Question 1
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
CORRECT ANSWER
A. Miscarriage
Question 2
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
CORRECT ANSWER
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, D. Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report
Question 3
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
CORRECT ANSWER
A. Congestive heart failure, respiratory failure, ventilator management
Question 4
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
CORRECT ANSWER
A. CPT
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,Question 5
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
CORRECT ANSWER
B. 58559
Question 6
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
CORRECT ANSWER
B. 46930
Question 7
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
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, A. D03.61, C43.61
B. C43.61
C. C43.60
D. D03.61
CORRECT ANSWER
B. C43.61
Question 8
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
CORRECT ANSWER
C. N39.3, 0TSD0ZZ
Question 9
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
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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
CORRECT ANSWER
A. Miscarriage
Question 2
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
CORRECT ANSWER
1
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, D. Diameter of the lesion as well as the most narrow margins required to adequately
excise the lesion described in the operative report
Question 3
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
CORRECT ANSWER
A. Congestive heart failure, respiratory failure, ventilator management
Question 4
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
CORRECT ANSWER
A. CPT
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,Question 5
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
CORRECT ANSWER
B. 58559
Question 6
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
CORRECT ANSWER
B. 46930
Question 7
7.00Identify the diagnosis code(s) for melanoma of skin of right shoulder.
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, A. D03.61, C43.61
B. C43.61
C. C43.60
D. D03.61
CORRECT ANSWER
B. C43.61
Question 8
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
CORRECT ANSWER
C. N39.3, 0TSD0ZZ
Question 9
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
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