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HCS-D PRACTICE #4 QUESTIONS WITH COMPLETE SOLUTIONS!!
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HCS-D PRACTICE #4 QUESTIONS WITH COMPLETE SOLUTIONS!!
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HCS-D PRACTICE #4 QUESTIONS WITHCOMPLETE SOLUTIONS!!
1. Which of the following are NOT included in Chapter 7: Disorders of the Eye
and Adnexa?
a. Diabetes-related eye conditions
b. Injury and trauma of the eye and orbit
c. Neoplasms of the eye
d. All of the Above Answer - d. All of the Above
2. For the stages of glaucoma, "unspecified stage" may be coded with the 7th
character of:
a. 0
b. 4
c. 9
d. Either 0 or 4, depending on left/right eye Answer - a. 0
3. Ptosis is drooping of the _________ eyelid.
a. Upper
b. Lower
c. Either upper or lower
d. Both upper and lower Answer - a. Upper
4. How would bilateral recurrent pterygium be coded?
a. H11.063
,b. H11.069
c. H11.061 and H11.062
d. H11.06 Answer - a. H11.063
5. In the alphabetical index, "age-related cataract" directs the coder to:
a. Cataract, unspecified
b. Cataract, senile
c. Cataract, aphakic
d. Cataract, nuclear Answer - b. Cataract, senile
6. A patient is admitted with pseudobulbar affect as the result of a traumatic
subdural hemorrhage last year. How should the codes be sequenced:
a. Pseudobulbar affect first followed by the traumatic subdural Hemorrhage
with 7th character S because sequelae guidelines state to code the residual first
followed by the cause with an S 7th character.
b. The traumatic subdural hemorrhage with 7th character S (sequela), should
be coded first followed by the pseudobulbar affect because the convention
states that to code first the underlying cause. Answer - b. The traumatic
subdural hemorrhage with 7th character S (sequela), should be coded first
followed by the pseudobulbar affect because the convention states that to
code first the underlying cause.
7. Patient admitted with Barrett's esophagus with low grade dysplasia, weight
loss and a 15 year history of GERD. SN to monitor weights and teaching. How
would this be coded?
a. K22.710, R63.4, K21.0
b. K22.719, K21.0
c. K21.0, R63.4, K22.719
d. K21.0, K22.70 Answer - a. K22.710, R63.4, K21.0
, 8. A 42 year old male has a diagnosis of acute infectious inguinal lymphadenitis,
fatigue, and weight loss. The MD did a fine needle aspiration to culture what
type of organism is growing. In the meantime, the MD has ordered vancomycin
1gm IV daily to be administered through a PICC. The agency is to monitor the
inguinal site for worsening, or further signs of infection, teach IV antibiotics to
the patient/family, draw weekly labs for Vanco levels and weekly PICC site care.
How would this be coded?
a. L04.1, Z51.81, Z79.2, Z45.2
b. I88.8, Z51.81, Z79.2, Z45.2
c. L04.3, R53.83, R63.4, Z45.2
d. L04.1, B95.61, Z45.2, Z51.81 Answer - a. L04.1, Z51.81, Z79.2, Z45.2
**Groin is coded to L04.1. Other codes to be included are the code for
monitoring, the code for the antibiotics (most likely not short term) because 1)
IV antibiotics, 2) PICC line and the code for the care of the IV line. There is no
need to code the fatigue and weight loss.
9. The patient was seen for treatment of a fine rash that had developed on the
patient's trunk and upper extremities over the last three to four days. The
patient was diagnosed with hypertension seven days ago and started on
Ramipril 10 mg daily. The physician determined the rash to be dermatitis due
to the Ramipril. The Ramipril was discontinued and the patient was prescribed
a new antihypertensive medication, Captopril. In addition, the physician
prescribed a topical cream for the localized dermatitis. The hypertension is the
focus of care. What diagnosis codes are assigned?
a. L27.8, T46.4x1S, I10
b. I11.9, L27.1, T464.x5D
c. I10, L27.1, T46.4x5D
d. I10, L27.0 Answer - c. I10, L27.1, T46.4x5D
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