Top 25 Principal Diagnoses in Emergency Medicine and an ICD-9 vs. ICD-10 Comparative Code Choice Overview – Part 1 This webinar is AAPC-approved for 1.5 CEU 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 15 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 15 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 NameEmailChest pain can generate a broad list of differential diagnoses including. Acute Myocardial Infarction Pulmonary Embolus Pleurisy All the aboveWhich group of ancillary studies would commonly be ordered to evaluate an elderly male who presents to the ED with chest pain that is accompanied by shortness of breath: A chest x-ray, a CBC, a BMP, cardiac enzymes, an EKG, and, sometimes, a pro BNP A chest x-ray and an MRI A CBC and a BMP alone An EKG aloneA urinalysis that is positive for ketones and reveals a high specific gravity would indicate that a patient is probably: Suffering from kidney stones Pregnant Dehydrated In need of antibioticsAn elderly patient who presents to the ED with changing mental status and global weakness may be suffering from: Cystitis A simple upper urinary tract infection Sepsis A kidney stoneA person with epigastric abdominal pain may be suffering from the following: Diverticulitis Pancreatitis Hepatitis ColitisEpigastric abdominal pain may be caused by: Gastritis, pancreatitis, cholelithiasis, or perforation of the stomach or small intestine Hepatitis, right-sided diverticulitis, bowel obstruction, or constipation Ovarian cyst or torsion, pyelonephritis, a ventral or umbilical hernia, or an ectopic pregnancy Mono with splenomegaly, a ruptured spleen, a small bowel obstruction, or pneumoniaFor a patient who is diagnosed with pneumonia, final disposition will be determined by: Whether the patient is tachypenic (breathing rapidly) and/or hypoxic (pulse oximetry at lower 90s). Whether the patient is suffering from other underlying co-morbidities or chronically ill. Whether the patient has global weakness All of the aboveWhich of the following is included in the ICD-9 manual, but is not included in the ICD-10 code sets for headaches, and is not addressed in the ICD-10 code manual index: Daily chronic headache Nasal septum headache Menopausal headache Facial pain headacheMigraine pain is usually: Restricted to one side of the head In the occipital region of the head In the frontal region of the head In the forehead, cheek or jawTrue or False? An HCG test would commonly be ordered for a woman between 15 and 50-years-old who presents to the ED with a probable urinary tract infection. True FalseWhich of the following ancillary studies is rarely ordered to evaluate a head injury: CT scan of the cervical spine X-ray(s) of the skull Lab studies CT scan of the brain/headLumbago is a medical term for: CT scan of the cervical spine X-ray(s) of the skull CT scan of the brain/head Low back pain/discomfortThe most common cause of lumbago is: Lumbar muscle strain Kidney stones A herniated disc A metastatic lesionA patient who complains of acute pharyngitis and is diagnosed with a retropharyngeal abscess would likely be: Discharged with antibiotics Admitted for surgery to drain the abscess Admitted for observation Discharged with instructions to follow-up with a PCPPatients who visit an ED having suffered a syncopal episode are commonly: Discharged without a workup Admitted for surgery Admitted, even if a workup reveals negative and/or normal results Admitted to a telemetry bed, especially if the etiology of the syncopal episode is unknown
