Module 1: Introduction to Medical Coding
Overview of the Healthcare System Importance of Medical Coding in Healthcare Basics of ICD-10, CPT, and HCPCS Level II Key Roles and Responsibilities of a Certified Professional Coder

Module 5: HCPCS Level II Coding
Introduction to HCPCS Commonly Used HCPCS Codes Durable Medical Equipment (DME) and Supplies Coding Integration with CPT and ICD-10

Module 6: Medical Coding Compliance and Ethics
HIPAA Regulations and Compliance Standards Avoiding Fraud and Abuse in Coding Ethical Considerations for Medical Coders

Module 7: Practical Coding Applications
Coding Case Studies for Various Specialties: Orthopedics, Cardiology, Dermatology, etc. Abstracting Information from Medical Records Coding Exercises and Assignments

Module 8: CPC Exam Preparation Tips
Exam Format and Structure Practice Exams and Test-Taking Strategies Tips for Time Management During the Exam

Module 9: Career Guidance and Next Steps
How to Land Your First Job in Medical Coding Resume and Interview Tips for Coders Continuing Education and Career Development

About Lesson

Question 1

A 28-year-old patient comes in for follow-up for a seizure she had yesterday. What is the appropriate ICD-10-CM code?

 

   
  •   F44.5
   
  •   G40.409
   
  •   R56.9
   
  •   G40.89

Question 2

A 40-year-old patient is diagnosed with reflux esophagitis. What is the appropriate ICD-10-CM code?

 

   
  •   K21.9
   
  •  K20.9
   
  •  K22.10
   
  • K21.0

 

Question 3

A patient is seen for diabetes type 2 without complications. What is the appropriate ICD-10-CM code?

 

 

  •  E10.9

 

 
  • E11.9
 
 
  •  E11.8
 
 
  •  E10.8
 

 

Question 4

A 6-year-old male presents with his mother.  She states he is having issues at school and at home.  He does not follow directions and has trouble sitting still in class.  He is falling behind in his work and does not complete his tasks.  He is diagnosed with ADHD with both hyperactivity and inattentiveness. What is the appropriate ICD-10-CM code?

   
  •  F90.2
   
  •   F90.1
   
  •   F90.0
   
  •   F90.9

Question 5

A 76-year-old patient seen today for her cortical cataract of her right eye. What is the appropriate ICD-10-CM code?

   
  •   H25.011
   
  •   H25.9
   
  •   H25.019
   
  •   H25.11

 

Question 6

Patient is diagnosed with Type I Diabetes with neuralgia.  What is/are the appropriate ICD-10-CM code(s)?

   
  •   E10.42
   
  •   E10.43
   
  •   E10.41
   
  •   E10.42, M79.2

 

Question 7

A patient is seen for his yearly visit for a history of colon cancer.  He has been doing well and has had no further problems.  What is/are the appropriate ICD-10-CM code(s)?

   
  •   C18.9
   
  •   Z08, Z85.038
   
  •   D12.6
   
  •   Z85.030

 

Question 8

A patient is seen for follow-up of breast cancer. She completed chemotherapy one year ago. What is/are the appropriate ICD-10-CM code(s)?

   
  •   Z85.850
   
  •   C50.919, Z92.21
   
  •   C50.919
   
  •   Z85.3, Z92.21

 

Question 9

A patient is seen for her tic disorder. What is the appropriate ICD-10-CM code?

   
  •   F95.9
   
  •   F95.8
   
  •   F95.1
   
  •   F95.0

Question 10

A patient presents to have a biopsy-proven squamous cell carcinoma removed from her right thigh.   She had a squamous cell carcinoma removed from her back last year. What is/are the appropriate ICD-10-CM code(s)?

   
  • C44.712
   
  •   C44.729, Z85.828
   
  •   C44.722, Z85.820
   
  •   C44.722, Z85.828

 

Question 11

A baby is born at 32 weeks and weighs 3.09 lbs.  What is/are the appropriate ICD-10-CM code(s)?

   
  •   P07.15, P07.35
   
  •   P05.05
   
  •   P07.35, P07.15
   
  •   P07.35, P05.15

Question 12

Patient presents for incision and drainage of chalazion, upper and lower lid in both eyes. What is/are the appropriate ICD-10-CM code(s)?

   
  •   H00.19
   
  •   H00.11, H00.12
   
  •   H00.14, H00.15
   
  •   H00.11, H00.12, H00.14, H00.15

Question 13

Patient is seen for a prenatal visit at 12 weeks.  She states she is doing well.  During the exam, a fetal heartbeat cannot be found.  What is/are the appropriate ICD-10-CM code(s)?

   
  •   O02.1, Z3A.12
   
  •   O03.4, Z3A,12
   
  •   O02.9
   
  •   O02.1

 

Question 14

A 40-year old come in today to be seen for her mammogram results. The patient is found to have microcalcifications. What is the appropriate ICD-10-CM code?

   
  •   R92.8
   
  •   R92.2
   
  •   R92.1
   
  •   R92.0

 

Question 15

67-year-old male patient presents with nocturia, weak stream and urinary frequency.  After exam he is diagnosed with BPH.  What is/are the appropriate ICD-10-CM code(s)?

   
  •  N40.1
   
  •  N40.3, R35.1, R39.12, R35.0
   
  •   N40.1, R35.1, R39.12, R35.0
   
  •   R35.1, R39.12, R35.0

 

Question 16

A patient seen for consultation of distal hypospadias of the penis. What is the appropriate ICD-10-CM code?

   
  •  Q64.0
   
  •   Q54.1
   
  •   Q54.2
   
  •   Q54.3

Question 17

A patient comes in for her B12 injection due to a deficiency caused by pernicious anemia. What is/are the appropriate ICD-10-CM code(s)?

   
  • E53.8
   
  •   D51.0
   
  •   D51.0, E53.8
   
  •   D51.1

Question 18

A patient comes in for follow-up. He stopped chewing tobacco three weeks ago. His withdrawal symptoms have diminished. He is diagnosed as being in remission. What is the appropriate ICD-10-CM code?

   
  • F17.201
   
  •  F17.211
   
  •  F17.221
   
  •   F17.291

 

Question 19

A patient with post-thrombotic syndrome in his left leg presents with a partial thickness ulcer on his calf. What are the appropriate ICD-10-CM code(s)?

   
  •   I87.012, L97.821
   
  •   I87.032, L97.821
   
  •   L97.821, I87.012
   
  •   I87.011, L97.811

Question 20

An elderly female patient with primary chronic gout has complaints of stiffness in her right hand with nodules that have formed. Upon exam, she is noted to have tophi in the hand. What is the appropriate ICD-10-CM code?  Idiopathic chronic gout, right hand, with tophus (tophi) 

   
  •   M1A.1411
   
  •   M1A.0421
   
  •   M1A.0411
   
  •   M1A.0410

Question 21

A patient is seen for surgery for a fracture to the right hip. What is the appropriate ICD-10-CM code?

   
  •  S72.001A
   
  •   S72.041A
   
  •   S72.064A
   
  •   S72.021A

 

Question 22

Carl presents to the office for a check-up. He has chronic combined heart failure. He is doing well on his ACE inhibitors and is walking every day. What is/are the appropriate ICD-10-CM code(s)?

   
  • I50.22, I50.32
   
  •   I50.23, I50.33
   
  •   I50.42
   
  •   I50.43

               

Question 23

48-year-old male with long history of bipolar disorder currently being treated with lithium carbonate. He presents with recent symptoms of sleep deprivation, lethargy, constipation, and general malaise. He states that he feels hopeless. He also states that he feels he is being persecuted and the victim of a government plot to kill him.  He appears depressed with slow psychomotor function. Physical and neurologic exam is normal. What is the appropriate ICD-10-CM code?

   

Ø  F31.5

   

Ø  F31.9

   

Ø  F31.2

   

Ø  F31.10

 

Question 24

A patient presents for a screening colonoscopy. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  Z12.11

   

Ø  Z13.811, Z80.0

   

Ø  Z12.11, Z80.0

   

Ø  Z13.811

Question 25

During a coronary artery stent placement the patient has a cardiac arrest.  What is the appropriate ICD-10-CM code?

   

Ø  I97.810

   

Ø  I97.710

   

Ø  I97.711

   

Ø  I46.9

 

Question 26

A patient is seen in the ED for a first degree sunburn on her back. What is the appropriate ICD-10-CM code?

   

Ø  L55.0

   

Ø  T21.13XA

   

Ø  T21.14XA

   

Ø  L55.1

 

Question 27

A patient presents with a perforated cornea ulcer of the right eye. What is the appropriate ICD-10-CM code?

   

Ø  H16.001

   

Ø  H16.021

   

Ø  H16.061

   

Ø  H16.071

 

Question 28

A patient is diagnosed with intellectual disability. She has an IQ level of 30. What is the appropriate ICD-10-CM code?

   

Ø  F70

   

Ø  F71

   

Ø  F72

   

Ø  F73

 

Question 29

John presents for 1 month recheck of his chronic conditions.  Provider’s assessment states, hypertensive heart disease, CKD stage 3, and DM type 2 under good control with Lantus.  Patient to continue current medications and return in 1 month. What are the appropriate ICD-10-CM code(s)?

   

Ø  I11.9, I12.9, E11.22, N18.3

   

Ø  I13.0, N18.3, E11.9, Z79.4

   

Ø  I13.10, N18.3, E11.22, Z79.4

   

Ø  I13.10, N18.3, E11.9, Z79.4

 

Question 30

A _____________ indicates the code excluded should never be used at the same time as the code above the note.

   

Ø  Inclusion Terms

   

Ø  Excludes 1

   

Ø  Excludes 2

   

Ø  Default Codes

 

Question 31

What is the ICD-10-CM code for acute diastolic heart failure?

   

Ø  I50.30

   

Ø  I50.9

   

Ø  I50.20

   

Ø  I50.31 

 

Question 32

A 49-year-old female patient presented with a lump in the central region of the right breast.  Stereotactic biopsy was performed with diagnosis of CIS.  What is the appropriate ICD-10-CM code?

   

Ø  D24.1

   

Ø  C50.111

   

Ø  D05.91

   

Ø  C79.81

 

Question 33

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)?

   

Ø  J33.0

   

Ø  J33.8, Z72.0

   

Ø  J33.9, F17.210

   

Ø  J33.9

 

Question 34

A police officer is seen after getting stuck by a needle while arresting a HIV positive person. What are the appropriate ICD-10-CM codes?

   

Ø  Z20.6, Y99.0

   

Ø  Z21, W45.8XXA, Y99.0

   

Ø  Z20.6, W46.1XXA, Y99.0

   

Ø  Z20.9, W45.8XXA

 

Question 35

A patient is seen in the emergency department for right lower quadrant pain. What is the appropriate ICD-10-CM code?

   

Ø  R10.813

   

Ø  R10.31

   

Ø  R20.823

   

Ø  R20.84

 

Question 36

A patient presents for follow-up of their sleep study. The patient is diagnosed with narcolepsy. What is the appropriate ICD-10-CM code?

   

Ø  G47.429

   

Ø  G47.421

   

Ø  G47.419

   

Ø  G47.411

 

Question 37

A patient presents with a loss of voice. The symptoms started days ago and she had no other symptoms. What is the appropriate ICD-10-CM code?

   

Ø  R47.9

   

Ø  J04.0

   

Ø  R49.0

   

Ø  R49.1

 

Question 38

Patient presents with pain in her right calf for the past 2 days. She is 2 weeks post vaginal delivery.  The skin is warm to the touch and ultrasound supports superficial phlebitis of the right lower extremity. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  I80.201

   

Ø  O87.0, I80.201

   

Ø  O87.0

   

Ø  I75.011

 

Question 39

A patient at 24 weeks 4 days is seen. She is a type 2 diabetic that is controlled with insulin and her pregnancy is progressing well. What are the appropriate ICD-10-CM codes?

   

Ø  O24.012, E10.9, Z3A.24

   

Ø  O24.414, Z79.4, Z3A.24

   

Ø  O24.112, E11.9, Z79.4, Z3A.24

   

Ø  O24.912, Z3A.24

 

Question 40

A patient presents to the ED with an anaphylactic reaction after accidentally eating peanuts. What is the appropriate ICD-10-CM code?

   

Ø  T78.01XA

   

Ø  T78.05XA

   

Ø  T78.00XA

   

Ø  T78.2XXA

 

Question 41

Late effects are residual effects from the acute phase of an injury or illness. What is the appropriate ICD-10-CM concept for coding?

   

Ø  Use codes for personal history

   

Ø  Use of 7th character “S” on an injury code

   

Ø  Code only the condition caused by the late effect

   

Ø  Code the injury as a current condition

 

Question 42

A 50-year old patient is seen in follow-up and test results for achy pain and muscle weakness. Test results show that the patient has a vitamin D deficiency and the physician diagnosed the patient with osteomalacia. What is the appropriate ICD-10-CM code?

   

Ø  M83.8

   

Ø  M83.2

   

Ø  M83.3

   

Ø  M83.1

 

Question 43

Patient is seen for a routine prenatal visit at 12 weeks.  No heartbeat is found and ultrasound is ordered.  The patient is diagnosed with missed AB.  She desires expectant management.  What is/are the appropriate ICD-10-CM code(s)?

   

Ø  Z34.01

   

Ø  O02.1, Z3A.12

   

Ø  O02.0, Z3A.12

   

Ø  Z34.01, O02.1, Z3A.12    

 

Question 44

A patient is seen by her PCP for results of her bloodwork. She is diagnosed with pernicious anemia. What is the appropriate ICD-10-CM code?

   

Ø  D50.0

   

Ø  D64.9

   

Ø  D51.0

   

Ø  D53.9

 

Question 45

A 4-year-old patient presents for her first eye exam. It is found that she has bilateral optic disc drusen. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  H35.363

   

Ø  H47.323

   

Ø  H47.321, H47.322

   

Ø  H35.361, H35.362

 

Question 46

Fred is a 50-yr-old type 2 diabetic without any complications. What is the appropriate ICD-10-CM code?

   

Ø  E10.9

   

Ø  E10.8

   

Ø  E11.8

   

Ø  E11.9

 

Question 47

14-year-old patient presents for follow-up of juvenile rheumatoid arthritis in her hands and elbows.  Symptoms are improving and she continues her medication as prescribed.  What is/are the appropriate ICD-10-CM code(s)?

   

Ø  M08.021, M08.022, M08.041, M08.042

   

Ø  M08.09

   

Ø  M08.021, M08.041

   

Ø  M08.821, M08.841

Question 48

A 14-day-old baby is seen for feeding problems. The mother states she is having difficulty getting the baby to breast feed.  What is the appropriate ICD-10-CM code?

   

Ø  P92.3

   

Ø  P92.2

   

Ø  P92.9

   

Ø  P92.5

 

Question 49

A patient is seen for follow-up of hypertension and heart disease.  What is/are the appropriate ICD-10-CM code(s)?

   

Ø  I11.9, I10

   

Ø  I11.0

   

Ø  I51.9, I10

   

Ø  I51.9

 

Question 50

A code listed next to a main term in the ICD-10-CM Alphabetic Index is referred to as a ___________.

   

Ø  Default code

   

Ø  Excludes 2

   

Ø  Includes

   

Ø  Acute code

 

Question 51

Patient presents for routine eye exam.  The child had a screening exam at school stating the patient may need glasses.  The child is diagnosed with nearsightedness. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  Z01.00

   

Ø  Z01.01, H52.13

   

Ø  H52.11, H52.12

   

Ø  H52.13, Z01.00

 

Question 52

Patient presents with complaint of being tired, having difficulty sleeping, dry skin, and reports that her nails break easily.  The physician suspects thyroid disorder and orders a thyroid panel, CBC, and Chem 20.  The patient is to return in 10 days for test results.  What is/are the appropriate ICD-10-CM code(s)?

   

Ø  E05.90

   

Ø  E03.9

   

Ø  Z13.29

   

Ø  R53.83, G47.00, L98.8 L60.3 

 

Question 53

Jake is seen for a 2nd degree sunburn on his back. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  T21.20XA

   

Ø  L55.9

   

Ø  T21.23XA, T21.24XA

   

Ø  L55.1

 

Question 54

A 14-year-old patient is seen for a red, scaly, crusted rash on his trunk. The patient is diagnosed with ringworm. What is the appropriate ICD-10-CM code?

   

Ø  B35.9

   

Ø  B35.4

   

Ø  B35.3

   

Ø  B35.6

 

Question 55

Jeff comes in to be seen with complaints of diarrhea and belly pain. He has Crohn’s disease of the ascending colon. After exam and testing, he is found to have an abscess. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  K50.014

   

Ø  K50.814

   

Ø  K50.114

   

Ø  K50.914

 

Question 56

A patient is seen in follow-up for type I atrial flutter. What is the appropriate ICD-10-CM code?

   

Ø  I48.3

   

Ø  I48.4

   

Ø  I48.91

   

Ø  I48.92

 

Question 57

Metastatic liver cancer spread from the descending colon with treatment directed to the liver. What are the appropriate ICD-10-CM code?

   

Ø  C78.7, C18.6

   

Ø  C22.8, C18.6

   

Ø  C18.6, C78.7

   

Ø  C18.6, C22.8

 

Question 58

A patient comes in for her Hepatitis B immunization. What is the appropriate ICD-10-CM code?

   

Ø  Z23

   

Ø  Z22.330

   

Ø  Z22.51

   

Ø  Z77.21

 

Question 59

69-year-old patient is seen for follow-up of primary osteoarthritis.  He complains of pain in the right knee that is getting worse.  It is decided to perform injection of the knee joint with 80 mg Kenalog. 
What is the appropriate ICD-10-CM code?

   

Ø  M17.11

   

Ø  M17.5

   

Ø  M19.90

   

Ø  M17.30

 

Question 60

A 48-year old patient is seen in follow up for his psoriatic arthritis. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  M19.90, L40.9

   

Ø  L40.50

   

Ø  L40.9, M19.90

   

Ø  L40.59

 

Question 61

A patient who is a long time alcoholic presents to the ED with severe abdominal pain, nausea and vomiting. The patient is admitted and diagnosed with alcohol induced pancreatitis. What is/are the appropriate ICD-10-CM code(s)?

   

Ø  K86.0

   

Ø  K85.2

   

Ø  K85.9, F10.220

   

Ø  F10.10, K85.8

 

Question 62

Mother presents with 3-year-old daughter that has been difficult at home with tantrums, crying, and being quite disagreeable.  Mother has tried time-out, taking possessions, and nothing seems to work.  The father recently left the home.  She is diagnosed with adjustment disorder.  What is the appropriate ICD-10-CM code?

   

Ø  F43.10

   

Ø  F91.8

   

Ø  F43.24

   

Ø  R45.83

 

Question 63

A 43-year-old patient comes in to the office with red, swollen, and itchy eyes. She states she was at her friend’s house over the weekend and the friend has 3 cats in her house. After examination the physician diagnoses the patient with acute allergic conjunctivitis. What is the appropriate ICD-10-CM code?

   

Ø  H10.013

   

Ø  H10.13

   

Ø  H10.433

   

Ø  H10.9

 

Question 64

Michelle is being seen by the OB/GYN with postmenopausal atrophic vaginitis. What is the appropriate ICD-10-CM code?

   

Ø  N95.0

   

Ø  N76.0

   

Ø  N95.2

   

Ø  N76.1

 

Question 65

 

A patient presents with an infection on the right index finger.  It is red, swollen, and painful.  She states she had loose skin around the nail bed that she cut too closely.  She is diagnosed perionychia.  What is the appropriate ICD-10-CM code?

   

Ø  L02.511

   

Ø  L03.011

   

Ø  L03.021

   

Ø  L08.9

 

Question 66

Male patient presents for a follow-up on his leukocytosis. What is the appropriate ICD-10-CM code?

   

Ø  D72.829

   

Ø  D72.1

   

Ø  D72.820

   

Ø  D72.828

Question 67

A patient is diagnosed with Thalassemia minor. What is the appropriate ICD-10-CM code?

   

Ø  D56.0

   

Ø  D56.1

   

Ø  D56.2

   

Ø  D56.3

Question 68

A hypertensive patient comes in with complaints of chest pressure, some fatigue, and ankle swelling. An echo and cardiac stress test reveal hypertensive heart disease with left ventricular failure. What are the appropriate ICD-10-CM code(s)?

   

Ø  I10, I50.1

   

Ø  I11.9, I50.9

   

Ø  I11.0, I50.1

   

Ø  I50.1, I11.0

Question 69

What is the code for systolic heart failure?

   

Ø  I50.30

   

Ø  I50.9

   

Ø  I50.20

   

Ø  I50.21

 

Question 70

Patient presents for treatment of her Hashimoto’s thyroiditis. What is the appropriate ICD-10-CM code?

 

   

Ø  E06.0

   

Ø  E06.9

   

Ø  E06.3

   

Ø  E06.1

 

Question 71

Patient presents stating he is having difficulty hearing for the past 2 days. His ears feel full and have some itching in the canals.  Otoscopic exam shows cerumen impaction bilaterally. 
What is/are the appropriate ICD-10-CM code(s)?

 

   

Ø  H61.21

   

Ø  H61.22

   

Ø  H61.21, H61.22

   

Ø  H61.23  

 

 

Question 72

76-year-old patient is seen for punctate age-related cataracts bilaterally. What is/are the appropriate ICD-10-CM code(s)?

 

   

Ø  H25.091, H25.092

   

Ø  H25.093

   

Ø  H25.013

   

Ø  H25.13

Question 73

A patient presents to the ER with a nosebleed.  It was bleeding when he awakened this morning and he has been unable to stop the bleeding.  There is no injury however the patient does take a blood thinner.  What is/are the appropriate ICD-10-CM code(s)?

 

   

Ø  R04.0, Z79.01

   

Ø  R04.0

   

Ø  R04.0, T45.515A, Z79.01

   

Ø  T45.515A, R04.0, Z79.01

 

Question 74

Patient has complaints of rectal pain for 2 days.  He has been constipated and has noticed bright red blood on the tissue.  He is diagnosed with external hemorrhoids.  What is the appropriate ICD-10-CM code?

 

   

Ø  K64.9

   

Ø  K64.4

   

Ø  K64.8

   

Ø  K64.0

Question 75

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)?

   

Ø  J01.00, J01.10

   

Ø  J01.40

   

Ø  J01.80

   

Ø  J01.90

 

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