Ccs General Quiz II

In an ASC (ambulatory surgery center) case, CPT codes are used. CPT (Current Procedural Terminology) codes are a standardized system of medical codes used to describe specific procedures and services provided by healthcare professionals. These codes help in accurately documenting and billing for services rendered in an ASC setting. They provide a common language for communication among healthcare providers, insurance companies, and regulatory agencies.

The acute gastritis will warrant a POA indicator of N since there is a combination code for the gastritis with bleeding and the bleeding did not occur until after admission

The statement is saying that unless a provider is required to report external cause codes by a state-based mandate or a specific payer, they are not required to report ICD-10-CM codes in Chapter 20, which is about External Causes of Morbidity. Therefore, the correct answer is True, indicating that reporting these codes is not mandatory in most cases.

There are no timeframe restriction on complications of a transplanted organ.

Medicare A is designated for covering inpatient care, which includes hospital stays, skilled nursing facility care, and some home health care services. On the other hand, Medicare B is specifically designed to cover outpatient care, such as doctor visits, preventive services, and medical supplies. Therefore, the statement that Medicare A is for inpatient care and Medicare B is for outpatient care is true.

When a patient is admitted or encounters a healthcare facility for the purpose of inserting or implanting radioactive elements, the principal diagnosis should be the malignancy being treated. This means that the primary reason for the patient's admission or encounter is the malignancy itself, not the radioactive elements. Therefore, code Z51.0, which is used for encounters for other specific procedures and aftercare involving radiation therapy, should not be assigned in this case.

The statement is true because pain associated with devices, implants, or grafts left in a surgical site is assigned a code found in Chapter 19, which deals with injuries, poisoning, and certain other consequences of external causes. In addition, category G89 is used to identify whether the pain is acute or chronic due to the presence of the device, implant, or graft. Therefore, the correct answer is true.

• Deep Vein Thrombosis (DVT) ...


• Pulmonary Embolism (PE) ...


• Arterial Thrombosis. ...


• Antiphospholipid Antibody Syndrome (APLS) ...


• Factor V Leiden.

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2023.

For procedures involving transfer of multiple tissue layers including skin, subcutaneous

tissue, fascia or muscle, the procedure is coded to the body part value that describes the

deepest tissue layer in the flap, and the qualifier can be used to describe the other tissue

layer(s) in the transfer flap.

The goal of information management is to support decision making. This involves organizing and managing information in a way that allows for easy access and analysis, ultimately aiding in the decision-making process. By having accurate and up-to-date information readily available, decision-makers can make informed choices and take appropriate actions.

• If the left side is affected, the default is non-dominant.

• If the right side is affected, the default is dominant.

ambidextrous is dominant

Lisinopril is classified as an anti-hypertensive medication. This means that it is used to treat high blood pressure by helping to relax the blood vessels, allowing blood to flow more easily. It is not an anti-inflammatory, insulin, or diuretic medication.

Excessive thirst, known as polydipsia, and increased urination are classic symptoms of diabetes. In diabetes, the body either does not produce enough insulin or cannot effectively use the insulin it produces. This leads to high blood sugar levels, causing the kidneys to work harder to eliminate the excess sugar through urine. As a result, the body becomes dehydrated, triggering excessive thirst. Increased urination occurs as the body tries to remove the excess sugar. Therefore, excessive thirst and increased urination are common signs and symptoms of diabetes.

Bile is a digestive fluid that helps in the breakdown and absorption of fats. It is produced by the liver and then stored in the gallbladder. From there, it is released into the small intestine to aid in the digestion process.

Coronary artery bypass procedures are coded differently. The body part identifies the number of coronary arteries bypassed TO, and the qualifier specifies the vessel bypassed FROM.



Example: Aortocoronary artery bypass of the left anterior descending coronary artery and

the obtuse marginal coronary artery is classified in the body part axis of classification as

two coronary arteries, and the qualifier specifies the aorta as the body part bypassed from.

Prolonged pregnancy is defined as a pregnancy that extends beyond the normal gestational period of 40 weeks. The correct answer, 42, is the only option provided that exceeds the expected duration of pregnancy. This suggests that a prolonged pregnancy is one that lasts longer than 42 weeks.

Traumatic hemarthrosis refers to bleeding into a joint cavity as a result of trauma or injury. A sprain, on the other hand, is an injury to a ligament, which is the tissue that connects bones to each other. While both conditions involve injury and can cause pain and swelling, they are different in terms of the specific tissues affected. Therefore, traumatic hemarthrosis is not a sprain.

Exploratory laparotomy involves making an incision in the abdomen to visually examine the abdominal contents. During this procedure, the surgeon inspects the peritoneal cavity, which is the space within the abdomen that contains organs such as the liver, intestines, and stomach. Therefore, exploratory laparotomy with general inspection of abdominal contents is coded to the peritoneal cavity body part value.

Fusion of a vertebral joint using a cage style interbody fusion device

containing morsellized bone graft is coded to the device Interbody Fusion Device

The reason for the transfer is coded first

The common bile duct passes through the pancreas and ends in the small intestine. The pancreas is an organ located in the upper abdomen, behind the stomach. It plays a crucial role in digestion by producing enzymes that help break down food and hormones that regulate blood sugar levels. The common bile duct carries bile, a substance produced by the liver, to the small intestine to aid in the digestion of fats.

The given statement is true. It states that a device is coded only if it remains after the procedure is completed. If no device remains, then the value "No Device" is coded. This implies that coding is only done for devices that are present, and if there are no devices, a specific value is assigned.

Do not forget to include a "complicating pregnancy code" for any other conditions if applicable.

The correct answer is anti-coagulant. The question states that the patient is taking Coumadin regularly, which is a brand name for the medication warfarin, a commonly used anti-coagulant. Anti-coagulants are medications that help prevent blood clots from forming or getting larger, and they are often prescribed for long-term use in patients with certain medical conditions. Therefore, it is important to code for long-term use of anti-coagulants when the patient's record indicates regular use of Coumadin.

The Case Mix Index (CMI) is the average relative DRG weight of a hospital's inpatient discharges, calculated by summing the Medicare Severity-Diagnosis Related Group (MS-DRG) weight for each discharge and dividing the total by the number of discharges

Type 2 diabetes requires a code for long term insulin use if applicable.

Do not assign code Z33.2, , when the patient experiences a complication post elective abortion.

not-available-via-ai

not-available-via-ai

When a malignant neoplasm of lymphoid tissue spreads beyond the lymph nodes, it is referred to as extranodal. This means that the cancer has metastasized to other areas or organs outside of the lymph nodes. The code from categories C81-C85 with a final character "9" is used to identify this extranodal involvement of lymphoid tissue in solid organ sites.

The Modified Barium Swallow (MBS) is a procedure used to determine if food or liquid is entering a person's lungs, which is known as aspiration.

Assign the diagnosis code for the medical condition as directed by the Alphabetical Index along with

the appropriate psychoactive substance use, abuse or dependence code.



For example, for alcoholic pancreatitis due to alcohol dependence, assign

the appropriate code from subcategory K85.2, Alcohol induced acute

pancreatitis, and the appropriate code from subcategory F10.2, such as

code F10.20, Alcohol dependence, uncomplicated.



It would not be appropriate to assign code F10.288, Alcohol dependence with other

alcohol-induced disorder.

If the reason for admission is hemolytic-uremic syndrome associated with HIV disease, an exception to the B20 guideline is made. In this case, the code D59.31 should be assigned first, followed by code B20. This exception indicates that when hemolytic-uremic syndrome is present in a patient with HIV disease, it takes precedence over the B20 guideline, which is the code used for HIV disease.

The Uniform Hospital Discharge Data Set (UHDDS) definition of principal diagnosis does not apply to hospital-based outpatient services OR provider-based office visits.

Routine or expected postoperative pain immediately after surgery should not be coded.

The correct answer is antineoplastic. Luteinizing hormone releasing hormone agonist therapy is a type of hormonal therapy used in the treatment of certain types of cancer, such as prostate cancer. It works by suppressing the production of certain hormones that can stimulate the growth of cancer cells. Antineoplastic refers to drugs or treatments that are used to inhibit or destroy the growth of cancer cells. Therefore, the infusion of luteinizing hormone releasing hormone agonist therapy can be considered as a form of antineoplastic treatment.

The cystic duct from the gallbladder joins the common hepatic duct to form the common bile duct. The hepatic duct is responsible for carrying bile from the liver, while the cystic duct carries bile from the gallbladder. When these two ducts join together, they form the common bile duct, which then transports bile to the small intestine for digestion.