Title: Module 11: Chapters 17 and 18
Course: Introduction to Coding and Classification Systems > Section: Module 11: Coding Diseases of the Blood and Blood Forming Organs

Q: Which of the following anemias is caused by a failure of the bone marrow to produce red blood cells and may be congenital or acquired?
- Bone marrow deficiency anemia
- Sickle-cell anemia
- Aplastic anemia
- Thalassemia
A: Aplastic anemia

Q: Which of the following terms refers to either a reduction in the quantity of hemoglobin or a reduction in the volume of red blood cells?
- Anemia
- Coagulation defect
- Thrombocytopenia
- Leukocytosis
A: Anemia

Q: When a diagnostic statement of anemia is not qualified in any way, what should the coder do?
- Review the record for a surgical procedure; and if the patient had surgery, code as anemia due to acute blood loss.
- Review the medical record before assigning an unspecified type of anemia.
- Review the medical record to determine if the patient has been prescribed iron tablets, and code as iron-deficiency anemia.
- Review the medical record to determine if the patient has received chemotherapy, and assign the code for anemia due to antineoplastic chemotherapy.
A: Review the medical record before assigning an unspecified type of anemia.

Q: Which of the following statements is true regarding a patient with documented sickle-cell trait?
- The patient has sickle-cell disease.
- Both of the patientÕs parents carried the sickle-cell gene.
- The code for sickle-cell disease should be assigned.
- The patient received the sickle-cell gene from only one parent and is a carrier of the trait.
A: The patient received the sickle-cell gene from only one parent and is a carrier of the trait.

Q: How should hemorrhagic disorder due treatment with anticoagulants like Coumadin or heparin be coded?
- D68.318
- T45.515A and D68.32
- T45.515A and D68.318
A: T45.515A and D68.32

Q: Anemia due to blood from chronic ulcer.
- D50.0, K25.4
- K25.4, D50.0
A: D50.0, K25.4

Q: Patient is admitted with severe anemia due to questionable gastrointestinal bleeding. Stools were heme positive in the ED. He was transfused with packed red blood cells from the blood bank with good results. Patient indicates he had a colonoscopy with polypectomy hours before admission. Final diagnoses: (1) Acute posthemorrhagic blood loss anemia complication of polypectomy. Assign the appropriate codes.
- D62, K91.840
- K91.840, D62
A: D62, K91.840

Q: Sickle cell crisis with acute chest syndrome.
- D57.00
- D57.01
- D57.02
A: D57.01

Q: _____________ is a deficiency in white blood cells that help the blood to clot.
- Thallasemia
- Thrombocytopenia
- Thromboidosis
A: Thrombocytopenia

Q: High or low white blood cell counts based on lab reports alone __________assigned without the physicianÕs concurrence.
- should
- should not
A: should not

Q: Cell-mediated immune deficiency with thrombocytopenia and eczema.
- D82.0
- D82.1
- D82.9
A: D82.0

Q: Acute gastritis with hemorrhage, exacerbated by heparin therapy, initial encounter. Choose correct sequence. Go to Table of Drugs.
- T45.515A, K29.01
- K29.01, T45.515A
A: K29.01, T45.515A

Q: Aplastic anemia due to accidental benzene exposure, subsequent encounter.
- T52.1x1D. D61.2
- T52.1x1D, D61.3
- T52.1x1D, D61.9
A: T52.1x1D. D61.2

Q: Eye diseases are extremely complicated to code, and understanding the terminology and diagnostic statement completely is vital to proper coding.
- True
- False
A: True

Q: If hemiplegia occurs in conjunction with an acute cerebrovascular accident and the hemiplegia resolves prior to discharge, it should not be coded.
- True
- False
A: False

Q: If pain does not resolve within one month, it is considered chronic.
- True
- False
A: False

Q: Codes from category G89, Pain, not elsewhere classified, may be used as the principal or first-listed code when pain control or pain management is the reason for the admission/encounter.
- True
- False
A: True

Q: Complete the following statement: Postoperative pain immediately after surgery should be coded:
- Only when documented by the provider.
- Only when the patient develops an unusual or inordinate amount of pain.
- Only when pain medication is provided.
A: Only when the patient develops an unusual or inordinate amount of pain.

Q: When a patient is admitted with glaucoma and the stage of the glaucoma progresses during the admission, which stage(s) should be coded?
- Only the code for the initial stage
- Only the code for the stage on discharge
- Only the code for the highest stage documented
A: Only the code for the highest stage documented