Third Quarter 2016 - AHA Central Office

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 163-10 Third Quarter 2016 Postmarked no later than March 30, 2017 Third Quarter 20161. A patient underwent creation of a Hartmann end colostomy due to perforated diverticulitis and fecal peritonitis. The patient now presents for laparoscopic Hartman reversal.

2 The splenic flexure was mobilized to reach the descending colon, the two ends of the bowel were reconnected (anastomosed) using suture, and the bowel was returned to its proper position in the abdominal cavity. Assign the correct ICD-10-PCS code(s) for the reversal of the Hartmann end colostomy. 2. Assign the appropriate diagnosis codes for a provider s diagnostic statement of viral sepsis due to acute viral bronchitis due to influenza A? The sepsis was present on admission. 3. Assign the appropriate diagnosis codes for a provider s diagnostic statement of acute respiratory failure due to severe viral sepsis. 4. An infant presents to the pediatrician s Office due to breastfeeding concerns on day 24 of life.

3 The final diagnosis is difficulty breastfeeding. The same patient returns on day 38 of life with the same breastfeeding issues. During this visit, the baby is diagnosed with difficulty breastfeeding. Assign the correct ICD-10-CM code assignment(s) for the return visit. 5. A patient is admitted for replacement of a gastrostomy tube. The tube was malfunctioning (continuously falling out) and was ultimately left out over a period of time. The gastrostomy stoma essentially closed off making it difficult to pass the feeding tube. During surgery, the stoma was dilated to reopen the stoma to allow insertion of the feeding tube. Assign the correct ICD-10-PCS code assignment(s) for dilation of a gastrostomy stoma with the insertion of a gastrostomy feeding tube.

4 6. A patient with a history of bilateral cleft lip and palate was seen for closure of bilateral patent alveolar clefts. The surrounding scar tissue was mobilized at the left-sided cleft to create a pocket to preserve the bone and place Infuse bone morphogenetic protein (BMP). On the right side, dermal autograft that was harvested from the left hip was placed into the cleft with Infuse bone morphogenetic protein. Assign the correct ICD-10-PCS code assignments for this case. 7. A patient underwent an open cholecystectomy with needle biopsy of the liver. Assign the correct ICD-10-PCS code assignment for needle biopsy of the liver. 8. During the birth episode, an audiologist performs a routine hearing screening for a baby born via cesarean in the hospital.

5 The results are normal. Assign the correct ICD-10-CM code assignment for the hospital. 9. A 10-year-old patient presents to the physician s Office because she failed an auditory screening at school. After conducting a formal hearing screening in the Office , the subsequent screening is normal. The physician documents Normal auditory screening after failed screening at school. Assign the correct ICD-10-CM code assignment for the physician s Office visit. 10. A patient with an abnormal liver function test and acute pancreatitis suspected of being due to gallstones, underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and pancreatic stent insertion. During the procedure, the biliary tree was swept with a balloon, but no stones were found.

6 Assign the correct ICD-10-PCS code assignment(s) for this case. Coding Clinic Continuing Education Quiz Due on or before March 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 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.

7 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).

8 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