IHI 5.doc

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Assignment 4 Graded Quiz
1. Vomiting of blood may indicate which of the following types of hemorrhage?
A. Acute upper GI C. Upper or lower GI
B. Chronic upper GI D. Lower GI
2. Which of the following conditions is/are the most common causes of upper GI bleed?
A. Gastric ulcers C. Intestinal diverticular disease
B. Intestinal ulcers D. All of the above
3. A patient is admitted with a small pouch extending from the duodenum. The coder will
probably report category
A. 562.01—diverticulitis. C. 532.30—duodenal ulcer.
B. 562.00—diverticulosis. D. 531.30—acute gastric ulcer.
4. When minor adhesions are lysed as part of another procedure, how should you code the lysis of adhesions?
A. As an additional procedure
B. As an incision
C. Don’t code the lysis of adhesions.
D. Depends on the approach used
5. How should the presence of hematuria after a urinary tract procedure or prostatectomy
be coded?
A. 599.0
B. 599.7
C. 998.89
D. It shouldn’t be coded unless directed by the physician.
6. When a patient has both hypertension and renal disease, a relationship is presumed and
coded as one code together except in the case of
A. acute renal failure. C. renal disease with heart disease.
B. chronic renal failure. D. acute renal disease.
7. Which of the following factors most likely determines the appropriate procedure code
assignment for prostatectomies?
A. The approach C. The age of the patient
B. The case-mix index D. The presence of secondary diseases
8. A sacral decubitus ulcer with gangrene is coded and sequenced (if applicable) as codes
A. 707.03. C. 785.4.
B. 707.03, 785.4. D. 785.4, 707.03.
9. How many codes should be assigned for cellulitis as a complication of chronic skin ulcers?
A. One
B. Two
C. Three
D. Unsure, need to query physician
10. Any skin debridement performed by a physician should be coded to which of the following
procedure codes?
A. 86.22
B. 86.27
C. 86.28
D. Need more information; must query physician for type of debridement used

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