AHIMA CCS Exam Prep | ICD-10-CM, PCS & CPT with
Complete Solutions
Section A: ICD-10-CM Diagnosis Coding
Q1.
Patient admitted with acute appendicitis with generalized peritonitis.
A. K35.2
B. K35.3
C. K35.8
D. K35.80
Rationale: Acute appendicitis with generalized peritonitis is specifically coded to K35.2.
Other codes represent localized or unspecified forms.
Q2.
Patient presents with Type 2 diabetes mellitus with diabetic nephropathy.
A. E11.21
B. E11.22
C. E11.29
D. E11.9
Rationale: Diabetes with nephropathy is coded to E11.21. Option B is for CKD, option C
for other renal complications, option D is unspecified.
Q3.
Patient diagnosed with malignant neoplasm of sigmoid colon.
A. C18.0
B. C18.2
C. C18.7
D. C18.9
,Rationale: Sigmoid colon is coded to C18.7. Options A and B are cecum and ascending
colon, D is unspecified.
Q4.
Patient admitted with acute exacerbation of COPD.
A. J44.0
B. J44.1
C. J44.9
D. J43.9
Rationale: COPD with acute exacerbation is J44.1. J44.0 is with lower respiratory
infection, J44.9 is unspecified, J43.9 is emphysema.
Q5.
Patient presents with acute ischemic stroke involving left middle cerebral artery.
A. I63.412
B. I63.422
C. I63.432
D. I63.9
Rationale: Left MCA infarction is I63.412. Other options represent different arteries or
unspecified stroke.
Q6.
Patient diagnosed with acute pyelonephritis.
A. N10
B. N11.0
C. N11.1
D. N12
Rationale: Acute pyelonephritis is N10. N11 codes are chronic forms, N12 is unspecified
tubulo-interstitial nephritis.
Q7.
, Patient presents with acute myocardial infarction of anterior wall.
A. I21.01
B. I21.09
C. I21.3
D. I21.4
Rationale: Acute MI of anterior wall is I21.09. Other options represent different sites or
unspecified.
Q8.
Patient diagnosed with sepsis due to E. coli.
A. A41.9
B. A41.51
C. A41.89
D. A41.4
Rationale: Sepsis due to E. coli is A41.51. A41.9 is unspecified, A41.89 is other
specified, A41.4 is due to other gram-negative.
Q9.
Patient admitted with acute pancreatitis due to gallstones.
A. K85.1
B. K85.2
C. K85.9
D. K86.1
Rationale: Gallstone-induced acute pancreatitis is K85.1. K85.2 is alcohol-induced,
K85.9 is unspecified, K86.1 is chronic.
Q10.
Patient presents with malignant neoplasm of right breast, female.
A. C50.911
Complete Solutions
Section A: ICD-10-CM Diagnosis Coding
Q1.
Patient admitted with acute appendicitis with generalized peritonitis.
A. K35.2
B. K35.3
C. K35.8
D. K35.80
Rationale: Acute appendicitis with generalized peritonitis is specifically coded to K35.2.
Other codes represent localized or unspecified forms.
Q2.
Patient presents with Type 2 diabetes mellitus with diabetic nephropathy.
A. E11.21
B. E11.22
C. E11.29
D. E11.9
Rationale: Diabetes with nephropathy is coded to E11.21. Option B is for CKD, option C
for other renal complications, option D is unspecified.
Q3.
Patient diagnosed with malignant neoplasm of sigmoid colon.
A. C18.0
B. C18.2
C. C18.7
D. C18.9
,Rationale: Sigmoid colon is coded to C18.7. Options A and B are cecum and ascending
colon, D is unspecified.
Q4.
Patient admitted with acute exacerbation of COPD.
A. J44.0
B. J44.1
C. J44.9
D. J43.9
Rationale: COPD with acute exacerbation is J44.1. J44.0 is with lower respiratory
infection, J44.9 is unspecified, J43.9 is emphysema.
Q5.
Patient presents with acute ischemic stroke involving left middle cerebral artery.
A. I63.412
B. I63.422
C. I63.432
D. I63.9
Rationale: Left MCA infarction is I63.412. Other options represent different arteries or
unspecified stroke.
Q6.
Patient diagnosed with acute pyelonephritis.
A. N10
B. N11.0
C. N11.1
D. N12
Rationale: Acute pyelonephritis is N10. N11 codes are chronic forms, N12 is unspecified
tubulo-interstitial nephritis.
Q7.
, Patient presents with acute myocardial infarction of anterior wall.
A. I21.01
B. I21.09
C. I21.3
D. I21.4
Rationale: Acute MI of anterior wall is I21.09. Other options represent different sites or
unspecified.
Q8.
Patient diagnosed with sepsis due to E. coli.
A. A41.9
B. A41.51
C. A41.89
D. A41.4
Rationale: Sepsis due to E. coli is A41.51. A41.9 is unspecified, A41.89 is other
specified, A41.4 is due to other gram-negative.
Q9.
Patient admitted with acute pancreatitis due to gallstones.
A. K85.1
B. K85.2
C. K85.9
D. K86.1
Rationale: Gallstone-induced acute pancreatitis is K85.1. K85.2 is alcohol-induced,
K85.9 is unspecified, K86.1 is chronic.
Q10.
Patient presents with malignant neoplasm of right breast, female.
A. C50.911
