Chapter 11 — Quiz
Twenty-two questions. Verify all conventions against the current Section I.C.
Multiple choice
1. Hypertension and chronic kidney disease, no stated relationship:
- A. two separate codes
- B. a combination code — the relationship is presumed
- C. query required
- D. code the CKD only
2. Hypertension and a heart condition, no stated or implied relationship:
- A. a combination code
- B. two separate codes
- C. code the heart condition only
- D. query required in all cases
3. A combination code for hypertensive chronic kidney disease is reported:
- A. alone
- B. with an additional code for the CKD stage
- C. only for end stage renal disease
- D. only when the provider states the linkage
4. An acute MI is coded as acute for:
- A. 7 days
- B. 14 days
- C. 28 days (four weeks)
- D. 90 days
5. A new infarction occurring within the acute period of a previous one is coded from:
- A. the old MI category
- B. the subsequent MI category, with both reported
- C. the acute category only
- D. the sequelae category
6. Deficits remaining years after a cerebral infarction are coded from:
- A. the acute infarction category
- B. the sequelae category
- C. the personal history category
- D. the symptoms chapter
7. A patient who had a stroke with no residual deficits is coded with:
- A. an acute infarction code
- B. a sequelae code
- C. a personal history status code
- D. no code
8. Acute respiratory failure developing after admission is:
- A. the principal diagnosis
- B. a secondary diagnosis
- C. not reportable
- D. sequenced by severity
9. Respiratory failure sequencing turns on:
- A. severity
- B. why the patient was admitted
- C. whether intubation occurred
- D. length of stay
10. A pressure ulcer's stage may be taken from:
- A. only the provider's documentation
- B. another clinician's documentation, provided the provider documented the ulcer
- C. the nursing flowsheet alone
- D. the coder's assessment of the description
11. A patient with a functioning kidney transplant and residual CKD has:
- A. a transplant complication
- B. CKD plus a transplant status code — not a complication
- C. transplant rejection
- D. end stage renal disease
12. Chapter 15 codes:
- A. are sequenced after body-system codes
- B. take sequencing priority over other chapters
- C. apply only at delivery
- D. are optional
13. The obstetric trimester is determined by:
- A. the coder's calculation
- B. the provider's documented weeks of gestation at the encounter
- C. the admission date
- D. the due date
14. In chapter 15, the seventh character identifies:
- A. episode of care
- B. trimester
- C. the fetus
- D. delivery outcome
15. An outcome-of-delivery code is reported:
- A. on the newborn's record
- B. on the maternal record when a delivery occurs
- C. on every obstetric encounter
- D. on antepartum encounters
Short answer
16. State the hypertension asymmetry and the reason it exists.
17. Name the four axes of heart failure classification.
18. Name the three coding situations one cerebrovascular event can produce.
19. State the general pattern about what a combination code carries and what it frequently does not.
20. (Chapter 9) A note documents hypertension, and the problem list carries stage 3a CKD whose relationship would be presumed. Why is the code I10?
21. (Chapter 10) Name the three conventions that collide on a patient with diabetes, hypertension, and chronic kidney disease, and say which one decides whether the CKD is reported at all.
22. (Chapter 4) A digestive outcome follows a procedure. Under what circumstances may a coder report it as a complication?