Coding Clinic for ICD-10-CM/PCS Continuing …

1 Name:_____ _____ Daytime phone number Subscription Status: Personal Institutional (Specify institution if not part of the address)_____VerificationThis 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 :_____ On: _____No Credit Earned Score not passing; less than 70% Test incomplete Fee not enclosed Submitted past due dateCoding Clinic for ICD-10-CM/PCSC ontinuing Education Quiz 154-10 Fourth Quarter 2015 Postmarked no later than May 30, 2016 Fourth Quarter 20151. A patient with severe calf claudication developed an ulcer on the right foot, and was admitted to the hospital for percutaneous interventional procedure. Diagnostic angiography confirmed complete occlusion of the right superficial femoral artery, and he underwent balloon angioplasty using a drug-coated balloon with nondrug-eluting stent placement. Assign the correct ICD-10-PCS code assignment for angioplasty of the femoral artery using a drug-coated balloon with stent placement.

2 2. In ICD-10-PCS, the section X codes, seven characters are defined as section (X), body system, root operation, body part, approach, device/substance/technology, and qualifier. A. True B. False3. The qualifier value in section X codes specify an old technology group, which is simply a general indication of when (what year) the code was created. A. True B. False4. The patient who has had a prior CABG presents with unstable angina. He is found to have near total blockage of the saphe-nous vein bypass graft. Atherectomy is performed to remove severely calcified atheromatous plaque using the Diamondback orbital atherectomy system. The lesion is successfully crossed, balloon angioplasty performed, and an Endeavor drug-eluting stent successfully deployed. What are the correct ICD-10-PCS code assignments for this procedure? 5. A patient was admitted with bilateral occlusive peripheral vascular disease, and underwent percutaneous angioplasty with stent insertion.

3 The left common femoral artery was treated with Lutonix drug-coated balloon (DCB) angioplasty alone, with good result. The right femoral artery was also treated using a DCB angioplasty catheter, followed by bare metal stent successfully placed across the lesion. Assign the correct ICD-10-PCS code assignment for successful PTA using only a DCB angioplasty catheter and the correct ICD-10-PCS code assignment for successful PTA using a DCB angioplasty followed by bare metal stent. 6. An infant, who had previously undergone modified Blalock-Taussig shunt surgery secondary to transposition of the great arteries and left ventricular outflow tract obstruction, presents for complete repair. The surgeon performed a Rastelli operation (ventricular septal defect closure using Gore-Tex baffle and right ventricle (RV) to pulmonary artery (PA) bypass with a Contegra valved conduit) after placing the patient on cardiopulmonary bypass. Assign the correct ICD-10-PCS code assignment(s) for the procedure performed.

4 7. A patient presents at 30 weeks for management of her gestational diabetes, which is being treated with oral meds. Assign the correct ICD-10-CM diagnosis code(s) assignment for gestational diabetes that is controlled with oral medication. 8. In ICD-10-CM, the 7th characters describing episode of care (initial and subsequent encounter) for Chapter 19 and 20 codes, can be assigned for home health visits. A. True B. False9. The patient who is status post repair of a left hip fracture is being followed up by home health care during the routine healing phase. The patient is receiving physical therapy services by the home health agency (HHA). Which 7th character should the HHA report? A. A (initial encounter) B. D (subsequent encounter) C. S (sequela)10. The patient had a deep right lower quadrant stab wound of the abdomen and was being treated with a wound VAC system while in the acute care hospital. After discharge, the home health agency provided wound VAC dressing changes.

5 What would be the appropriate 7th character assignment? A. A (initial encounter) B. D (subsequent encounter) C. S (sequela) Coding Clinic Continuing Education Quiz Due on or before May 30, 2016 Instructions Registered Health Information Technicians, Registered Health Information Administrators,Certified Coding Specialists and Certified Coding Specialists Physician-based may earn one hour of Continuing educationcredit toward AHIMA s Continuing education requirement by completing this test with a minimum score of 70%. This test isavailable to both personal subscribers and employees of institutions that subscribe to Coding Clinic . Complete the quiz, fill ininformation on both sides, and type or print clearly your name and mailing address in the space provided. Fold the insert on thedotted 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 FOLD #1 FOLD #1 Enclose check or money order for $20 (handling fee).

6 Make check payable to the American Hospital not send quiz will not be graded and the $20 fee will be forfeited if the quiz is not postmarked on or before the date indicated oneach credit will be given if the score is less than 70%, the test is incomplete, postmarked after the designated date, or submittedwithout the $20 handling may be photocopied for use by directors of medical records or Coding supervisors for assessment of Coding staff sunderstanding of topics presented in Coding : The Central Office on ICD-10-CM/PCS will not retain records of achievement. The practitioner is responsible for retainingthe verification form returned by AHA and reporting the credit on AHIMA s official Continuing education reporting not send the AHA verification form to the American Health Information Management duplicate your completed Continuing Education Quiz and retain the copy for your your return address: Please type or print clearly the information within the dotted box