2016 MOCK CCS H

Front

A 23-year-old female is admitted for shock following treatment of a miscarriage. The pathology report from the previous admission reveals that the patient had no decidua or products of conception in the tissue removed. This encounter would be coded as: O03.81, Spontaneous abortion complicated by shock; O08.9, Complication following abortion and ectopic and molar pregnancies; R57.9, Shock NOS; T81.10XA, Postoperative shock

Back

O08.9, Complication following abortion and ectopic and molar pregnancies

Front

Most hospitals require a medical record is completed within: 5 days, 10 days, 7 days, 30 days

Back

30 days

Front

To correct an entry in the medical record, the provider should: Draw several lines through the error, obliterate the documentation as much as possible, initial and date, add the correct information in chronological order

Back

Draw several lines through the error, obliterate the documentation as much as possible, initial and date, add the correct information in chronological order

Front

A maternity patient is admitted in labor at 43 weeks. She has a normal delivery with vacuum extraction to facilitate the baby’s delivery. Which of the listed would be the principal diagnosis? O48.0, O48.1, O80, O66.5

Back

O48.1

Front

With regard to the implementation of ICD-10-CM, all of the following are correct except:
ICD-10-CM was developed by NCHS,
ICD-10-CM and ICD-10-PCS will be fully implemented beginning October 1, 2016,
ICD-10 is already being used in the United States for death certificate coding,
The process of adoption of ICD-10-CM is specified in HIPAA

Back

ICD-10-CM and ICD-10-PCS will be fully implemented beginning October 1, 2016.

Front

The thrombophlebitis would be coded as:

Back

T81.718A, Complication of other artery following a procedure, not elsewhere classified, initial encounter

Front

A patient was admitted to the emergency department with chest pain, and was diagnosed with aborted myocardial infarction with acute myocardial ischemia. There was no prior cardiac surgery. The cardiac enzymes were normal. The appropriate coding of the diagnosis for this case is:

Back

I24.0, Acute coronary thrombosis not resulting in myocardial infarction

Front

A patient has nausea and vomiting with abdominal pain due to acute cholecystitis. The physician documents the following on the discharge summary: acute cholecystitis, nausea, vomiting, and abdominal pain. The correct diagnosis code(s) are:

Back

Acute cholecystitis

Front

Domain III Regulatory guidelines and reporting requirements for acute care (inpatient) services
Patient admitted with hemorrhage due to placenta previa with twin pregnancy. The patient had two prior (cesarean section) deliveries. Emergency C-section was performed due to the hemorrhage.
The appropriate principal diagnosis would be: Prior cesarean sections, Placenta previa without hemorrhage, Twin gestation, Placenta previa with hemorrhage

Back

Placenta previa with hemorrhage

Front

Domain IV Regulatory guidelines and reporting requirements for outpatient services
When a Medicare patient receives an injection of IM penicillin G benzathine, 100,000 units only, what is the appropriate code assignment?

Back

96372, J0561