ICD -10CM

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. NEC and NOS are ____used in ICD-10-CM book.

a. Abbreviations c. Essential modifiers
b. Eponyms d. Qualifiers

____ 2. Who are the parties responsible for providing the guidelines to ICD-10-CM?
a. AAPC and AMA c. NCHS and CMS
b. AMA and CMS d. WHO and CMS

____ 3. What type of code is assigned when the provider documents a reason for a patient seeking healthcare that is
not an injury or disease?
a. External cause code (V00-Y99) c. Nonspecific code
b. ICD-10-PCS code d. Z code (Z00-Z99)

____ 4. In the ICD-10-CM Index to Diseases and Injuries (Alphabetic Index), what is the code next to the main term
called?
a. Category Code c. Default Code
b. Subcategory Code d. Unspecified Code

____ 5. What does ICD-10-CM stand for?

a. International Code Diagnosis-10-Coding Medical
b. International Class Diagnosis -10th Book-Clinical Medicine
c. Infections Classified Diseases-10th Revision-Clinical Modification
d. International Classification of Diseases-10th Revision-Clinical Modification

____ 6. What section of the coding guidelines has instructions on how to code for a patient receiving diagnostic
services only in an outpatient setting?
a. Section I c. Section III
b. Section II d. Section IV

____ 7. What is an example of an eponym?

a. Neuropathy c. Salpingo-oophoritis
b. Paget’s disease d. Xanthoma
____ 8. The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what?
a. Lumps c. Seeds
b. Neoplasms d. Skin rashes

____ 9. `What is the meaning of “provider” in the ICD-10-CM guidelines?

a. the hospital c. insurance company
b. the physician d. the patient

____ 10. What month do the new ICD-10-CM coding books take effect each year?
a. January c. October
b. March d. December

____ 11. According to ICD-10-CM Guidelines, Section I.B.1., use both ____ and ____ when locating and assigning a
diagnosis code.
a. Alphabetic Index and Illustrations c. ICD-10-CM code book and Dictionary
b. Alphabetic Index and Tabular List d. Tabular List and Index to Procedures

____ 12. Which of the following statements is TRUE in reference to reporting BMI codes?
a. BMI codes should be reported anytime the patient’s BMI is documented
b. BMI codes should only be reported if the provider documents the diagnosis associated
with the patient’s BMI (such as overweight or obesity)
c. BMI codes should never be reported in ICD-10-CM
d. BMI codes should only be reported if the provider documents the BMI

____ 13. The instructions and conventions of the classification take precedence over
a. documentation
b. Official Coding Guidelines
c. CPT®
d. nothing, they are only used in the event of no other instruction.

____ 14. The word “and” should be interpreted to mean ____ when it appears in a title.
a. “and” or “or” – patient may have either or both
b. “and” – patient must have both
c. instead of
d. do not use
____ 15. When a patient has a condition that is both acute and chronic and there are separate entries for both, how is it
reported?
a. Code only the acute code c. Code both sequencing the acute first
b. Code both sequencing the chronic first d. Code only the chronic code

____ 16. A 6-year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an example of a (n)
____ code.
a. Category c. NEC
b. Etiology/manifestation code d. NOS

____ 17. The diagnosis “caudal cervical inflammatory spondylopathy” is assigned ICD-10-CM code M46.82 and is an
example of what ICD-10-CM coding convention?
a. Etiology/manifestation c. NOS
b. NEC d. Unspecified

____ 18. According to the Tabular List in the ICD-10-CM codebook, category code H80, Otosclerosis, includes what
other disorder?
a. Otopathy c. Otospongiosis
b. Otorrhea d. Tinnitus

____ 19. Which diagnosis below would be considered a combination code?

a. E06.0 c. K80.00
b. I07.0 d. R78.0
____ 20. Refer to the ICD-10-CM Tabular List of Diseases and identify the code that contains an Excludes 1 note
indicating not to code a specific diagnosis and that it should be coded elsewhere.
a. A18.01 c. K31.84
b. N94.1 d. S03.0-

____ 21. Refer to the ICD-10-CM Index to Diseases and Injuries (Alphabetic Index). Identify one of the main terms
below that has an instructional note indicating another main term may need to be referenced providing an
additional index entry to report the diagnostic code.
a. Hypertension c. Fracture, pathological
b. Diabetes d. Tingling sensation

____ 22. In the Index to Diseases and Injuries (Alphabetic Index), next to Hypertension, what do the terms in
parentheses indicate?
a. Hypertension cannot be coded unless one of those words is documented with hypertension
in the diagnosis.
 b. Hypertension needs two codes assigned.
c. Supplementary words that can be present or absent with the diagnosis hypertension and
does not affect the code to which it is assigned.
d. Looking at another main term to find that type of hypertension.

____ 23. What is the sequencing order when coding a sequela (late effect)?
a. The cause of the late effect is coded first and the residual condition is coded second.
b. The symptom is coded first followed by the residual condition and the late effect code.
c. The cause of the late effect is coded first, the residual condition is coded second followed
by the symptoms.
d. The residual condition is coded first, and the code(s) for the cause of the late effect are
coded as secondary.

____ 24. Which diagnosis code(s) should be reported for chronic gonococcal salpingitis?
a. N70.11, A54.24 c. N70.91, A54.24
b. N70.11 d. A54.24

____ 25. Which diagnosis below would be considered a combination code?

a. E06.0 c. K80.00
b. I07.0 d. R78.0
____ 26. What is the ICD-10-CM code for keloid scar on the foot?
a. L91.0 c. M35.4
b. Q81.0 d. I51.89
____ 27. What is the ICD-10-CM code for swine flu?
a. A08.4 c. J09.X2
b. J11.1 d. J10.1
____ 28. What is the ICD-10-CM code for UTI?
a. A54.00 c. T80.29XA
b. N71.9 d. N39.0
____ 29. What do brackets [ ] indicate in the Alphabetic Index?
a. Use the code(s) in brackets first
b. Use the code(s) in brackets as the only code
c. Do not assign the code in brackets
d. Use the code(s) in brackets in addition to the disease or condition to identity an associated
manifestation

____ 30. When coding for ambulatory surgery which statement is TRUE in reporting a confirmed diagnosis for the
surgery performed:
 a. Code the preoperative diagnosis because it is the most definitive.
b. Code the preoperative diagnosis and postoperative diagnosis when both diagnoses are
different.
c. Code the postoperative diagnosis because it is the most definitive
d. V codes are always reported for ambulatory surgery.

____ 31. What diagnosis code(s) should be reported for acute and chronic cystitis?
a. N30.00 c. N30.20
b. N30.00, N30.20 d. N30.80

____ 32. What is the ICD-10-CM code for headache?

a. R51 c. G44.009
b. G44.001 d. G44.209
____ 33. What is the ICD-10-CM code for nausea?
a. R11.11 c. R11.0
b. R11.2 d. T75.3XXA
____ 34. What is the ICD-10-CM code for heartburn?
a. R12 c. R07.9
b. F45.8 d. R06.89
____ 35. What is the ICD-10-CM code for chest pain?
a. G89.29 c. N64.4
b. R07.9 d. R07.82
____ 36. What is the ICD-10-CM code for low back pain?
a. M54.89 c. F45.42
b. M54.5 d. R52
____ 37. What is the ICD-10-CM code for sore throat?
a. R07.0 c. J02.0
b. J02.9 d. J31.2
____ 38. What is the ICD-10-CM code for tachycardia?
a. I47.9 c. I49.8
b. P29.11 d. R00.0
____ 39. What is the ICD-10-CM code for fatigue?
a. F48.8 c. R29.898
b. F45.8 d. R53.83
____ 40. What is the ICD-10-CM code for hives?
a. L50.9 c. L29.9
b. T78.40XA d. L29.8
____ 41. What is the ICD-10-CM code for cough?
a. J41.0 c. J11.1
b. B37.89 d. R05
____ 42. What is the ICD-10-CM code for classical migraine?
a. G43.119 c. G43.109
b. G43.509 d. G43.909
____ 43. What is the ICD-10-CM code for strep throat?
a. J02.8 c. B97.89
b. J02.0 d. A49.1
____ 44. What is the ICD-10-CM code for hay fever?
a. J45.909 c. J30.1
b. J30.89 d. J30.81
____ 45. What is the ICD-10-CM code for eyestrain?
a. H53.10 c. H57.8
b. H53.10, H53.10 d. H57.8, H57.8

____ 46. 10-month-old comes into the pediatrician’s office for a harsh, bark-like cough. She is diagnosed with croup.
The mother also wants the pediatrician to look at a rash that has developed on her leg. The pediatrician
prescribes over the counter medication of acetaminophen for the croup and hydrocortisone cream for the rash
on the leg. She is to follow-up in five days or return earlier if the conditions worsen. What ICD-10-CM
code(s) should be reported for this visit?
a. R21 c. J05.0, R05, R21
b. J05.0 d. J05.0, R21

____ 47. A patient presents to the Emergency Department with nausea and vomiting, abdominal pain and fever. The
physician suspects appendicitis. The test results are pending. What ICD-10-CM code(s) is/are reported?
a. R11.2, R10.9, R50.9 c. R11.2, R10.9, R50.9, K37
b. K37 d. R11.0, R11.10, R10.9, R50.9

____ 48. 20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever. The ED
physician suspects that the meningitis is bacterial and performs a lumbar puncture. The ED physician reviews
the results and the patient is admitted in the hospital for meningitis. The ED physician suspects that the
meningitis is bacterial. Which ICD-10-CM code(s) is reported by the ED physician?
a. G03.9, R51, R11.10, M43.6, R50.9 c. G03.9
b. G00.9 d. G00.9, R51, R11.10, M43.6, R50.9

____ 49. What diagnosis code(s) is/are reported for behavioral disturbances in a patient with early onset Alzheimer’s?
a. G30.8, F02.81 c. F02.81, G30.0
b. G30.0, F02.81 d. F02.81

____ 50. What diagnosis codes should be reported for spastic cerebral palsy due to meningitis?
a. G03.9, G80.1 c. G09, G80.1
b. G80.1, G09 d. G80.1, G43.909, G03.9
____ 51. What diagnosis codes should be reported for a patient that has polyneuropathy as a result of vitamin B
deficiency?
a. G63, E53.9 c. E53.9, G63
b. G62.9, E53.9 d. E53.9, G62.9

____ 52. 32-year-old sees her obstetrician about a lump in the right breast. Her mother and aunt both have a history of
breast cancer. What diagnosis code(s) should be reported?
a. N63, Z85.3 c. N63, Z15.01
b. N63 d. N63, Z80.3

____ 53. What diagnosis code(s) is/are reported for pneumonia due to SARS?
a. J12.81 c. J18.9
b. J12.81, B97.21 d. J18.9, B97.21

____ 54. 45-year-old female with malignant Mullerian duct cancer is receiving her first treatment of chemotherapy.
What diagnosis codes are reported?
a. Z51.11, C57.7 c. Z51.11, D28.7
b. C79.82, Z51.11 d. C57.7, Z51.11

____ 55. Patient sees his primary care physician for chest pain and regurgitation. The doctor’s diagnosis for the patient
is gastroesophageal reflux. What diagnosis code(s) should be reported?
a. R07.9, R11.10, K21.9 c. R07.9, 787.03
b. K21.9, R07.9, K21.9 d. K21.9

____ 56. A 22-year-old is in an outpatient facility for hernia repair of an inguinal hernia. Just before surgery, the
surgeon discovers the patient is positive for MRSA and the surgery is cancelled. Which ICD-10-CM code(s)
should be reported for the outpatient service?
a. A49.02 c. Z53.09
b. A49.01, K40.90, Z53.09 d. K40.90, A49.02, Z53.09

____ 57. A 50-year-old female presents to her physician with symptoms of insomnia and upset stomach. The physician
suspects she is pre-menopausal. His diagnosis is impending menopause. What diagnosis code(s) should be
reported?
a. G47.00, K30 c. N95.9, G47.00, K30
b. N95.9 d. E28.319

____ 58. What diagnosis codes should be reported for fragilitas ossium, osteogenesis imperfecta, and osteopsathyrosis?
 a. Q78 c. Q78.8
b. Q78.0 d. Q78.9

____ 59. What is the diagnosis code(s) for a patient with bronchitis and the flu?
a. J40, J11.1 c. J11.1
b. J09.X2 d. J40, J09.X2

____ 60. What diagnosis code(s) should be reported for primary osteoarthritis in both knees?
a. M17.0, M17.0 c. M17.0
b. M17.4 d. M17.11, M17.12

____ 61. 32-year-old male is in a diagnostic center to have an ultrasound of his neck due to difficulty swallowing. The
patient’s father had esophageal cancer. What are the appropriate codes to report for the diagnostic service?
a. R13.10, Z80.0 c. Z80.0, R13.10
b. Z80.0 d. R13.10, Z85.01

____ 62. 65-year-old is being seen by her cardiologist for preoperative evaluation for clearance for an upcoming
surgery to remove her gallbladder due to gallstones. The cardiologist notes that she has hypertension.
Medication is given to control her hypertension. What diagnosis codes are reported?
a. Z01.810, K80.21, I10 c. Z01.810, K80.20, I10
b. I10, K80.20, Z01.810 d. K80.20, I10, Z01.810

____ 63. A patient was seen in the physician’s office and was diagnosed with “influenza with pneumonia.” The
physician selected J18.9. Refer to your ICD-10-CM Tabular List of Diseases to verify code J18.9. Is it
correct to report code J18.9? Why?
a. No, there is a combination code J11.00 includes influenza with pneumonia.
b. No, the influenza code, J11.1 also needs to be reported on the claim.
c. Yes, code J18.9 is a combination code assigned to “influenza with pneumonia.”
d. Yes, because the physician selected J18.9, it must be reported.

____ 64. 37-year-old male is diagnosed as having cholelithiasis, choledocholithiasis, and acute and chronic
Cholecystitis. Which ICD-10-CM code(s) should is/are reported?
a. K80.20, K80.70, K80.66 c. K80.62, K80.66
b. K80.66 d. K80.20, K80.70, K80.62, K80.60

____ 65. What is the ICD-10-CM code for a laceration on the left shoulder, subsequent encounter?
a. S46.001B c. S51.801B
b. S41.019B d. S51.009B
____ 66. What is the ICD-10-CM code for sprained left ankle, initial ecounter?
a. S73.192D c. S93.601A
b. S83.90XD d. S93.402A
____ 67. 23. What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
a. M80.031A c. S62.102A
b. S62.101A d. S12.9XXA
____ 68. What ICD-10-CM code(s) is/are reported for enlargement of the prostate with a symptom of
urinary retention?
a. N40.1, R33.8 c. N40.0
b. N40.1 d. N40.3, R33.8
____ 69. 41. A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination
and urinalysis, the patient is diagnosed with a urinary tract infection (UTI). What ICD-10-CM code(s)
is/are reported?
a. R10.0, R35.0 c. R10.0, N39.0
b. R10.0, R35.0, N39.0 d. N39.0
____ 70. A 30-year-old female patient was seen in the ED with complaints of diarrhea for the past four days.
She was also complaining of lower abdominal pain. After examination, the patient was diagnosed
with having viral gastroenteritis. She was instructed to drink plenty of fluids and to begin eating
solids only after the diarrhea has subsided. What diagnosis code(s) would be reported for this
encounter?
a. A08.4, R10.84, R19.7 c. A08.4
b. R10.31, R19.7 d. K52.9
____ 71. The patient is a 12-month-old with a history of muscle weakness. Unfortunately, his etiology is
unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps
muscle biopsy. What diagnosis code is reported?
a. 780.79 c. M62.81
b. 781.99 d. 355.9
____ 72. A patient has a history of bilateral, otitis media not responsive to medical therapy. Given the
history and physical examination, the provider felt he was a candidate for bilateral myringotomy and
tubes. The patient went to the ASC for the procedure. The physicians findings were bilateral chronic
serous otitis media. What diagnosis code is reported?
a. H66.93 c. H65.21
b. H65.22 d. H65.23
____ 73. In the ED, a 50-year-old male complains of symptoms for the past 4 months, severe bloating and
stomach cramps, some nausea, vomiting, diarrhea. In the last 3 weeks, he has had pain in middle
of right side of his back which radiates around his rib cage, and stomach gurgling with massive
pain. After examination, the provider determines he has irritable bowel syndrome with diarrhea.
What diagnosis code is reported?
a. K58.0 c. R11.10, R10.9, R11.2, R19.7
b. K58.9, R11.12, R10.9, R11.2, R19.7 d. R11.11, R10.9, R11.2, R11.12
____ 74. A male patient has started having convulsions. His physician sent him to have a computerized axial
tomogram (CT scan) of the brain with contrast. The hospital’s radiologist read the CT scan. What
diagnosis code is reported for the CT Scan?
a. R51 c. R56.00
b. R56.9 d. R56.01
____ 75. The provider orders the following serum blood tests as part of a pre-employment physical exam.
The patient goes to the local hospital for the following tests: CBC automated and automated
differential WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating
hormone assay (84443), all part of the general health panel. A drug screen for multiple drug classes
was also collected (80100). What diagnosis code is reported?
a. R68.89 c. R71.0
b. Z00.01 d. Z02.1