HIM 240 Final Test 1 2026/2027 | 25+ Exam Questions & Answers | ICD-10-CM Coding, GI, Renal & Obstetric Disorders

HIM 240 Final Test 1 2026/2027 is an 8-page health information management exam-preparation resource containing 25+ questions, answers and ICD-10-CM coding scenarios. The document combines clinical knowledge with applied diagnostic coding and covers gastrointestinal and hepatobiliary disorders, renal and urinary diseases, reproductive health, pregnancy and delivery, prostate disorders, neoplasia and ICD-10-CM code sequencing. Students work with both direct knowledge questions and patient-based coding scenarios involving diagnoses such as GERD, peptic ulcers, pyelonephritis, pancreatitis, Crohn's disease, chronic kidney disease, pre-eclampsia, hyperemesis gravidarum, cervical intraepithelial neoplasia and benign prostatic enlargement. A major portion of the resource focuses on ICD-10-CM coding and code selection from clinical documentation. Students practice translating diagnoses and patient scenarios into codes, including N87.1 for CIN II, K40.90 for unspecified inguinal hernia, K25.0 for acute gastric ulcer with hemorrhage, K50.90 for Crohn's disease without specified complications and K70.31 for alcoholic cirrhosis of the liver with ascites. The material also reinforces use of the Alphabetic Index, Tabular List instructions, additional-code requirements and sequencing principles rather than relying solely on recognition of a disease name. These skills correspond to the methodology established in the official ICD-10-CM Official Guidelines for Coding and Reporting, which should be treated as the authoritative reference when verifying codes for actual coding practice. The renal and genitourinary section examines pyelonephritis, chronic kidney disease, dialysis status and lower urinary tract symptoms. Students review the clinical presentation of upper urinary tract infection and practice coding renal disease alongside dialysis dependence. The document also addresses enlarged prostate with lower urinary tract symptoms and demonstrates the use of N40.1 with additional symptom codes such as R39.16 for straining to void and R39.12 for poor urinary stream. The gastrointestinal and hepatobiliary material covers H2-receptor blockers, GERD, peptic ulcer disease, pancreatitis, gallstone disease, Crohn's disease, gastric ulcer, inguinal hernia and alcoholic liver cirrhosis. Applied scenarios require students to distinguish disease characteristics while identifying an appropriate ICD-10-CM category or code. One example addresses choledocholithiasis with acute cholangitis and obstruction, while another requires coding alcoholic cirrhosis with ascites alongside alcohol dependence. A particularly important section covers obstetric and pregnancy coding. The questions address pregnancy trimesters, pre-eclampsia, previous cesarean delivery, hyperemesis gravidarum with dehydration, spontaneous abortion, gestational-age coding and uncomplicated delivery. Examples include O21.1 with Z3A.16 for hyperemesis gravidarum with dehydration at 16 weeks and O80 with Z37.0 for an uncomplicated full-term delivery resulting in a single liveborn infant. This combination of clinical scenarios and code assignment is valuable for students learning how Chapter 15 pregnancy, childbirth and puerperium conventions differ from general ICD-10-CM coding rules. The document further covers reproductive and neoplastic conditions, including prostate cancer screening with PSA, cervical intraepithelial neoplasia and scenarios involving primary and secondary malignancies. These questions help students practice identifying whether documentation represents a screening procedure, confirmed diagnosis, primary malignancy, secondary malignancy or other condition that affects code selection and sequencing. For exam preparation, students should note that the document appears to contain at least some answer inconsistencies that should be checked against current authoritative coding references. For example, the page 2 answer labels bright-red blood in stool as “melena,” although melena conventionally refers to black, tarry stool caused by digested blood. In addition, the urinary-tract-infection scenario beginning on page 6 appears followed on page 7 by malignancy codes for the pancreas, liver and lymph nodes, suggesting a possible question/answer mismatch in the source document. For this reason, the material is useful for revision, but ICD-10-CM answers should be verified against the applicable year's official code set and coding guidelines. Relevant Students: This resource is particularly relevant to students enrolled in HIM 240 or an equivalent Health Information Management, Medical Coding, ICD-10-CM, Health Information Technology or Clinical Classification course. It can also support medical coding and billing students, health information technology students, coding certification candidates and healthcare administration students who need practice interpreting clinical documentation and assigning diagnosis codes. The uploaded document does not identify a university, so a specific institution should not be added to the title without verification. Keywords: HIM 240, HIM 240 final, HIM 240 Test 1, HIM , HIM 240 exam questions and answers, ICD 10 CM coding, ICD 10 CM exam questions, medical coding exam, health information management, health information technology, diagnosis coding, ICD 10 coding scenarios, ICD 10 code sequencing, gastrointestinal disorders, GERD coding, peptic ulcer disease, Crohn disease coding, pancreatitis, choledocholithiasis, alcoholic cirrhosis with ascites, renal disease coding, chronic kidney disease, dialysis dependence, pyelonephritis, benign prostatic hyperplasia, lower urinary tract symptoms, obstetric coding, pregnancy ICD 10 coding, preeclampsia, hyperemesis gravidarum, spontaneous abortion coding, cesarean delivery coding, normal delivery coding, gestational age codes, cervical intraepithelial neoplasia, CIN II, prostate cancer screening, neoplasm coding, ICD 10 CM study guide, medical coding practice questions, HIM final exam preparation