Title: Module 4: Chapters 15-17
Course: Introduction to Coding and Classification Systems > Section: Module 4: Coding Diseases of the Respiratory, Digestive and Genitourinary Systems

Q: A diagnosis of lobar pneumonia does not refer to the lobe involved but to a particular type of pneumonia.
- True
- False
A: True

Q: Similar to coding HIV infections, coding of influence due to the avian virus should be assigned only when stated as a confirmed diagnosis.
- True
- False
A: True

Q: When the documentation in the health record indicates acute bronchitis with COPD with acute exacerbation, the following code is assigned.
- 466.0
- 491.22
- 486
A: 491.22

Q: Pleural effusion occurs in association with pulmonary disease and certain cardiac conditions such as congestive heart failure (CHF). In this situation, only code the underlying disease.
- True
- False
A: True

Q: Congestive heart failure with pleural effusion
- 511.9, 428.0
- 428.0, 511.9
- 428.0
A: 428.0

Q: When can pleural effusion be assigned as the principal diagnosis?
- When treatment is directed only to the pleural effusion and not the underlying condition
- Pleural effusion is noted on the x-ray report.
A: When treatment is directed only to the pleural effusion and not the underlying condition

Q: Acute respiratory failure may be assigned as the principal diagnosis when it is the condition established after study to be chiefly responsible for the admission to the hospital.
- True
- False
A: True

Q: Acute respiratory failure is always sequenced as the principal diagnosis.
- True
- False
A: False

Q: A patient with chronic myasthenia gravis goes into acute exacerbation and develops acute respiratory failure. The patient is admitted due to the respiratory failure. Choose correct codes and sequencing.
- 358.01, 518.81
- 518.81, 358.01
- 518.81, 358.9
A: 518.81, 358.01

Q: A patient is admitted to the hospital postpartum as a result of developing a pulmonary embolism leading to respiratory failure.
- 673.27, 518.81
- 518.81, 673.27
- 673.27
A: 673.27, 518.81

Q: Pulmonary edema is not included in the code for congestive heart failure (CHF). An additional code should be assigned for the pulmonary edema.
- True
- False
A: False

Q: ICD-9-CM provides _______________ digits for gastrointestinal ulcers, gastritis, duodenitis, diverticulosis and diverticulitis to indicate associated hemorrhage.
- fourth
- fifth
- sixth
A: fifth

Q: Duodenal ulcer, with obstruction, perforation, and hemorrhage
- 532.81
- 532.61
- 531.9
A: 532.61

Q: Acute respiratory distress syndrome due to hantavirus. Choose correct codes and sequencing.
- 518.82, 079.81
- 079.81, 518.82
- 518.81, 079.81
A: 518.82, 079.81

Q: Patient admitted to the hospital for repair of ventral hernia. Surgery was canceled after chest x-ray revealed lower lobe pneumonia. Patient is placed on antibiotics to treat the pneumonia. Choose correct codes and sequencing.
- 553.20, 486, V64.1
- 485, 553.20, V64.3
- 486, 553.20
A: 553.20, 486, V64.1

Q: Gastric ulcer with hemorrhage resulting in acute blood-loss anemia. Choose correct codes and sequencing. Choose correct codes and sequencing.
- 531.20, 285.1
- 531.40, 285.1
- 285.1, 531.20
A: 285.1, 531.20

Q: Diverticulitis large bowel with abscess
- 562.10
- 562.11, 596.5
- 562.11
A: 562.11, 596.5

Q: Acute and chronic cholecystitis with cholelithiasis. Laparoscopic cholecystectomy attempted and converted to open. Choose correct codes and sequencing.
- 574.00, 574.10
- 574.01
- 574.00, 574.10, V64.41
A: 574.00, 574.10, V64.41

Q: Bleeding esophageal varices with alcoholic liver cirrhosis and portal hypertension. Patient is alcohol dependent. Choose correct codes and sequencing.
- 456.20, 571.2, 303.90
- 571.2, 456.20, 303.90
- 572.3, 571.2, 303.90, 456.20
A: 572.3, 571.2, 303.90, 456.20

Q: Patient presents to the outpatient department for a chest x-ray. Physician order list the following reason for the chest x-ray: fever and cough, rule out pneumonia. Radiologist reports the chest x-ray is positive for pneumonia. Refer to your guideline for coding integral part of the disease.
- 486
- 786, 780.61, 786.2
- 780.61, 786.2
A: 486

Q: Aspiration pneumonia with pneumonia due to Staphylococcus aureus. Patient also has emphysema. Choose correct codes and sequencing.
- 507.0, 491.21
- 507.0, 482.41, 492.8
- 482.41
A: 507.0, 482.41, 492.8

Q: Chronic obstructive pulmonary disease with an exacerbation of acute bronchitis.
- 491.22
- 496, 466.0
- 496, 491.22
A: 491.22

Q: Extrinsic asthma with status asthmaticus
- 493.11
- 493.90
- 493.91
A: 493.91

Q: Acute urinary tract infection due to E.coli. Choose correct codes and sequencing.
- 599.0, 041.49
- 041.49, 599.0
- 590.2, 041.4
A: 599.0, 041.49

Q: Chronic kidney disease due to hypertension and type I diabetes mellitus. Choose correct codes and sequencing.
- 250.41, 403.90, 585.9
- 403.90, 250.41, 585.9
- 250.41, 403.90, 585.1
A: 403.90, 250.41, 585.9