ICD-10-PCS codes for this procedure.

7. A 59-year-old patient presented for transbronchial cryobiopsy of the right lung. A bronchoscope was advanced; a complete airway exam revealed no mucosal abnormalities or increased secretions. A cryoprobe was inserted to obtain 5 transbronchial cryobiopsies from the right lung (1 upper lobe, 1 middle lobe, and 3 lower lobe) under fluoroscopic guidance. After all residual blood was suctioned and adequate hemostasis was confirmed, the bronchoscope was withdrawn. Assign the appropriate ICD-10-PCS codes for the transbronchial cryobiopsy of the lung.

8. A 38-year-old patient with an ectopic cornual pregnancy underwent surgery. The patient had laparoscopic removal of the ectopic pregnancy, from the right fallopian tube, which extended into the right cornu. A consulting provider excised a portion of the right fallopian tube and placed the ectopic pregnancy in an Endo CatchTM bag. Assign the appropriate ICD-10-PCS code for laparoscopic removal of the ectopic cornual pregnancy.

9. A 56-year-old patient with a previous endovascular aortic aneurysm repair (EVAR) presents for evaluation of her persisting enlarged aneurysmal sac. After examination, the provider documents a type Ia endoleak around her endograft. Assign the correct ICD-10-PCS code for a type Ia endoleak.

10. A patient presented for total right hip arthroplasty using dual mobility components. The replacement was performed by placing a multi-hole acetabular shell and neutral dual mobility liner. A cemented femoral stem with collar was placed and a ceramic ball was then placed with a dual mobility bearing. The components included a metal cup and liner and the dual femoral head component consisted of a larger polyethylene head with a smaller ceramic ball within the larger head. Assign the appropriate ICD-10-PCS code for the dual mobility hip replacement.

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Coding Clinic

Continuing Education Quiz

Due on or before March 1, 2021

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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