Title: Module 14: Chapter 28, 29
Course: Introduction to Coding and Classification Systems > Section: Module 14: Coding Diseases of the Circulatory System and Neoplasms

Q: When the diagnostic statement includes more than one condition affecting the mitral valves, one of which is presumed to be rheumatic, all are classified as rheumatic.
- True
- False
A: True

Q: A diagnosis of heart failure in a patient who has rheumatic heart disease is classified as I09.81, Rheumatic heart failure, unless the physician specifies a different cause.
- True
- False
A: True

Q: Which of the following terms does NOT refer to ischemic heart disease?
- Arteriosclerotic heart disease
- Coronary artery disease
- Rheumatic heart disease
- Coronary atherosclerosis
A: Rheumatic heart disease

Q: What is the time frame for when an acute myocardial infarction may be classified to category I21, ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction?
- 4 weeks or less.
- 8 weeks or less.
- 10 weeks or less.
- There is no time frame.
A: 4 weeks or less.

Q: When the diagnostic statement includes both hypertension and chronic kidney disease or renal sclerosis, what does ICD-10-CM assume?
- That the hypertension and chronic kidney disease are two separate unrelated conditions
- That the hypertension is due to acute kidney failure
- That there is a cause and effect relationship
- That the chronic kidney disease is irreversible
A: That there is a cause and effect relationship

Q: A patient was admitted with acute myocardial infarction involving the left main artery with no history of previous infarction or previous care for this episode. A week later during the hospital stay, he also experienced an acute anterolateral infarction.
- I21.01, I22.0
- I21.00, I22.0
- I21.05, I22.0
A: I21.01, I22.0

Q: If a patient with coronary artery disease is admitted due to an acute myocardial infarction, the AMI should be sequenced __________the coronary artery disease.
- Before
- After
A: Before

Q: If the documentation in the medical record makes it clear that there has been no previous bypass surgery, then I25.10, Atherosclerotic heart disease of native coronary artery can be assigned.
- True
- False
A: True

Q: All codes for heart failure include any associated pulmonary edema: therefore, no additional code is assigned for pulmonary edema.
- True
- False
A: True

Q: ______________heart failure occurs when the ability of the heart to contract decreases
- Systolic
- Diastolic
A: Systolic

Q: ______________heart failure occurs when the heart has a problem relaxing between contractions to allow enough blood to enter the ventricles.
- Systolic
- Diastolic
A: Diastolic

Q: A cause- and -effect relationship between hypertension and heart disease ___________be assumed and attention is given to the wording "due to" in the documentation to code it to Hypertensive Heart Disease.
- can
- cannot
A: cannot

Q: Congestive heart failure with hypertension.
- I50.9, I10
- I11.0, I50.9
A: I50.9, I10

Q: Congestive heart failure due to hypertension.
- I50.9, I10
- I11.0, I50.9
A: I11.0, I50.9

Q: Terms such as "growth," "neoplasm," and "tumor" are coded as which of the following types of neoplasms?
- Benign neoplasm
- Neoplasm of uncertain behavior
- Neoplasm of unspecified behavior
- Malignant neoplasm
A: Neoplasm of unspecified behavior

Q: Tumor cells in carcinoma that are undergoing malignant changes, but are still confined to the point of origin without invasion of the surrounding normal tissue, are referred to as:
- Carcinoma in situ
- Metastatic carcinoma
- Neoplasm of uncertain behavior
- Neuroendocrine tumor
A: Carcinoma in situ

Q: When a female patient has undergone a breast lumpectomy for a malignant carcinoma of the upper-outer quadrant of the left breast and is brought back into the hospital solely for the administration of chemotherapy, how should the encounter be coded?
- Z51.11
- C50.412
- Z51.11, C50.412
A: Z51.11, C50.412

Q: Benign neoplasms are those that spread to adjacent or distant sites.
- True
- False
A: False

Q: Metastatic carcinoma from prostate to pelvic bone.
- C61, C79.51
- C79.51, C61
- C79.51
A: C61, C79.51

Q: Squamous cell carcinoma in situ, floor of mouth
- D00.02
- D00.06
- D00.5
A: D00.06