10 ICD 10 CM PCS inpatient practice questions

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1.Patient is admitted with SOB and malignant HTN. Also diagnosed with diastolic CHF exacerbation and treated with IV lasix. 
Echocardiogram is done which shows ejection fraction of 35%, Lab shows BNP - 452. Assign the PDx for the scenario?
A. I11.9, Essential hypertension, unspecified.
B. I50.33, Diastolic heart failure
C. I11.0, Hypertensive heart disease with heart failure
D. I50.9, Heart failure, unspecified

 

A:The appropriate PDx codes for the scenario are I11.0, Hypertensive heart disease with heart failure, and I50.33, Diastolic heart failure.

 

2. What is the appropriate code assignment for a newborn diagnosed with a sacral dimple?
A. Q01.8, Other specified congenital malformations of brain
B. Q05.8, Other specified congenital malformations of circulatory system
C. Q82.8, Other specified congenital malformations of skin
D. Q98.9, Congenital malformation, unspecified

 

A:The appropriate code assignment for a newborn diagnosed with a sacral dimple is Q82.8, Other specified congenital malformations of skin.

 

3. What is the root operation when adhesiolysis is performed?
A. Release
B. Inspection
C. Fragmentation
D. Repair

 

A: The root operation performed during adhesiolysis is Release.

 

4. Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device - is the definition of which root operation?
A. Release
B. Replacement
C. Revision
D. None of the above

 

A: The correct root operation for correcting a malfunctioning or displaced device to the extent possible is Revision.

 

5. When the terms "encephalopathy, hypoglycemic" are referenced, the Index directs to code E16.2, Hypoglycemia. Additionally, there was no recommendation to query the
 provider regarding the underlying cause, which could be due to insulin or another hypoglycemic agent; and there was no mention of metabolic encephalopathy in the question. 
Assign the appropriate codes for the following.
A. E11.649, Type 2 diabetes mellitus with hypoglycemia without coma, and G93.41, Metabolic encephalopathy
B. E16.2, Hypoglycemia
C. E11.649, Type 2 diabetes mellitus with hypoglycemia without coma
D. G93.41, Metabolic encephalopathy

 

A: The appropriate codes for the scenario are E11.649, Type 2 diabetes mellitus with hypoglycemia without coma, and G93.41, Metabolic encephalopathy.

 

6. Patient was admitted with spinal stenosis. Underwent spinal fusion procedure for L3-5: Patient was placed in prone position and lateral incision was made. 
Laminectomy was performed and diskectomy was done at the level of L3-4 and interbody cage placement was performed at the same level.
 Assign the appropriate diagnosis as well as the procedure code for the following.
A. M48.06, 0SG20ZZ, 0SB20ZZB.
b. M48.09, 0SG20ZZ, 0SB20ZZC.
c. M48.06, 0SG30ZZ, 0SB30ZZD.
d. M48.09, 0SG30ZZ, 0SB30ZZ
A: The appropriate diagnosis code is M48.06, Spinal stenosis, lumbar region. The appropriate procedure codes are 0SG20ZZ, Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, and 0SB20ZZ, Excision of Lumbar Vertebral Disc, Open Approach.

 


7. Hypertrichosis is the abnormal growth of the newborn?
A. True
B. False
C. Cannot be determined
D. Not applicable

 

A: The statement "Hypertrichosis is the abnormal growth of the newborn" is false.

 

8. Per the American College of Cardiology and the American Heart Association, a patient with "stage A heart failure" is at risk to develop the condition,
 but does not have it yet. Is it appropriate to assign code I50.9, Heart failure, unspecified, when the physician documents stage A heart failure?
A. Yes
B. No
C. Cannot be determined
D. Not applicable

 

A: It is not appropriate to assign code I50.9, Heart failure, unspecified, when the physician documents stage A heart failure.

 

9. The patient is a 70-year-old female who presented to the emergency department (ED) because of mental status. What will be the appropriate codes for the following scenario?
A. Encephalopathy unspecified
B. Seizure
C. Seizure, Encephalopathy
D. None of the above

 

A: The appropriate codes for the scenario are Seizure postictal (not otherwise specified) and Encephalopathy.

 

10.Putting in or on biological or synthetic material that physically takes the place and or function of all or a portion of a body part -is the definition of which root 
operation? 
A. Release
B. Replacement
C. Revision
D. None of the above

 

A:The root operation for putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part is Replacement.

 


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