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Chapter 6 ICD 9 CM Outpatient and Physician Office Coding

MULTICHOICE

1. Point of first contact is a phrase most closely associated with _____.

(A) primary care

(B) hospice care

(C) hospitals

(D) nursing homes

Answer : (A)

2. Which of the following typically provides preventive medicine services such as well-child clinics?

(A) Physician's office

(B) Public health department

(C) Student health center

(D) Health maintenance organization

Answer : (B)

3. In the outpatient setting, the diagnosis, condition, problem, or other reason for the encounter
documented in the patient record to be chiefly responsible for the services provided is referred to as
_____.

(A) principal diagnosis

(B) first-listed diagnosis

(C) comorbid condition

(D) admitting diagnosis

Answer : (B)

4. A patient diagnosed with asthma would be treated under the service of _____.

(A) neurology

(B) medical genetics

(C) ophthalmology
(D) allergy and immunology

Answer : (D)

5. A patient is scheduled for an MRI. The patient would best be treated in a(n) _____.

(A) imaging center

(B) clinical laboratory

(C) physician's office

(D) infusion center

Answer : (A)

6. Physiatrists, psychiatrists, neurologists, neurosurgeons, and physical and occupational therapists

are all part of the staff at a(n) ____.

(A) physician's office

(B) primary care center

(C) infusion center

(D) pain management center

Answer : (D)

7. A patient is scheduled for a PTCA. He is most likely being treated in a(n) _____.

(A) pain management center

(B) cardiovascular center

(C) infusion center

(D) primary care center

Answer : (B)

8. If the historical condition or family code has an impact on current care, history codes (V10-V19)
may be reported as _____ codes.

(A) principal

(B) secondary

(C) first-listed

(D) qualifying
Answer : (B)

9. An elderly male patient suffered a cerebrovascular accident. What type of medical specialist
would he go to?

(A) Cardiovascular medicine

(B) Oncology

(C) Geriatrics

(D) Nephrology

Answer : (A)

10. A patient is admitted to the hospital with lung cancer and undergoes resection of the right lobe
of the lung. By which specialty would this patient be best serviced?

(A) Internal medicine

(B) General surgery

(C) Reconstructive surgery

(D) Thoracic surgery

Answer : (D)

11. Which condition would a rheumatologist treat?

(A) Arthritis

(B) Gastroenteritis

(C) Myasthenia gravis

(D) Sickle cell anemia

Answer : (A)

12. Intensive case management is associated with _____ care.

(A) hospice

(B) home health

(C) ambulatory surgery

(D) mental health

Answer : (D)
13. Urinary tract infection due to E. coli is coded as _____.

(A) 041.49

(B) 041.49, 599.0

(C) 599.0

(D) 599.0, 041.49

Answer : (D)

14. Hemiplegia resulting from a cerebrovascular accident that occurred one year ago is coded as
_____.

(A) 342.9

(B) 436

(C) 438

(D) 438.20

Answer : (D)

15. Sore throat; rule out strep throat is coded as _____.

(A) 034.0

(B) 034.0, 462

(C) 462

(D) 462, 034.0

Answer : (C)

16. Diabetic cataract is coded as _____.

(A) 250.50

(B) 250.50, 366.41

(C) 366.41

(D) 366.41, 250.50

Answer : (B)

17. A patient is being treated for primary retinal cysts. How is this coded as?
(A) 361.10

(B) 361.13

(C) 361.14

(D) 361.19

Answer : (B)

18. Facial laceration is coded as _____.

(A) 873.40

(B) 873.49

(C) 873.50

(D) 873.59

Answer : (A)

19. HIV positive is coded as _____.

(A) 042

(B) 042, V08

(C) 079.53

(D) V08

Answer : (D)

20. Well-child visit is coded as _____.

(A) V20.2

(B) V21.0

(C) V61.20

(D) V70.0

Answer : (A)

21. Annual physical examination is coded as _____.

(A) V57.1

(B) V67.9
(C) V69.0

(D) V70.0

Answer : (D)

22. Anoxic brain damage due to a previous accidental overdose of Nembutal (1 year ago) is coded as
____.

(A) 348.1, 909.0, E929.2

(B) 348.1, 967.0, E937.0

(C) 967.0, E851, 348.1

(D) 995.20, E937.0

Answer : (A)

23. Which of the following are reimbursed under Medicare?

(A) Exercise equipment

(B) Eye examinations

(C) Speech therapy

(D) Medication

Answer : (C)

24. Which of the following allows patients to receive care in one day without the need for inpatient
hospitalization?

(A) Hospice

(B) Home health care

(C) Ambulatory care

(D) Rehabilitation facility

Answer : (C)

25. Emergency care services are what type of service?

(A) Hospital outpatient

(B) Hospital inpatient

(C) Office visits

(D) Ambulatory surgical center

Answer : (A)

TRUEFALSE

26. The Uniform Ambulatory Care Data Set (UACDS) was established by the federal government as
a standard data set for ambulatory care facility records.

(A) True

(B) False

Answer : (A)

27. Ambulatory patients typically have a hospital length of stay of 1 day.

(A) True

(B) False

Answer : (B)

28. A clinical laboratory is directed by a radiologist.

(A) True

(B) False

Answer : (B)

29. A neighborhood health center typically provides family-centered health care to patients who are
economically disadvantaged.

(A) True

(B) False

Answer : (A)

30. A rehabilitation facility provides occupational, physical, and speech therapy to patients.

(A) True

(B) False

Answer : (A)
31. An ambulatory care center that is established remotely from a hospital is referred to as a
satellite clinic.

(A) True

(B) False

Answer : (A)

32. A patient receiving services in a day treatment program may come to the facility for up to three
days per week.

(A) True

(B) False

Answer : (B)

33. Patients who receive scheduled diagnostic and therapeutic care are called clinic outpatients.

(A) True

(B) False

Answer : (A)

34. Follow-up for a referred outpatient is done at the outpatient department.

(A) True

(B) False

Answer : (B)

35. Intravenous administration of fluids, electrolytes, and other additives is called hydration
therapy.

(A) True

(B) False

Answer : (A)

36. The diagnosis "suspected MI" should be coded as stated when outpatient care is provided.

(A) True

(B) False
Answer : (B)

37. Reporting qualified diagnoses on the CMS-1500 claim is allowed.

(A) True

(B) False

Answer : (B)

38. When a patient is admitted for observation for a medical condition, assign a code for the medical
condition as the first-listed diagnosis.

(A) True

(B) False

Answer : (A)

39. An ambulatory patient may also be referred to as an outpatient.

(A) True

(B) False

Answer : (A)

40. The terms clinic and referred are used to refer to inpatients.

(A) True

(B) False

Answer : (B)

41. A radiology center is directed by a radiologist.

(A) True

(B) False

Answer : (A)

42. A patient is being treated in an outpatient setting. During a routine exam, if a diagnosis or
condition is documented, it should be reported as an additional code.

(A) True
(B) False

Answer : (A)

SHORTANSWER

43. Food poisoning due to Clostridium botulism. Assign the ICD-9-CM code.Answer : 005.1

44. Family planning advice to avoid pregnancy. Assign the ICD-9-CM code.Answer : V25.04

45. Visual disorientation (syndrome). Assign the ICD-9-CM code.Answer : 368.16

46. Episodic caffeine intoxication. Assign the ICD-9-CM code.Answer : 305.92

47. Human immunodeficiency virus disease. Assign the ICD-9-CM code.Answer : 042

48. Urinary tract infection due to E. coli. Assign the ICD-9-CM codes.Answer : 599.0, 041.49

49. Patient treated presented with abdominal pain; scheduled for x-ray to rule out a gastric ulcer.
Assign the ICD-9-CM code.Answer : 789.00

50. Patient presents with shortness of breath and difficulty breathing. Chest x-ray revealed areas of
opacity. Sputum culture was negative. Patient was diagnosed with viral pneumonia. Assign the ICD-
9-CM code.Answer : 480.9

51. Patient receives treatment for tubal ligation for sterilization and complaints of lower extremity
varicose veins. Tubal ligation performed via laparoscopy in ambulatory care center. Assign the ICD-
9-CM disease codes.Answer : V25.2, 454.9

52. Office treatment for removal of a skin lesion from arm and renewal of prescription for migraines.
Assign the first-listed ICD-9-CM code.Answer : 709.9

53. Patient treated in the office for type 2 diabetes mellitus and shortness of breath due to possible
pneumonia. Urinalysis revealed presence of ketone bodies. Patient is referred for outpatient chest x-
ray. Assign the ICD-9-CM codes.Answer : 250.00, 786.05, 791.6

54. Patient diagnosed with gallstones. Cholecystectomy and common duct exploration performed for
acute cholecystitis and cholelithiasis. Assign the ICD-9-CM code.Answer : 574.00

55. Male patient underwent outpatient lumpectomy for carcinoma, lower quadrant of the right
breast. Assign the ICD-9-CM code.Answer : 175.9

56. Abdominal pain, rule out gastric ulcer. Assign the ICD-9-CM code.Answer : 789.00

57. Viral pneumonia due to SARS-associated coronavirus. Assign the ICD-9-CM code.Answer : 480.3

58. Outpatient cataract extraction for left toxic cataract. Assign the ICD-9-CM code.Answer : 366.45

59. Patient has type 2 diabetes mellitus with renal manifestations, currently under control. Patient is
also treated with kidney dialysis for end-stage renal disease. Assign the ICD-9-CM codes.Answer :
250.40, 585.6, V45.11

60. Follow-up visit in physician's office for hypertension. Medications changed for better control of
disease. Assign the ICD-9-CM code.Answer : 401.9

61. Follow-up office visit for patient discharged from hospital with final diagnoses of peripheral
vascular disease, chronic pyelonephritis, and essential hypertension. Assign the ICD-9-CM
codes.Answer : 443.9, 590.00, 401.9

62.
Follow-up visit in rheumatologist's office for acrosclerotic scleroderma. Assign the ICD-9-CM
code.Answer : 710.1

MATCH

63. Match each definition with the specialty listed below.

MATCH

64. Match each category description with the type of outpatient service listed below.

MATCH

65. Match each disease or medical condition with the service that would treat it.

MATCH

66. Match each type of care received with the form listed below.