CEU Final Exam for Understanding ICD-10-CM and ICD-10-PCS A Worktext, Third Edition UPDATE

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1 CEU Final Exam for Understanding ICD-10-CM and ICD-10-PCS A Worktext, Third Edition UPDATE Note to CEU applicant In order to receive CEU credit for taking this exam, the following criteria must be met: You must be certified by AAPC prior to purchasing this textbook and prior to submitting this test to Cengage for CEUs. This offer of CEUs is intended for credentialed professionals only and is not intended for use by instructors teaching a course that utilizes this textbook. You must receive a passing grade of 70% or better (21/30 correct) to be eligible to apply for the 3 CEUs granted by AAPC for this title. If you receive a passing grade and a certificate of approval from Cengage, you must then enter the index number from the certificate into your personal CEU tracker. For more information on obtaining CEUs from AAPC, please go to: Instructions for Submitting an Exam to Cengage for AAPC CEU Approval The AAPC is offering CEU credits to qualified candidates for the 30-question exam for Understanding ICD-10-CM and ICD-10-PCS A Worktext, 3 rd edition UPDATE*, ISBN , by MaryJo Bowie. The AAPC will grant a total of three (3) CEU credits for this title, for passing grades of 70% and above. To apply for CEU credit on this title, please read the following instructions. Please note that CEU applications for Understanding ICD-10-CM and ICD-10-PCS A Worktext, 3 rd edition UPDATE, will not be honored by the AAPC after 4/1/2018. To allow for processing time, final CEU test submissions must be received by Cengage no later than 2/15/2018. Directions: Print out and complete the exam you wish to submit to Cengage for CEU approval. Submit the completed exam along with your name, address, , and phone to: Cengage Learning Attn: Product Assistant, Insurance & Coding CEUs 5 Maxwell Drive Clifton Park, NY If Cengage finds that your exam meets or exceeds the passing grade of 70% or 21/30 correct, you will receive a certificate from Cengage on behalf of the AAPC stating that you have earned CEU credit. To obtain CEU credit, you must submit the certificate to the AAPC. Applicants please note: Awarding of a certificate from Cengage does not constitute full CEU approval. Upon receipt of the certificate from Cengage, you are then responsible for submitting this certificate to the AAPC the next time your credential is up for renewal in order to officially obtain the CEU credit(s). *This publication has prior approval of the American Academy of Professional Coders for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or program.

2 CEU Final Exam for Understanding ICD-10-CM and ICD-10-PCS A Worktext, Third Edition UPDATE Name: Phone: ( ) Instructions: Select the correct answer choice for each of the following. 1. CMS updates the ICD-10-CM diagnostic codes. a. annually b. quarterly c. biannually d. every other year 2. Sammy Smith sustained a fracture of his right ulna. This would be reported with a code from the ICD- 10-CM chapter entitled: a. Diseases of the Musculoskeletal System and Connective Tissue b. Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified c. Injury and Poisoning and Certain Other Consequences of External Causes d. Factors Influencing Health Status and Contact with Health Services 3. The note INCLUDES. a. lists nonessential modifiers b. instructs the coder to reference another section of the Tabular c. indicates that two codes are needed d. defines and/or gives examples of the content of a particular category 4. For the statement intestinal obstruction due to meconium in mucoviscidosis of newborn, the main term to reference in the Index is. a. intestinal or obstruction b. obstruction or meconium c. obstruction or mucoviscidosis d. mucoviscidosis, meconium, or obstruction 5. Which of the following is NOT a member of the Cooperating Parties for ICD-10-CM? a. AHA b. AMA c. AHIMA d. CMS 6. Tommy Jones was hospitalized and the discharge diagnosis recorded for his case is meningitis due to Lyme disease. The correct code(s) for this case is/are. a. A69.20 b. A69.20, G03.9 c. G03.9

3 d. A Which of the following codes has an instructional notation to use additional codes to identify exposures and histories? a. C30.1 b. C31.9 c. C34.00 d. C37 8. Sickle-cell thalassemia with acute chest syndrome is reported with code. a. D b. D57.40 c. D d. D Type 1 DM with diabetic dermatitis is reported with code. a. E10.43 b. E13.62 c. E d. E John Tops is admitted to an inpatient rehab center to determine if he has an addiction to alcohol. After extensive testing, the assessment concludes alcohol dependence with withdrawal delirium. Code would be used for this case. a. F10.21 b. F10.10 c. F d. F Jerry Marks is seen in PT today because of a diagnosis of hemiplegia affecting the right dominant side. This is reported with code. a. G81.01 b. G81.13 c. G81.91 d. G Which of the following diagnoses is reported with code H27.00? a. acquired aphakia of left eye b. acquired absence of lens c. right eye aphakia due to trauma d. bilateral aphakia 13. Tommy Jones is being seen today due to tinnitus of the right ear and otalgia of both ears. The code(s) for this case is/are. a. H93.13, H92.03 b. H92.03, H c. H93.11, H92.03 d. H93.13

4 14. Varicose veins of the left lower extremity with inflammation are reported with code(s). a. I83.10, L08.9 b. I83.12, L08.9 c. I d. I The final diagnosis on a discharge summary reads, acute and chronic respiratory failure. The correct code(s) is/are. a. J96.0 b. J96.20 c. J96.0, J96.1 d. J Patient has a diagnosis of vesicular stomatitis and also smokes cigars. This is reported with code(s). a. K12.1, Z72.0 b. K12.1, F c. K12.1, F d. K12.0, F Mr. Smith was admitted to Sunny Valley Rest Home with a pressure ulcer of the sacral region with full thickness skin loss with damage of the subcutaneous tissue extending to the underlying fascia. This would be reported with code(s). a. L b. L c. L d. L Right forearm interstitial myositis is reported with code. a. M b. M c. M d. M Office Note: Sam presents to the office today due to bladder sphincter dyssynergy that is causing urinary stress incontinence. At this time he is being treated with medications which I am monitoring. This case would be reported with code(s). a. N36.44, N39.3 b. K83.8, N39.3 c. N39.3, N32.81 d. N36.42, N Mild pre-eclampsia in the 38 th week of pregnancy is reported with code(s). a. O14.13, Z3A.38 b. O14.00, Z3A.38 c. O14.03, Z3A.38 d. O14.93, Z3A.38

5 21. Dorsal spina bifida with hydrocephalus is reported with code. a. Q05.9 b. Q76.0 c. Q05.9, G91.9 d. Q The instructional notation that appears for the code for a drug-induced fever is. a. Code first any underlying disease b. Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with 5 th or 6 th character 5) c. Excludes1: fever and chills d. Excludes1: atypical face pain due to fever and chills 23. Office Note: This patient returns to the office today to follow up on a torus fracture of the upper end of the right tibia. An x-ray was taken and there is nonunion of the fracture. This would be reported with code. a. S82.161S b. S82.161A c. S82.161K d. S82.161D 24. The external cause code for exposure to laser radiation for an initial encounter is. a. X32.xxxA b. W90.1xxA c. W90.2xxA d. W89.9xxA 25. Sally Smith is seen by Dr. Jones today. She had carcinoma of the breast four years ago and there is no evidence of the cancer at this time. This would be reported with code(s). a. C b. C50.919, Z85.3 c. Z85.3 d. Z85.3 C Gary Hill was seen today for removal of a foreign body from his left cornea. This procedure would be reported with code. a. 08C8XZZ b. 08C1XZZ c. 08CTXZZ d. 08C9XZZ 27. A midforceps delivery would be coded with code. a. 10D07Z3 b. 10D07Z4 c. 10D07Z5 d. 10D07Z6

6 28. An MRI of the bilateral renal veins would be reported with code. a. B53VZZZ b. B52KZZZ c. B53LYZZ d. B53LZZZ 29. Which code is used to report a swallowing assessment completed at the bedside using an assessment kit? a. F00ZHZZ b. F00ZHYZ c. F00ZKZZ d. F00ZPZZ 30. Family psychotherapy would be reported with code. a.gz50zzz b. GZ63ZZZ c. GZ61ZZZ d. GZ72ZZZ

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