Critical ICD-10 Concepts for the Emergency Medicine Coder – Part 2 This webinar is AAPC-approved for 1 CEU Core A and/or CEDC specialty credits provided you score a 70% or higher on the post test. Test takers should read all test instructions, and complete the Required Information fields at the top of the test. This test consists of 10 questions. Please select one best answer for each test question by clicking on the square next to the answer you have selected. This test is not timed; however, the test must be taken in one sitting. When all 10 questions have been answered, please click on the Submit Test button. Your score, as well as logic-reach reasoning for answers to any test questions that you missed, will be displayed immediately following completion and successful transmission of this test. For technical support for your Emergency Medicine Coding and Reimbursement Webinar Library subscription please call or email: Cari Laplace Webinar Technical Support Administrator BSA Healthcare Phone: 1-561-434-4740 Email: claplace@bsanda.com NameCompany NameEmailCode S16.1XXA is commonly used for which of the following presentations that is regularly seen in an ED setting: Elbow sprain Cervical spinal stenosis Cervical strain Ankle sprainCode S39.012A is commonly used for which of the following presentations that is regularly seen in an ED setting: Cervical strain Back pain Dehydration Lumbar strainWhen a provider documents that a patient is suffering from dehydration, a coder should also review the chart for documentation that confirms that the patient may also be suffering from or did require: Sepsis Electrolyte imbalance IV fluids All the aboveWhich of the following codes should be used to indicate Acute Bronchitis, unspecified: J20.9 J20.7 J40 J20.8True or False: If a patient presents to the ED complaining of a single episode of depression that has not previously been diagnosed, then code F32.9 – which is used to indicate Major Depressive Disorder, unspecified – would be the appropriate code choice as it would be difficult for an ED provider to determine an exact etiology or type of depressive disorder in an ED setting. True FalseIf an ED provider documents weakness as a the first-listed diagnosis on a patient record, an ED coder should review the record for documentation of other items that could be coded first including: Lab results (e.g. BMP, CBC, or TSH) that may indicate a condition such as hypokalemia, hyperthyroid, hypocalcemia, hypercalcemia, or hyponatremia. The code for weakness should never be used by emergency medicine coders as a first-listed diagnosis. An infective process like sepsis or pneumonia. A and CIt is acceptable to use unspecified codes for an emergency department visit when: Information in the medical record is insufficient to assign a more specific code and most accurately reflects what is known about a patient’s condition during the visit. An infective agent has been confirmed and documented by the provider. Unspecified codes should never be used by emergency medicine coders. A definitive diagnosis has been documented by the provider.A rectal exam that reveals dark stool or melena usually indicates which of the following conditions: A lower GI bleed, usually from the colon or distal small bowel. An upper GI bleed as gastric secretions turn bright, red blood into black, tarry stools. A lower GI bleed as gastric secretions turn bright, red blood into black, tarry stools. Brisk bleeding from the patient’s upper GI tract.If a patient’s migraine resolves following administration of therapy in the ED, it is considered which of the following: Not intractable and with migranosus Unspecified Not intractable and without migranosus Intractable and without migranosusCodes H00 – H59 are used to designate conditions of the eye and adnexa. Most of the categories in this code set designate codes based on laterality. If a bilateral code is not provided for a condition that affect both eyes, then a coder should: Assign separate codes for the right and left eyes. Choose a bilateral code that most closely describes the patient’s condition. Code to the highest level of specificity available as a specific organism is usually unknown. Assign an unspecified code.
