Coding Clinic for ICD-10-CM/PCSCoding Clinic for ICD-10-CM/PCSCoding Clinic for ICD-10-CM/PCSCoding Clinic for ICD-10-CM/PCSCoding Clinic for ICD-10-CM/PCSContinuing Education Quiz 141-10

First Quarter 2014Postmarked no later than August 31, 2014

First Quarter 2014First Quarter 2014First Quarter 2014First Quarter 2014First Quarter 2014

Name:_____________________________________________________________________________________________________Daytime phone number

Subscription Status:PersonalInstitutional (Specify institution if not part of the address)___________________________________________________________

VerificationThis is to certify that the person named above has earned one hour of continuing education credit by completing this testwith a grade of 70% or better.By:__________________________________________________________________ On:__________________________________

No Credit EarnedScore not passing; less than 70%Test incompleteFee not enclosedSubmitted past due date

1. The patient is status post an abdominal aortic aneurysm (AAA) repair using an endovascular graft system. Thepatient has developed a type 1 endoleak and is currently admitted for treatment of the type 1 endoleak using anendostaple device to reattach the stent graft. Assign the correct ICD-10-PCS procedure code(s) for thisendovascular repair of a type 1 endoleak.

2. A patient with left lung cancer presents for bronchoscopic placement of fiducial marker to target the left lungtumor. The fiducial marker was placed; the patient was discharged and scheduled for Cyberknife® image guidedstereotactic robotic radiosurgery, at a later date. Assign the correct ICD-10-PCS procedure code.

3. A patient is admitted to undergo repair of right femoral pseudoaneurysm. During surgery, dissection wasundertaken down to the inguinal ligament and the common femoral artery was identified. The pseudoaneurysmsite was repaired with suture. Assign the correct ICD-10-PCS procedure code(s).

4. A patient was admitted with gastrointestinal bleeding. The provider performed microbead embolization to theinferior mesenteric artery, to totally occlude the artery to stop the bleeding. Assign the appropriate ICD-10-PCSprocedure code.

5. A patient suffered lower gastrointestinal bleeding and was treated with endovascular embolization usingmicrocoils to stop the blood flow. The bleeding site was found in the proximal left descending colon branch ofthe left colic artery. The main arterial branch to this bleeding site was successfully embolized with microcoils.Assign the correct ICD-10-PCS procedure code(s).

6. A female patient presents for treatment of an abdominal wound secondary to infection. The patient is status postabdominal surgery two weeks prior. Assign the correct ICD-10-CM diagnosis code for an infected postsurgicalwound.

7. An elderly patient in a long-term care facility was found to be dehydrated with hyponatremia. Assign the correctICD-10-CM diagnosis code(s) for dehydration with hyponatremia.

8. In ICD-10-PCS, assign the correct “root operation” for a transbronchial needle aspiration lymph node biopsy.A. DrainageB. ExcisionC. Extraction

9. In ICD-10-PCS, assign the correct “body part” character for a diagnostic lumbar tap performed to test formeningitis.

A. “U” Spinal CanalB. “Y” Lumbar Spinal CordC. “T” Spinal Meninges

10. In ICD-10-CM, when the emergency medical technician (EMT) documents the patient’s initial Glasgow comascale (GCS) score in the field, coders are allowed to use the EMT’s documentation to assign the GCS.

A. TrueB. False

Coding ClinicCoding ClinicCoding ClinicCoding ClinicCoding ClinicContinuing Education QuizDue on or before August 31, 2014

InstructionsRegistered Health Information Technicians, Registered Health Information Administrators,

Certified Coding Specialists and Certified Coding Specialists––Physician-based may earn one hour of continuing educationcredit toward AHIMA’s continuing education requirement by completing this test with a minimum score of 70%. This test isavailable to both personal subscribers and employees of institutions that subscribe to Coding Clinic. Complete the quiz, fill ininformation on both sides, and type or print clearly your name and mailing address in the space provided. Fold the insert on thedotted lines on this page, and mail to the following address:

Central Office on ICD-10-CM/PCSAttention: Continuing EducationAmerican Hospital AssociationP.O. Box 92247Chicago, IL 60675-2247

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For your return address: Please type or print clearly the information within the dotted box below.

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Enclose check or money order for $20 (handling fee). Make check payable to the American Hospital Association.Do not send cash.

The quiz will not be graded and the $20 fee will be forfeited if the quiz is not postmarked on or before the date indicated oneach test.

No credit will be given if the score is less than 70%, the test is incomplete, postmarked after the designated date, or submittedwithout the $20 handling fee.

Forms may be photocopied for use by directors of medical records or coding supervisors for assessment of coding staff’sunderstanding of topics presented in Coding Clinic.

Note: The Central Office on ICD-10-CM/PCS will not retain records of achievement. The practitioner is responsible for retainingthe verification form returned by AHA and reporting the credit on AHIMA’s official continuing education reporting form.

Do not send the AHA verification form to the American Health Information Management Association.

Please duplicate your completed Continuing Education Quiz and retain the copy for your purposes.