In some cases, at the time of discharge, providers are not able to distinguish a definitive diagnosis and may record a symptom followed by contrasting/comparative diagnoses. How should the coder sequence the codes?
A) The contrasting/comparative diagnoses should be sequenced first, and the symptom should not be coded.
B) The contrasting/comparative diagnoses should be sequenced first, and the symptom should be coded as a secondary diagnosis.
C) The symptom should be coded as the principal diagnosis, and the contrasting/comparative diagnoses should not be coded.
D) The symptom should be coded as the principal diagnosis, and the contrasting/comparative diagnoses should be coded as additional diagnoses.
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Q. 2) Which one of the following would not be considered a transportation accident?
A) aircraft crash
B) bulldozer
C) farming vehicles
D) submersion after a fall from a boat
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Q. 3) Which of the following applies when two or more comparative or contrasting diagnoses are documented as either/or in an inpatient record?
A) They should not be coded.
B) They are coded as though the diagnoses were confirmed, and the diagnoses are sequenced according to the circumstances of the admission.
C) The signs and symptoms that the patient presents with should be coded and not the contrasting diagnoses.
D) The first listed diagnosis should be listed as the principal diagnosis.
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Q. 4) Which one of the following statements is false?
A) E codes are always assigned as secondary codes.
B) E codes are always sequenced as the principal code.
C) E codes are not listed as a single code.
D) E codes are used to classify external causes of injuries and poisonings.
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Q. 5) According to the ICD-9-CM Official Guidelines for Coding and Reporting, when two or more interrelated conditions equally meet the definition for principal diagnosis, the coder should select which of the following as the principal diagnosis?
A) the diagnosis listed first on the encounter form or face sheet
B) the diagnosis with the lowest code number
C) any one of the diagnoses may be sequenced first.
D) the condition that was diagnosed first by the provider
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Q. 6) Select an ICD-9-CM code for a patient that has a DNR status.
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Q. 7) What is the time limit for when a code for a late effect can be used?
A) 10 days prior to admission
B) 30 days after the initial injury
C) three months after the initial injury or illness
D) There is no time limit.
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Q. 8) Select an ICD-9-CM code for dependence on respirator.
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Q. 9) Patty Smith was admitted with an admission diagnosis of vomiting and threatened appendicitis. After her diagnostic work-up, it was determined that her appendix had ruptured. What diagnosis(es) would be selected for coding?
A) acute appendicitis
B) acute appendicitis with rupture
C) appendicitis with vomiting
D) threatened appendicitis
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Q. 10) Select an ICD-9-CM code for a patient with a cardiac pacemaker that was inserted two years ago.
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