CH 10 ANWSERS

DISEASE OF THE RESPIRATORY SYSTEM

1) A patient who smokes 2 packs of cigarettes a day is seen by the ENT for runny nose and persistent
stuffiness. The patient reports an increase of snoring. After examination it is determined the patient
has a nasal polyp. What is/are the appropriate ICD-10-CM code(s)?
A) J33.0 B) J33.8, Z72.0 C) J33.9, F17.210 D) J33.9 C
2) A patient is seen for wheezing and cough for the past 2 days. She is using her rescue inhaler daily
and has not been able to work out for about a week due to the cough. She is diagnosed with moderate
persistent asthma. What is/are the appropriate ICD-10-CM code(s)? A
A) J45.40 B) J45.909 C) J45.909, R05, R062 D) J45.40, R05 R062

3) A patient is seen for acute exacerbation of her chronic, bilateral frontal sinusitis. She is exposed to
tobacco smoke in her workplace. What are the appropriate ICD-10-CM codes? C
A) J32.1, Z57.31 B) J32.1, J01.10 C) J01.10, J32.1, Z57.31 D) J01.11, J32.1, Z57.31

Rationale: Acute and chronic condition convention.

4) A patient is seen for bronchitis due to rsv. What is/are the appropriate ICD-10-CM code(s)?
A) J20.5 B) J40, B97.4 C) J21.0 D) J42. B

5) Patient is seen in follow-up for chronic obstructive pulmonary disease. He is experiencing some
SOB, productive cough and has had a low grade fever off and on for the past 2-3 days. He states he is
taking his medications as prescribed. He is diagnosed with an acute bronchitis. What is/are the
appropriate ICD-10-CM code(s)? C
A) J44.9 B) J44.1 C) J44.0, J20.9 D) J20.9, J44.0

6) Patient presents with sore throat, fever, and over-all aching and feeling poorly. Rapid strep is done
with Positive results and strep tonsillitis is diagnosed. What is/are the appropriate ICD-10-CM
code(s)? A

A) J03.00 B) B95.5 C) J03.03 D) J03.00, B95.5

7) Patient presents with runny nose, stuffy head, frontal headache and sneezing. After exam the
physician diagnoses allergic rhinitis and sinusitis. What is/are the appropriate ICD-10-CM code(s)?
A) J30.9 B) J30.89, J32.9 C) J32.1, J30.9 D) J30.9 J32.9 D

8) A girl is brought in by her mother with a severe sore throat and fever over 100 degrees. She
vomited once prior to coming in. A rapid strep is done and confirms strep throat. What is/are the
appropriate ICD-10-CM code(s)? A
A) J02.0 B) J02.0, B95.5 C) J02.8, B95.1 D) J03.00

9) A 6-year-old boy is seen for asthma since age 2 years. Asthma symptoms have been mild, no
admissions. This summer he was started on Advair for a short time. She thinks he wheezes some
nights. Mom said he also has occasional nighttime cough. Their home is smoke free. He is alert,
active, NAD. Skin: no lesions. Lymph nodes: not enlarged. Breathing pattern regular. Chest SPE:
normal. Percussion: resonant. Chest auscultation: air entry bilaterally, no added sounds, no wheezing.
Heart: normal S1 and S2. No murmur. His diagnoses is Mild Intermittent asthma. What is/are the
appropriate ICD-10-CM code(s)? B
A) J45.30 B) J45.20 C) J45.21 D) J45.909, Z77.22

10) A patient presents with facial pain above and below her eyes. The pain worsens when she bends
over. She is/are diagnosed with acute frontal and maxillary sinusitis. What is the appropriate ICD-10-
CM code(s)? A
A) J01.00, J01.10 B) J01.40 C) J01.80 D) J01.90

11) A girl is brought in by her mother with a severe sore throat and fever over 100 degrees. She
vomited once prior to coming in. A rapid strep is done and confirms strep throat. What is/are the
appropriate ICD-10-CM code(s)? A
A) J02.0 B) J02.0, B95.5 C) J02.8, B95.1 D) J02.8, B95.1

12) Patient presents with a sore throat and fever for 2 days. Assessment: Positive strep test with a
diagnosis of tonsillitis. What is the appropriate ICD-10-CM code? D
A) J03.01 B) J02.0 C) J03.90 D) J03.00

13) Patient presents with body aches, chills, fever and just a general “yucky feeling”. She is
diagnosed with influenza. What is/are the appropriate ICD-10-CM code(s)? B
A) J10.1 B) J11.1 C) J10.1 J01.90 D) J11.89

14) An asthmatic patient presents for a check-up. She has mild persistent asthma that is currently well
controlled. She does, however, continue to smoke cigarettes. She states she has tried to quit, but just
can’t. She is dependent, having smoked for 25 years. What are the ICD-10-CM codes?
A) J45.20, F17.200 B) J45.31, F17.210 C) J45.30, F17.210 D) J45.30, Z72.0 C

15) Patient is diagnosed with chronic sinusitis of maxillary and frontal sinuses. What is/are the
appropriate ICD-10-CM code(s)? A
A) J32.0, J32.1 B) J32.8 C) J01.00, J01.10 D) J01.80

16) Patient is seen in follow-up for bronchiectasis. He states he has no complaints. He is still limited
in ADL, but no real SOB. He continues cigarette smoking as he is dependent, against medical advice.
What are the appropriate ICD-10-CM codes? D
A) J47.1, F17.210 B) J47.0, Z77.22 C) J47.9, Z77.22 D) J47.9, F17.210

17) A patient is hospitalized with pneumonia and culture indicates it is due to Escherichia coli. What
is/are the appropriate ICD-10-CM code(s)? B
A) H15.6 B) J15.5 C) J15.8, J85.1 D) J15.8, B96.20

18) Patient states she has been hoarse off and on for the last 2 months. She has not had fever, and has
not been ill. She does occasionally have a dry cough. After exam with laryngoscope a nodule is
found on her vocal cords. What is/are the appropriate ICD-10-CM code(s)? B
A) D14.1 B) J38.2 C) R49.0 D) J38.2, R49.0

19) Acute influenza upper respiratory infection due to Avian flu. D

A. J09.X1 B. J10.1 C. J11.00 D. J09.X2