RISK ADJUSTMENT CRC LATEST EXAM TEST 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔A 69 year-old male presents for follow up wound care for his bilateral pressure
ulcers. His right heel shows a stage one ulcer and left heel shows a stage two ulcer with
dark scabbing. The provider orders Betadine painting for both ulcers. Assign the correct
ICD-10-CM code(s) for this visit. - ✔✔L89.622, L89.611
✔✔Patient is seen today for follow up of cirrhosis of the lung found on a thoracic CT.
What ICD-10-CM code is reported? - ✔✔J84.10
✔✔Which sentence below, best describes the attributes of an Absence seizure (petit
mal)? - ✔✔Characterized by blank staring and subtle body movements that begin and
end abruptly. It may cause a brief loss of consciousness.
✔✔A 67 year-old male is brought in by his daughter for evaluation of two wounds on the
legs. The provider exams the skin and finds two skin ulcers. One ulcer is on the right
calf and the second ulcer is on the left ankle. The provider orders the nurse to clean
both ulcers and for the patient to return in one week. Assign the correct ICD-10-CM
codes for this visit. - ✔✔L97.219, L97.329
✔✔Which Z code series is used to indicate a lower limb amputation status? - ✔✔Z89
✔✔A 62 year-old female with a long standing history of endocrine disease has noticed
numbness in her hands and feet. She sees her physician and after examination, her
provider documents the following:A/P: Polyneuropathy, due to endocrine disease. Will
get new labs and have patient return in four weeks. - ✔✔.E34.9, G63
✔✔Patient is admitted to the hospital with streptococcal sepsis which has caused
pneumonia. What codes are assigned? - ✔✔A40.9, J15.4
✔✔70 year-old with COPD is admitted to the hospital for acute exacerbation of chronic
bronchial asthma. What diagnosis code(s) should be reported? - ✔✔J44.1, J45.901
✔✔Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss
a coronary artery bypass graft (CABG). This would be the patient's first CABG. What
ICD-10-CM code should be reported? - ✔✔I25.10 Because Patient was there only to
discuss the CABG
✔✔A patient is being treated for diabetes with hypoglycemia and coma due to malignant
neoplasm of pancreas. The patient uses insulin routinely but is not dependent. What
ICD-10-CM codes should be reported? - ✔✔C25.9, E08.641, Z79.4 Diabetes is due to
neoplasm. Use E08 code.
, ✔✔A patient is admitted after being found unresponsive at home. The patient had right-
sided hemiplegia and aphasia from a previous CVA. The physician documents a current
CVA as the final diagnosis and the patient is transferred for rehabilitation. What ICD-10-
CM code(s) should be reported? - ✔✔I63.9, I69.351, I69.320
✔✔A patient is coming in for follow up of his essential hypertension and cardiomegaly.
Both conditions are stable and he is told to continue with his medications. What ICD-10-
CM code(s) should be reported? - ✔✔I11.9 (Remember to look at the Excludes Note)
✔✔73 year-old visits his primary care physician to discuss lap band procedure for his
morbid obesity. His BMI is currently 45. What ICD-10-CM code(s) should be reported? -
✔✔E66.01, Z68.42
✔✔Patient presents to her physician 10 weeks following a true posterior wall myocardial
infarction. The patient is still symptomatic and is receiving care related to the myocardial
infarction. What is the correct first-listed ICD-10-CM code for this condition? -
✔✔Z51.89 For encounters 4 wks later or more after MI and patient is still receiving care
and aftercare code is used.
✔✔Patient is seen in his physician's office and diagnosed with benign hypertension and
Stage 3 chronic kidney disease. Select the diagnosis codes. - ✔✔I12.9, N18.30
✔✔A 65 year-old male presents to the office with history of ongoing diabetes which has
been controlled with insulin for follow-up exam with his family practice physician, during
this encounter the physician notes a chronic diabetic wound of his right greater toe and
determines gangrene has set in. After examination and testing the family practice
physician recommends the gentleman to be seen by a general surgeon for treatment of
his gangrene of his right great toe. What are the correct diagnoses to report for this
encounter? - ✔✔E11.52, Z79.4 remember that DM & Gangrene is a combo code and
the z code is for the insulin use.
✔✔A 65 year-old male patient was admitted with ascending cellulitis and infection of a
2nd, 3rd, and 4th toes amputation site. What are the appropriate diagnosis codes for
this? - ✔✔T87.40, L03.039
✔✔Which one of the following physician's assessment supports the correct coding for
CKD stage 2, code N18.2? - ✔✔A/P: Mild CKD
✔✔Patient is admitted to the hospital for treatment of a Subarachnoid Hemorrhage. The
patient has hypertension and is being evaluated by Neurosurgery for possible surgical
intervention. Assign the correct ICD-10-CM code(s) for the admission. - ✔✔I60.9, I10
QUESTIONS AND SOLUTIONS RATED A+
✔✔A 69 year-old male presents for follow up wound care for his bilateral pressure
ulcers. His right heel shows a stage one ulcer and left heel shows a stage two ulcer with
dark scabbing. The provider orders Betadine painting for both ulcers. Assign the correct
ICD-10-CM code(s) for this visit. - ✔✔L89.622, L89.611
✔✔Patient is seen today for follow up of cirrhosis of the lung found on a thoracic CT.
What ICD-10-CM code is reported? - ✔✔J84.10
✔✔Which sentence below, best describes the attributes of an Absence seizure (petit
mal)? - ✔✔Characterized by blank staring and subtle body movements that begin and
end abruptly. It may cause a brief loss of consciousness.
✔✔A 67 year-old male is brought in by his daughter for evaluation of two wounds on the
legs. The provider exams the skin and finds two skin ulcers. One ulcer is on the right
calf and the second ulcer is on the left ankle. The provider orders the nurse to clean
both ulcers and for the patient to return in one week. Assign the correct ICD-10-CM
codes for this visit. - ✔✔L97.219, L97.329
✔✔Which Z code series is used to indicate a lower limb amputation status? - ✔✔Z89
✔✔A 62 year-old female with a long standing history of endocrine disease has noticed
numbness in her hands and feet. She sees her physician and after examination, her
provider documents the following:A/P: Polyneuropathy, due to endocrine disease. Will
get new labs and have patient return in four weeks. - ✔✔.E34.9, G63
✔✔Patient is admitted to the hospital with streptococcal sepsis which has caused
pneumonia. What codes are assigned? - ✔✔A40.9, J15.4
✔✔70 year-old with COPD is admitted to the hospital for acute exacerbation of chronic
bronchial asthma. What diagnosis code(s) should be reported? - ✔✔J44.1, J45.901
✔✔Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss
a coronary artery bypass graft (CABG). This would be the patient's first CABG. What
ICD-10-CM code should be reported? - ✔✔I25.10 Because Patient was there only to
discuss the CABG
✔✔A patient is being treated for diabetes with hypoglycemia and coma due to malignant
neoplasm of pancreas. The patient uses insulin routinely but is not dependent. What
ICD-10-CM codes should be reported? - ✔✔C25.9, E08.641, Z79.4 Diabetes is due to
neoplasm. Use E08 code.
, ✔✔A patient is admitted after being found unresponsive at home. The patient had right-
sided hemiplegia and aphasia from a previous CVA. The physician documents a current
CVA as the final diagnosis and the patient is transferred for rehabilitation. What ICD-10-
CM code(s) should be reported? - ✔✔I63.9, I69.351, I69.320
✔✔A patient is coming in for follow up of his essential hypertension and cardiomegaly.
Both conditions are stable and he is told to continue with his medications. What ICD-10-
CM code(s) should be reported? - ✔✔I11.9 (Remember to look at the Excludes Note)
✔✔73 year-old visits his primary care physician to discuss lap band procedure for his
morbid obesity. His BMI is currently 45. What ICD-10-CM code(s) should be reported? -
✔✔E66.01, Z68.42
✔✔Patient presents to her physician 10 weeks following a true posterior wall myocardial
infarction. The patient is still symptomatic and is receiving care related to the myocardial
infarction. What is the correct first-listed ICD-10-CM code for this condition? -
✔✔Z51.89 For encounters 4 wks later or more after MI and patient is still receiving care
and aftercare code is used.
✔✔Patient is seen in his physician's office and diagnosed with benign hypertension and
Stage 3 chronic kidney disease. Select the diagnosis codes. - ✔✔I12.9, N18.30
✔✔A 65 year-old male presents to the office with history of ongoing diabetes which has
been controlled with insulin for follow-up exam with his family practice physician, during
this encounter the physician notes a chronic diabetic wound of his right greater toe and
determines gangrene has set in. After examination and testing the family practice
physician recommends the gentleman to be seen by a general surgeon for treatment of
his gangrene of his right great toe. What are the correct diagnoses to report for this
encounter? - ✔✔E11.52, Z79.4 remember that DM & Gangrene is a combo code and
the z code is for the insulin use.
✔✔A 65 year-old male patient was admitted with ascending cellulitis and infection of a
2nd, 3rd, and 4th toes amputation site. What are the appropriate diagnosis codes for
this? - ✔✔T87.40, L03.039
✔✔Which one of the following physician's assessment supports the correct coding for
CKD stage 2, code N18.2? - ✔✔A/P: Mild CKD
✔✔Patient is admitted to the hospital for treatment of a Subarachnoid Hemorrhage. The
patient has hypertension and is being evaluated by Neurosurgery for possible surgical
intervention. Assign the correct ICD-10-CM code(s) for the admission. - ✔✔I60.9, I10
