Choose the correct answer to code the following scenarios:

 

1. What is the correct ICD-10-CM code(s) for malignant hypertension with stage III kidney disease?

 

a.I10, N18.3

b. I12.9

c. I10

d. I12.9, N18.3

​

2. Lucy was standing on a chair in her kitchen trying to change a light bulb when she slipped and fell. She struck the glass top stove, which shattered. She presents to the ER with a simple laceration to her forearm that has embedded glass particles.

 

a. S51.809A, W01.110A, Y92.099

b. S51.829A, W01.110A, W45.8XXA

c. S51.809A, W01.198A, Y92.099

d. S51.829A, W01.198A, W45.8XXA

​

3. 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 on his face, second degree burn on his shoulders and forearms, and third degree burns on the fronts of his thighs.

 

a. T20.30XA, T24.319A, T31.42, X03.8XXA

b. T20.30XA, T24.319A, T22.299A, T31.42, X03.8XXA

c. T20.30XA, T24.319A, T22.299A, X03.8XXA

d. T20.30XD, T24.319D, T22.299D, T31.42, X03.8XXD

 

4. A 35 year old woman who is pregnant with her first child is admitted to the hospital. She experiences a prolonged labor during the first stage and eventually births a healthy baby boy.

 

a. O63.0, O09.519, Z37.0

b. O80, Z37.0

c. O80, O63.0, O09.529, Z37.0

d. O63.0, O09.52, Z37.0

​

5. Henry was playing baseball and slid for home base where he collided with another player. He presents to the emergency department complaining of pain in the distal portion of his right middle finger. It is swollen and deformed. The physician orders an x-ray and diagnoses Henry with a tuft fracture. He splints the finger, provides narcotics for pain, and instructs Henry to follow-up with his orthopedist in two weeks.

​

a. S62.632A

b. S62.602A

c. S62.612A

d. S62.662A

​

6. A patient fell asleep on the beach and comes in with blistering on her back. She is diagnosed with second degree solar radiation burns.

 

a. L55.1

b. L56.2

c. T21.23XA

d. L58.9

​

7. 22-year-old developed sepsis and gas gangrene (gas bacillus infection) and went into septic shock after a surgical procedure. What ICD-10-CM codes should be reported?

 

a. T81.12XA,A48.0, R65.21

b. R65.21,T81.4XXA, A48.0

c. R65.21, T81.12XA, T81.4XXA

d. T81.4XXA, T81.12XA, A48.0

 

8. A patient with hypertensive heart disease is now experiencing accelerated hypertension due to papillary muscle dysfunction. What ICD-10-CM code(s) should be reported?

​

a. I11.9, I51.89

b. Z38.30, P07.26, P07.03

c. Z38.00, P07.02, P07.25

d. P07.02, P07.25

​

9. A three-year-old is brought to the burn unit after pulling a pot of hot soup off the stove spilling onto to her body. She sustained 18% second degree burns on her legs and 20% third degree burns on her chest and arms. Total body surface area burned is 38%. What ICD-10-CM codes should be reported for the burns (do not include External codes for the accident)?

​

a. T21.31XA, T22.30XA, T24.209A, T31.32
b. T21.31XA, T21.01XA, T24.209A, T31.32

c. T22.20XA,T21.01XA, T24.209A,T31.32

d. T22.00XA, T21.00XA, T24.209A, T31.32

​

10. Newborn twin girls delivered at 27 weeks, weighing 850 grams for twin A and 900 grams for twin B. Both were diagnosed with extreme immaturity. What ICD-10-CM codes should be reported for both twins?

​

a. P07.03, P07.26, Z38.30

c. Z38.00, P07.30, P07.03
b. Z38.30, P07.03, P07.26

d. Z38.30, P07.03

​

11. Baby boy is born by cesarean section in the hospital. The mother has a history of diabetes mellitus, which complicated the management of her pregnancy. In addition, the mother abused cocaine throughout her pregnancy. The newborn was monitored for drug withdrawal, however no symptoms were noted and the toxicology report came back negative. ABO incompatibility was documented, but the Coomb's test was negative. What ICD-10-CM codes should be reported for the newborn’s record?

​

a. O24.913, E11.9, O99.343, F14.10, Z38.01

b. Z38.01, Z05.8

c. Z38.01,P55.1 , Z05.8

d. P96.1, P55.1, Z28.01

​

12. The diagnostic statement indicates respiratory failure due to administering incorrect medication. Valium was administered instead of Xanax. What ICD-10-CM codes should be reported?

​

a. T42.4X2A, J96.90

b. J96.00, T42.4X1A

c. T42.4X1A, J96.90

d. T42.4X2A, J96.00

​

13. The patient has benign prostate hypertrophy with urinary retention. What ICD-10-CM code(s) should be reported?

​

a. N40.1

b. N40.1, R33.8

c. N40.1, R33.9

d. N40.0, R33.8

​

14. A 2-month-old is seeing his pediatrician for a routine health check examination. The physician notices a diaper rash and prescribes an ointment to treat it. What ICD-10-CM code(s) should be reported?

​

a. L22

b. Z00.121, L22

c. L22, Z00.121
d. Z00.129, L22

​

15. A three-year-old is brought to the burn unit after pulling a pot of hot soup off the stove spilling onto to her body. She sustained 18% second degree burns on her legs and 20% third degree burns on her chest and arms. Total body surface area burned is 38%. What ICD-10- CM code(s) should be reported for the burns (do not include External cause codes for the accident)?

​

a. T21.31XA, T22.00XA, T24.202A, T31.32

b. T21.39XA, T22.00XA, T24.202A, T31.31

c. T21.31XA, T22.30XA, T24.209A, T31.32
d. T21.31XA, T22.399A, T24.202A, T31.31

​

16. A patient is coming in for follow-up of a second-degree burn on the arm. The physician notes the burn is healing well. He is to come back in two weeks for another check-up. What ICD-10-CM code(s) should be reported?

​

a. Z51.89, T22.20XA

b. T22.20XD

c. Z09, T22.20XD

d. Z09

​

17. A patient was treated in the emergency department for a nasal fracture. Bleeding was controlled, a splint applied and the patient sent home. He returned to the ED several hours later with new bleeding from both nares. What ICD-10-CM code(s) should be reported for the second ED visit?

​

a. T79.2XXA

b. S02.2XXA

c. S02.2XXA, T79.2XXA
d. T79.2XXA, S02.2XXA

​

18. 40-year-old woman, 25-weeks-pregnant with her second child, is seeing her obstetrician. She is worried about decreased fetal movement. During the examination the obstetrician detects bradycardia in the fetus. What ICD-10-CM code(s) should be reported?

​

a. O09.12, O09.413

b. P29.12, O09.413

c. O09.413, O09.522

d. O09.522, O76

​

19. 27-year-old was frying chicken when an explosion of the oil had occurred and she sustained second degree burns on her face (3%), third degree burns on both hands (4%), and second degree burns on her lower left arm (3%). There was a total of 10 percent of the body surface that was burned. Select which ICD-10-CM codes should be used.

​

a. T23.399A, T20.29XA, T22.299A, T31.0, X10.2XXA

b. T23.391A, T23.392A, , T20.29XA, T22.299A, T31.0, X10.2XXA

c. T23.301A, T23.302A, T20.20XA, T22.20XA, T31.10, X10.2XXA

d. T23.301A, T20.20XA, T22.20XA, T31.10, X10.2XXA

​

20. A patient that has cirrhosis of the liver just had an endoscopy performed showing hemorrhagic esophageal varices. The ICD-10-CM codes should be reported:

​

a. I85.11, K74.69

b. K74.69, I85.01

c. K74.60, I85.11

d. I85.01, K74.60

​

21. 55 year-old-patient had a fracture of his left knee cap six months ago. The fracture has healed but he still has staggering gait in which he will be going to physical therapy. What ICD-10-CM codes should be reported?

​

a. R26.0, S82.092A

b. R26.0, S82.009S

c. S82.002S, R26.0

d. R26.0, S82.002S

​

22. Which statement is true about Z codes:

​

a. Z codes are never reported as a primary code

b. Z codes are only reported with injury codes

c. Z codes may be used either as primary code or secondary code

d. Z codes do not have to correspond with procedure codes

​

23. While at church, Fred was standing on a chair when he fell. He suffered a closed Colles’ fracture and contusions to his right cheek, right elbow, right hand, and left leg. What codes would you report for this injury?

​

a. S00.83XA, S52.531XA, S52.539A, S80.11XA, W07.XXA , Y92.29

b. S52.539A, S00.83XA, S50.01XA, S60.221A, S80.12XA, W07.XXA, Y92.22

c. S52.531A, S00.83XA, S50.01XA, S60.221A, S80.12XA, W07.XXA, Y92.22

d. S00.83XA, S50.01XA, S52.539A, S80.11XA, W07.XXA , Y92.29

​

24. Roger, a firefighter, was burned while fighting a forest fire. He is being treated in a burn unit, with burns to 30% of his total body surface area. The burns are reported as third degree to 25% of his body. The remaining 5% are first- and second-degree burns of the upper limb. How should you report the diagnoses codes?

​

a.T31.32, T22.20XA, T22.10XA, X01.8XXA

b. T22.20XA. T31.31, X01.08XA

c. T31.32, T22.20XA, X01.8XXA

d. T31.31, T22.20XA, T22.10XA, X01.8XXA

​

25. Karen, a 26-year-old healthy female, suffered a cardiac arrest with administration of anesthetic during delivery. What are the correct diagnoses codes?

​

a.O74.2, I46.9

b. I46.9, O74.2

c. O74.4, I46.9

d. O74.9, I46.9

​

26. A patient is being treated for an infection from a deep laceration of the head that occurred five weeks ago. The injury occurred during a motor vehicle accident . What codes would you use to report this problem?

​

a. V89.2XXS, B94.9, S01.91XS

b. S01.91XS, B94.9, V89.9XXS

c.B94.9, S01.91XS, V89.2XXS

d. B94.9, S01.91XS, V89.9XXS

​

27. Thomas was seen in his primary care physician’s office for a chronic smoker’s cough. Thomas currently smokes five packs of cigarettes per day but is trying to quit smoking. Dr.Smith notes a chest x-ray reveals abnormal changes in his left lower lobe and designates“rule out lung cancer” as a working diagnosis. How should Dr. Smith report the diagnoses for this visit?

​

a. J41.0, F17.218, R91.8

b. C34.30, F17.211

c. C34.32, F17.218

d. J41.0, F17.211

​

28. Today, Dr. Arnold is treating Harry for a sprained ankle and foot. Harry injured himself when he fell off a sidewalk curb at a local restaurant. Harry has HIV and is stable on his current medications. How would Dr. Arnold report the diagnoses for this visit?

​

a. B20, S93.409A, S93.609A, W10.1XXA, Y92.511

b. S93.409A, S93.609A, B20, W10.1XXA, Y92.511

c. Z21, S93.409A, S93.609A, W10.1XXA, Y92.511

d. Z21, S93.409A, W10.1XXA, Y92.29

​

29. Dr. Nancy prescribed Ibuprofen for Ben’s back pain. He took this medication as prescribed for two weeks. He started to have stomach pains and followed up with his doctor. Dr.Nancy noted “gastritis due to the medication” during the follow-up visit. What code(s)would be correct for the follow-up visit?

​

a. K29.70

b. T39.315XA, K29.70

c. T39.314XA

d. K29.70, T39.315XA

​

30. Sherri presents for her regularly scheduled chemotherapy and radiation treatment. She is being treated for cancer in situ of the bladder wall. How would you list the diagnoses codes for this visit?

​

a. D30.3, Z51.1, Z51.0

b. C67.9, Z51.0

c.Z51.0, Z51.11, D09.0

d. D09.0, Z51.11, Z51.0

​

31. Today, Daisy, a 72-year-old patient presents with chest pain due to an anterior wall myocardial infarction that was treated 12 weeks ago. She started to have chest pain while gardening and complains of a painful rash on her right leg due to contact with poison ivy. How would the doctor list the diagnoses codes for this encounter?

​

a. R07.9, I22.0, L25.5

b. I21.09, L25.5

c. I25.2, R07.9, L23.7

d. I22.0, R07.9, L24.7

​

32.What is the correct external cause code for the therapeutic use of wintergreen oil?

​

a. T49.3x1A

b. T49.3x5A

c. T49.8x4A, T49.3x1A

d. T49.5x1A, T47.6x3A

​

33. Nancy has been suffering with abdominal cramping pain in the belly area, persistent watery diarrhea, fever, and fatigue. She underwent a colonoscopy and was diagnosed with Crohn’s disease of the large bowel and colon. How would you report the diagnosis from the colonoscopy?

​

a. R10.9, R19.7, R53.81, R50.9

b. K50.10

c. R10.9, K50.90

d. K51.90, R19.7, R53.81, R50.9, R10.9

​

34. A patient is suffering with acute respiratory failure, viral pneumonia, atrial fibrillation, and alcoholic liver cirrhosis. What codes describe these conditions?

 

a. I25.10, J96.00, K72.90, I48.92, K76.89

b. K70.9, J41.0, K70.30, J12.1

c. J96.00, J12.9, I48.91, K70.30

d. J96.10, I48.2, J41.0, K70.30

​

35. Pam’s infant son, who weighs 2,321 grams, is considered underweight for his gestational age without mention of fetal malnutrition. How would you report this case?

 

a. T74.02xA

b. P05.2

c. O36.5930

d. P05.08

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*** END OF TEST***

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