Ch 18 Z Codes

How many Z codes are only permitted to be used as first-listed or principal diagnosis codes? Multiple choice question. 0 40 20 10

20

What should be evident in the documentation in order to code for a patient to be a carrier of a disease? Multiple choice question. Past medical history of the disease Evidence of treatment for the disease A known family history for the disease Exposure to the disease

A down family history for the disease

Which of the following are considered attributes of a carrier? Multiple select question. A person who has been exposed to a disease and has not been infected by the disease A person infected with a disease who is not ill and can pass it to another person A person with an abnormal gene that can be passed to a child, making the child susceptible to disease A person who is resistant to contracting a disease even though immunology tests indicate no immunity to the disease

A person infected with a disease who is not ill and can pass it to another person A person with an abnormal gene that can be passed to a child, making the child susceptible to disease.

A patient is admitted into the Observation Unit for 24 hours with a suspected heart attack, and then admitted as an inpatient with a diagnosis of AMI (acute myocardial infarction). The admitting diagnosis is Multiple Choice suspected heart attack. signs and symptoms, no confirmed diagnosis. AMI. observation.

AMI

What is the term used for test results that indicate a disease or condition may be present? Multiple choice question. Inconclusive findings Screening Abnormal findings Present on admission

Abnormal findings

What is the meaning of the abbreviation AMR? Multiple choice question. Antimicrobial resistance Atypical metabolic response Anticoagulant myocardial resistance Antagonistic muscular response

Antimicrobial resistance

What type of graft is when skin is taken from another part of the patient's body and transfered to the injured site? Multiple choice question. Heterograft Autograft Xenograft Allograft

Autograft

Select all that apply Which of the following tests determine genetic susceptibility of malignant neoplasms? Multiple select question. UA PTT BRCA1 BRCA2

BRCA1 BRCA2

How is sequencing of Z codes determined? Multiple select question. Based upon the rules of commercial payers Based upon the Official Guidelines in Sections II and III Based upon reimbursement Based upon the facts of the encounter

Based upon the Official Guidelines in Sections II and III Based upon the facts of the encounter

Which of the following is correct regarding coding sequence for a patient suffering from an infection that is resistant to antimicrobial drugs? Multiple choice question. Code first the comorbidities. Code first the infection. Code first the complications of the infection. Code first the resistance to the antimicrobial drug.

Code first the infection

Select all that apply Which of the following are examples of aftercare? Multiple select question. Encounter following joint replacement surgery Encounter for therapeutic drug level monitoring Encounter for change of a nonsurgical wound dressing Encounter following lung transplant

Encounter following joint replacement surgery Encounter for change of a nonsurgical wound dressing Encounter following lung transplant

What is the term used to identify when a person is in close physical proximity with a potential health hazard? Multiple choice question. Manifestation Susceptibility Screening Exposure

Exposure

Select all that apply For which of the following encounters for counseling would a coder use a Z code set? Multiple select question. Genetic counseling Dietary counseling and surveillance Counseling for depression Counseling to discuss patient's tobacco use

Genetic counseling Dietary counseling and surveillance Counseling to discuss patient's tobacco use

Z codes are codes used to report a reason for a visit to a physician for something other than an:

Illness and Injury

Select all that apply Why must a physician keep a watchful eye on a patient's personal history? Multiple select question. It may allow an increase in reimbursement. It may help the physician catch and treat a recurrent episode. It may provide medical necessity for an extra encounter.. It may provide medical necessity for an extra screening test.

It may help the physician catch and treat a recurrent episode. It may provide medical necessity for an extra encounter.. It may provide medical necessity for an extra screening test.

Which of the following organs may be donated by a living donor? Multiple select question. Kidney Cornea Heart Liver

Kidney Cornea Liver

How are screenings determined by the standards of care? Multiple choice question. Patients who fall into a specific population subgroup Patients who have had a previous condition Patients who have a confirmed diagnosis Patients who present with signs and symptoms

Patients who fall into a specific population subgroup

Select all that apply Which of the following encounters are considered administrative health encounters, determined by a specific required circumstance? Multiple select question. Pre-procedural exams Before a child joins a sports team Risk of a recurrence Preemployment exams

Pre-procedural exams Before a child joins a sports team Preemployment exams

What term means that certain antibiotics will not be effective in combating a pathogen? Multiple choice question. Resistant Susceptible Immunity Strangulated

Resistant

Which of the following statements are true about the term abnormal findings? Multiple select question. There is a confirmed diagnosis that a condition is present. Test results indicate something is wrong. More extensive and specific examinations must be done. It may signal that a condition is potential.

Test results indicate something is wrong. More extensive and specific examinations must be done. It may signal that a condition is potential.

Xenogeneic

The donor and recipient are of different species.

Allogeneic

The donor and recipient are of the same species.

Isogeneic

The donor and the recipient individuals are genetically identical.

Autologous

The donor tissue is taken from a different site on the same individual's body

Select all that apply Why must a physician monitor a patient who is taking medication on an ongoing basis? Multiple select question. To identify the disease process To identify side effects To identify recurrence To identify loss of potency

To identify side effects To identify loss of potency

Which of the following health care encounters are considered to be routine exams for continued good health? Multiple select question. Well-baby checks Well-woman exams Preemployment exams Annual physicals

Well-baby checks Well-woman exams Annual physicals

Reporting the provision of preventive care will require a _____ code to explain the specific reason for the encounter.

Z codes*

When a physician suspects that a patient may be ill despite the absence of signs and symptoms, the patient is Multiple choice question. transferred to a tertiary care provider. discharged home. admitted to the inpatient hospital. admitted for observation.

admitted for observation

A healing illness or injury may require __________. Multiple choice question. intensive care post-acute care tertiary care aftercare

aftercare

When determining a code for organ and tissue donations, the coder must discern from documentation whether the donor is ____________ or is providing another type of graft or donation. Multiple choice question. living autologous compatible medically necessary

autologous

Routine exams are usually prompted Multiple choice question. before a child joins a sports team. by the calendar. by the way a patient feels. by a patient's previous condition.

by the calendar

Chronic illness may require long-term use of medication, known as ______ therapy. Multiple choice question. prophylactic rehabilitation utilization drug

drug

When the physician documents that a patient has been in contact with someone with a communicable disease, the coder should select a code for ________. Multiple choice question. abnormal findings screening exposure susceptibility

exposure

When couples are seen by a health care professional to prevent passing chromosomal abnormalities to their future children, the encounter is coded as _____. Multiple choice question. family counseling contraceptive management infertilization genetic counseling

genetic counseling

When a patient is admitted for observation, a code for the encounter for medical observation for suspected diseases and conditions ruled out is reported to document ____________. Multiple choice question. confirmation of a diagnosis reimbursement medical necessity susceptibility

medical necessity

Health-related services designed to stop the development of a disease or injury are known as __________. Multiple choice question. utilization management disease detection managed care preventive care

p

When a patient had a previous condition that has since been resolved, it may be identified as a _______ Multiple choice question. confirmed diagnosis. manifestation. personal history. recurrent episode.

personal history

When a company requires a prospective employee to receive health care services to ensure good health, the encounter is considered a(n) _________ exam. Multiple choice question. personal history screening preemployment annual physical

preemployment

Another term for prophylactic surgery is __________ surgery. Multiple choice question. elective restorative diagnostic preventive

preventive

Health-related services designed to stop the development of a disease or injury are known as __________. Multiple choice question. managed care preventive care utilization management disease detection

preventive care

Health-related services designed to stop the development of a disease or injury is known as Multiple Choice diagnostic care. preventive care. Correct therapeutic care. vaccination.

preventive care

Science and research have provided us with a better understanding of disease and disease progression, which has resulted in improved _______________. Multiple choice question. disease management insurance coverages aftercare management preventive care

preventive care

An examination or test of a patient who has no signs or symptoms that is conducted with the intention of finding evidence of disease is known as a(n) _______. Multiple choice question. assessment evaluation screening management

screening

An examination or test of a patient with no signs or symptoms that is conducted with the intention of finding any evidence of disease as soon as possible is reported as a(n) Multiple Choice therapeutic procedure. screening. assumption. determination.

screening

When a named antibiotic is expected to be successful in killing off an infection, it is called _____. Multiple choice question. transcendent generalized susceptible resistant

susceptible