1.

This Type II diabetic patient uses insulin and has stage II

chronic kidney disease. What code(s) would be used to report this
encounter?

E11.22

E11.22, Z79.4

E11.9, N18.9

E11.22, N18.2, Z79.4

2. 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?

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

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

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

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

3. Patient with viral hepatitis C and continued alcohol use is

diagnoses with malignant primary neoplasm of the liver.
C22.8

C22.9

C22.8, B19.20, F10.99

C22.9, B17.10
4. Patient arrived in the ED complaining of having severe right
upper quadrant pain, nausea and vomiting for several weeks with
20 lb weight loss. Tests revealed a mass within the
gallbladder.However, no cholecystitis or stones. The patient was
admitted and a surgeon was consulted.The next day a
cholecystectomy was performed. The pathology results show the
patient to have cancer of the gallbladder. Code the diagnosis for
the surgery.
R10.80

C23

C24.0

R10.0. R11.2. R63.4

5. Dr. C sees a patient with nasal hemorrhage and performs a

fiberoptic exam of the nasopharynx. A mass is encountered at the
nasal concha and a biopsy is taken. Pathology report shows
cancer. Additional surgery is planned.
C31.1

C32.3

C30.0

C10.2

6. Patient with thyroid cancer has fever and found to have chemo
drug induced agranulocytosis.

D72.0, T36.91XA, C73, R50.81

D70.1, T45.1X1A, C73

R50.81, J34.81, K92.81

D70.1, T45.1X5A, C73, R50.81

7. Baby born with thrombocytopenia purpura also is found to have

an absent radius.
D69.6

D69.42

Q87.2, D69.42

D69.42, Q87.2

8. Patient has post-operative hemorrhage due to accidental

puncture of the spleen during gastric bypass surgery.
S36.030A

S36.030S

D78.12

D78.11

9. A patient diagnosed with Beta-thalassemia minor should be

coded:
D56.1

D56.5

D56.3
D57.40

10. A patient with Type 1 diabetes with diabetic retinopathy is

seen for an eye checkup. After a thorough examination, the
ophthalmologist determines the patient has retinal edema.

E11.351

E10.9, H35.81

E13.9, H35.81

E10.311

11. Secondary diabetes is ________________ caused by another

condition or event
Never

Always

Maybe

An adverse effect

12. A 30-year-old male is diagnosed with hypersomnia. The

correct ICD-10-CM code would be:
F51.11

G47.12

G47.10

F51.19
13. 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?
H40.41X2, H40.42X3

H40.43X4, H20.023

H40.412, H40.423, H20.023

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

14. Patient presents with vascular dementia with behavioral

disturbance:
F01.50

F01.51

F02.80

F02.81

15. Code paraphrenic schizophrenia:

F20.0

F20.1

F20.2

F20.3

16. Sonny has been a cigarette smoker for over 29 years. Her
physician prescribes her smoking cessation medication.
T65.222

O99.330

Z87.891

F17.210

17. Encounter for pain management for acute neck pain from
trauma.
G89.3, C34.12

G89.11, M54.2

M54.2, G89.11

G89.21, M54.2

18. A patient had a left mastoidectomy for a cholesteatoma

several years prior to this visit. On exam it is found they now have
a recurrence of the tumor

H95.02

H71.02

H71.22

H70.12

19. A condition where the bridge of the nose is flat and the eyelid
size is reduced both horizontally and vertically would be coded to:

H02.35
N47.1

H02.209

H02.529

20. A 6 year-old with right acute nonsuppurative otitis media

found to have a perforated tympanic membrane. His parents
smoke in the home.
H62.41, H66.11, P96.81

H72.821, H67.1, A77.22

H65.04, H72.91, Z77.22

H65.91, H72.91, P96.81

21. Patient suffers from a sudden onset of eczematoid otitis

externa of the right ear.
H60.331

H65.191

H66.10

H60.541

22. Code for acute rheumatic endocarditis:

I01.0

I01.1

I01.2
I01.3

23. Smoker diagnosed with CHF due to hypertension.

I13.10, Z98.89

I11.0, I50.9, Z72.0

I50.3, I11.0, Z77.22

I13.10, I50.4, Z77.22

24. Hypertensive heart with CKD Stage 5 with heart failure.

I50.9, I13.2, N19

I12.9, I50.31, N18.9

I13.2, I50.9, N18.5

I10, I50.1, N17.8

25. A patient is diagnosed with ischemia cardiomyopathy. He also

has a history of tobacco dependence.
I25.9, Z87.891

I24.9, Z72.0

P29.4, F17.200

I25.5, Z87.891

26) A patient at 39 weeks delivered live born twins vaginally

during her hospital stay. The mother’s HIV has remained
asymptomatic.
O30.003, O98.72, Z21 ,Z37.2, Z3A.39

Z21, O30.003, O98.72, Z37.2, Z3A.39

O98.72, Z21 ,Z37.2, Z3A.39

030.003, B20

27. Acute influenza upper respiratory infection due to Avian flu.

J09.X1

J10.1

J11.00

J09.X2

28. Patient with tobacco use has acute gingivitis, non-plaque

induced. This would be coded as:
K05.10, Z87.891

K05.00, J72.0

K05.01, Z72.0

K14.0, Z77.22

29. 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?

K81.9, Z34.02

K81.9, Z3A.0
Z3A.21, O99.612

O99.612, Z3A.21

30. 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?
Z21, F32.1

B20, F32.1

F32.1, Z21

F32.1, B20

31. A patient is treated for three pressure ulcers: bilateral buttock

ulcers, stage 3 on the right and stage 2 on the left; and a stage 4
on the sacral area.
L89.323, L89.312, L89.154

L89.313, L89.322, L89.154

L89.313, L89.312, L89.153

L89.313, L89.322, L89.155

32. Patient presents with boils in both axillae

L02.431, L02.432

L02.411, L02.412

L02.423, L02.424
L02.421, L02.422

33. A post-menopausal woman presents with a follow-up visit for

a pathological, osteoporitic fracture of the right wrist that is
healing well. She has a history of pathological fractures due to
osteoporosis.

M80.041D

M80.032A, Z87.310

M80.031D, Z87.310

M80.00XD, Z87.310

34. A patient presents to the rheumatologist with rheumatoid

polyneuropathy with rheumatoid arthritis of both hands.
M05.341, M05.342

M05.231, M05.232

M05.141, M05.142

M05.541, M05.542

35. Patient presents with renal and ureteric stones.

N20.0, N20.1

N20.2

N22

N20.0, N21.1
36. A patient presents with nephrotic syndrome with diffuse
membranous glomerulonephritis:
N04.8, N00.9

N00.2

N03.2

N04.2

37. Patient is diagnosed with an ectopic pregnancy that is found

to be in the fallopian tubes.
O09.11, Z3A.12

O08.89, Z3A.01

O00.1, Z3A.00

O09.11

38. Patient delivered full term single live birth with no

complications:

O90.3, Z3A39

O80, Z37.1

O80, Z37.0

O35.0xx1, Z37.1

39. Pregnancy associated cardiomyopathy:

O00.1, Z3A.12
O90.3, Z3A.00

J42.9, O90.3, Z3A.00

J42.9, O90.3

40. Newborn birth weight 800 g, gestational age 30.1 weeks

P07.32

P07.03, P07.33

P07.34

P07.33, P07.03

41. A new mother brings her 2 week old daughter in to the

pediatrician’s office. She is having difficulty getting her to breast
feed.
P92.2

P92.3

P92.5

P92.6

42. A patient presents with congenital fusion of both ear ossicles

to the plastic surgeon’s office to see if otoplasty is possible:
Q16.0

Q16.9
Q16.3

Q16.1

43. A patient is diagnosed with atresia of the esophagus with a

Broncho-esophageal fistula:
J86.0

Q39.1

Q39.0

Q39.3

44. A patient presents to the ED with RLQ pain and fever. The
physician lists appendicitis as a differential diagnosis.
K37

R10.12, R50.9

R10.813, R50.9

R10.31, R50

45. Patient is brought into ED for schizophrenia and cannabis

dependence with perceptual disturbances. What code(s) would be
used to report this encounter?
F20.9, F12.222

F20.5, F12.222

F20.9, F12.220
F20.5, F12.20

46. A patient presents to the ED after getting tackled playing

football in the park. He is diagnosed with a right ankle sprain.
S93.491A, W03, Y92.831, Y93.61

S93.601A, W03.XXXA, Y91.830, Y93.62

S93.401A, W03.XXXA, Y92,830, Y93.61

S93.401A, W03, Y92.830, Y93.61

47. A patient is seen for a posterior subluxation of the left

shoulder:
S43.002A

S43.012A

S43.022A

S43.032A
48. A man presents for treatment after falling on the moving
walkway at the airport:
W01.198, Y92.89

W01.10XA, Y92.520A

W01.0XXA, Y92.520

W01.0XXA, Y92.520A

49. While learning to ride a bike, Tommy hit a street pole.

V18.0XXA
V17.0XXA

V17.4XXA

V16.0XXA

50. A patient dropped a rolling pin on her foot in the kitchen in her
single family home while making pie crust.
W22.8XXA, Y92.010A, Y93.G1

W20.8XXA, Y92.020, Y93.G3

W20.XXXA, Y92.010, Y93.G3

W20.8XXA, Y92.010, Y93.G1

51. Man was injured helping build walls for houses for Habitat for
Humanity as a volunteer.

Y93.H3, Y99.2

Y93.H9, Y99.2

Y93.H1, Y99.8

Y93.H3

52. A physician documents that the patient has been non-

compliant with medications and has only been taking half dose to
save on money.
T50.906
Z91.120

Z91.130

Z91.19

53. Child comes in for DTap, Tet/Dipth, Hep A, MMR and would
be coded as:
Z00.110

Z01.812

Z13.0

Z23

54. Patient presents to the surgeon’s office 10 days after a breast

augmentation procedure. She complains of pain and tenderness
in the left breast. The physical exam findings include elevated
temperature and the right breast is red along the incision line and
warm to the touch. A culture is taken and confirms Staph Aureus
resistant to Methicillin. Select the correct ICD-10-CM code(s):
T81.4XXA, B95.62

T85.79XA, B95.62

B95.61, T81.4XXA

T85.79XA, Z41.1, B95.8

55. Following a previous surgery the patient suffered blood loss

that required a packed red cell transfusion He continues to be
anemic as evidenced by a low blood count. What is the correct
ICD-10-CM code for the chronic anemia due to hemorrhaging?
D62

D50.0

D50.8

D50.9

56. Jack presents to the physician’s office complaining of

increased sweating and weakness since he woke up this morning.
Patient has chronic pancreatitis, causing diabetes. He is currently
using insulin to control his diabetes. Tests indicate that his blood
sugar is extremely low and he is instructed to go to the hospital
right away to be admitted for treatment of the hypoglycemia.

E16.2, K86.1

E16.2

E11.65, K85.3, Z79.4

K86.1, E08.649, Z79.4

57. This 55-year-old established male patient presents for an

annual physical exam. The patient’s other complaints include
intermittent chest pain and a productive cough. The nurse
practitioner collects a detailed history related to the symptoms
and performs a detailed respiratory and cardiovascular exam. A
chest x-ray confirms acute bronchitis. Oral antibiotics are
prescribed along with instructions to stop smoking. The physical
examination is also performed and there are baseline labs
ordered. The patient is also counseled on appropriate diet and
exercise.
Z00.00, J20.9, Z71.6, F17.200

Z00.01, J20.9, R07.9, Z72.0

R07.1, J20.8, Z00.01

J42, R07.9, F17.200

58. A 15-year-old is being seen by his family practice physician

after suffering a contusion of his nose after being hit by a football.

S00.33XA, W18.01XA

S00.33XA, W21.01XA

S00.33XA, W21.81XA

S00.33XA, W21.31XA

59. A 56-year-old male is discharged from the hospital with a

diagnosis of an Acute ST elevation (STEMI) inferolateral
myocardial infarction. What is the ICD-10 code or code(s)?
I21.3

I21.4

I21.01

I21.19
60. A 66 year-old patient is diagnosed with hypertensive heart
disease and congestive heart failure. What is the ICD-9 code or
code(s)?
I11.0

I11.0, I50.9

I50.9, I11.0

I11.9, I50.9

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

J10.1

J11.1

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

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

62. This patient was diagnosed with malignant breast cancer

(right breast) and how has metatasized to the ascending colon.
They are being treated for the colon cancer. What code(s) would
be used to report this encounter?
C79.81, C18.2

C18.2, C79.81
C50.911, C78.5

C78.5, C50.911

63 . Patient has hypertensive chronic kidney disease, moderate

stage. What code(s) would be used to report this encounter?
N18.3, I12.9

I12.9, N18.3

I12.2, N18.5

I12.2, N18.6

64 . 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?
L89.214, E11.622

L89.213, E10.622

L89.213, E11.622

L89.214, E10.622
65)Patient with 20 weeks pregnant(2ND trimester) is admitted for
the treatment of esophageal candidiasis due to AIDS
O98.711, B20, B37.81, Z3A.20

B37.81, B20 , O98.712,, Z3A.20

O98.712, B20, B37.81,Z3A.20

B20, B37.81,Z3A.20
66. A 60-year-old female was admitted for pneumonia and
exacerbation of chronic obstructive pulmonary disease. Chart
documentation reflects that these two diagnoses equally meet the
definition for principal diagnosis. Which of the following
statements is true?
ICD-10-CM code J18.9 must be sequenced as the principal diagnosis code.

ICD-10-CM code J44.1 must be sequenced as the principal diagnosis code

Either ICD-10-CM code J18.9 or ICD-10-CM code J44.1 may be sequenced as the
principal diagnosis code.

A code for the symptom that is integral to both conditions should be sequenced as
principal diagnosis followed by the codes for pneumonia and exacerbation of
chronic obstructive pulmonary disease.
67. Diagnosis: Comminuted traumatic fracture of right femur shaft,
receiving active treatment. What is the correct ICD-10-CM code
for this diagnosis?
S72.301A

S72.301B

S72.351A

S72.351B

68. A 75-year-old male was admitted for pneumonia. A gram stain

was positive. There is no physician interpretation of these
laboratory findings in the health record. The physician was
queried in regards to the clinical findings and the physician
indicated that the final diagnosis is “pneumonia.” What ICD-10-
CM code(s) should be assigned for this encounter?
J15.6
J15.8

J15.9

J18.9

69. 59-year-old male underwent a laparoscopic cholecystectomy

for acute cholecystitis with cholelithiasis. The patient also had left
knee pain so an x-ray was performed. The x-ray revealed
osteoarthritis of the left knee and an old healed fracture of the left
tibia. The attending physician noted that the knee pain was due to
primary osteoarthritis of the left knee. The documentation in the
health record indicates the healed fracture did not affect
treatment. What ICD-10-CM diagnosis codes should be assigned
for this outpatient encounter?
K80.00, M25.562

K80.00, M17.12

K80.00, M17.12, Z87.81

K80.00, M17.12, S82.202

70. 42-year-old male was admitted for acute systolic heart

failure.The patient also has hypertension and stage 2 chronic
kidney disease. Physician states that heart disease is unrelated to
hypertension . The patient is status post kidney transplant which
was performed two years prior to this admission. What ICD-10-
CM codes should be assigned for this admission?
I50.21, I12.9, N18.2

I50.21, I12.9, N18.2, Z94.0

I50.21, T86.12, I12.9, N18.2

I50.21, T86.12, I12.9, N18.2, Z94.0

71. The physician documented that the patient had a history of a

cerebral infarction with residual right-sided weakness. An
evaluation by physical therapy and occupational therapy were
ordered. What is the appropriate ICD-10-CM code assignment for
residual right-sided weakness resulting from an old cerebral
infarction? There is no mention of hemiplegia or hemiparesis in
the health record.
I69.351

I69.359

I69.398

I69.398, R29.898

72. A 21-year-old female was admitted at 42 3/7 weeks gestation

for induction of labor and delivered the next day. What ICD-10-
CM code is assigned to report the weeks of gestation?
Z3A

Z3A.00

Z3A.42

Z3A.49

73. Diagnosis: Systolic ejection murmur which originated in the

perinatal period was identified on a 14-day-old newborn. The
cause of this murmur has not yet been identified. What is the
correct ICD-10-CM code assignment for this possible systolic
ejection murmur?

I38

P29.89

R01.0

R01.1

74. This 25-year-old male was seen at the physician’s office so

that the physician could inspect a laceration of the right cheek
which was healing nicely. The patient had previously been treated
for this laceration three days earlier by an emergency medicine
physician. He accidentally cut himself with the edge of a tin can lid
in the kitchen of his single family residence home while cooking
dinner. No intervention was required at the physician’s office.
What is the correct ICD-10-CM code assignment for the wound
check at the physician’s office?

S01.41, W45.2, Y93.G3, Y92.010, Y99.8

S01.411, W45.2, Y93.G3, Y92.010, Y99.8

S01.411A, W45.2XXA, Y93.G3, Y92.010, Y99.8

S01.411D, W45.2XXD

75. Tuberculosis of the 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 the HIV. Â What ICD10CM
code(s) are reported?
B20, A15.0

A15.7, Z21

A15.9, Z21

B20, A15.7