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Pearson's Comprehensive Medical Coding Exam 1 Questions & Answers

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Assign the correct ICD-10-CM diagnosis code(s) for the following: A 67 year old patient who had right breast cancer treated 2 years ago, is admitted to the ambulatory clinic for examination following surgical excision of tumor 2 years ago. - ANSWERSZ08(Examination) Z90.1(Absence, acquired) Z85.3 (History/personal /malignant neoplasm/breast Assign the correct ICD-10-CM diagnosis code(s) for the following: A 77 year old patient is here for Examination following treatment of healed fracture - ANSWERSZ09((Exam/follow up/fracture) see tabular code additional code to identify applicable history of disease- N/A Assign the correct ICD-10-CM diagnosis code(s) for the following: An asymptomatic patient who had a resection of the descending colon a year earlier is admitted for colonoscopy to evaluate the anastomosis and determine whether there is a recurrence of malignancy. Colonoscopy proved the anastomosis to be normal, and there was no evidence of cancer recurrence. - ANSWERSZ08 Examination/following treatment/malignant, neoplasm Assign the correct ICD-10-CM diagnosis code(s) for the following: The patient presents with generalized complaints involving nonspecific abdominal pain, minimal weight loss, and change of bowel habits. Because of a strong family history of colon cancer, the patient is admitted for evaluation for suspected malignancy. The presence of a neoplasm is ruled out, and no alternative diagnosis is made; it seems obvious that the symptoms reported are largely subjective. - ANSWERSZ03.89 Z80.0 Assign the appropriate ICD-10-CM diagnosis code(s) and sequencing for the following: A 36 year old woman with no symptoms is referred to the hospital outpatient radiology department for screening mammogram. The patient is considered high risk for breast cancer secondary to family history of breast malignancy in her mother and sister. - ANSWERSZ12.31 Z80.3 A patient with a history of mitral valve repair, aortic valve replacement and bypass surgery is admitted for dental extractions because of dental caries. The patient is admitted prior to the scheduled dental procedure and his anticoagulant is temporarily stopped. The extractions were performed on the second hospital day and the anticoagulant was restarted on the fourth day. How should the diagnoses for this case be coded? - ANSWERSK02.9 Z82.49 Z79.01 Assign the appropriate ICD-10-CM diagnosis code(s) and sequencing for the following: A patient is seen in the outpatient GI suite for colonoscopy due to family history of colon cancer. The patient has no personal history of gastrointestinal disease and is currently without signs and symptoms. - ANSWERSZ12.11 Z80.0 Assign the correct ICD-10-CM diagnosis code(s) for the following: A 26 year old patient presented to the GYN clinic for her yearly GYN examination with HPV screening and vaginal PAP smear. - ANSWERSZ01.419 Z11.51 Z12.72 Assign the correct ICD-10-CM diagnosis and PCS code(s) for the following: An otherwise healthy post-menopausal 60 year old female with endometrial hyperplasia presents for repeat endometrial biopsy. She has a history of estrogen therapy, which has been discounted in recent years. A percutaneous endometrial biopsy was performed. - ANSWERSN85.00 Z92.23 OUB43ZX Assign the correct ICD-10-CM diagnosis code(s) for the following: A patient presents for management of insulin-dependent secondary to diabetes status post partial pancreatectomy for benign insulinoma. - ANSWERSE89.1 E11.9 Z90.411 Z79.4

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Pearson's Comprehensive Medical
Coding Exam 1 Questions & Answers
Assign the correct ICD-10-CM diagnosis code(s) for the following: A 67
year old patient who had right breast cancer treated 2 years ago, is
admitted to the ambulatory clinic for examination following surgical
excision of tumor 2 years ago. - ANSWERSZ08(Examination)
Z90.1(Absence, acquired)
Z85.3 (History/personal
/malignant neoplasm/breast

Assign the correct ICD-10-CM diagnosis code(s) for the following: A 77
year old patient is here for Examination following treatment of healed
fracture - ANSWERSZ09((Exam/follow up/fracture) see tabular code additional code to
identify applicable history of disease- N/A

Assign the correct ICD-10-CM diagnosis code(s) for the following: An
asymptomatic patient who had a resection of the descending colon a
year earlier is admitted for colonoscopy to evaluate the anastomosis
and determine whether there is a recurrence of malignancy.
Colonoscopy proved the anastomosis to be normal, and there was no
evidence of cancer recurrence. - ANSWERSZ08 Examination/following
treatment/malignant, neoplasm

Assign the correct ICD-10-CM diagnosis code(s) for the following: The
patient presents with generalized complaints involving nonspecific
abdominal pain, minimal weight loss, and change of bowel habits.
Because of a strong family history of colon cancer, the patient is
admitted for evaluation for suspected malignancy. The presence of a
neoplasm is ruled out, and no alternative diagnosis is made; it seems
obvious that the symptoms reported are largely subjective. - ANSWERSZ03.89
Z80.0

, Assign the appropriate ICD-10-CM diagnosis code(s) and sequencing
for the following: A 36 year old woman with no symptoms is referred to
the hospital outpatient radiology department for screening
mammogram. The patient is considered high risk for breast cancer
secondary to family history of breast malignancy in her mother and
sister. - ANSWERSZ12.31
Z80.3

A patient with a history of mitral valve repair, aortic valve replacement
and bypass surgery is admitted for dental extractions because of dental
caries. The patient is admitted prior to the scheduled dental procedure
and his anticoagulant is temporarily stopped. The extractions were
performed on the second hospital day and the anticoagulant was
restarted on the fourth day. How should the diagnoses for this case be
coded? - ANSWERSK02.9
Z82.49
Z79.01

Assign the appropriate ICD-10-CM diagnosis code(s) and sequencing for the following:
A patient is seen in the outpatient GI suite for colonoscopy due to family history of colon
cancer. The patient has no personal history of gastrointestinal disease and is currently
without signs and symptoms. - ANSWERSZ12.11
Z80.0

Assign the correct ICD-10-CM diagnosis code(s) for the following: A 26 year old patient
presented to the GYN clinic for her yearly GYN examination with HPV screening and
vaginal PAP smear. - ANSWERSZ01.419
Z11.51
Z12.72

Assign the correct ICD-10-CM diagnosis and PCS code(s) for the
following: An otherwise healthy post-menopausal 60 year old female
with endometrial hyperplasia presents for repeat endometrial biopsy.
She has a history of estrogen therapy, which has been discounted in
recent years. A percutaneous endometrial biopsy was performed. - ANSWERSN85.00
Z92.23
OUB43ZX

Assign the correct ICD-10-CM diagnosis code(s) for the following: A patient presents for
management of insulin-dependent secondary to diabetes status post partial
pancreatectomy for benign insulinoma. - ANSWERSE89.1
E11.9
Z90.411
Z79.4

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