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1. Identify the correct ICD-10-CM diagnosis code(s) for a patient with
pneumonia and persistent cough.
a. R05, J40
b. J18.9, R05
c. J18.9
d. J18.1 - CORRECT ANSWER C
Pneumonia, unspecified, is assigned J18.9 in the Alphabetic Index. The
persistent cough is a symptom of the pneumonia and should not be coded
separately.
2. Identify the correct ICD-10-CM diagnosis code(s) for a patient with seizures;
epilepsy ruled out.
a. R56.9
b. G40.901
c. R56.9, G40.909
d. G40.909 - CORRECT ANSWER A
Code signs and symptoms when a condition is ruled out, which means the
condition has been proven not to exist. The code for seizures (R56.9) is
assigned when a more specific diagnosis cannot be made even after all the
bearing on the case have been investigated.
,3. Identify the correct ICD-10-CM diagnosis code for a male patient with stress
urinary incontinence.
a. N39.46
b. R32
c. N39.3
d. N39.498 - CORRECT ANSWER C
Urinary incontinence is a loss of urine without warning and may be
associated with many conditions. ICD-10-CM classifies stress incontinence
to N39.3 for both male and female types. Index Incontinence, stress
(female) (male), N39.3. Subcategory N39.498 Other specified urinary
incontinence is not correct because the type (stress) has a specific code.
4. Identify the correct ICD-10-CM diagnosis code(s) for a patient hospitalized
and treated for vancomycin-resistant sepsis requiring treatment with other
special antibiotics.
a. A49.01
b. A41.2, Z16.3
c. A41.9, Z16.21
d. Z16.3, A41.02 - CORRECT ANSWER C
Category Z16, Resistance to Antimicrobial Drugs, is used as additional code.
Assign sepsis for principal as "code first the infection."
5. Identify the punctuation mark that is used to supplement words or
explanatory information that may or may not be present in the statement
of a diagnosis in ICD-10-CM coding. The punctuation does not affect the
code number assigned to the case and is considered a nonessential
modifier.
a. Parentheses ( )
b. Square brackets [ ]
c. Slanted brackets [ ]
d. Braces { } - CORRECT ANSWER A
, Parentheses enclose supplementary words or explanatory information that
may or may not be present in the statement of a diagnosis or procedure.
They do not affect the code number assigned in the case. Bronchiectasis
(fusiform) (postinfectious) (recurrent) is an example of a diagnosis
statement with nonessential modifiers noted with parentheses
6. Identify the correct ICD-10-CM diagnosis code(s) for a patient with ST
elevated anterolateral all myocardial infarction.
a. I21.3
b. I21.09
c. I21.4
d. I21.09, I21.29 - CORRECT ANSWER B
Index Infarction, myocardium, myocardial, ST elevation (STEMI). anterior
(anteroapical) (anterolateral) (anteroseptal) (Q wave) (wall) I21.09. There is
no mention of a prior infarction within the last 28 days, so category I21 is
appropriate. See Includes note under I21
7. Identify the correct ICD-10-CM diagnosis code(s) and sequencing for a
patient with disseminated candidiasis secondary to AIFS-related complex.
a. B20,B37.7, Z20.6
b. B37.7, B20
c. B20, B37.7, Z21
d. B20, B37.7 - CORRECT ANSWER D
Only confirmed cases of HIV infection or illness are reported, using code
B20, Human immunodeficiency virus (HIV) disease per ICD-10-CM Official
Guidelines for Coding and Reporting, Guideline I.C.1.a.1
Patients with an HIC-related illness should be coded to category b20, which
includes AIDS, AIDS-like syndrome, AIDS-related complex, and symptomatic
HIV infection. When a patient is seen for an HIV-related condition, B20
, Human immunodeficiency virus is the first listed diagnosis code. Any HIV-
related conditions should be listed as additional diagnosis codes
8. Identify the correct ICD-10-CM diagnosis code(s) and proper sequencing for
urinary tract infection due to E. coli
a. N39.0
b. N39.0, B96.20
c. B96.20
d. B96.20, N39.0 - CORRECT ANSWER B
The connecting term "due to" connects the organism E. coli to the urinary
tract infection. The instructional not "Use additional code" (B95-B97) is
found in the Tabular List of ICD-10-CM under Code N39.0. This notation
indicates that use of an additional code may provide a more the health
record provides supportive documentation. Infection, urinary (tract) Tabular
List-use additional code to identify organism. Infection, Escherichia coli.
Index: Infection, Escherichia (E.) coli NEC, as cause of disease classified
elsewhere B96.20.
9. The 7th character A is used as long as the patient is receiving active
treatment for the fracture. When the patient is seen by a new or different
provider over the course of treatment for a pathological fracture,
assignment of the 7th character is based on _______.
a. Whether the patient is undergoing active treatment
b. Whether the provider is seeing the patient for the first time
c. Whether routine healing will occur
d. Whether there is a complication in the healing process (i.e., malunion,
nonunion, sequelae) - CORRECT ANSWER A
Per Coding Guideline I.C.13.c, the 7th character A is used as long as the patient is
receiving active treatment for the fracture. While the patient may be seen by a