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Culinary, Hospitality, Travel & Tourism
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Understanding Hospital Coding
Quiz 5: Inpatient Coding
Path 4
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Question 21
Short Answer
The old diagnosis-related group (DRG) reimbursement system was replaced in 2008 with the __________ system?
Question 22
Short Answer
A "POA" diagnosis is defined by CMS as present at the time the ____________ ____________ order occurs.
Question 23
Short Answer
When a condition exists based on clinical documentation but the physician has not documented, it would be appropriate for the coder to generate __________?
Question 24
Essay
Determine the admitting ICD-9-CM diagnosis in the following scenario: ​ Patient presented to the emergency room (ER) with complaints of nausea and vomiting. CT abdomen and pelvis indicates multiple calculi located in the right ureter. Patient admitted for pain management and possible cystoscopy with removal of stone.
Question 25
Short Answer
Determine the appropriate principal ICD-9-CM diagnosis in the following scenario: Patient presents with abdominal pain and nausea. Previously diagnosed with a urinary tract infection. Patient is admitted for IV antibiotic therapy. Further workup of CT abdomen and pelvis reveals acute pyelonephritis.
Question 26
Essay
Assign the appropriate ICD-9-CM diagnoses for the following outpatient scenario: ​ Patient presents with abdominal pain, duration of 7 days, increasing in severity. Patient awoke this morning with temperature of 104.1
∘
^\circ
∘
F along with nausea and chills. Workup in emergency department (ED) was negative for appendicitis and gallbladder disease. Will prescribe pain meds and work up further as an outpatient for the possibility of gastritis.
Question 27
Short Answer
Assign the appropriate ICD-9-CM diagnosis codes for the outpatient setting. Patient presents with a 4-day history of right, lower quadrant abdominal pain. An abdominal and pelvic CT with contrast is ordered to rule out an ectopic pregnancy.