ICD-10 CM/PCS Chapter 15 & 16

ICD-10-CM assumes a rheumatic etiology when both the mitral and the aortic valves are diseased.

In ICD-10-CM, when coding coronary artery disease and angina:
one combination code is used

A cerebrovascular accident is commonly known as:

An acute myocardial infarction is commonly known as:
heart attack

A leaking valve is another name for:
all of the above (correct answer)

Hypertensive heart disease assumes a cause-and-effect relationship in ICD-10-CM coding.

The lymph system fights infection by:
filtering out viruses and bacteria

The valves in the heart include:
tricuspid, mitral, aortic, pulmonary

A diagnostic cardiac catheterization is used to determine the severity of:
coronary artery disease

coronary artery disease
epicardium, myocardium, endocardium

A patient is admitted with chest pain and is ruled in for an NSTEMI. The patient has a history of a CABG and PTCA with stent placement. Patient is taking medications for hypertension, CAD, and CHF.
I21.4, I10, I25.10, I50.9, Z95.1, Z95.5

Patient comes to the hospital with chest pain. A diagnostic left heart cath is performed, and no coronary artery disease is observed. The cardiologist documents the diagnosis as noncardiac chest pain.
R07.89, 4A023N7

Patient is admitted through the ER, presenting with acute chest pain. The patient has a history of COPD and pneumonia as well as type II DM with diabetic neuropathy. He has a history of hypertension and gout for which he takes meds. He is currently smoking about one pack per day. After study it is determined that patient has had an acute anterolateral wall infarct. He is taken to the EP lab for a PTCA with the insertion of a drug eluting stent of the LAD.
I21.09, I10, F17.210, M10.9, J44.9, E11.40, 027034Z

Deep vein thrombosis (DVT) is a blood clot that forms deep in a vein, usually in the leg or hip.

Molly has a blood pressure of 150/100. She would be classified as having ____ by her clinician.

Insertion of pacemakers most often requires five codes.
False, two codes

Patient comes to the hospital for repair of an abdominal aortic aneurysm. The repair is performed by percutaneous endoscopic approach.
I71.4, 04V04DZ

The time limit for assigning the acute MI in ICD-10-CM is 28 days.

A patient is admitted with facial droop, left-sided hemiparesis, and nystagmus. Testing reveals occlusion of the left carotid artery with cerebral infarct. The patient has uncontrolled hypertension and atrial fibrillation, which is treated with Coumadin. Before discharge, the patient’s nystagmus and facial droop have resolved. The patient is discharged to rehab for continued therapy for left-sided hemiparesis.
I63.232, I69.354, H55.00, I69.392, I10, I48.91, Z79.01

Tachycardia is an abnormally high heart rate of more than 100 beats per minute.

The patient was admitted with left-sided hemiparesis due to a cerebrovascular accident. The patient has a history of previous CVA with residual facial droop.
I63.9, G81.94, I69.392

All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT ____.

Patient is admitted with syncope. After tests are performed, it is determined that the patient has bradycardia due to second degree AV block.
I44.1, R00.1

Patient is admitted through the ER with atrial fibrillation and a history of COPD. She is taken to the EPS lab for EPS testing, mapping, and radiofrequency ablation of the left atrium.
I48.91, J44.9, 02573ZZ, 02K83ZZ, 4A023FZ

Patient is admitted with chest pain and rules in for an anterolateral MI. There is a family history of CAD.
I21.09, Z82.49

The two main types of heart failure are systolic and diastolic.

Patient comes into the ER after fainting at work. The physician determines that the fainting was caused by elevated blood pressure resulting from extreme stress.
R03.0, F43.0

Patient was admitted for treatment of gangrenous cellulitis of left lower leg

Patient was admitted to have a drug-eluting stent inserted into the LAD for coronary atherosclerosis. Procedure was performed percutaneously.
I25.10, 027034Z

Patient was admitted with acute on chronic systolic and diastolic congestive heart failure.
I25.10, 027034Z

Chronic asthmatic bronchitis and chronic bronchitis with emphysema can be classified as chronic obstructive pulmonary disease (COPD).

Blood that accumulates in the pleural space is called:

Pleural effusion is:
fluid that accumulates in the pleural space

A personal history of malignant neoplasm of the lung is coded as:

It is possible to have an acute infection superimposed on a chronic infection/inflammation.

Bronchitis can be ______________in origin.
viral or bacterial

Respiratory failure is always coded as the principal diagnosis.

Common treatments for sinusitis include:
decongestants, antibiotics

It is possible to have more than one bacterium responsible for pneumonia.

Mechanical ventilation codes are based on hours.

A patient is admitted with hypoxemia and acute respiratory failure. The patient has COPD and is being treated for an acute exacerbation. The patient is intubated in the ER and is transferred to ICU and maintained on mechanical ventilation for 24 hours. The patient has a history of chronic diastolic congestive heart failure.
J96.01, J44.1, I50.32, 5A1945Z

A diagnostic endoscopic procedure in which a tiny camera on the end of the endoscope is inserted through the nose or mouth into the lungs is called a ____.

A pneumothorax that occurs as a result of a procedure is a(n) ____ pneumothorax.

Which of the following is NOT categorized with high-risk potential for contracting pneumonia?
Someone who is in his or her early twenties

Patient is admitted with acute on chronic respiratory failure due to emphysema. Patient is dependent on oxygen, and has had numerous admissions for pneumonia. Patient is treated with continuous BIPAP for 48 hours and is a DNR/DNI. No infection is identified, and deterioration in respiratory status is thought to be a progression of his emphysema. Patient is discharged to at-home hospice care.
Final Diagnoses: End-stage emphysema.
Chronic respiratory failure with hypoxia.
Procedure: BIPAP.
J96.21, J43.9, Z99.81, Z87.01, Z66, 5A09457

Patient arrived at the ER complaining of shortness of breath. Patient was diagnosed and treated for exercise-induced bronchospasm.

____ is a lower respiratory tract or bronchial tree infection that is characterized by cough, sputum production, and wheezing.

When pleural effusion results from trauma or disease and blood is accumulating in the pleural space, the condition is called ____.

A patient is admitted from a nursing home with cough and fever. The patient has a history of dysphagia and hemiparesis due to previous cerebral infarction. Sputum cultures reveal Pseudomonas.
Discharge Diagnosis: Pneumonia due to aspiration and Pseudomonas bacteria.
J69.0, J15.1 I69.391, R13.10, I69.359

Which of the following is NOT an example of pneumoconiosis (lung disease due to the chronic inhalation of inorganic dust)?

Patient was admitted with flu-like symptoms. The final diagnosis on the discharge summary is possible novel influenza A.

Asthmatic bronchitis refers to an underlying asthmatic problem in patients in whom asthma has become so persistent that clinically significant chronic airflow obstruction is present despite antiasthmatic therapy.

A patient is admitted from a nursing home with cough and fever. The patient has a history of dysphagia and hemiparesis of right dominant side due to previous CVA. Sputum cultures reveal Pseudomonas. Patient went into acute respiratory failure after admission.
Discharge diagnosis: Pseudomonas pneumonia.
J15.1, J96.00, I69.391, R13.10, I69.351

Patient is admitted with shortness of breath and fever that has been present for 2 to 3 weeks and has gotten progressively worse. CT scan showed evidence of bronchiolitis obliterans organizing pneumonia (BOOP). Patient was started on prednisone and discharged when symptoms had resolved.
Final Diagnoses: BOOP.

A patient is admitted for suspected H1N1 influenza.

Patient was admitted to the hospital in acute respiratory failure due to congestive heart failure. The patient was intubated and placed on mechanical ventilation for 2 days. The patient responded well to IV diuretics.
J96.00, I50.9, 5A1945Z

It is inappropriate for coders to assume a causal organism on the basis of laboratory or radiology findings alone.

Patient is admitted to the hospital and found to have suffered a NSTEMI. After admission the patient went into acute respiratory failure.
I21.4, J96.00

Infant was seen in the ER with diagnosis of acute bronchiolitis due to RSV. The infant has been exposed to tobacco smoke.
J21.0, Z77.22

Which of the following is a symptom of pneumonia?
Rapid breathing
All of the above (correct answer)
Chest pain

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