Deck 27: Out patient Coding

Question 1

Chronic diseases treated on an ongoing basis can be coded only once,when the patient receives treatment and care for the condition.

Answer 1

False

Question 2

The Uniform Discharge Data Set definition of principal diagnosis applies to inpatients in ____.

A)short-term care
B)long-term care
C)psychiatric hospitals
D)all of the above situations
E)none of the above situations

Answer 2

D

Question 3

A patient reports to the outpatient surgery department for an arthroscopic meniscectomy for a torn meniscus.The patient is prepped by anesthesia and is found to be in atrial fibrillation.The surgeon decides not to proceed with the procedure.How should this be coded?

A)The primary diagnosis is atrial fibrillation with a secondary diagnosis of torn meniscus
B)The primary diagnosis is the torn meniscus with a secondary diagnosis of atrial fibrillation
C)The primary diagnosis is arthroscopic,and the secondary diagnosis is meniscectomy
D)The primary diagnosis is atrial fibrillation,and the secondary diagnosis is arthroscopic meniscectomy
E)None of the above are correct

Answer 3

B

Question 4

Which of the following are viewed as outpatient settings?

A)The doctor's office
B)Ambulatory surgery
C)The ER
D)An observation unit
E)All of the above f.Options a,b,and c

Question 5

____________________ is one level of the HCPCS (Healthcare Common Procedure Coding System).

Question 6

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Preoperative respiratory exam

Question 7

When outpatient procedures are coded,codes from ____________________ are used.

Question 8

CPT codes are in ____-digit numeric codes.

A)Two
B)Three
C)Four
D)Five
E)Six

Question 9

The outpatient term equated to principal diagnosis is "first-listed diagnosis" or "primary diagnosis."

Question 10

To prevent coding errors,a coder should never begin searching initially in the ____________________ when looking for the correct code.

Question 11

When using ICD-10-CM/PCS,outpatient coders will be using ICD-10-PCS instead of CPT.

Question 12

Coding guidelines for uncertain diagnoses were developed for inpatient reporting and do not apply to outpatients.

Question 13

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Pregnant with history of infertility,first trimester

Question 14

When a patient is admitted for observation for a medical condition,assign a code for the medical condition as the ____________________.

Question 15

When inpatient procedures are coded using ICD-10,____________________ is used.

Question 16

Diagnoses are always established at the time of the initial visit.It never takes more than one appointment to confirm a diagnosis.

A)Both statements are true
B)Both statements are false
C)The first statement is true;the second is false
D)The first statement is false;the second is true

Question 17

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Encounter for well-baby check of an infant 7 days old

Question 18

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Encounter for exam of an adult following an alleged rape

Question 19

The terms encounter and visit are never used interchangeably when outpatient service contacts are described.

Question 20

In what year did APCs become effective?

A)1990
B)1995
C)2000
D)2005

Question 21

A patient goes to see the doctor with complaints of weight gain and decreased libido.The physician performs lab work and asks the patient to return in 2 weeks for a probable diagnosis of hypothyroidism: __________

Question 22

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Pregnant state incidental

Question 23

Patient comes to physician's office with extreme headache.Physician suspects TIA VS CVA and sends the patient to the hospital: __________

Question 24

Patient had a laparoscopic cholecystectomy for cholelithiasis (gallbladder) in the ambulatory surgery suite.In the recovery room,the patient is found to have atrial fibrillation,and the surgeon decides to admit the patient for observation: __________

Question 25

What are APCs and what do they do?

Question 26

Match the following to the correct code.
a.Z33.1
b.O09.01
c.Z30.431
d.Z00.129
e.Z04.41
f.Z01.811
Surveillance of intrauterine contraceptive device

Question 27

Patient with right carpal tunnel syndrome had an endoscopic carpal tunnel release: __________

Question 28

A patient is admitted to ambulatory surgery with a diagnosis of right senile cataract.A phacoemulsification with insertion of an intraocular lens is performed: __________

Question 29

A patient is admitted to in-and-out surgery with a diagnosis of hematemesis.An EGD with a biopsy of the stomach is performed.It is determined that the patient has a bleeding gastric ulcer: __________

Question 30

What are ancillary service visits?

Question 31

A patient goes to see his primary care provider with a cough and a fever and a long history of COPD.After reviewing the chest X-ray,the physician determines that the patient has pneumonia: __________

Question 32

Patient goes to a physician's office with a complaint of low back pain.This patient is on medication for hypertension and hypercholesterolemia.During this visit,the patient's blood pressure is checked,and blood is drawn for cholesterol level: __________

Question 33

Patient with acute appendicitis had laparoscopic appendectomy: __________

Question 34

Patient is sent to cardiologist for a pre-op consult before cataract surgery because of the preexisting condition of congestive heart failure: __________

Question 35

What does AMA stand for?

Question 36

Patient goes to radiology for a chest X-ray to rule out pneumonia.The patient has been complaining of a cough and has a history of asthma,for which he takes albuterol.The radiologist reads the X-ray as COPD with no evidence of pneumonia: __________

Question 37

What does APC stand for?

Question 38

When a patient comes to the hospital for outpatient surgery,what should a coder code as the first-listed diagnosis?

Question 39

What is CPT coding?

Question 40

Counseling a diabetic regarding diet: __________

Question 41

A patient is admitted to ambulatory surgery with a diagnosis of left carpal tunnel syndrome,and an endoscopic carpal tunnel repair is performed: __________

Question 42

A gastroenterologist sees a patient in the office for a colonoscopy and biopsy of the colon.Patient is having melena: __________