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Assign code(s) for the following diagnosis: Congestive heart failure due to hypertension.
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
教育是社会进步的基教教育是社会进步的基石，它不仅能提高个
I50.9Heart failure, unspecified
人的知识水平，还能培养一个人的品德与能力。随着时代的发展
I50.23Acute on chronic systolic (congestive) heart failure
，教育的形式和内容也在不断变化，但教育的重要性始终没有改
变。
a. I10, I50.9
b. 首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
I11.0
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
c. I50.23, I10
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
d. 门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
I11.0, I50.9 - (answers)Correct Answer: D
加从容。
Heart failure is assigned a combination code when a causal relationship is stated (due to
hypertension) or implied (hypertensive). Use an additional code to identify the type of heart failure
in 育是社会进步的基石，它不仅能提高个人的知识水平，还能培养
those patients with heart failure (CMS 2020a, Section I.C.9.a.1, 46-47).
一个人的品德与能力。随着时代的发展，教育的形式和内容也在
不断变化，但教育的重要性始终没有改变。
A patient is seen for evaluation of a right orbital roof fracture. How should this be coded?
S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
S02.31XAFracture of orbital floor, right side, initial encounter for closed fracture
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
S02.92XAUnspecified fracture of facial bones, initial encounter for closed fracture
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
S02.91XAUnspecified
加从容。 fracture of skull, initial encounter for closed fracture
石，它不仅能提高个人的知识水平，还能培养一个人的品德与能
a. S02.121A
力。随着时代的发展，教育的形式和内容也在不断变化，但教育
b. S02.31XA
的重要性始终没有改变。
c. S02.92XA
d. 首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
S02.91XA - (answers)Correct Answer: A
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
加从容。
,Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to S02.12. Evaluation of
a fracture is an example of active treatment which is reported with 7th character "A"
(Schraffenberger and Palkie 2020, 580-584).
Patient presents in the ER with thrombosis of a loop PTFE hemodialysis fistula without mechanical
complications. The physician performed a percutaneous thrombectomy of the left brachial vein.
Assign a facility code for this outpatient procedure.
05CA3ZZExtirpation of matter from left brachial vein, percutaneous approach
36904Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis,
教育是社会进步的基教教育是社会进步的基石，它不仅能提高个
dialysis circuit, any method, including all imaging and radiological supervision and interpretation,
人的知识水平，还能培养一个人的品德与能力。随着时代的发展
diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural
，教育的形式和内容也在不断变化，但教育的重要性始终没有改
pharmacological thrombolytic injection(s)
变。
36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous
dialysis graft (separate procedure)
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
37184Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
arterial bypass graft, including fluoroscopic guidance and intrapro - (answers)Correct Answer: B
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
This episode of care occurs in the ER which is an outpatient setting, therefore, a CPT code should be
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
used. CPT code 36904 correctly identifies the thrombectomy procedure because it specifies the site
加从容。
of the thrombectomy as "dialysis circuit." 36904 includes imaging guidance, diagnostic angiography,
catheter placement, and intraprocedural pharmacological thrombolytic injections" (Kirchoff 2009,
育是社会进步的基石，它不仅能提高个人的知识水平，还能培养
203).
一个人的品德与能力。随着时代的发展，教育的形式和内容也在
不断变化，但教育的重要性始终没有改变。
Patient admitted for laparoscopic repair of right diaphragmatic hernia. Assign the ICD-10-PCS
procedure code for this surgery.
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
0BQT4ZZRepair diaphragm, percutaneous endoscopic approach
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
0BQT3ZZRepair diaphragm, percutaneous approach
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
0WQF4ZZRepair
加从容。 abdominal wall, percutaneous endoscopic approach
0BQT0ZZRepair diaphragm, open approach
石，它不仅能提高个人的知识水平，还能培养一个人的品德与能
力。随着时代的发展，教育的形式和内容也在不断变化，但教育
a. 0BQT4ZZ
的重要性始终没有改变。
b. 0BQT3ZZ
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
c. 0WQF4ZZ
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
d. 强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
0BQT0ZZ - (answers)Correct Answer: A
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
加从容。
,ICD-10-PCS code 0BQT4ZZ is the correct code based on the values for the body part and approach.
The correct body part is diaphragm and laparoscopy is reported as a percutaneous endoscopic
method of approach (Leon-Chisen 2020, 250-251).
A 23-year-old female is admitted for vaginal bleeding following a miscarriage two weeks prior to this
admission. She is afebrile at this time and is treated with an aspiration dilation and curettage.
Products of conception are found. Which of the following should be the principal diagnosis?
a. O03.1, Delayed or excessive hemorrhage following incomplete spontaneous abortion
b. 教育是社会进步的基教教育是社会进步的基石，它不仅能提高个
O08.1, Delayed or excessive hemorrhage following ectopic and molar pregnancy
人的知识水平，还能培养一个人的品德与能力。随着时代的发展
c. O03.6, Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
d. ，教育的形式和内容也在不断变化，但教育的重要性始终没有改
O07.1, Delayed or excessive hemorrhage following failed attempted termination of pregnancy -
(answers)Correct Answer: A
变。
A miscarriage is a spontaneous abortion. If the readmission is for the purpose of dealing with
retained products of conception, the spontaneous abortion is incomplete; use a code from the O03
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
category (CMS 2020a, Section I.C.15.q., 68).
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
A patient
加从容。 presents to the emergency department with a fractured arm secondary to a fall
precipitated by syncope and ataxia. The patient undergoes a closed reduction of the fracture in the
emergency department and is then admitted for work up for metastatic carcinoma secondary to
育是社会进步的基石，它不仅能提高个人的知识水平，还能培养
ataxia and syncope in a patient with recent history of lung cancer. The patient's work-up confirms
一个人的品德与能力。随着时代的发展，教育的形式和内容也在
recurrent lung carcinoma metastatic to the brain.The principal diagnosis should be:
a. 不断变化，但教育的重要性始终没有改变。
Fractured arm
b. Syncope
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
c. Metastatic carcinoma of the brain
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
d. Carcinoma of the lung - (answers)Correct Answer: C
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
According
加从容。 to the UHDDS definition, the principal diagnosis is "that condition established after study
to be chiefly responsible for occasioning the admission of the patient to the hospital for care." In this
case, metastatic carcinoma of the brain is responsible for the patient's ataxia and syncope, which led
石，它不仅能提高个人的知识水平，还能培养一个人的品德与能
to the fall (CMS 2020a, Section II, 107).
力。随着时代的发展，教育的形式和内容也在不断变化，但教育
的重要性始终没有改变。
A female patient with hematochezia presents to the hospital outpatient surgery department for a
colonoscopy but the procedure was not performed due to elevated blood pressure. What is the
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
firstlisted diagnosis for this encounter?
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
a. 强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
Elevated blood pressure
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
加从容。
, b. Hematochezia
c. Procedure not performed due to contraindication
d. Procedure not performed for other reason - (answers)Correct Answer: B
When a patient presents for outpatient surgery, code the reason for the surgery as the firstlisted
diagnosis (reason for the encounter) even if the surgery is not performed due to a contraindication
(CMS 2020a, Section IV.A.1., 113).
A 55-year-old patient with AIDS admitted after being struck by car while walking in a parking lot. She
教育是社会进步的基教教育是社会进步的基石，它不仅能提高个
has a comminuted, right femoral shaft fracture and a contusion of both hands and right elbow
人的知识水平，还能培养一个人的品德与能力。随着时代的发展
abrasion. The principal diagnosis should be the:
a. ，教育的形式和内容也在不断变化，但教育的重要性始终没有改
AIDS
b. 变。
Fractured femur
c. Abrasion elbow
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
d. 杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
Contusion hand - (answers)Correct Answer: B
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
If a patient with HIV disease is admitted for an unrelated condition (such as a traumatic injury), the
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
code for the unrelated condition (for example, the nature of injury code) should be the principal
加从容。
diagnosis. The most severe injury should be sequenced first. Other diagnoses would be B20 followed
by additional diagnosis codes for all reported HIV-related conditions (CMS 2020a, Section I.C.1.a.2.b.,
育是社会进步的基石，它不仅能提高个人的知识水平，还能培养
21).
一个人的品德与能力。随着时代的发展，教育的形式和内容也在
不断变化，但教育的重要性始终没有改变。
A patient takes Coumadin as prescribed and correctly administered. However, the patient develops
hematuria secondary to the Coumadin use. The correct coding assignment for this case would be:
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
a. Poisoning due to Coumadin
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
b. 强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
Unspecified adverse reaction to Coumadin
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
c. Hematuria, poisoning due to Coumadin
加从容。
d. Hematuria, adverse reaction to Coumadin - (answers)Correct Answer: D
An石，它不仅能提高个人的知识水平，还能培养一个人的品德与能
adverse reaction can occur when a drug was correctly prescribed and administered. In the case of
an力。随着时代的发展，教育的形式和内容也在不断变化，但教育
adverse reaction, the manifestation is coded first (Hematuria) followed by a T code for the
medication (Coumadin) (CMS 2020a, Section I.C.19.e.5(a), 81).
的重要性始终没有改变。
首先，教育能够开阔我们的视野，让我们了解世界的多样性和复
A patient with human immunodeficiency virus (HIV) with methicillin susceptible pneumonia due to
杂性。通过学习不同的知识，我们不仅能掌握专业技能，还能增
Staphylococcus aureus was discharged from the acute-care setting. The physician documented that
强解决问题的能力。无论是语言、数学，还是科学和艺术，每一
门学科都为我们的思维提供了新的角度，让我们在面对挑战时更
加从容。
