Dr. Jones examined Kathy Simpson in the office for complaints of abdominal pain that has lasted for 48 hours. There is tenderness in the lower right quadrant. Dr. Jones ordered a CBC to determine whether she has an elevated WBC and an abdominal ultrasound to rule out appendicitis or colitis. What is the diagnosis that should be coded for this?
A) appendicitis
B) abdominal pain
C) elevated WBC
D) colitis
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Q. 2) Late effect E codes do NOT exist for which of the following reasons?
A) to report a previous poisoning
B) to report a previous injury
C) subsequent visits when late effect is being treated after initial treatment
D) surgical complication
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Q. 3) Which of the following diagnoses would not represent a condition that would be coded using a late effect code?
A) kyphosis due to poliomyelitis
B) scarring due to 2nd- and 3rd-degree burns
C) mild mental retardation due to viral encephalitis
D) acute infection due to streptococcal bacteria
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Q. 4) Of the following, which category would not be used to describe the way the Alphabetic Index to External Causes is organized?
A) an event
B) an accident
C) a circumstance
D) an eponym
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Q. 5) Pam Best is seen by Dr. Samuel for abdominal pain and vomiting. During the exam she tells the provider that her mom died three years ago of cancer of the stomach and that she has been experiencing abdominal pain for a number of weeks. Dr. Samuel feels that Pam should be worked up for cancer screening. Which of the following is the diagnosis that would be properly sequenced and reported for this encounter?
A) abdominal pain
B) abdominal pain, vomiting, and family history of malignant neoplasm of stomach
C) family history of malignant neoplasm of stomach
D) suspected malignant neoplasm of stomach
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Q. 6) When assigning an E code to reflect a machinery accident, other than those associated with transport, a code from which category is assigned?
A) E917
B) E918
C) E919
D) E920
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Q. 7) For outpatient and physician office visits, what code should be listed first for coding and reporting purposes?
A) first complaint described by the patient
B) diagnosis to be chiefly responsible for the services provided
C) diagnosis, condition, problem, or other reason for the encounter shown in the medical record to be chiefly responsible for the services provided
D) diagnoses that describe coexisting conditions
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Q. 8) Use an ICD-9-CM code book to answer the following questions.
Tom Jones was given a blood transfusion, and the blood was contaminated with a bacterial pyrogen. What is the correct E code?
A) E875.0
B) E875.1
C) E876.0
D) E876.1
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Q. 9) Mark Muscle was lifting furniture when he felt something pop in his lower back. Because of the intensity of the pain, he went to a walk-in clinic for evaluation. After examining him, the provider suspects that Mark may have injured a disk in his lumbar region. The provider sends Mark to the local ER for an MRI. What diagnosis(es) should be reported for this encounter?
A) back pain
B) disk injury
C) protruding lumbar disk
D) back pain and possible protruding lumbar disk injury
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Q. 10) Use an ICD-9-CM code book to answer the following questions.
Tom Smith, a passenger on a commercial plane, was injured when the commercial plane on which he was flying caught fire during the landing. What is the correct E code?
A) E840.0
B) E840.1
C) E840.3
D) E840. 7
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