Ch18 Factors Influencing Health Status Test Bank + Answers

Let’s Code It!, 1e (Safian)

Chapter 18 Factors Influencing Health Status (Z Codes)

1) What is the correct code for an office visit for immunizations?

A) Z22

B) Z23

C) Z28.01

D) Z28.9

2) What is the correct code for an office visit for counseling and instruction in natural family planning to avoid pregnancy?

A) Z30.02

B) Z30.018

C) Z30.019

D) Z30.09

3) What is the correct code for an encounter for child care instruction?

A) Z32.2

B) Z33.1

C) Z32

D) Z32.3

4) What is/are the correct code(s) for an adult patient with a BMI of 46 who is receiving dietary counseling?

A) Z71.3

B) Z71.3, Z68.41

C) Z71.3, Z68.42

D) Z71.3, Z68.43

5) A patient visits the doctor's office for a testicular cancer screening. During the examination, the doctor discovers an atrophied right testis. What is/are the correct code(s) assignment?

A) Z12.71

B) Z12.72

C) N50.0

D) Z12.71, N50.0

6) Bobby Baker is seen today in the office for gout screening. What is the correct code?

A) Z13.89

B) Z13.810

C) Z13.828

D) Z13.9

7) James Jollin is being seen today to screen for alcoholism because his father suffered from alcoholism. What is the correct code assignment?

A) Z13.81

B) Z13.89

C) Z13.81, Z81.1

D) Z13.89, Z81.1

8) What is the correct code for an office visit to screen a patient for anemia?

A) Z13.88

B) Z13.0

C) Z13.9

D) Z13.6

9) What are the correct codes for a well-child check for a 14-day-old newborn at which the newborn was found to have pyloric stenosis and jaundice?

A) Z00.111, Q40.0, P59.9

B) Z00.111, K31.1, P59.9

C) Z00.121, Q40.0, P59.9

D) Z00.121, K31.1, P59.9

10) What is the correct code assignment for a patient who received a blood pressure screening only with results within the normal range?

A) Z01.3

B) Z01.30

C) Z01.31

D) Z01.31, R03.0

11) Sally Smith is being seen today in the office for allergy testing. What code is assigned?

A) Z01.8

B) Z01.810

C) Z01.82

D) Z01.89

12) What is the correct code for a patient coming in for HPV screening?

A) Z11.5

B) Z11.51

C) Z11.59

D) Z11.6

13) Mary Matthews is concerned about her breast cancer risk because her mother passed away as a result of breast cancer five years ago. She presented to the office today for a routine mammogram to screen for breast cancer. What is the correct code assignment?

A) Z12.31, Z80.3

B) Z12.31

C) Z12.39, Z80.3

D) Z12.39

14) What is the correct code for a patient coming in for cholesterol screening?

A) Z13.22

B) Z13.220

C) Z13.228

D) Z13.29

15) What is the correct code assignment for a patient coming in for screening for a mitral valve prolapse with a family history of this condition?

A) Z13.6

B) Z13.7

C) Z13.6, Z82.49

D) Z13.7, Z82.49

16) Olive Olson is seen today because she had intercourse with an HIV-positive person and now needs to be screened for HIV. What is the correct code?

A) Z11.2

B) Z11.3

C) Z11.4

D) Z11.51

17) A patient is a carrier of typhoid. What code is assigned?

A) Z22.0

B) Z22.1

C) Z22.2

D) Z22.39

18) Hannah Hollow is being seen today for a lump in her right breast. Hannah has a genetic susceptibility to breast cancer. What is the correct code assignment?

A) N63

B) Z15.01

C) Z86.000

D) N63, Z15.01

19) A patient is a carrier of viral hepatitis C. What code is assigned?

A) B18.0

B) B18.1

C) B18.2

D) B18.9

20) A patient has a genetic susceptibility to multiple endocrine neoplasia. What code is assigned?

A) Z15.02

B) Z15.03

C) Z15.04

D) Z15.81

21) A patient is seen today for suspected placental problems. The physician completes the testing and determines there is no placental problem. What code is assigned for the visit?

A) Z03.72

B) Z03.73

C) Z03.74

D) Z03.75

22) Twenty-three-year-old Susie Sommbers is seen today for examination after an alleged rape. A rape kit was ordered and the police were called. The rape kit came back negative. What code is assigned for the visit?

A) Z04.4

B) Z04.41

C) Z04.42

D) Z04.6

23) Twenty-three-month-old Jamee Jones was found by his mother to have an empty bottle of naproxen. The mother is unsure whether Jamee took any of the pills or where the pills are. Jamee is brought in for work-up. All the labs come back normal, and the examination does not find any evidence that Jamee swallowed any of the pills. What code(s) is/are assigned?

A) Z03.6

B) T39.311A, Z03.6.

C) T39.311A

D) Z03.6, T39.311A

24) What is the correct code for an examination following a work accident?

A) Z04.1

B) Z04.2

C) Z04.3

D) Z04.6

25) Six-year-old Chrissy Chrimson is brought in today by her mother. Her parents are divorced and Chrissy's mother is concerned that her father abused her over the weekend while he had custody of Chrissy. The physician examines Chrissy and discusses the weekend's events with her. The physician does not find any physical or mental indication of abuse. How is this visit coded?

A) Z04.41

B) Z04.42

C) Z04.71

D) Z04.72

26) What is the correct code for long-term use of inhaled steroids?

A) Z79.51

B) Z79.52

C) Z79.81

D) Z79.5

27) Bobby Billson is seen today for fitting of a complete right artificial arm. What is the correct code assignment?

A) Z44.011

B) Z44.012

C) Z44.021

D) Z44.022

28) Jane Jillson is seen today for a thrombosis in her lower distal left leg vein. Jane has been taking birth control pills for three years and the physician decides to stop this because blood clots are a side effect of long-term use of birth control pills. What is the correct code assignment?

A) Z79.2

B) I82.4Z2, Z79.3

C) I82.4Z2

D) Z79.3, I74.3

29) What is the correct code for replacing the battery in a cardiac pacemaker?

A) Z45.018

B) Z45.010

C) Z45.02

D) Z45.09

30) Grayson Gustefson was discharged one week ago after an amputation at his left elbow. He is being seen in the office today to evaluate the healing of his amputation stump. What is the correct code assignment?

A) Z47.81, S58.012A

B) Z47.81, S58.012D

C) Z47.82, S58.012A

D) Z47.82, S58.012D

31) Patty Paler is being seen today for anemia. Patty has been taking aspirin for three years due to CAD. What codes are assigned?

A) D64.9, I25.10, Z79.82

B) D64.9, I25.11, Z79.82

C) D64.9, I25.10, Z79.83

D) D64.9, I25.11, Z79.83

32) What is the correct code for an office visit for a routine gynecological examination without any findings?

A) Z01.411

B) Z01.419

C) Z01.41

D) Z01.42

33) What is the correct code for a volunteer whole blood donor?

A) Z52.000

B) Z52.010

C) Z52.090

D) Z52.098

34) Pam Payson is a 25-year-old female being seen today to donate oocytes to her sister. What is the correct code assignment?

A) Z52.810

B) Z52.811

C) Z52.812

D) Z52.813

35) Blaze Becker is a one-day-old infant born via cesarean section. His Apgar scores are 8 and 9. The baby and his mother are transferred from the birthing suite without any complications. What is the correct code assignment?

A) Z38.00

B) Z38.01

C) Z38.30

D) Z38.31

36) Jasmine Jewel delivered a healthy baby at home today in attendance of her midwife. Soon after delivery, Jasmine was brought to the hospital for examination because the midwife was concerned about her color. Upon examination, no abnormalities were noted. What is the correct code assignment?

A) Z39.0

B) Z39.1

C) Z39.2

D) O80

37) Carina Friday delivered a healthy newborn six weeks ago and is now presenting for a postpartum follow-up visit. What is the correct code assignment?

A) Z39.0

B) Z39.1

C) Z39.2

D) O80

38) Brad Bradford was brought to the ER for fever and weakness. After work-up, it was determined that Brad had an infection, and he was admitted to the ICU. Lab results show sepsis due to MRSA. The physician treats the patient for sepsis due to MRSA. What is the correct code?

A) A41.02

B) A49.02

C) Z16.20

D) Z16.35

39) What is the correct code for resistance to vancomycin?

A) Z16.11

B) Z16.21

C) Z16.20

D) Z16.35

40) Victor Viper was transferred to the ICU from a community hospital. Victor is put on a ventilator because he has sepsis due to Pseudomonas. Victor was not able to be weaned from the ventilator, so he was transferred to a skilled nursing center. What is the correct code assignment?

A) A49.02

B) A49.02, Z99.11

C) A41.52

D) A41.52, Z99.11

41) What is the correct code for sepsis due to Enterococcus?

A) A41.51

B) A41.52

C) A41.81

D) A41.89

42) What is the correct code for pneumococcal sepsis?

A) A40.0

B) A40.1

C) A40.3

D) A40.8

43) What is the correct code for resistance to amoxicillin?

A) Z16.11

B) Z16.21

C) Z16.20

D) Z16.35

44) How many Z codes are permitted to be used only as first-listed diagnosis codes?

A) 10

B) 20

C) 30

D) 40

45) Which of the following Z codes can only be used for a principal diagnosis?

A) Z00.00

B) Z18.01

C) Z13.820

D) Z16.342

46) Which of the following Z codes can only be used for a principal diagnosis?

A) Z04.1

B) Z04.2

C) Z04.3

D) All of these

47) Which of the following Z codes can only be used for a principal diagnosis?

A) Z30.40

B) Z31.81

C) Z34.90

D) Z41.3

48) Which of the following Z codes can only be used for a principal diagnosis?

A) Z38.61

B) Z05.2

C) Z53.8

D) Z68.54

49) Which of the following Z codes can only be used for a principal diagnosis?

A) Z75.9

B) Z76.1

C) Z79.891

D) Z80.5

50) Which of the following Z codes can only be used for a principal diagnosis?

A) Z99.0

B) Z99.1

C) Z99.2

D) Z99.12

51) Refer to the ICD-10-CM Official Guidelines I.C.21.a, which states: ________ codes are for use in any healthcare setting.

A) A

B) G

C) P

D) Z

52) Refer to the ICD-10-CM Official Guidelines I.C.21.a, which states: Z codes may be used as either a ________ or ________, depending on the circumstances of the encounter.

A) secondary code or third code

B) first-listed or secondary code

C) first-listed or third code

D) secondary code or first listed

53) Refer to the ICD-10-CM Official Guidelines I.C.21.b, which states: A corresponding ________ code must accompany a Z code to describe any procedure performed.

A) procedure

B) system

C) technique

D) process

54) Refer to the ICD-10-CM Official Guidelines I.C.21.c.3, which states: ________ codes indicate that a patient is either a carrier of a disease or has the sequelae or residual of a past disease or condition.

A) Activity

B) Procedure

C) Status

D) Hobby

55) Refer to the ICD-10-CM Official Guidelines I.C.21.c.4, which states: ________ history codes are for use when a patient has a ________ who has had a particular disease that causes the patient to be at higher risk of also contracting the disease.

A) Personal, family member(s)

B) Malignant, family member(s)

C) Family, family member(s)

D) Complication, family member(s)

56) Refer to the ICD-10-CM Official Guidelines I.C.21.c.7, which states: ________ visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease.

A) Follow-up

B) Aftercare

C) Donor

D) Counseling

57) Refer to the ICD-10-CM Official Guidelines I.C.21.c.9, which states: Codes in category ________, Donors of organs and tissues, are used for living individuals who are donating blood or other body tissue.

A) Z51

B) Z52

C) Z53

D) Z54

58) Refer to the ICD-10-CM Official Guidelines I.C.21.c.14, which states: For encounters specifically for prophylactic removal of an organ (such as prophylactic removal of breasts due to a genetic susceptibility to cancer or a family history of cancer), the principal or first-listed code should be a code from category ________, Encounter for prophylactic surgery, followed by the appropriate codes to identify the associated risk factor (such as genetic susceptibility or family history).

A) Z52

B) Z42

C) Z40

D) Z30

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

A) injury.

B) illness.

C) screenings.

D) injury and illness.

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

A) A

B) H

C) W

D) Z

61) Which of the following would be considered a routine encounter?

A) Annual physicals

B) Well-baby checks

C) Well-woman exam

D) All of these

E) None of these

62) ________ means the donor and recipient are of the same species.

A) Allogeneic

B) Isogeneic

C) Autologous

D) Xenogeneic

63) ________ means the donor and recipient individuals are genetically identical.

A) Allogeneic

B) Isogeneic

C) Autologous

D) Xenogeneic

64) ________ means the donor and recipient are of different species.

A) Allogeneic

B) Isogeneic

C) Autologous

D) Xenogeneic

65) ________ means lost tissue is replaced with synthetic material such as metal, plastic, or ceramic.

A) Allogeneic

B) Prosthetic

C) Autologous

D) Xenogeneic

66) ________ means the donor tissue is taken from a different site on the same individual's body.

A) Allogeneic

B) Prosthetic

C) Autologous

D) Xenogeneic

67) ________ means that those certain antibiotics will not be effective in combating this pathogen.

A) Allogeneic

B) Resistant

C) Susceptible

D) Xenogeneic

68) ________ means that the named antibiotic is expected to be successful in killing off the infection.

A) Allogeneic

B) Resistant

C) Susceptible

D) Xenogeneic

69) The patient has been diagnosed with Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere. What is the correct code?

A) B95.0

B) B95.4

C) B95.62

D) B95.61

70) A(n) ________ is an individual who has been infected with a pathogen yet has no signs or symptoms of the disease.

A) agent

B) carrier

C) bearer

D) passenger