First Quarter 2017 - AHA Central Office, medical coding ...

1 coding Clinic for ICD-10-CM/PCS. Continuing Education Quiz 171-10. First Quarter 2017 . Postmarked no later than September 30, 2017 . First Quarter 2017 . 1. A 32-year-old patient undergoes outpatient surgery for removal of a right breast mass. The pre- and post-operative diagnosis is reported as breast mass. The pathological diagnosis is fibroadenoma. Assign the correct ICD-10-CM code for this encounter. 2. A physician refers the patient to outpatient radiology for a chest x-ray because of weakness and chronic myelogenous leuke- mia (CML). The radiology report demonstrated no acute disease and moderate hiatal hernia.

2 Assign the correct ICD-10-CM. code(s) to be reported by the facility. 3. A 56-year-old female underwent screening colonoscopy and a large polyp was found. Due to its size, and the inability of the gastroenterologist to visualize the base of the polyp, it was only partially removed. The pathology confirmed tubulovillous adenoma and the provider recommended a follow-up colonoscopy in three months. Assign the appropriate ICD-10-CM. codes for this encounter. 4. A 42-year-old patient had a percutaneous coronary intervention (PCI) procedure, and both a right sided and left sided Im- pella external heart assist device were placed percutaneously.

3 The left sided device was removed before the patient left the catheterization lab, but the right sided device remained in place for several days after the PCI and was subsequently removed. Assign the correct ICD-10-PCS codes for the procedure performed. 5. A 9-year-old male patient with gangrene, myelomeningocele with insensate feet, and chronic osteomyelitis of the left foot underwent Chopart amputation. The midfoot was disarticulated at the talonavicular and the calcaneocuboid joints. The bones of the mid-foot along with the metatarsals were carefully separated from the underlying plantar soft tissues.

4 The toes and the remainder of the dorsum of the foot were removed. Assign the correct ICD-10-PCS code(s) for Chopart amputation of the foot by disarticulation at the talonavicular and the calcaneocuboid joints. 6. A premature newborn, who developed respiratory distress, underwent placement of an umbilical artery catheter (UAC) for arterial access for blood sampling and monitoring of blood gases. Assign the correct ICD-10-PCS code for the umbilical artery catheterization when the catheter tip position is unknown. 7. A 63-year-old patient had significant peripheral vascular disease at the tibial level.

5 A right peroneal artery to dorsalis pedis artery bypass with contralateral reversed left greater saphenous vein graft was performed. The saphenous vein graft was sewn into the peroneal artery in a reversed end-to-side manner, tunneled and brought out adjacent to the dorsalis pedis artery where it was cut to the appropriate length and anastomosed. Assign the correct ICD-10-PCS codes for this procedure. 8. A 47-year-old patient presented for total abdominal hysterectomy. At surgery, extensive adhesions, involving the omentum and peritoneum, were encountered and taken down under direct visualization.

6 Assign the correct ICD-10-PCS code for this procedure. 9. A 72-year-old male patient with dementia, who is confined to a nursing home, was admitted to the hospital after falling from his wheelchair. The provider's final diagnostic statement listed, Toxic encephalopathy due to ciprofloxacin. When queried, the provider confirmed that the antibiotic had been properly administered. Assign the correct ICD-10-CM code(s) for this encounter. 10. A 61-year-old female patient is readmitted solely for replacement of native bone flap following a decompressive craniectomy for impending brain herniation due to a traumatic skull fracture with traumatic subdural hematoma.

7 Assign the appropriate ICD-10-CM code for an admission solely to replace the native bone flap following a decompressive craniectomy. 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. By:_____ On: _____.

8 coding Clinic Continuing Education Quiz Due on or before September 30, 2017 . 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. Complete the quiz, fill in information on both sides, and type or print clearly your name and mailing address in the space provided.

9 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. 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.

10 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-10-CM/PCS 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.