2026-2027 Exams Includes Frequently Tested Questions
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1. Identify the ICD-10-CM code for a patient with a subsequent encounter for
routine healing of a closed traumatic capital epiphyseal fracture of the left femur.
a. S79.012A
b. S79.019D
c. M84.452D
d. S79.012D - CORRECT ANSWER 1. d Index Fracture, traumatic, femur, capital
epiphyseal. Seventh character is required for further classification of an episode of
care and the healing status
2. Identify the ICD-10-CM code(s) for neonatal tooth eruption.
a. K01.1
b. K00.6, K08.0
c. K01.0
d. K00.6 - CORRECT ANSWER 2. d Index either Neonatal, tooth, teeth K00.6, or
Eruption, teeth/tooth
3. Identify CPT code(s) for the following patient. A 35-year-old female undergoes
an excision of a 3.0-cm tumor in her forehead. An incision is made through the
,skin and subcutaneous tissue. The tumor is dissected free of surrounding
structures. The wound is closed with interrupted sutures.
a. 21012
b. 21012, 12052
c. 21014
d. 21014, 12052 - CORRECT ANSWER 3. a CPT code 21012 describes excision of a
subcutaneous soft tissue tumor of the face or scalp greater than 2 cm and is
appropriately coded when the tumor is removed from the subcutaneous tissue
rather than subgaleal or intramuscular. Simple and intermediate closure of the
wound is included in the procedure for the excision in the musculoskeletal section
4. Identify CPT code(s) for the following Medicare patient. A 67-year-old female
undergoes an excision of a breast lesion identified by preoperative placement of
radiological marker.
a. 19101
b. 19101, 19125
c. 19125
d. 19125, 19126 - CORRECT ANSWER 4. c Code 19125 describes an excision of a
lesion that was identified by preoperative placement of a radiological marker
5. Identify the ICD-10-CM code(s) for an open skull fracture with subarachnoid
and subdural hemorrhage, expired due to brain injury without regaining
consciousness, initial encounter.
a. S02.80XB, S06.4X7B, S06.5X7A
b. S02.81XB, S06.5X7B
c. S06.6X7A, S06.5X7A, S03.81XB
,d. S02.91XB, S06.6X7A, S06.5X7A - CORRECT ANSWER 5. d Open skull fracture:
The Alphabetic Index main term is Fracture, traumatic. The specific site of the skull
fracture is not stated within the diagnostic statement. The seventh character "B" is
assigned to indicate the fracture is open and this is the initial encounter.
Subarachnoid hemorrhage: The Alphabetic Index main term is Hemorrhage with
subterms intracranial, subarachnoid, traumatic. Subdural hemorrhage: The
Alphabetic Index main term is Injury with subterms intracranial, subdural
hemorrhage (traumatic). For the subdural and subarachnoid hemorrhage code
assignments, the sixth character "7" is selected upon review of the Tabular List to
indicate the loss of consciousness with death due to brain injury, prior to regaining
consciousness and the seventh character "A" is assigned to represent the initial
encounter
6. Identify the ICD-10-PCS code(s) for insertion of dual chamber cardiac
pacemaker battery via an incision in the subcutaneous tissue of the chest wall,
and percutaneous transvenous insertion of right atrial and right ventricular leads.
a. 0JH606Z, 02H73JZ, 02HL3JZ
b. 0WH80YZ, 02H63JZ, 02HK3JZ
c. 0WH80YZ, 02H73JZ, 02HL3JZ
d. 0JH606Z, 02H63JZ, 02HK3JZ - CORRECT ANSWER 6. d ICD-10-PCS classifies
cardiac pacemakers as Devices, character 6. Root operations of Insertion, removal,
and revision always involve a device, such as a pacemaker. In coding initial
insertion of a dual chamber permanent pacemaker, three codes are required—
one for the pacemaker (0JH606Z) and one for each lead
7. Identify the correct ICD-10-PCS code for thrombectomy of arteriovenous
dialysis graft. The operative report indicates that the AV graft is located in the right
upper arm with the right cephalic vein being obstructed with the thrombus. An
incision was performed as the approach.
, a. 05D0ZZ
b. 05FF0ZZ
c. 05CD0ZZ
d. 05BD0ZX - CORRECT ANSWER 7. c Extirpation is the root operation for taking or
cutting out solid material from a body part. For a thrombectomy, the thrombus is
the solid material removed. The Alphabetic Index main term is Thrombectomy,
"see Extirpation." Following the cross reference, the main term is Extirpation,
Vein, Cephalic, Right 05CD. Reference the 05C table for the remaining characters
of the code. The body part value is the right cephalic vein (D), the approach is
open (0), and there is no device or qualifier
8. Identify the appropriate ICD-10-CM code(s) for Mobitz type I and II heart block.
a. I44.7, I45.19
b. I44.1
c. I45.0, I45.2
d. I45.10 - CORRECT ANSWER 8. b ICD-10-CM classifies both Mobitz type I and
type II to I44.1
9. Identify the appropriate ICD-10-CM and ICD-10-PCS code(s) for cardiac
pacemaker pulse generator check.
a. Z45.010, 4B02XSZ
b. Z45.018, 4B02XTZ
c. T82.121A, 4B02XSZ
d. Z45.010, 4B02XTZ - CORRECT ANSWER 9. a Index Checking (of), cardiac
pacemaker, pulse generator, Z45.010. The pacemaker check is the root operation
Measurement. Index: Measurement, Cardiac, Pacemaker 4B02XSZ