Questions:

1. A 6-year-old child presents with fever and right ear pain. Examination
reveals acute right serous otitis media with slight perforation of the central
portion of the tympanic membrane. Of note, the patient’s parents are smokers,
and the patient is often exposed to cigarette smoke in the home and
automobile.

H65.01, H72.01, Z77.22

H65.01, Z77.22
H66.011, Z77.22
H92.01, H66.011, Z77.22

2. This Type II diabetic patient uses insulin and has stage II chronic kidney
disease. What code(s) would be used to report this encounter?

a. E11.22

b. E11.22, Z79.4

c. E11.9, N18.9

d. E11.22, N18.2, Z79.4

3. Patient is brought into the emergency room for a stress fracture of the
left upper arm. The dumbbell was dropped on his arm when lifting weights at
high school. What code(s) would be used to report this encounter?

a. M84.322A, Y93.B3, Y92.213

b. M84.321A, Y93.B2, Y92.214

c. M84.322D, Y93.B3, Y92.213

 d. M84.322X, Y93.B2, Y92.214

4. Patient with recurrent acute iridocyclitis in both eyes is diagnosed with

secondary glaucoma due to eye inflammation. The right eye is moderate stage
and the left eye is severe stage. What code(s) would be used to report this
encounter?

a. H40.41X2, H40.42X3

b. H40.43X4, H20.023

c. H40.412, H40.423, H20.023

d. H40.41X2, H40.42X3, H20.023

5. Patient is in her 21st week of pregnancy and is seen by her OB/GYN for
cholecysitis. What code(s) would be used to report this encounter?

a. K81.9, Z34.02

b. K81.9, Z3A.0

c. Z3A.21, O99.612

d. O99.612, Z3A.21

6. This HIV positive patient is asymptomatic and never had any

opportunistic infections. He is being seen today by his primary care
physician for moderate, major depressive disorder, single episode. What
code(s) would be used to report this encounter?

a. Z21, F32.1
 b. B20, F32.1

c. F32.1, Z21

d. F32.1, B20

7. Patient is brought into ED for schizophrenia and cannabis dependence

with perceptual disturbances. What code(s) would be used to report this
encounter?

a. F20.9, F12.222

b. F20.5, F12.222

c. F20.9, F12.220

d. F20.5, F12.20

8. This 5 year-old child is seen by her pediatrician for cough, sore throat, chills
and fever. The patient tested positive for H1N1 virus. What code(s) would be
used to report this encounter?

a. J10.1

b. J11.1

c. J10.1, R05, J02.9, R50.9

d. J11.1, R05, J02.9, R50.9

9. This patient was diagnosed with malignant breast cancer (right breast) and
how has metastasized to the ascending colon. They are being treated for
the colon cancer. What code(s) would be used to report this encounter?

a. C79.81, C18.2

b. C18.2, C79.81

c. C50.911, C78.5

d. C78.5, C50.911

10. Patient has hypertensive chronic kidney disease, moderate stage. What
code(s) would be used to report this encounter?

a. N18.3, I12.9

b. I12.9, N18.3

c. I12.2, N18.5

d. I12.2, N18.6

11. Patient in nursing home is diagnosed with a stage 3 pressure ulcer of the
right hip. Patient is also a type I diabetic. What code(s) would be used to
report this encounter?

a. L89.214, E11.622

b. L89.213, E10.622

c. L89.213, E11.622

d. L89.214, E10.622
12. Jim was at a bonfire when he tripped and fell into the flames. Jim sustained
multiple burns. He came to the emergency room via an ambulance and was
treated for second and third degree burns of his face, second degree burn on
his shoulders and forearms, and third degree burns on the fronts of his thighs.

A.T20.20XA, T20.30XA, T22.259A, T22.219A, T24.319A, T31.42, X03.0XXA

B.T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA
C.T20.09XA, T22.099A, T24.099A, T31.64, X03.0XXA
D.T20.30XA, T22.299A, T24.319A, T31.64, X03.0XXA

13. Osteoporosis due to previous poliomyelitis. What ICD-10-CM codes are

reported?

A. M81.0, B91
B. M81.0, A80.9
C. A80.9, M81.0
D. B91, M81.0

14. Hemiplegia affecting the left dominant side following CVA 6 months ago.
What ICD-10-CM codes are reported?

A. I63.9, G81.02
B. I69.952
C. I69.959
D. I63.9, G81.92

15. Malignant ascites primary site unknown. What ICD codes are reported?

A. C80.1, R18
B. R18.0
C. C79.9
D. C80.1, R18.0

16. Acute and chronic salpingitis. What ICD codes are reported?

A. N70.11, N70.01
B. N70.01, N70.11
C. N70.91
D. A54.24

17. Mrs. Elkin while a spectator at a pumpkin chucking contest got hit in the
back by a pumpkin flying through the air. The pumpkin was launched by a
mechanical catapult build by a student. The injury occurred at Public Park.
This is the second visit for the patient who will begin receiving therapeutic
nerve block today in our office and every week for the alleviation of acute post
traumatic pain to thoracic spine. Treatment will continue until the pain has
subsided. Reevaluate condition in 4 weeks if the condition is not improved.
What are the ICD codes for encounter for pain management?

A. G89.11, W20.8XXD, Y92.830, Y93.82

B. G89.11, M54.6, W20.8XXD, Y92.830, Y93.82.
C. G89.11, M54.6, W20.8XXS, Y92.830, Y93.82.
D. M54.6, W20.8XXD, Y93.82.

18. A 35 yr old woman is brought by ambulance to ED she was a passenger in

the motor vehicle accident that involved another car and occurred on the exit
ramp of palisades parkway. The diagnosis is diffuse traumatic brain injury due
to fracture of frontal bone. She was unconscious for 45 mins. What ICD codes
are reported?

A. S06.2X2, S03.0XXA, V43.01XA, Y92.412

B. S06.2X2A, S02.0XXA, V43.62XA, Y92.412
C. S06.2X2A, S02.0XXA, V43.62XA, Y92.415
D. S06.2X2, S03.0XXA, V43.12XA, Y92.411

19. A 30 week pregnant patient has a UTI. What ICD code is coded?

A. O23.23, Z3A.20
B. O23.43, Z3A.30
C. O23.42
D. O23.90
20. A pregnant woman who is HIV positive status but is without symptoms
complains of back pain. What are ICD codes?

A. O98.719, Z21, M54.9

B. Z21, M54.9
C. B20, O98.719, M54.9
D. M54.9, O98.719, Z21

21. Uterine fibroid complicating pregnancy, unspecified trimester. What ICD

codes are reported?

A. O34.10, D25.9, Z3A.00

B. O34.11
C. D25.9
D. D25.9, O34.11

22. Patient is diagnosed with chronic angle-closure glaucoma is prescribed

medication to stabilize the condition. What ICD codes are reported?

A. H40.2290
B. H40.2294
C. H40.213
D. H40.219

23. Patient has pressure ulcer of right elbow (stage 2) and pressure (ulcer
stage1) on the contingious area of the back, buttock, and hip on the right side
of the body. The pressure ulcer of the left heel is completely healed. What ICD-
10-CM codes are reported?

A. L89.012, L89.131, L89.311, L89.211

B. L89.012, L89.41
C. L89.012, L89.41, L89.629
D. L89.012, L89.131, L89.331, L89.221
24. 8 year old child suffered second degree burn to the chest wall and right
arm (totaling 18% of body surface area) and the third degree burn to the right
leg (9%) when fleeing from the house fire. This is second time the doctor has
seen him since the incident. Just code the burn code and omit the external
cause codes. What ICD-10-CM codes are reported?

A. T31.20, T24.301D, T23.30XD

B. T24.309D, T22.20XD, T21.21XD
C. T24.301D, T22.20XD, T21.21XD, T31.20
D. T24. 301D, T22. 30XD, T21.21XD, T31.21

25. While in the hospital for acute inferoposteriortransmuralinfarction a 55

year old woman is found to have stenosis of tricuspid valve due to the birth
defect. She has a long history of tobacco use and currently has a dependence
on cigarette. What ICD-10-CM codes are reported?

A. I21.11, I07.0, Z72.0

B. I21.11, Q22.4, F17.210
C. I21.09, Q22.4, Z87.891
D. I21.09, I07.0, Z87.891

26. A patient is admitted to hospital with pneumonia due to streptococcus,

group B. During the admission the physician developed VAP due to
pseudomonas aeruginosa. What ICD-10-CM codes are reported?

A. J95.851, J15.3, B96.5

B. J13, B96.5
C. J15.3, J95.851, B96.5
D. J95.851, J13, B96.5

27. Newborn with klebsiella pneumonia acquired in utero. What ICD-10-CM

codes are reported?

A. P23.6, J15.0
B. P23.6
C. P23.9, J15.0
D. P23.6, B96.1

28. A COPD patient with tobacco use develops acute respiratory failure after
admission. What ICD-10-CM codes are reported?

A. J44.9, J96.00, Z87.891

B. J44.9, J96.10
C. J96.10, J44.1, Z87.891
D. J96.00, Z87.891

29. An elderly patient with influenza is suspected to have asian flu. What ICD-
10-CM codes are reported?

A. J09.X2
B. J11.1
C. J10.1
D. J09.X

30. EPO resistant anemia in moderate CKD patient. What ICD-10-CM codes are
reported?

A. N18.3, D64.9
B. D63.1, D64.9, N18.4
C. D64.9, N18.3
D. N18.3, D63.1

31. Tuberculosis of lung in a 34 yr old patient with HIV stage 3. The physician
documents that the patient’s tuberculosis infection is a related condition to
HIV. What ICD-10-CM codes are reported?

A. B20, A15.0
B. A15.7, Z21
C. A15.9, Z21
D. B20, A15.7
32. Symptomatic HIV positive. What ICD-10-CM codes are reported?

A. B20
B. R75
C. Z20.6
D. Z21

33. A 45- year old female visits her primary care physician to discuss lap band
procedure for her morbid obesity due to excess calories. Her BMI is currently
42.5. What ICD-10-CM codes are reported?

A. E66.01, Z68.42
B. E66.1, Z68.42
C. E66.01, Z68.45
D. E66.01, Z68.41

34. Complications of right mastoidectomy resulting in granulation of

mastoidectomy cavity. Mastoidectomy occurred 13 months prior. What ICD-
10-CM codes are reported?

A. L92.9
B. L92.8
C. H71.21
D. H95.121

35. Ankylosing spondylitis of lumbosacral region and behcet's disease. What

ICD-10-CM codes are reported?

A. M43.17
B. M45.7
C. M45.7, M35.2
D. M46.57, M35.2
36. Closed non displaced spiral fracture of the right fibula shaft due to skiing
into aboveground exposed pipe. This is subsequent encounter with delayed
healing. What ICD-10-CM codes are reported?

A. S82.444G, V00.322D
B. S82.444G, V00.322G
C. S82.444S, V00.382
D. S82.444S, V00.382S

37. Which Z code can only be reported as first listed code?

A. Z37.9
B. Z79.890
C. Z87.710
D. Z00.129

38. When coding for a patient who had a primary malignancy of thyroid gland
that was completely excised a year ago and there is no current treatment
directed at that site which of the following statement is TRUE?

A. When no further treatment is provided there is no evidence of any

existing primary malignancy code Z85.850.
B. When further treatment is provided and there is evidence of an existing
metastasis code first Z85.850 and then C32.3
C. Any mention of extension, invasion, or metastasis to another site is
coded as D49.1.
D. When further treatment is provided and there is evidence of an existing
metastasis code first C78.39.

39. The patient has acute gangrenous tonsillitis. Code his condition.

A. J35.01, I96
B. J35.01
C. J03.90, I96
D. J03.90
40. The patient presents with sternal chest wall pain, possible angina.
Physician rules out angina and documents probable costochondritis. Code the
diagnosis.

A. R07.9
B. M94.0
C. R07.89
D. I20.9

41. Four year post hepatic transplant the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. Code the
condition.

A. T86.49, C80.2, C22.0

B. C80.2, C22.0, Z98.85
C. T86.49, C80.2, C22.9
D. T86.49, C80.2, C22.9, Z98.85

42. Mrs. Bixby who is 83 year old is being admitted for dehydration and
anorexia probable cause dementia. She was brought in by her daughter. Her
daughter will take her from our office to St. Mary’s hospital. The gerontologist
unit will evaluate her mental condition tomorrow after she is stabilized. Code
the diagnosis?

A. F50.00, E86.0
B. R63.0, E86.0
C. F50.00, E86.0, F06.8
D. R63.0, E86.0, F06.8

43. A 27 year old man with 25 year history of juvenile diabetes is admitted to
the ICU with diabetes keto-acidosis brought on by H1N1 influenza virus which
includes respiratory symptoms. Which code best report how his consulting
endocrinologist will report his condition?

A. E10.10, J10.1
B. J11.89, E13.10
C. J10.08, E10.10
D. E08.10, J11.89

44. The site of the patient cellulites is within the fold of redundant skin in his
apron of fat. It covers approximately 20 cm of skin. A swab from the site was
cultured and found to be MRSA. What code is reported for the diagnosis?

A. B95.62
B. B95.62, L03.319
C. L03.319, B95.62
D. L03.90, B95.62

45. The MRI shows full thickness tear of the right rotator cuff consistent with
Mr. John’s acute symptoms. The symptom begins when he slipped and fell on
the ice Thursday. What code is reported for the diagnosis?

A. S46.001A, W00.0XXA
B. M66.20, W00.0XXA
C. M75.121, W00.0XXA
D. S46.011A, W00.0XXA

46. The patient’s dense breast tissue made the mammogram unreadable and
she is here today for a breast ultrasound. Her mother and sister both have a
history of breast cancer. What codes are reported for the diagnosis?

A. N60.89, Z80.3
B. Z12.39, N64.59, Z80.3
C. Z12.39, R92.2, Z80.3
D. Z12.31, R92.2, Z80.3

47. How many characters do the new ICD-10 codes have?

A. 5-7
B. 1-2
C. 2-3

48. When you see an "X" in an ICD-10 Code, it is being used as a placeholder
for that digit and will be used for future code expansion.
A. True
B. False

49. What encloses supplementary words that may be present or absent in the
statement of a disease without affecting the code number to which it is
assigned?

A. Brackets
B. Colon
C. Parentheses
D. Dash

50. “Excludes 2” note indicates that the condition excluded is not part of the
conditions represented by the code, but a patient may have both conditions at
the same time.

A. True
B. False