First Quarter 2018 - AHA Central Office

1 coding Clinic for ICD-10-CM/PCS. Continuing Education Quiz 181-10. Postmarked no later than August 30, 2018 . First Quarter 2018 . 1. A 66-year-old female with abnormal mammogram of the left breast presented for needle localization with guidance, followed by lumpectomy. The postoperative diagnosis was documented as radial sclerosing lesion of the left breast. Assign the correct ICD-10-CM code for radial sclerosing breast lesion. 2. A 32-year-old patient has a history of tubal ligation with Filshie clips and Essure coils to occlude the fallopian tubes to pre- vent pregnancy.

2 She now presents for removal of displaced tubal occlusion devices. The displaced clips and coils were found in the omentum, peritoneum, posterior surface of the uterus and cul-de-sac. Assign the correct ICD-10-CM code(s) for displaced tubal occlusion devices. 3. A 42-year-old patient diagnosed with a subdural hygroma presents with malfunctioning ventricular peritoneal shunt (VPS). During surgery, an incision was made around the clavicle to expose the catheter, which was ligated in order to tie off the shunt.

3 Assign the correct ICD-10-PCS code for ligation of the catheter portion of a VPS. 4. A 12-year-old male patient was seen for repair of congenital talipes equinovarus. During surgery, an incision was made directly over the left cuboid. A closing wedge osteotomy with decancellation of the cuboid was performed to abduct the foot to a more neutral position. Wires were placed to hold it in position. Cuboid osteotomy was performed on the right foot in the same man- ner. Assign the correct ICD-10-PCS codes for the bilateral cuboid osteotomy.

4 5. A 46-year-old female patient presented for colon cancer screening due to increased risk secondary to family history of colon cancer. During the screening colonoscopy, a rectal polyp was found and removed via hot snare. The pathological findings revealed hyperplastic polyp with focal adenomatous changes. Assign the correct ICD-10-CM codes for this case. 6. A 62-year-old male patient with mental status changes is admitted and after diagnostic studies, the provider diagnosed sepsis due to Escherichia coli (E.)

5 Coli) and urinary tract infection (UTI). Assign the appropriate ICD-10-CM codes for this case. 7. A 49-year-old patient presented with ascites due to liver cirrhosis and chronic viral hepatitis C. Assign the appropriate ICD- 10-CM codes for ascites due to both liver cirrhosis and chronic viral hepatitis C. 8. A 69-year-old female, who had previously undergone placement of deep brain stimulation hardware, is admitted for removal of the hardware and complex closure of the wound. After removal of the hardware, all unhealthy portions of the wound were debrided.

6 Prior to closure of the superficial layers, a pericranial flap, consisting of myofascial layers, was raised from surround- ing healthy-appearing pericranium and was transposed to an area directly under the superficial layers to provide vascularized tissue under that area of the wound. A complex closure of the wound was performed mobilizing the adjacent scalp in order to create a tension-free closure in the area of the missing scalp. Assign the correct ICD-10-PCS codes for closure of the complex wound using a pericranial flap.

7 9. A 45-year-old female patient with necrosis and cellulitis of the right breast with a small area of skin necrosis underwent open excisional debridement of the right breast. Assign the correct ICD-10-PCS code for debridement of breast tissue (including skin and subcutaneous tissue). 10. A 62-year-old female, who is status post laparoscopic gastric band surgery, is admitted with nausea, vomiting, dysphagia, chest pain and reflux. Radiological studies showed stenosis of the banded portion of the stomach.

8 The patient was taken to surgery and the band was completely evacuated of fluid via needle aspiration at the band port. Assign the correct ICD-10-PCS code for removal of fluid from the band. No Credit Earned Name:_____ Score not passing; less than 70%. _____ Test incomplete Daytime phone number Fee not enclosed Subscription Status: Submitted past due date Personal Institutional (Specify institution if not part of the address)_____. Verification This is to certify that the person named above has earned one hour of continuing education credit by completing this test with a grade of 70% or better.

9 By:_____ On: _____. coding Clinic Continuing Education Quiz Due on or before August 30, 2018 . Instructions Registered Health Information Technicians, Registered Health Information Administrators, Certified coding Specialists and Certified coding Specialists Physician-based may earn one hour of continuing education credit toward AHIMA's continuing education requirement by completing this test with a minimum score of 70%. This test is available to both personal subscribers and employees of institutions that subscribe to coding Clinic.

10 Complete the quiz, fill in information on both sides, and type or print clearly your name and mailing address in the space provided. Fold the insert on the dotted lines on this page, and mail to the following address: Central Office on ICD-10-CM/PCS. Attention: Continuing Education American Hospital Association Box 92247. Chicago, IL 60675-2247. FOLD #2 FOLD #2. For your return address: Please type or print clearly the information within the dotted box below. Name Address City/state/zip FOLD #1 FOLD #1.