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Chapter 11 ICD-9-CM Quiz
1. Code and sequence the following case: The patient has a deformity of his left
ring finger due to an old tendon injury. He is admitted and undergoes a transfer
of the flexor tendon from the distal phalanx to the middle phalanx.
727.82 Calcium deposits in tendon and bursa
736.20 Unspecified deformity, finger (acquired)
834.02 Closed dislocation of finger, interphalangeal (joint), hand
905.8 Late effect of tendon injury
82.55 Other change in hand muscle or tendon length
82.56 Other hand tendon tendon transfer or transplantation
a. 834.02; 82.55
b. 736.20; 905.8; 82.56
c. 727.82; 82.56
d. 727.82; 82.55
2. Code and sequence the following case: Pathological fracture of the femur due to
metastatic bone cancer. Patient has a history of lung cancer.
162.9 Primary malignancy lung
198.5 Secondary malignancy bone
733.14 Pathologic fracture femur
821.00 Traumatic fracture femur
V10.11 Personal history malignant neoplasm lung
a. 821.00; 198.5; 162.9
b. 821.00; 198.5; V10.11
c. 733.14; 198.5; V10.11
d. 198.5; 733.14; V10.11
3. Code and sequence the following case: Recurrent internal derangement of the
left knee. Arthrotomy with meniscectomy of the knee performed.
715.96 Osteoarthritis, knee
718.36 Recurrent dislocation knee
836.2 Other tear of cartilage or meniscus of knee, current
80.16 Arthrotomy knee
80.26 Arthroscopy knee
80.6 Meniscectomy
a. 836.2; 80.26
b. 715.96; 80.26
c. 718.36; 80.16; 80.6
d. 718.36; 80.6
4. True or false: Stress fractures are usually due to cancer.
a. True
b. False
5. Disorder of the spinal cord is:
a. Myelopathy
b. Arthropathy
c. Arthritis
d. Dorsopathy
6. Pathological fractures are described as spontaneous and are secondary to a
disease process such as bone cancer or osteoporosis and are not due to trauma.
a. True
b. False
7. True or false: "Revision of joint replacement" codes do not include removal of
joint replacement components and a code for "removal of prosthesis" is also
required.
a. True
b. False
8. Osteoarthritis (OA) is the most typical form of arthritis and can also be called
degenerative joint disease (DJD).
a. True
b. False
9. Code and sequence the following case: The patient is admitted with herniated
lumbar intervertebral disk. Laminectomy with diskectomy performed.
722.10 Lumbar intervertebral disc without myelopathy
722.2 Displacement of intervertebral disc, site unspecified, without myelopathy
839.20 Displacement of lumbar vertebra, closed
03.09 Laminectomy
80.51 Diskectomy
80.59 Other destruction of intervertebral disc
a. 839.20; 80.51
b. 722.10; 80.51
c. 722.2; 03.09; 80.51
d. 722.10; 03.09; 80.59
10. Code and sequence the following case: The patient has had chronic worsening
pain in her left knee from rheumatoid arthritis. She has decided to undergo a total
knee replacement as recommended by her physician. The surgery goes well;
however, she develops urinary tract infection that requires an additional day stay
in the hospital.
599.0 Urinary tract infection, site not specified
714.0 Rheumatoid arthritis
714.31 Polyarticular juvenile rheumatoid arthritis, acute
715.96 Osteoarthrosis, unspecified whether generalized or localized, lower leg
81.53 Revision of hip replacement, not otherwise specified
81.54 Total knee replacement
a. 714.0; 599.0; 81.54
b. 714.31; 81.53
c. 714.31; 81.54
d. 715.96; 599.0; 81.54
11. Code and sequence the following case: Patient is an 83-year-old female with
osteoporosis. She is admitted from the Emergency Department complaining of
severe back pain. X-rays revealed acute pathological compression fractures of
several vertebrae.
721.90 Arthritis of spine
733.00 Osteoporosis
733.13 Pathological fracture vertebrae
805.8 Fracture vertebrae
a. 733.13; 733.00
b. 721.90; 733.13
c. 805.8; 733.00
d. 733.00; 733.13
12. Code and sequence the following case: Malunion of humeral fracture (original
acute injury occurred one year ago). Open reduction with internal fixation (ORIF)
performed.
733.81 Malunion of fracture
733.82 Nonunion of fracture
812.20 Traumatic fracture humerus
905.2 Late effect of fracture of upper arm
79.31 Open reduction of fracture with internal fixation, humerus
79.32 Open reduction of fracture with internal fixation, radius and ulna
a. 812.20; 905.2; 79.02
b. 812.20; 79.32
c. 733.82; 905.2; 79.31
d. 733.81; 905.2; 79.31
13. Kyphosis, scoliosis, and lordosis are common back disorders that are usually
assigned as a primary diagnosis.
a. True
b. False
14. All secondary manifestations of systemic lupus erythematosus are required to be
coded.
a. True
b. False
15. When a lateral curvature of the spine occurs, a patient is diagnosed with
lordosis.
a. True
b. False
16. Wear and tear on a joint over time is a cause of primary OA.
a. True
b. False
17. Code and sequence the following diagnosis and procedure: Bone spur, wrist.
Excision, bone spur, wrist.
726.4 Bursitis of hand or wrist
726.90 Enthesopathy of unspecified site
726.91 Bone spur NOS
77.64 Local excision of lesion or tissue of bone, carpals and metacarpals
77.69 Local excision of lesion or tissue of bone, other spec. bone
a. 726.90, 77.64
b. 726.4, 77.69
c. 726.4, 77.64
d. 726.91, 77.69
18. When an infectious organism causes arthritis, it is always coded.
a. True
b. False
19. The code for psoriatic arthritis is located in chapter 13 of the Disease Tabular of
the ICD-9-CM.
a. True
b. False
20. Code and sequence the following case: A patient is diagnosed with scoliosis
due to neurofibromatosis.
237.70 Neurofibromatosis, unspecified
237.71 Neurofibromatosis, type 1
237.72 Neurofibromatosis, type 2
737.39 Kyphoscoliosis and scoliosis, other
737.43 Scoliosis
a. 737.39, 237.7
b. 737.43
c. 237.70, 737.43
d. 237.71, 737.43