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COC 2025 FINAL EXAM STUDY QUESTIONS (SET 7) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech.
Medicare pays: - (ANSWER)50% for the costs of the new tech in excess of the full MS-DRG
payment
Medicare reimbursable drugs are found in this code book. - (ANSWER)HCPCS Level II
Rationale: Medicare reimbursable drugs are found in the HCPCS Level II code book. Medicare
reimbursable drugs must be billed in the appropriate dosage amount defined by the long
descriptor of their respective HCPCS Level II codes and adjusted for the units to reflect the
amount of drug administered.
MeV: - (ANSWER)Radiation dosage in million electron volts = maximum energy level of the X-
ray beam
Modifier TC is reported on the UB-04 claim form. True or False? Why? - (ANSWER)False.
Modifier TC indicates the technical component. This is understood in the facility setting and is
not reported on the UB-04.
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Mr. Elliot visits the surgeon for evaluation for a wedge resection ofleft lung cancer. During the
admission, the patient reports pain in the chest due to the malignancy. Applying the coding
concept from ICD-10-CM guideline I.C.6.b.5, what ICD-10-CM code(s) should be reported? -
(ANSWER)C34.92, G89.3
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual.
Lab tests determine the patient has anemia due to the cancer. Applying the coding concept from
ICD-10-CM guideline I.C.2.c.l, what ICD-10-CM codes should be reported for the visit? -
(ANSWER)C61, D63.0
Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is
required to have clearance from his pulmonologist. The pulmonologist performs a pre-operative
screening. Applying the coding concept from ICD-10-CM guideline IV.M, which ICD-10-CM
codes would be reported for the pre-operative clearance? - (ANSWER)Z01.811, D73.1
Mr. Smith presents to the office for a screening test to detect sickle cell disorder. What ICD-10-
CM code(s) is/are reported? - (ANSWER)Z13.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been
suffering from chronic pain in his lower back for several years. Today, he presents for insertion
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of a neurostimulator for pain control. Applying the coding concept from ICD-10-CM guidelines
I.C.6.b.l.a and I.C.6.b.l.b.ii, what ICD-10-CM codes should be reported for the pain? (Do not
code the external cause.) - (ANSWER)G89.21, M54.5
Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The probable cause is dementia.
She was brought in by her daughter who is visiting from out of town. Her daughter will take her
from our office to St. Mary's. The gerontology unit will evaluate her mental condition tomorrow
after she is stabilized. How would you code the diagnoses? - (ANSWER)R63.0, E86.0
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has
Stage 3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept
from ICD-10-CM guideline I.A.13, what ICD- 10-CM code(s) should be reported for the EPO
injection? - (ANSWER)N18.3,D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the debilitating pain
of her malignancy. Her cancer has metastasized to her bones in her thoracic spine Primary cancer
is unknown. What ICD-10-CM codes are reported? - (ANSWER)G89.3, C79.51,C80.1
Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week of
pregnancy. In the late afternoon she suddenly feels a gush of fluid followed by strong uterine
contractions. She is rushed to the hospital but the baby is born before they arrive. In the ED, she
COC 2025 FINAL EXAM STUDY QUESTIONS (SET 7) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech.
Medicare pays: - (ANSWER)50% for the costs of the new tech in excess of the full MS-DRG
payment
Medicare reimbursable drugs are found in this code book. - (ANSWER)HCPCS Level II
Rationale: Medicare reimbursable drugs are found in the HCPCS Level II code book. Medicare
reimbursable drugs must be billed in the appropriate dosage amount defined by the long
descriptor of their respective HCPCS Level II codes and adjusted for the units to reflect the
amount of drug administered.
MeV: - (ANSWER)Radiation dosage in million electron volts = maximum energy level of the X-
ray beam
Modifier TC is reported on the UB-04 claim form. True or False? Why? - (ANSWER)False.
Modifier TC indicates the technical component. This is understood in the facility setting and is
not reported on the UB-04.
,2|Page
Mr. Elliot visits the surgeon for evaluation for a wedge resection ofleft lung cancer. During the
admission, the patient reports pain in the chest due to the malignancy. Applying the coding
concept from ICD-10-CM guideline I.C.6.b.5, what ICD-10-CM code(s) should be reported? -
(ANSWER)C34.92, G89.3
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual.
Lab tests determine the patient has anemia due to the cancer. Applying the coding concept from
ICD-10-CM guideline I.C.2.c.l, what ICD-10-CM codes should be reported for the visit? -
(ANSWER)C61, D63.0
Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his splenectomy, he is
required to have clearance from his pulmonologist. The pulmonologist performs a pre-operative
screening. Applying the coding concept from ICD-10-CM guideline IV.M, which ICD-10-CM
codes would be reported for the pre-operative clearance? - (ANSWER)Z01.811, D73.1
Mr. Smith presents to the office for a screening test to detect sickle cell disorder. What ICD-10-
CM code(s) is/are reported? - (ANSWER)Z13.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been
suffering from chronic pain in his lower back for several years. Today, he presents for insertion
, 3|Page
of a neurostimulator for pain control. Applying the coding concept from ICD-10-CM guidelines
I.C.6.b.l.a and I.C.6.b.l.b.ii, what ICD-10-CM codes should be reported for the pain? (Do not
code the external cause.) - (ANSWER)G89.21, M54.5
Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The probable cause is dementia.
She was brought in by her daughter who is visiting from out of town. Her daughter will take her
from our office to St. Mary's. The gerontology unit will evaluate her mental condition tomorrow
after she is stabilized. How would you code the diagnoses? - (ANSWER)R63.0, E86.0
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has
Stage 3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept
from ICD-10-CM guideline I.A.13, what ICD- 10-CM code(s) should be reported for the EPO
injection? - (ANSWER)N18.3,D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the debilitating pain
of her malignancy. Her cancer has metastasized to her bones in her thoracic spine Primary cancer
is unknown. What ICD-10-CM codes are reported? - (ANSWER)G89.3, C79.51,C80.1
Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week of
pregnancy. In the late afternoon she suddenly feels a gush of fluid followed by strong uterine
contractions. She is rushed to the hospital but the baby is born before they arrive. In the ED, she
