AAPC Chapter 4: ICD-10-CM Coding
Chapters 1-11 Revision Exam Questions
And Correct Answers.
A patient is admitted to the hospital for repair of an open fracture, type 1, of the head of the left femur.
The patient has been previously diagnosed with symptomatic HIV. What ICD-10-CM code(s) is/are
reported for the admission? - Answer S72.052B, B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal organism
unknown). Which ICD-10-CM codes are reported in the correct sequencing? - Answer A41.9, R65.20,
N17.9
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is due to
Staphylococcus aureus and is methicillin resistant (MRSA). What ICD-10-CM code(s) is/are reported? -
Answer J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal organism
unknown).
Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM codes are reported
(in the correct sequencing)? - Answer A41.9, R65.20, N17.9
A 45-year-old female with ovarian cancer visits her oncologist to receive an injection of Procrit®. The
Procrit® has been prescribed to her for treatment of her anemia resulting from antineoplastic
chemotherapy treatment. Applying the coding concept from ICD-10-CM guidelines I.C.2.c.2. What ICD-
10-CM codes should be reported? - Answer D64.81, C56.9, T45.1X5A
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual. Lab tests
determine the patient has anemia due to the cancer. Applying the coding concept from ICD-10-CM
guideline I.C.2.c.1., what ICD-10-CM codes should be reported for the visit? - Answer C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications. The patient has no
complications. Applying the coding concept from ICD-10-CM guidelines I.C.4.a.1., I.C.4.a.2., and I.C.4.a.3,
what ICD-10-CM code(s) is/are reported? - Answer E11.9, Z79.84
, A mother brings her son into the doctor because he has been getting in trouble in school for his
behavior. He is not paying attention or following the instructions. He is constantly losing his pencil and
forgetting to bring in his homework. After evaluating the child, the provider diagnoses him with attention
deficit hyperactivity disorder (ADHD), predominately inattentive type, and sends the patient for a
consultation with a psychiatrist to see if medication can help. Select the diagnosis code. - Answer F90.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering
from chronic pain in his lower back for several years. Today, he presents for insertion of a
neurostimulator for pain control. Applying the coding concept from ICD-10-CM guideline I.C.6.b.1.a and
I.C.6.b.1.b.ii, what ICD-10-CM codes should be reported for the pain? Do not code the external cause
codes (discussed later in the curriculum). - Answer G89.21, M54.5
A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right, mild stage on the
left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM code(s) is/are reported? - Answer
H40.1312, H40.1321
A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes each, fluctuating
hearing loss, and tinnitus. The provider performs a hearing test and confirms hearing loss in the right ear.
The provider documents the patient has Meniere's disease in the right ear. What ICD-10-CM code(s) is
(are) reported? - Answer H81.01
Which of the following does NOT require documentation for a cause-and-effect relationship to be
coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - Answer Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline I.C.10.a.1) - Answer
Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - Answer When it occurs after
admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned - Answer
R75
Chapters 1-11 Revision Exam Questions
And Correct Answers.
A patient is admitted to the hospital for repair of an open fracture, type 1, of the head of the left femur.
The patient has been previously diagnosed with symptomatic HIV. What ICD-10-CM code(s) is/are
reported for the admission? - Answer S72.052B, B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal organism
unknown). Which ICD-10-CM codes are reported in the correct sequencing? - Answer A41.9, R65.20,
N17.9
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is due to
Staphylococcus aureus and is methicillin resistant (MRSA). What ICD-10-CM code(s) is/are reported? -
Answer J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis (causal organism
unknown).
Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM codes are reported
(in the correct sequencing)? - Answer A41.9, R65.20, N17.9
A 45-year-old female with ovarian cancer visits her oncologist to receive an injection of Procrit®. The
Procrit® has been prescribed to her for treatment of her anemia resulting from antineoplastic
chemotherapy treatment. Applying the coding concept from ICD-10-CM guidelines I.C.2.c.2. What ICD-
10-CM codes should be reported? - Answer D64.81, C56.9, T45.1X5A
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual. Lab tests
determine the patient has anemia due to the cancer. Applying the coding concept from ICD-10-CM
guideline I.C.2.c.1., what ICD-10-CM codes should be reported for the visit? - Answer C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications. The patient has no
complications. Applying the coding concept from ICD-10-CM guidelines I.C.4.a.1., I.C.4.a.2., and I.C.4.a.3,
what ICD-10-CM code(s) is/are reported? - Answer E11.9, Z79.84
, A mother brings her son into the doctor because he has been getting in trouble in school for his
behavior. He is not paying attention or following the instructions. He is constantly losing his pencil and
forgetting to bring in his homework. After evaluating the child, the provider diagnoses him with attention
deficit hyperactivity disorder (ADHD), predominately inattentive type, and sends the patient for a
consultation with a psychiatrist to see if medication can help. Select the diagnosis code. - Answer F90.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering
from chronic pain in his lower back for several years. Today, he presents for insertion of a
neurostimulator for pain control. Applying the coding concept from ICD-10-CM guideline I.C.6.b.1.a and
I.C.6.b.1.b.ii, what ICD-10-CM codes should be reported for the pain? Do not code the external cause
codes (discussed later in the curriculum). - Answer G89.21, M54.5
A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right, mild stage on the
left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM code(s) is/are reported? - Answer
H40.1312, H40.1321
A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes each, fluctuating
hearing loss, and tinnitus. The provider performs a hearing test and confirms hearing loss in the right ear.
The provider documents the patient has Meniere's disease in the right ear. What ICD-10-CM code(s) is
(are) reported? - Answer H81.01
Which of the following does NOT require documentation for a cause-and-effect relationship to be
coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - Answer Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline I.C.10.a.1) - Answer
Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - Answer When it occurs after
admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned - Answer
R75
