Coding Clinic Continuing Education Quiz 133 Third …

1 Coding Clinic Continuing Education quiz 133 Third Quarter 2013 Postmarked no later than March 31, 2014 Third Quarter 2013 1. The patient is documented to have a history of polycystic kidney disease (PKD). The patient has had a kidney transplant; however, the original kidneys were not removed from the body. Assign the correct ICD-9-CM diagnosis code assignment(s) for a patient with a history of PKD status post kidney transplant. _____ 2. An obstetric patient presents at full-term to undergo a repeat cesarean section. The patient was found to have a hysterotomy wound dehiscence, which has complicated the current admission. Assign the appropriate ICD-9-CM diagnosis code(s). _____ 3. An obstetric patient is admitted in active labor in anticipation of a normal vaginal delivery. The provider documented high head and failure of fetal descent which resulted in a cesarean delivery. Assign the appropriate ICD-9-CM diagnosis code(s). _____ 4.

2 A patient with known class III heart failure with hypertrophic obstructive cardiomyopathy (HOCM) is admitted to undergo alcohol septal ablation. The provider documented subendocardial septal myocardial infarction medically induced as a result of the alcohol septal ablation. Assign the correct ICD-9-CM diagnosis and procedure code(s) for this scenario. _____ 5. A patient, status post gastric bypass, is admitted due to symptoms of hypoglycemia. After further evaluation the patient was found to have endogenous hyperinsulinemic hypoglycemia and hyperplastic pancreatic islet beta cells. The final diagnosis stated, post gastric bypass nesidioblastosis. The patient underwent a subtotal pancreatectomy and splenectomy. Assign the appropriate ICD-9-CM diagnosis and procedure code(s). _____ ICD-10-CM/PCS Coding Questions 6. A patient is admitted to undergo placement of a peripherally inserted central catheter (PICC line). The catheter was placed in the right internal jugular and then threaded into the superior vena cava.

3 Assign the appropriate ICD-10-PCS code for insertion of a PICC line. _____ 7. A patient was admitted to undergo orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass. Multiple transfusions were required, therefore a Mahurkar catheter was inserted percutaneously through the left femoral vein and threaded into the inferior vena cava (IVC). An intra-aortic balloon pump was placed for counterpulsation. The intra-aortic balloon pump and the pacemaker were left in place after completion of the procedure. Assign the correct ICD-10-PCS codes for this procedure. _____ 8. A patient with known craniosynostosis is admitted to undergo distraction osteogenesis. An osteotomy was performed to gain access to the area. Bone chips and titanium plates were placed onto soft spots in an effort to stabilize the bone. Cranial distractors were placed on both sides of the temporal region. Assign the appropriate ICD-10-PCS procedure codes for the surgery.

4 _____ 9. A patient is admitted for treatment of endometriosis of the uterus and a total hysterectomy was carried out via an open approach. Assign the appropriate ICD-10-PCS procedure code(s) for the total hysterectomy. _____ 10. A patient was admitted for workup of atypical rapid arrhythmias. The physician documented catecholaminergic polymorphic ventricular tachycardia (CPVT), in the final diagnostic statement. Assign the appropriate ICD-10-CM diagnosis code assignment for CPVT. _____ Name:_____ _____ Daytime phone number Subscription Status: Personal Institutional (Specify institution if not part of the address)_____ Verification This is to certify that the person named above has earned two hours of Continuing Education credit by completing this test with a grade of 70% or better. By:_____ On:_____ No Credit Earned Score not passing; less than 70% Test incomplete Fee not enclosed Submitted past due date Coding Clinic Continuing Education quiz Due on or before March 31, 2014 Instructions Registered Health Information Technicians, Registered Health Information Administrators, Certified Coding Specialists and Certified Coding Specialists Physician-based may earn two hours of Continuing Education credit toward AHIMA s Continuing Education requirement by completing this test with a minimum score of 70%.

5 This test is available to both personal subscribers and employees of institutions that subscribe to Coding Clinic . 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-9-CM 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 Enclose check or money order for $20 (handling fee). Make check payable to the American Hospital Association. Do not send cash. The quiz will not be graded and the $20 fee will be forfeited if the quiz is not postmarked on or before the date indicated on each test.

6 No credit will be given if the score is less than 70%, the test is incomplete, postmarked after the designated date, or submitted without the $20 handling fee. Forms may be photocopied for use by directors of medical records or Coding supervisors for assessment of Coding staff s understanding of topics presented in Coding Clinic . Note: The Central Office on ICD-9-CM will not retain records of achievement. The practitioner is responsible for retaining the verification form returned by AHA and reporting the credit on AHIMA s official Continuing Education reporting form. Do not send the AHA verification form to the American Health Information Management Association. Please duplicate your completed Continuing Education quiz and retain the copy for your purposes.