23. The patient comes into the ER complaining of pain in the
23. The patient comes into the ER complaining of pain in the left… 23. The patient comes into the ER complaining of pain in the left ankle. The ER physician orders an x-ray to determine if a fracture is present. After study, the physician states the x-ray is negative for a fracture. In this case, the fracture was: Both Neither Ruled Out (determined not to be present) 25. The final diagnosis on the discharge summary is: Acute lower right quadrant abdominal pain of unknown etiology, nausea and vomiting. Appendicitis ruled out. You would code this as: Right lower quadrant abdominal pain, nausea, and vomiting. Right lower quadrant abdominal pain, nausea and vomiting, and appendicitis Appendicitis Nausea and vomiting only Ruled In (determined to be present) 29. When a patient comes in with two diagnoses that meet the definition of a principal diagnosis, one should code: The one that will pay the most as we only code based on reimbursement. In the order in which the patient was treated. Either diagnosis may be coded first since both meet the definition of a principal diagnosis. The least life threatening condition first. 31.The patient comes into the outpatient clinic complaining of atypical chest pain. The physician’s diagnosis is probable gastroesophageal reflux disease. Which condition would be listed as the principal diagnosis for this outpatient encounter? Atypical chest pain and gastroesophageal reflux disease None of these Atypical chest pain Gastroesophageal reflux disease 32. patient has a diagnosis of cough due to pneumonia. Which condition is coded for this inpatient encounter? Neither condition is coded Pneumonia and then cough Cough Pneumonia 40. the Medical and Surgical section for PCS coding, the sixth character is device. A device is identified (coded) only if: Remains after the procedure has been completed Removed after the procedure has been completed Only those for orthopedic procedures They are synthetic in nature 41. operation resection? Chest x-ray Excisional biopsy of the colon Hip fracture repair Total mastectomy 44.Which condition is noted to be a late effect (sequelae)? Third degree burn sustained today due to spillage of hot water A deep laceration of the right upper arm from a fall Current fracture of the right arm A nonunion of a left femoral fracture sustained nine months ago 48. When an encounter is for pain management due to neoplasm, what code would be sequenced first? Surgical removal of neoplasm Neoplasm Observation for neoplasm Pain 49. patient with nonproliferative diabetic retinopathy with macular edema, Type 2, takes insulin daily. He has a diabetic cataract in his right eye. The patient comes in today for evaluation of his retinopathy. What is the correct order of codes? Type 2 diabetic cataract, type 2 diabetic retinopathy, long-term insulin use Type 2 diabetic cataract, type 2 diabetic retinopathy Type 2 diabetic retinopathy, type 2 diabetic cataract, long-term insulin use Type 2 diabetic retinopathy, type 2 diabetic cataract Health Science Science Nursing ICD 10
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