Title: Module 12: Chapters 19, 20, 21, 22, and 23
Course: Introduction to Coding and Classification Systems > Section: Module 12: Coding Diseases of the Respiratory, Digestive and Urinary Systems

Q: When the diagnostic statement is pneumonia without further specification, what should the coder do?
- Assign the code for unspecified pneumonia.
- Review laboratory reports for the causative organism, and check with the physician for confirmation whether the more definitive diagnosis should be reported.
- Assign the codes for the signs and symptoms documented.
A: Review laboratory reports for the causative organism, and check with the physician for confirmation whether the more definitive diagnosis should be reported.

Q: When the diagnostic statement is pneumonia without further specification and the documentation reflects that the patient was on mechanical ventilation, what should the coder do?
- Assign code J95.851, Ventilator associated pneumonia.
- Query the provider for clarification, since code J95.851, Ventilator associated pneumonia, is based on the provider's documentation of the relationship between the condition and the mechanical ventilation.
- Assign code J95.851, Ventilator associated pneumonia, as the principal diagnosis, with an additional code for the causative organism.
A: Query the provider for clarification, since code J95.851, Ventilator associated pneumonia, is based on the provider's documentation of the relationship between the condition and the mechanical ventilation.

Q: A patient hospitalized as an inpatient discharged with the final diagnosis of "Probable influenza due to novel influenza A" should be coded to category J09, as if confirmed.
- True
- False
A: False

Q: Respiratory failure should always be assigned as the principal diagnosis because it is a life-threatening condition.
- True
- False
A: False

Q: A 71-year-old male was admitted with worsening severe chronic obstructive pulmonary disease (COPD) with exacerbation of acute bronchitis. He was admitted to ICU and given oxygen, ativan, brethine, and decadron. History indicates he has a 60+ year history of cigarette smoking and hypertension. Final diagnoses: (1) Acute exacerbation of COPD, (2) acute bronchitis, (3) hypertension, (4) tobacco dependence, (5) ventilation via face mask for 8 hours. Assign the appropriate diagnosis codes.
- J44.0, J44.1, I10, F17.210
- J44.0, J44.1, F17.210
A: J44.0, J44.1, I10, F17.210

Q: Acute respiratory failure due to intracerebral hemorrhage.
- I61.9, J96.00
- I61.3, J96.00
- I61.4, J96.00
A: I61.9, J96.00

Q: A patient with cerebral palsy was admitted with aspiration pneumonia. The patient has esophageal reflux and dysphagia. Final diagnoses: (1) Aspiration pneumonia, (2) esophageal reflux, (3) dysphagia, (4) gastrostomy status. Assign the appropriate diagnosis codes.
- J69.0, K21.9, R13.10, G80.9, Z93.1
- J69.1, K21.9, R13.11, G80.9, Z93.1
- K21.9, R13.10, G80.9, Z93.1
A: J69.0, K21.9, R13.10, G80.9, Z93.1

Q: Congestive heart failure with pleural effusion.
- I50.1
- I50.9
- I50.2
A: I50.9

Q: Which of the following signs/symptoms may be manifestations of gastrointestinal bleeding?
- Hematemesis
- Melena
- Hematochezia
- All of the above
A: All of the above

Q: If the physician does not establish a causal relationship between the gastrointestinal bleeding and an endoscopic finding, it is acceptable for the coder to select the combination codes describing hemorrhage.
- True
- False
A: False

Q: When minor adhesions are easily lysed as part of another procedure, coding a diagnosis of adhesions and a lysis procedure is inappropriate.
- True
- False
A: True

Q: A patient was found to have severe diverticulosis of the sigmoid colon with a bleeding Dieulafoy ulcer. Final diagnoses: (1) Diverticulosis, (2) bleeding Dieulafoy ulcer of the sigmoid colon. Assign the appropriate diagnosis codes.
- K57.30, K63.81
- K57.33, K63.81
- K57.32, K63.89
A: K57.30, K63.81

Q: Acute gastric ulcer with massive gastrointestinal hemorrhage.
- K25.1
- K25.0
- K25.9
A: K25.0

Q: A patient with known cirrhosis of the liver was admitted for gastrointestinal (GI) bleeding. EGD results: bleeding esophageal varices and portal hypertensive gastropathy throughout the stomach body, antrum, fundus, and cardia. Final diagnoses: (1) Bleeding esophageal varices due to portal hypertensive gastropathy and cirrhosis. Assign the appropriate diagnosis codes.
- K74.60, K76.6, I85.11, K31.89
- K76.6, I85.11, K31.89
A: K74.60, K76.6, I85.11, K31.89

Q: Hematuria following a urinary tract procedure or a prostatectomy is always considered a postoperative complication, and should be coded as such.
- True
- False
A: False

Q: When the underlying cause of incontinence is known, the code for that condition should be sequenced first.
- True
- False
A: True

Q: ICD-10-CM presumes a relationship between hypertension and which of the following conditions?
- Acute kidney failure
- Chronic kidney disease
- Diabetes
A: Chronic kidney disease

Q: Acute pyelonephritis due to Helicobacter pylori infection.
- N10, B96.81
- B96.81
- B96.81, N10
A: N10, B96.81

Q: Hypertensive chronic kidney disease provides fourth or fifth characters to indicate the stage of chronic kidney disease.
- True
- False
A: True

Q: Chronic kidney disease, unspecified, due to type 1 diabetes.
- E10.23
- E10.22
- E10.29
A: E10.22

Q: Chronic ulcers of the skin are classified using the fifth character to specify the site.
- True
- False
A: True

Q: Varicose ulcer, lower right leg with severe inflammation.
- I83.219
- I83.211
- I83.210
A: I83.219

Q: Which of the following ICD-10-CM seventh-character extensions is assigned when a patient is seen for malunion of a pathologic fracture of the hip?
- D
- K
- P
- S
A: P

Q: A patient is seen for treatment of a pathological fracture due to cancer. Which condition is sequenced as principal diagnosis?
- Neoplasm
- Traumatic fracture
- Pathologic fracture
A: Pathologic fracture

Q: Cervical spondylosis, C5-6, C6-7.
- M47.812
- M47.819
- M47.818
A: M47.812