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pregnancy and childbirth coding

ICD 10 – CM Practice Series For 2018

 

Hello Friends,

This is another post for medical coding  beginners. Pregnancy codes are always confusing and even experienced coders find it difficult. This is send by one of our facebook user from India on Topic -Pregnancy, childbirth and the puerperium. These are also useful for freshers medical coding job interviews and do practice more for enhancing your ICD 10 coding skills in 2018.

  1. Rupture Uterus
  2. Poor fetal heart rate
  3. Failure to progress
  4. PIH
  5. Pregnancy HIV
  6. Placental Abruption
  7. Failed Induction
  8. Pre term labor (PTL)
  9. Pre CS
  10. Spontaneous membrane rupture sorm (SRM)
  11. Polyhydroamnios
  12. NFHT (Non Fetal heart tunnel)
  13. Twins
  14. Triplets
  15. Cord Around Neck
  16. Macrosomnia
  17. Oligohydroaminos
  18. Breech Presentation
  19. IUGR (Intra uterine growth restriction)
  20. Gestational DM
  21. Hydrocephalus Fetus
  22. CPD (Cephalo Pelvic Disproportion)
  23. HSV (herpes simplex Virus)
  24. Fetal distress
  25. Pre eclampsia (Severe) PIH
  26. Pre eclampsia (Normal)
  27. Placenta previa
  28. Fetal intolerance to labor
  29. Fetal Demise
  30. Incomplete abortion
  31. large for dates
  32. shoulder dystocia
  33. arrest of descent
  34. prolapse cord
  35. retained placenta
  36. C/S wound
  37. Fetal bradycardia
  38. Malpresentation
  39. Fetal Cardiac Anomaly
  40. D&C
  41. D&C post partum
  42. D&C retained placenta
  43. Arrested active labor

* conditions are considered as after delivery. so given answers are selected as after delivery codes.

Answers:

  1. O71.03
  2. O76
  3. O62.2
  4. O13.9
  5. O98.719, Z21
  6. O45.90
  7. O61.9
  8. O60.14X0
  9. O09.90
  10. O42.90
  11. O40.9XX0
  12. O76
  13. O30.009
  14. O30.109
  15. O69.81×0
  16. O36.63×0
  17. O41.00×0
  18. O32.1xx0
  19. O36.5130
  20. O24.419
  21. O33.6xx0
  22. O33.9
  23. O98.519
  24. O77.9
  25. O14.10
  26. O14.90
  27. O44.00
  28. O36.8930
  29. O36.4xx0
  30. O03.4
  31. O36.60×0
  32. o66.0
  33. O62.2
  34. O69.0xx0
  35. O72.0
  36. O86.0
  37. O76
  38. O32.9
  39. O35.8xx0
  40. O
  41. O
  42. O
  43. O62.9

 

If you find any incorrect answer, please let me know or discuss in comments section.

ICD 10 Questions

Practice Questions for 2018 – ICD – 10 CM

  1.  Patient presents with a sore throat and fever for 2 days. Assessment: Positive strep test with a diagnosis of tonsillitis.
  2. A female patient comes in with vaginal itching and burning on urination. Wet prep is positive for yeast vaginitis.
  3. A patient with a malignant neoplasm of the right ovary is being treated by the oncologist for anemia due to tumor.
  4. A patient states that she was begun to have symptoms of her depression again. she is tired, having trouble concentrating, and often agitated. she has a persistent low mood and lack of interest in activities. She is diagnosed with recurrence of her mild depression.
  5. Patient presents after working out and doing sit ups. She is experiencing musculoskeletal pain. She is diagnoses with muscle strain of abdominal muscles.
  6. A man with prostate cancer comes to the hospital for his second radiation therapy treatment.
  7. A former smoker is seen for a follow up. He has coronary artery disease with unstable angina.
  8. A 14 year old patient is seen in the ED for 1st degree burn on his right buttock. He was running away from a firework that tipped over and it struck him. He was at home in the yard.
  9. A patient comes in for her mammogram results. The patient is found to have microcalcifications.
  10. Patient present for vaginal bleeding for the last couple months, at irregular times other than when she is having her period. She is not in pain, and this generally occurs after intercourse. GYN exam is performed and a cervical polyp is seen in the cervical OS. The polyp is removed with ring forceps and sent to pathology.
  11. Patient presents with left shoulder pain after lifting heavy boxes in the attic. She did not fall but struck the wall. On exam  she can not raise the arm or place it behind her back without pain. She is diagnosed with a muscle strain of the left shoulder.
  12. A female patient is seen for obesity.
  13. An asthmatic patient presents for a check up. She has mild persistent asthma that is currently well controlled. She does, however, continue to smoke cigarettes. She states she has tried to quit, but just can’t. She is dependent, having smoked for 25 years.
  14. A patient comes in for a 22 week G2P1 complains of vaginal discharge. Wet prep shows Candida Vaginitis and the patient is instructed to use mycolog cream externally.
  15. A patient is seen by the ENT for chronic ethmoidal sinusitis.

 

 

Answers:

  1. J03.00
  2. B37.3
  3. C56.1, D63.0
  4. F33.0
  5. S39.011A
  6. Z51.0, C61
  7. I25.110, Z87.79
  8. T21.15XA
  9. R92.0
  10. N84.1
  11. S46.912A
  12. E66.9
  13. J45.30
  14. O23.592, Z3A.22, B37.3
  15. J32.2

 

 

Practice Questions For CPC Exam 2017 -Part 6

Hello Guys!!

This is fifth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 4

Practice Questions For CPC Exam 2017 -Part 5

Continue reading Practice Questions For CPC Exam 2017 -Part 6

Practice Questions For CPC Exam 2017 -Part 5

Hello Guys!!

This is fifth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 4

Continue reading Practice Questions For CPC Exam 2017 -Part 5

Practice Questions For CPC Exam 2017 -Part 4

Hello Guys!!

This is fourth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3 Continue reading Practice Questions For CPC Exam 2017 -Part 4

Practice Questions For CPC Exam 2017 -Part 3

Hello Guys!!

This is third post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2  Continue reading Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 2

Hello Guys!!

This is second post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous post, see this :

Practice Questions For CPC Exam 2017 -Part 1

  1. A 56 year old male patient had coronary artery bypass two months ag. He now presents for a re-operation for coronary bypass. Cardiopulmonary bypass machine will be used during this procedure and the patient will be placed under general anesthesia
    A. 00537
    B. 00560
    C. 00530
    D. 00562
  2. A male patient passes out while jogging in the park. Upon examination at the hospital he is found to have a wide complex tachycardia and undergoes and electrophysiologic study and radiofrequency ablation
    A. 00532-P1
    B. 01926-P1
    C. 01922-P1
    D. 00537-P1
  3. A 64 year old fell in the kitchen while mopping the floor and could not get up. The fall resulted in a broken hip. Upon examination of the break, the physician decides a hip replacement is needed. The patient is taken to the operating room where anesthesia is administered for the surgery of a total hip replacement
    A. 01210,99100
    B. 01210
    C. 01214
    D. 01214,99100
  4. A patient presents to the labor delivery department in the first stages of labor. The baby is in breech position so the physician decides to perform an external cephalic version to manipulate the fetus for a head presentation. The patient is taken to the operating room where she received anesthesia for this procedure.
    A. 01963
    B. 01961
    C. 01967, 01968
    D. 01958
  5. A 67 year old female in good physical health is having a cholecystectomy. The anesthesiologist begins to prepare this patient for surgery at 1000. The surgery begins at 10:15 and ends at 11:30. The anesthesiologist releases the patient to the PACU nurses at 11:45.
    A. 1 hr 30mins, 00840
    B. 1 hr 45mins, 00790
    C. 1 hr 15mins, 00790
    D. 2hrs 15mins, 00840
  6. Using ultrasound guidance an anesthesiologist injects an analegesic and a steroid mixture into the parsvertebral facet joint on both the right and left sides at L1-L2 and L2-L3. The procedure is done for pain management for the patient’s persistent pain secondary to spondylosis with myelopathy.
    A. 64493, 64494, 77003-26
    B. 0216T-50, 0217T-50
    C.  64483-50, 64484-50, 77003-26 x2
    D. 64493-50, 64494-50
  7. Patient is coming into surgery for total knee replacement due to worn down cartilage in the knee joint. When patient was taken to the recovery room, he still continued to have postoperative pain during recovery. The anesthesiologist came in and performed a left femoral block, which provided significant post-operative pain relief.
    A. 01402, 64448, 01996
    B. 01400, 64447
    C. 01402, 64447
    D.01401,64450, 01996
  8. A 15 year old male was seen this morning in his pediatrician’s office for controlling a nosebleed with cauterization.  He returns to the office in the afternoon with a nosebleed continuing after initial cautery.  This time the pediatrician uses Surgifoam and extensive cautery anteriorly in the left nose
    A. 30901-78
    B. 30903-52
    C. 30903-59
    D.30903-78
  9. Preoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
    Postoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
    Procedure performed: Placement of an LABP right common femoral artery
    Description of procedure: Patient’s right groin was prepped and draped in the usual sterile fashion. Access was obtained through the groin via opening the femoral artery.  The tip of the balloon catheter was placed and then intra-aortic balloon pump was placed after the right common femoral artery had been dilated with the small dilator.  The ballon pump had good waveform. The balloon pump catheter was secured to his skin after local anesthesia of 2cc of 1% Xylocaine was used to numb the area. 0 silk suture was used to secured the balloon pump. The patient had sterile dressing placed. The patient tolerated the procedure there were no complication.
    A.33970
    B.33975
    C.33967
    D.33973
  10. The cardiothoracic surgeon takes a patient to the operating room to perform an open balloon angioplasty of femoral pepriteal artery.  During the same operative session, the surgeon performs an open transluminal peripheral atherectomy of the visceral artery.
    A. 37224, 75964-26
    B. 37224, 0235T
    C. 37228, 37220
    D. 37228, 0238T
  11. A lymphanglogram is performed on a patient with early onset of cervical cancer. Code the condition as well as the injection procedure with radiological imaging on one side.

    A. 38790-50, 75807, 180.0.. can be this
    B. 38792-50, 78195, 180.8
    C. 38790, 75805, 180.9,
    D. 38792, 76942, 180.0

  12. An eight year old male presents with multiple Ventrical Septai Defects (VSDs) and is in current heart failure. Under general anesthesia, the skin incision is made via median sternotomy.  Cardiopulmonary bypass is initiated. Under epicardial guidance the muscular VSD is located. The guidewire is placed transmyocardially through the VSD. A new technology device is then delivered over guidance to close the VSD, after successful closure the guidewire is removed and the site is repaired.  A chest tube is placed in the sternum.

    A. 33684
    B. 33681
    C. 33999
    D. 33993

  13. An oncologist performs a bone marrow aspiration and a bone marrow biopsy on the right posterior iliac spine. The procedures were performed during the same encounter. Select the appropriate code(s) for a Medicare patient.
    A. 38221, 38220
    B. 38221
    C. 38221, G0364
    D. 38220, G0364
  14. A catheter is placed into aortic arch from a right femoral arterial approach. The catheter is then guided into the right common carotid. Dye is injected and imaging of the ipsilateral extracranial carotid and bilateral external carotid is performed.

    A.36222, 36227-50
    B.36223, 36227-50
    C.75658-26
    D.36224-50

  15. Patient is a 26 year old female new to our group practice. She has symptoms indicative of gastritis with increasing abdominal bloating I have been contracted as a locum tenes to substitute for Dr. Allen while he is on vacation for two weeks.
    A. 99212
    B.  99212-Q6
    C.  99201
    D. 99201-Q6
  16. Patient is a 26 year old female in for one month follow up to our group practice for asthma. My partner Dr. Jones is unavailable today and this patient is new to me. She has no new complaint and no recurrence of dyspnea (see previous note). Blood pressure 120/84, RRR, NBS, lungs  clear to auscultation. All question answered. No scheduled f/u. Return PRN. The MDM was straightforward.
    A. 99201-Q6
    B.  99202
    C.  99211-Q6
    D.  99212
  17. A patient presents to the oncology office for her scheduled chemotherapy. Uring the encounter she receives IV chemo medicationn for two hours and 16 minutes.
    A 96413, 96415
    B. 99211-25, 96413, 96417
    C. 99211, 96413, 96411 X 2
    D. 96413, 96365
  18. A 10 year old child that has regrowth of tonsil tissue is taken to the operating room for a tonsillectomy.
    A. 42835
    B. 42825
    C. 42820
    D. 42826
  19. A 34year old male is taken back to the OR for a takedown of his colostomy and reversal of his small intestines after six months of bowel rest for his colitis.  The patient supine on the operating table and general endotracheal anesthesia is administered.  His abdomen is prepped and draped in the usual sterile manner.  The colostomy stoma was incised and dissected sharply from the abdominal wall.  After the stoma was mobilized and taken down from the abdominal wall, it was closed with 0-0 chronic and 5-0 prolene. The abdominal incisions were closed in the usual fashion.
    A. 44227
    B. 44640
    C. 44625
    D. 44620
  20. A patient undergoes a laparoscopic partial colostomy of the transverse colon, including low pelvic anastomosis, due to cancer of the colon and rectum.

    A. 44146,
    B. 44207
    C. 44208
    D. 99208

Donloadable CPC Practice Exam Questions For 2017

Please do all these questions and ask your queries in the comments section.

Keep Safe!!!

CPC Exam 2018

CPC Previous year Questions for Practice CPC 2017 with Answers -Part 2

Question 26

A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon performs a bilateral cleft lip repair, single stage. Code the anesthesia service.

  1. 00170-P1, 99100
  2. 00102-P1
  3. 00102-P1, 99100
  4. 00170-P1

Answer – 00102-P1, 99100

Question 27

A 78-year-old with lower back pain and leg pain is scheduled for a MRI of lumbar spine without contrast. Following the MRI, the patient is diagnosed with spinal stenosis of the lumbar region. What are the procedure and diagnosis codes?

  1. 72020-26, 724.2, 729.5, 724.02
  2. 72149-26, 724.03
  3. 72148-26, 724.02
  4. 72158-26, 724.02, 724.2, 729.5

Answer – 72148-26, 724.02

Question 28

22-year-old driver loss control of her car and crashed into a light pole on the highway.  She arrived to the hospital by ambulance in an unconscious state. She had CT scans without contrast of the brain and chest. She had X-rays of AP and PA views of her left ribs and AP and PA views of her right ribs with a posterioanterior view of the chest. The CT scan of the brain showed a fracture of the skull base with no hemorrhage of the brain. The CT of the lung showed no puncture of the lungs. The X-ray showed fractures in her second, third, and fifth ribs. What CPT® and ICD-9-CM codes should be reported.

  1. 70450-26, 71250-26, 71101-26, 803.02, 807.03, E815.0, E849.5
  2. 70460-26, 71260-26, 71110-26, 801.02, 807.13, E815.0, E849.5
  3. 70450-26, 71250-26, 71111-26, 71010-26, 801.06, 807.03, E815.0, E849.5
  4. 70450-26, 71250-26, 71111-26, 801.06, 807.03, E815.0, E849.5

Answer – 70450-26, 71250-26, 71111-26, 801.06, 807.03, E815.0, E849.5

Donloadable CPC Practice Exam Questions For 2017

CPC exam questions 2017

CPC Previous year Questions for Practice CPC 2017 with Answers -Part 1

Question 1

Indications: 15-year-old boy was burned in a fire and assessed to have received burns to 75 percent of his total body surface area. He was transferred to a burn center for definitive treatment. Once stable, he was brought to the OR. Procedure: Due to extent of the patient’s burns and lack of sufficient donor sites, his full-thickness burns will be excised and covered with xenograft (skin substitute graft), and a split-thickness skin biopsy will be harvested for preparation of autologous grafts to be applied in the coming weeks, when available. After induction of anesthesia, extensive debridement of the full-thickness burns was undertaken. Attention was first directed to the patient’s face, neck, and scalp. A total of 500 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved using electrocautery. Attention was then turned to the trunk. A total of 950 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved. Attention was then turned to the arms and legs. A total of 725 sq cm received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved. Attention was then turned to the hands and feet. A total of 300 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. All involved areas were then covered with xenograft. Finally a split thickness skin graft of 0.015 inches in depth was harvested using a dermatome from a separate donor site. A total of 85 sq cm was recovered. What procedures codes would be reported service?

  1. 15200, 15201 x 123, 15004, 15005, 15002, 15003
  2. 15275, 15276 x 31, 15271, 15272 x 66, 15004, 15005 x 16, 15002, 15003 x 7
  3. 15277, 15278 x 7, 15273, 15274 x 16, 15004, 15005 x 7, 15002, 15003 x 16, 15040
  4. 15130, 15131 x 7, 15135, 15136 x 16, 15004, 15005 x 7, 15002, 15003 x 16

Answer – 15277, 15278 x 7, 15273, 15274 x 16, 15004, 15005 x 7, 15002, 15003 x 16, 15040