Medical Coding Quiz On Nervous System, Diseases Of The Eye & Ear And Mastoid Process (G00-h95)

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| By Naushad207
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Naushad207
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Quizzes Created: 7 | Total Attempts: 12,552
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Medical Coding Quiz On Nervous System, Diseases Of The Eye & Ear And Mastoid Process (G00-h95) - Quiz

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Questions and Answers
  • 1. 

    The patient is admitted for acute pain control after failing off a ladder and suffering two broken ribs on the right side. The patient was admitted for pain control:

    • A.

      S22.41xA, G89.21, Wll.xxxD

    • B.

      G89.4, S22.31xA, V00.221

    • C.

      S22.43XA, G89.29, V00.221

    • D.

      G89.11, S22.41xA, Wll.xxxA

    Correct Answer
    D. G89.11, S22.41xA, Wll.xxxA
    Explanation
    Codes in category G89, Pain, not elsewhere classified, may be used in conjunction with codes from other categories and chapters to provide more detail about acute or chronic pain and neoplasm-related pain, unless otherwise indicated below.
    If the pain is not specified as acute or chronic, post-thoracotomy, postprocedural, or neoplasm- related, do not assign codes from category G89.
    A code from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/ management and not management of the underlying condition.
    When an admission or encounter is for a procedure aimed at treating the underlying condition (e g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g„ vertebral fracture, spinal stenosis) should be assigned as the principal diagnosis. No code from category G89 should be assigned.

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  • 2. 

    Patient is admitted to the hospital with acute testicular pain. The patient had a vasectomy yesterday, and the physician documents post-procedural pain:

    • A.

      G89.28, N50.811

    • B.

      N50.812

    • C.

      G89.18, N50.819

    • D.

      G89.12, N50.812

    Correct Answer
    C. G89.18, N50.819
    Explanation
    Category G89 Codes as Principal or First-Listed Diagnosis
    Category G89 codes are acceptable as principal diagnosis or the first-listed code:
    • When pain control or pain management is the reason for the admission/encounter (e.g„ a patient with displaced intervertebral disc, nerve impingement and severe back pain presents for injection of steroid into the spinal canal). The underlying cause of the pain should be reported as an additional diagnosis, if known.

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  • 3. 

    Patient is admitted with acute back pain after being rear-ended by a car while driving her children to school in her car:

    • A.

      M54.9, G89.11, V43.52xA

    • B.

      G89.11, M54.9, V43.52xA

    • C.

      G89.29, M62.830, V43.52xS

    • D.

      M62.830, G89.29, V43.52xS

    Correct Answer
    A. M54.9, G89.11, V43.52xA
    Explanation
    Use of Category G89 Codes in Conjunction with Site Specific Pain Codes (i) Assigning Category G89 and Site-Specific Pain Codes
    Codes from category G89 may be used in conjunction with codes that identify the site of pain (including codes from chapter 18) if the category G89 code provides additional information. For example, if the code describes the site of the pain, but does not fully describe whether the pain is acute or chronic, then both codes should be assigned

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  • 4. 

    Patient is 1 month status post TURP. Patient presents to physician’s office with acute abdominal pain. After examination and assessment, the physician documents acute post-TURP pain:

    • A.

      R10.9, G89.12

    • B.

      G89.28, R10.12

    • C.

      G89.22, R10.31

    • D.

      G89.18, R10.9

    Correct Answer
    D. G89.18, R10.9
    Explanation
    Postoperative pain not associated with specific postoperative complication
    Postoperative pain not associated with a specific postoperative complication is assigned to the appropriate postoperative pain code in category G89.
    (b) Postoperative pain associated with specific postoperative complication
    Postoperative pain associated with a specific postoperative complication (such as painful wire sutures) is assigned to the appropriate code(s) found in Chapter 19, Injury, poisoning, and certain other consequences of external causes. If appropriate, use additional code(s) from category G89 to identify acute or chronic pain (G89.18 or G89.28).

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  • 5. 

    Patient is admitted for pain control due to metastatic bone cancer. Patient has a past history of breast cancer treated with surgical removal of the left breast:

    • A.

      G89.18, C41.9, C79.81, Z90.12

    • B.

      G89.28, C41.9, Z85.3, Z90.12

    • C.

      G89.3, C79.51. Z85.3, Z90.12

    • D.

      G89.29,C79.51, C79.81, Z90.12

    Correct Answer
    C. G89.3, C79.51. Z85.3, Z90.12
    Explanation
    Neoplasm Related Pain
    Code G89.3 is assigned to pain documented as being related, associated or due to cancer, primary or secondary malignancy, or tumor. This code is assigned regardless of whether the pain is acute or chronic.
    This code may be assigned as the principal or first-listed code when the stated reason for the admission/encounter is documented as pain control/pain management. The underlying neoplasm should be reported as an additional diagnosis.

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  • 6. 

    Patient was admitted for back pain due to vertebral metastasis. An MRI indicates that the disease has progressed. Patient has a history of prostate cancer with surgical removal. Patient's bone mets treated with external beam radiation via the linear accelerator using electrons.

    • A.

      G89.3, C79.51, Z85.46, DP075ZZ

    • B.

      C79.51, G89.3, Z85.46, DP0C3ZZ

    • C.

      C41.9, M54.5, G89.28, DP0C3Z0

    • D.

      G89.29, C61, M54.5, DP053Z0

    Correct Answer
    B. C79.51, G89.3, Z85.46, DP0C3ZZ
    Explanation
    When the reason for the admission/encounter is management of the neoplasm and the pain associated with the neoplasm is also documented, code G89.3 may be assigned as an additional diagnosis. It is not necessary to assign an additional code for the site of the pain.
    See Section I.C.2 for instructions on the sequencing of neoplasms for all other stated reasons for the admission/encounter (except for pain control/pain management).

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  • 7. 

    Patient has a mature senile cataract:

    • A.

      H25.9

    • B.

      H25.89

    • C.

      H25.10

    • D.

      H26.8

    Correct Answer
    B. H25.89
    Explanation
    The correct answer is H25.89. This code represents a mature senile cataract, which is a common type of cataract that occurs due to aging. The term "mature" indicates that the cataract has reached an advanced stage of development. The code H25.9 is not specific enough as it represents an unspecified senile cataract. H25.10 represents an immature senile cataract, and H26.8 represents other specified cataracts. Therefore, H25.89 is the most appropriate code for a mature senile cataract.

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  • 8. 

    Patient has bilateral moderate stage glaucoma secondary to the use of steroids:

    • A.

      H40.143, T38.0X1

    • B.

      H40.113, T38.0X3

    • C.

      H40.003, T38.0X4

    • D.

      H40.63X2, T38.0X5A

    Correct Answer
    D. H40.63X2, T38.0X5A
    Explanation
    The correct answer is H40.63X2, T38.0X5A. This answer is correct because H40.63X2 represents bilateral moderate stage glaucoma, which is the condition the patient has. T38.0X5A represents the use of steroids, which is the cause of the glaucoma.

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  • 9. 

    Patient has acute allergic serous otitis media, right ear:

    • A.

      H65.111

    • B.

      H65.112

    • C.

      H65.113

    • D.

      H65.119

    Correct Answer
    A. H65.111
    Explanation
    The correct answer is H65.111 because it specifically represents acute serous otitis media in the right ear. The code H65.112 represents acute serous otitis media in the left ear, H65.113 represents acute serous otitis media in bilateral ears, and H65.119 represents acute serous otitis media, unspecified ear. Since the question mentions that the patient has the condition in the right ear, H65.111 is the appropriate code.

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  • 10. 

    Patient admitted for insertion of ventriculoperitoneal shunt via open aproach for communicating hydrocephalus:

    • A.

      Q03.9, 001U3K7

    • B.

      G91.1, 001U3K5

    • C.

      G91.4, 001U074

    • D.

      G91.0, 00160J6

    Correct Answer
    D. G91.0, 00160J6
    Explanation
    The correct answer is G91.0, 00160J6. G91.0 is the correct code for communicating hydrocephalus, which is the condition the patient is being treated for. 00160J6 is the correct code for the insertion of a ventriculoperitoneal shunt via an open approach, which is the procedure being performed.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 31, 2017
    Quiz Created by
    Naushad207
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