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1. 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 - CORRECT ANSWER d. Expanded
codes that capture more detail
2. Patient with flank pain was admitted and found to have a calculus of the
kidney. A ureteroscopy with placement of bilateral ureteral stents was performed
to expand the lumen so the stone could pass naturally. Assign the correct ICD-10-
CM/PCS diagnosis and procedure codes.
a. N20.0, N23, 0T788DZ
b. N23, N20.0, 0TC68ZZ, 0TC78ZZ
c. N20.0, 0T768DZ, 0T778DZ
d. N20.0, 0T788DZ - CORRECT ANSWER d. N20.0, 0T788DZ
,3. Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus disease) as
documented by the provider. In this context, "confirmation" __________.
a. Does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
b. Requires the documentation of the type of test in addition to the physician's
diagnostic statement
c. Must be provided by the laboratory findings report
d. Requires that the Public Health Agency be contacted - CORRECT ANSWER a.
Does not require documentation of the type of test performed; the physician's
diagnostic statement that the condition is confirmed is sufficient
4. A 7-year-old patient was admitted to the emergency department for treatment
of shortness of breath. The patient is given epinephrine and nebulizer treatments.
The shortness of breath and wheezing are unabated following treatment. What
diagnosis should be suspected?
a. Acute bronchitis
b. Acute bronchitis with chronic obstructive pulmonary disease
c. Asthma with status asthmaticus
d. Chronic obstructive asthma - CORRECT ANSWER c. Asthma with status
asthmaticus
5. A patient is admitted with acute exacerbation of COPD, chronic renal failure,
and hypertension.
a. J44.1, J44.9, I12.9, N18.9
b. J44.1, N18.9, I10
,c. J44.9, N18.9, I10
d. J44.1, I12.9, N18.9 - CORRECT ANSWER d. J44.1, I12.9, N18.9
6. What does the fourth character of an ICD-10-CM diagnosis code capture?
a. Anatomic site
b. Severity
c. Etiology
d. Supplemental information - CORRECT ANSWER c. Etiology
7. Identify the diagnosis code(s) for carcinoma in situ of vocal cord.
a. D02.0
b. C32.0
c. D49.1
d. D14.1 - CORRECT ANSWER a. D02.0
8. To help clarify terms that currently have overlapping meaning, ICD-10-PCS has
defined root operations. What is an example of the root operation of Excision?
a. Partial nephrectomy
b. Total nephrectomy
c. Total lobectomy
d. Total mastectomy - CORRECT ANSWER a. Partial nephrectomy
9. The assignment of a diagnosis code is based on __________.
, a. The coder's assessment of the health record.
b. The provider's statement that the patient has a particular condition.
c. Clinical criteria used by the provider to establish the diagnosis.
d. Its inclusion in the discharge summary - CORRECT ANSWER b. The provider's
statement that the patient has a particular condition.
10. Which of the following is a condition that arises during hospitalization?
a. Case mix
b. Complication
c. Comorbidity
d. Principal diagnosis - CORRECT ANSWER b. Complication
11. A patient is admitted to an acute-care hospital for alcohol abuse and
uncomplicated alcohol withdrawal syndrome due to chronic alcoholism. His blood
alcohol level on admission was 10mg/100mL.
a. F10.230, F10.10, Y90.0
b. F10.230
c. F10.10, Y90.0
d. F10.230, Y90.0 - CORRECT ANSWER d. F10.230, Y90.0
12. Assign the correct CPT code for the following procedure: Reposition of the
pacemaker electrode.
a. 33226
b. 33243