MIT Medical's Coding Corner Quiz

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Quizzes Created: 1 | Total Attempts: 84

Questions: 10 | Attempts: 84 | Updated: Jul 28, 2023

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To refresh everyone’s memory about the upcoming code changes — and as a fun way for you to test how much you’ve already learned — we are holding a contest. The link below will send you to a 10-question quiz. Take the quiz and see how well you do. The top four scores at Medical will earn a $25 Amazon. Com gift card. If there is a tie, we’ll draw a random winner from among the top scorers.

Questions and Answers

1.

Patient with tobacco use has acute gingivitis, non-plaque induced.
- A.
  
  K05.11, Z87.891 - Chronic gingivitis, non-plaque induced and Personal history of nicotine dependence
- B.
  
  K05.01, Z87.891- Acute gingivitis, non-plaque induced and Personal history of nicotine dependence
- C.
  
  K05.11, Z72.0 - Chronic gingivitis, non-plaque induced and Tobacco use
- D.
  
  K05.01, Z72.0 - Acute gingivitis, non-plaque induced and Tobacco use
Correct Answer
D. K05.01, Z72.0 - Acute gingivitis, non-plaque induced and Tobacco use

Explanation
Gingivitis is acute but must be coded to the correct “non-plaque induced” type. Tobacco use must be coded, be careful not to code as tobacco dependence.

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2.

Patient with alcohol abuse complains of GERD
- A.
  
  F10.10, K21.9 - Alcohol abuse, uncomplicated and Gastro-esophageal reflux disease without esophagitis
- B.
  
  K21.0, F10.10 - Gastro-esophageal reflux disease with esophagitis and Alcohol abuse, uncomplicated
- C.
  
  K21.9. F10.10 – Gastro-esophageal reflux disease w/o esophagitis and alcohol abuse uncomplicated
- D.
  
  K20.9, F10.10 – Esophagitis unspecified and alcohol abuse uncomplicated
Correct Answer
C. K21.9. F10.10 – Gastro-esophageal reflux disease w/o esophagitis and alcohol abuse uncomplicated

Explanation
GERD is coded to gastro-esophageal reflux disease without esophagitis which is a .9 code because it is not specified with esophagitis or reflux esophagitis. Alcohol abuse is coded to uncomplicated, it is not dependence.

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3.

A mother brings her 1-year-old daughter in to see the pediatrician. She has had a persistent rash on her legs, neck, and arms. Recently, the rash has progressed into painful, raised bumps. She is diagnosed with infantile atopic dermatitis and started on a corticosteroid ointment.
- A.
  
  R21 – Rash and other non-specific skin eruption
- B.
  
  L20.83 – Infantile (acute/chronic) eczema
- C.
  
  L20.83, R21 – Infantile (acute /chronic)eczema with rash and other non-specific skin eruption
- D.
  
  L20.9 – Atopic dermatitis unspecified
Correct Answer
B. L20.83 – Infantile (acute/chronic) eczema

Explanation
You look this code up beginning with the key word of eczema then go to infantile (due to any substance). Cannot find this code under dermatitis in which the diagnosis is documented in the question, very tricky one.

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4.

A 7 year old is brought in to be seen for a red rash on his entire back, followed by diffuse epidermal exfoliation. Blood tests confirm Staphylococcal scalded skin syndrome (SSSS).
- A.
  
  L00, R21, L49.0 – Staphylococcal scalded skin syndrome (Ritter’s Disease), rash & other non-specific skin eruption and exfoliation due to erythematous condition involving less than 10 percent of body surface
- B.
  
  L00, L49.1 – Staphylococcal scalded skin syndrome and exfoliation due to erythematous condition involving 10-19 percent of body surface
- C.
  
  R21, L49.1 – Rash and other non-specific skin eruption with exfoliation due to erythematous condition involving 10-19 percent of body surface
- D.
  
  L49.1, L00 - Exfoliation due to erythematous condition involving 10-19 percent of body surface with staphylococcal scalded skin syndrome
Correct Answer
B. L00, L49.1 – Staphylococcal scalded skin syndrome and exfoliation due to erythematous condition involving 10-19 percent of body surface

Explanation
You look up this code under Syndrome-staphylococcal scalded skin. When you find the code it directs you to code an additional code to identify percentage of skin exfoliation which is the code L49.1 because it states entire back. Refer to rule of nines guidance, similar to a burn.

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5.

A 79-year-old man presents with osteoporosis with a new pathological fracture of the right femur.
- A.
  
  M81.0, M84.451A – Age related osteoporosis without current pathological fracture and pathological fracture, right femur, initial encounter for fracture
- B.
  
  M80.051A, M84.451A – Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture and pathological fracture, right femur, initial encounter for fracture
- C.
  
  M80.051A – Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture
- D.
  
  M80.052A – Age related osteoporosis with current pathological fracture, left femur, initial encounter for fracture
Correct Answer
C. M80.051A – Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture

Explanation
You look up under Osteoporosis, age related with a current pathological fracture. Code is M80.051 which is important because this signifies laterality (right). The seventh character A indicate initial encounter for the fracture.

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6.

A patient with AIDS is seen by her physician for severe dehydration. The final diagnosis by the physician is Salmonella with dehydration.
- A.
  
  A02.8, B20 – other specified salmonella infection with human immunodeficiency virus (HIV ) disease
- B.
  
  A02.9, B20 – salmonella infection unspecified with human immunodeficiency virus (HIV) disease
- C.
  
  A02.9, Z21 – salmonella infection unspecified with asymptomatic HIV – HIV positive NOS
- D.
  
  A02.8, Z21 – other specified salmonella infection with asymptomatic HIV – HIV positive NOS
Correct Answer
B. A02.9, B20 – salmonella infection unspecified with human immunodeficiency virus (HIV) disease

Explanation
You look up under infection, salmonella, no need to code the dehydration that is a symptom of the salmonella infection. You then code the HIV disease secondary (can just look up under HIV).

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7.

Tim is diagnosed today with viral gastroenteritis.
- A.
  
  K52.9 – non-infective gastroenteritis and colitis unspecified
- B.
  
  A08.4 – viral intestinal infection unspecified
- C.
  
  A08.39 – other viral enteritis
- D.
  
  K52.89 – other specified non-infective gastroenteritis and colitis
Correct Answer
B. A08.4 – viral intestinal infection unspecified

Explanation
You look up under gastroenteritis, viral, NEC (not elsewhere classified)

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8.

Sepsis due to puncture wound of the lower back and pelvis without a foreign body, initial encounter.
- A.
  
  R65.10, S31.030A, A41.9 – systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction w/ puncture wound without foreign body of lower back and pelvis without penetration into retro peritoneum initial encounter and sepsis unspecified organism
- B.
  
  S31.030A, A41.9 - puncture wound without foreign body of lower back and pelvis without penetration into retro-peritoneum initial encounter and sepsis, unspecified organism
- C.
  
  S31.060A, R65.20 - puncture wound without foreign body of lower back and pelvis without penetration into retro-peritoneum initial encounter with severe sepsis without septic shock
- D.
  
  S31.030A, R65.21 - puncture wound without foreign body of lower back and pelvis without penetration into retro-peritoneum initial encounter with severe sepsis with septic shock
Correct Answer
A. R65.10, S31.030A, A41.9 – systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction w/ puncture wound without foreign body of lower back and pelvis without penetration into retro peritoneum initial encounter and sepsis unspecified organism

Explanation
Tricky one! Patient presented truly with sepsis due to a puncture wound in their back. The R65.10 is the principal diagnosis. The injury code indicates that it is a puncture wound of the lower back and pelvis but it does not penetrate into the retro peritoneum, the last character of the code indicates that it is an initial encounter. The A41.9 code is for sepsis, unspecified organism.

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9.

Tina was treated at her doctor’s office for warts on her hands.
- A.
  
  B07.9 – viral warts unspecified
- B.
  
  B07.8 – other viral warts
- C.
  
  B07.0 – plantar wart
- D.
  
  L82.1 – other seborrheic keratosis
Correct Answer
A. B07.9 – viral warts unspecified

Explanation
You just look up under wart, viral

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10.

Personal history of liver cancer.
- A.
  
  C22.9 – malignant neoplasm of liver not specified as primary or secondary
- B.
  
  Z80.0 – family history of malignant neoplasm of digestive organs
- C.
  
  D01.5 – carcinoma in situ of liver, gallbladder and bile ducts
- D.
  
  D01.5 – carcinoma in situ of liver, gallbladder and bile ducts
Correct Answer
D. D01.5 – carcinoma in situ of liver, gallbladder and bile ducts

Explanation
A little tricky but not too bad...Look under history, and then go to personal, malignant neoplasm, liver.

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MIT Medical's Coding Corner Quiz

Patient with tobacco use has acute gingivitis, non-plaque induced.

Patient with alcohol abuse complains of GERD

A mother brings her 1-year-old daughter in to see the pediatrician. She has had a persistent rash on her legs, neck, and arms. Recently, the rash has progressed into painful, raised bumps. She is diagnosed with infantile atopic dermatitis and started on a corticosteroid ointment.

A 7 year old is brought in to be seen for a red rash on his entire back, followed by diffuse epidermal exfoliation. Blood tests confirm Staphylococcal scalded skin syndrome (SSSS).

A 79-year-old man presents with osteoporosis with a new pathological fracture of the right femur.

A patient with AIDS is seen by her physician for severe dehydration. The final diagnosis by the physician is Salmonella with dehydration.

Tim is diagnosed today with viral gastroenteritis.

Sepsis due to puncture wound of the lower back and pelvis without a foreign body, initial encounter.

Tina was treated at her doctor’s office for warts on her hands.

Personal history of liver cancer.