1. A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated
with an aspiration dilation and curettage and products of conception are found. Which of the
following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by
the body area from which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
3. A patient is admitted to the hospital with shortness of breath and congestive heart failure. The
patient subsequently develops respiratory failure. The patient undergoes intubation with
ventilator management. Which of the following would be the correct sequencing and coding of
this case?
a. Congestive heart failure, respiratory failure, ventilator management
,b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator management
a. Congestive heart failure, respiratory failure, ventilator management
4. Which of the following is a standard terminology used to code medical procedures and
services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine
adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
b. 58559
6. What is the correct CPT code assignment for destruction of internal hemorrhoids with use of
infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
b. 46930
,7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
b. C43.61
8. A female patient is admitted for stress incontinence. A urethral suspension to reposition the
urethra via open approach is performed. Assign the correct ICD-10-CM diagnosis and/or
procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ
c. N39.3, 0TSD0ZZ
9. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is
cholecystitis. The patient also has a history of hypertension and diabetes. In the DRG prospective
payment system, which of the following would determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes
b. Cholecystitis
10. Reference codes 49491 through 49525 for inguinal hernia repair. Patient is 47 years old.
What is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia?
a. 49496
, b. 49501
c. 49507
d. 49521
c. 49507
11. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic obstructive pulmonary disease. Which of
the following would be the correct coding and sequencing for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis secondary
to Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the
correct code assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92
b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated
with an aspiration dilation and curettage and products of conception are found. Which of the
following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
a. Miscarriage
2. If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by
the body area from which the excision occurs and which of the following?
a. Length of the lesion as described in the pathology report
b. Dimension of the specimen submitted as described in the pathology report
c. Width times the length of the lesion as described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
d. Diameter of the lesion as well as the most narrow margins required to adequately excise the
lesion described in the operative report
3. A patient is admitted to the hospital with shortness of breath and congestive heart failure. The
patient subsequently develops respiratory failure. The patient undergoes intubation with
ventilator management. Which of the following would be the correct sequencing and coding of
this case?
a. Congestive heart failure, respiratory failure, ventilator management
,b. Respiratory failure, intubation, ventilator management
c. Respiratory failure, congestive heart failure, intubation, ventilator management
d. Shortness of breath, congestive heart failure, respiratory failure, ventilator management
a. Congestive heart failure, respiratory failure, ventilator management
4. Which of the following is a standard terminology used to code medical procedures and
services?
a. CPT
b. HCPCS
c. ICD-10-PCS
d. SNOMED CT
a. CPT
5. What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine
adhesions?
a. 58555, 58559
b. 58559
c. 58559, 58740
d. 58555, 58559, 58740
b. 58559
6. What is the correct CPT code assignment for destruction of internal hemorrhoids with use of
infrared coagulation?
a. 46255
b. 46930
c. 46260
d. 46945
b. 46930
,7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
a. D03.61, C43.61
b. C43.61
c. C43.60
d. D03.61
b. C43.61
8. A female patient is admitted for stress incontinence. A urethral suspension to reposition the
urethra via open approach is performed. Assign the correct ICD-10-CM diagnosis and/or
procedure codes.
a. N39.3, 0TJB8ZZ
b. N23, 0TSD0ZZ
c. N39.3, 0TSD0ZZ
d. R32, 0TSD4ZZ
c. N39.3, 0TSD0ZZ
9. A patient is admitted to the hospital with abdominal pain. The principal diagnosis is
cholecystitis. The patient also has a history of hypertension and diabetes. In the DRG prospective
payment system, which of the following would determine the MDC assignment for this patient?
a. Abdominal pain
b. Cholecystitis
c. Hypertension
d. Diabetes
b. Cholecystitis
10. Reference codes 49491 through 49525 for inguinal hernia repair. Patient is 47 years old.
What is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia?
a. 49496
, b. 49501
c. 49507
d. 49521
c. 49507
11. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic obstructive pulmonary disease. Which of
the following would be the correct coding and sequencing for this case?
a. Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
c. Gastroenteritis; abdominal pain; angina
d. Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
b. Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
12. A 65-year-old female was admitted to the hospital. She was diagnosed with sepsis secondary
to Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the
correct code assignment?
a. A41.89, K57.92, R10.9
b. A41.01, K57.92
c. A41.89, K57.92, A49.01
d. A41.9, K57.92
b. A41.01, K57.92
13. Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement?
a. Less combination codes
b. Increased cross referencing
c. Removal of laterality
d. Expanded codes that capture more detail
