Title: Module 7: Chapters 24 and 25
Course: Introduction to Coding and Classification Systems > Section: Module 7: Coding Diseases for the Circulatory System

Q: When coding diseases of the circulatory system, it is important to be alerted to all instructional terms provided to code accurately.
- True
- False
A: True

Q: ICD-9-CM presumes that certain __________________disorders of unspecified etiology are rheumatic in origin.
- Stenosis
- Mitral valve
- Insufficiency
A: Mitral valve

Q: A myocardial infarction stated as acute or is the first admission for the infarction regardless of the number of times a patient may be transferred during the episode is considered _______________, 5th digit 1.
- Initial
- Subsequent
- Unspecified
A: Initial

Q: When a patient is admitted for further care of the cardiac condition during the first 8 weeks after the infarction occurred it is considered, fifth digit 2.
- Initial
- Subsequent
- Unspecified
A: Subsequent

Q: The code 412, Old Myocardial Infarction is essentially a history code, and should be assigned as:
- A principal diagnosis code
- unspecified code
- an additional code only
A: an additional code only

Q: When coding coronary atherosclerosis and there has not been no previous bypass graft then _________________ should be assigned.
- 414.00
- 414.01
- 414.03
A: 414.01

Q: Coding the late effects of cerebrovascular disease allows for greater specificity in reporting the residual effects of stroke.
- True
- False
A: True

Q: When the diagnostic statement includes both hypertension and chronic kidney disease ICD-9-CM usually assumes a cause- and- effect relationship and it is coded to Hypertensive chronic kidney disease.
- True
- False
A: True

Q: Patient admitted with carotid artery disease and acute cerebral infarction with left hemiparesis, dysphagia and aphasia. Dysphagia and aphasia have resolved by discharge, but residual hemiparesis remains. Choose correct codes and sequence.
- 433.11, 342.90
- 436, 342.90, 784.3, 787.20
- 433.11, 342.90, 784.3, 787.20
A: 433.11, 342.90

Q: Hypertensive kidney disease, congestive heart failure, and acute systolic heart failure. Choose correct codes and sequence.
- 593.9, 401.9, 428.0, 428.21
- 404.11, 428.0, 428.21
- 403.90, 428.0, 428.21
A: 403.90, 428.0, 428.21

Q: Acute inferior wall myocardial infarction with unstable angina. Patient also has coronary artery disease and atrial fibrillation. Choose correct codes and sequence. Read your guidelines!
- 410.41, 411.1, 414.01, 427.31
- 410.41, 414.00, 437.31
- 410.41, 414.01
A: 410.41, 414.00, 437.31

Q: Patient with a diagnosis of aortic valve stenosis and mitral valve regurgitation is admitted for aortic valve replacement. Patient is also under treatment for congestive heart failure.
- 396.2, 398.91
- 424.1, 424.0, 428.0
- 396.0
A: 396.2, 398.91

Q: Atherosclerotic peripheral vascular disease of the lower leg with claudication.
- 440.20
- 440.21
- 444.22
A: 440.21

Q: __________________neoplasms are tumor cells that extend beyond the primary site, attaching themselves to adjacent structures or spreading to distant sites.
- malignant
- benign
- Carcinoma in situ
A: malignant

Q: It is appropriate to select a code from category 239, Neoplasms of unspecified nature when only the terms â€œmassâ€ or â€œlesionâ€ are used.
- True
- False
A: False

Q: The first step to locate neoplasm codes is to go to the index, then refer to the neoplasm table, then go to the tabular list and verify the code.
- True
- False
A: True

Q: The statement _____________________ indicates that the site mentioned is secondary
- â€œmetastatic toâ€
- â€œmetastatic fromâ€
- multiple metastatic sites
A: â€œmetastatic toâ€

Q: The statement _________________ indicates that the site mentioned is the primary site.
- â€œmetastatic toâ€
- â€œmetastatic fromâ€
- multiple metastatic sites
A: â€œmetastatic fromâ€

Q: Which one of the following sites is considered a secondary site without further designation as to primary or secondary.
- Breast
- Liver
- Lung
A: Liver

Q: Patient is admitted for chemotherapy for treatment of breast cancer with liver metastasis. Patient had a mastectomy 4 months ago. Check your guidelines on admission for chemotherapy.
- 197.7, V10.3
- V58.11, 174.9, V45.71, 197.7
- 174.9, 197.7
A: V58.11, 174.9, V45.71, 197.7

Q: Patient with a history of malignant neoplasm of the lung is admitted with seizures. Workup revealed metastasis of the lung cancer to the brain.
- 193.3, 780.39, V10.11
- 162.9, V10.11
- 780.39. V10.11, 198.3
A: 193.3, 780.39, V10.11

Q: Patient is admitted to the hospital for treatment of dehydration following chemotherapy as treatment for ovarian cancer. What are they treating?
- 276.51, 183.0
- 276.50, 183.0
- 183.0, 276.50
A: 276.51, 183.0

Q: Malignant melanoma, skin of back.
- 173.5
- 172.5
- 173.9
A: 172.5

Q: Patient is admitted with abdominal pain. Needle biopsy of the liver reveals secondary malignancy of the liver. Primary sited is unknown at time of discharge. Choose correct codes and sequence.
- 199.1, 197.7
- 197.7, 199.1
- 197.7, 789.00
A: 197.7, 199.1

Q: Patient with a history of cancer of the colon and status post-colostomy is admitted for closure of the colostomy. Patient is also being treated for COPD and diastolic heart failure.
- 153.2, 496, 428.0
- V55.3, 496, V10.05, 428.0
- V10.05, 492.8, 428.0
A: V55.3, 496, V10.05, 428.0