ACTUAL Exam Questions and
CORRECT Answers
(Coding Guidelines)
What is the ICD-10-CM code for strep throat? - CORRECT ANSWER - a) 102.0
b) 102.8
c) 397.89
d) A49.1
(Coding Guidelines)
Which diagnosis code(s) should be reported for chronic gonococcal salpingitis? - CORRECT
ANSWER - a) A54.24
b) N70.91, A54.24
c)N70.11
d) N70.11, A54.24
(Coding Guidelines)
What diagnosis codes should be reported for fragilitas ossium, osteogenesis imperfecta and
osteopsathyrosis? - CORRECT ANSWER - a) Q78.2
b) 078.0
c) 078.8
d) 078.9
(Coding Guidelines)
What is the ICD-10-CM code for tachycardia? - CORRECT ANSWER - a) p29.11
b) 147.9
C) RO0.0
,d) 149.8
(Coding Guidelines)
What is the ICD-10-CM code for sprained left ankle, initial encounter? - CORRECT
ANSWER - a) s93.402A
b) 583.90XD
c) 593.601A
d) 573.192D
(Coding Guidelines)
What is the ICD-10-CM code for UTI? - CORRECT ANSWER - a) N39.0
b) N71.9
c) T80.29XA
d) A54.00
(Coding Guidelines)
What does ICD-10-CM stand for? - CORRECT ANSWER - a) Infections Classified Diseases
10th Revision, Clinical Modification
b) International Class Diagnosis 10th Book, Clinical Medicine
c) International Classification of Diseases 10th Revision, Clinical Modification
d) International Code Diagnosis-10, Coding Medical
(10000 series)
A 45-year-old male with a previous biopsy positive for malignant melanoma presents for
definitive
excision of the lesion. After induction of general anesthesia, the patient is placed supine on the
OR table, the left knee prepped and draped in the usual sterile fashion. IV antibiotics are given as
the patient had previous MRSA infection. The previous excisional biopsy site on the left knee
measured approximately 4 cm and was widely ellipsed with a 1.5 cm margin. The excision was
taken down to the underlying patellar fascia. Hemostasis was achieved via electrocautery. The
,resulting defect was 11cm x5cm. Wide advancement flaps were created inferiorly and superiorly
using electrocautery. This allowed skin edges to
come together without tension. The wound was closed using interrupted 2-0 Monocryl and 2
retention sutures were placed using #1 Prolene. Skin was closed with a stapler. What CPT®
code(s) is/are r - CORRECT ANSWER - a) 15738, 11606-51
b) 14301
c) 15758
d) 14301, 11606-51
(10000 series)
What term relates to connection of skin to underlying muscles? - CORRECT ANSWER - a)
Dermis
b) sebaceous
c) Hypodermis
d) Epidermis
(10000 series)
A 56-year-old pro golfer is having Mohs micrographic surgery for skin cancer on his forehead.
The surgeon performs the surgery with two stages. The first stage includes 4 tissue blocks and
the second stage includes 6 tissue blocks. What are the codes for both stages? - CORRECT
ANSWER - a) 17311, 17315
b) 17313, 17314, 17315
c) 17311, 17312
d) 17311, 17312, 17315
(10000 series)
A localization wire placement in the lower outer aspect of the right breast was performed by a
radiologist the day prior to this procedure. During this operative session, the surgeon created an
incision through the wire track and the wire track was followed down to its entrance into breast
tissue. A nodule of breast tissue was noted immediately adjacent to the wire. This entire area was
excised by sharp dissection, sent
, to pathology and peturned as a benign lesion. Bleeders were cauterized and subcutaneous tissue
was closed with 3-0 Vicryl. Skin edges were approximated with 4-0 subcuticular sutures and
adhesive strips were applied. The patient left the operating room in satisfactory condition. What
is/are the correct code(s). for the surgeon's service? - CORRECT ANSWER - a) 11400-RT
b) 19120-RT
c) 19125-RT
d) 19125-RT, 19285
(10000 series)
Operative Report:
Pre-Operative Diagnoses: Basal Cell Carcinoma, forehead
Basal Cell Carcinoma, right cheek
Suspicious lesion, left nose
Suspicious lesion, left forehead
INDICATIONS FOR SURGERY: The patient is a 47-year-old white man with a biopsy proven
basal cell
carcinoma of his forehead and a biopsy proven basal cell carcinoma of his right cheek. We were
not quite sure of the patient's location of the basal cell carcinoma of the forehead whether it was
a midline lesion or lesion to the left. We felt stronger about the midline lesion, so we marked the
area for elliptical excision in relaxed skin tension lines of his forehead with gross normal margins
of 1-2 mm and I marked the lesion of the left forehead for biopsy. He also had a lesion of his left
alar crease we marked for biopsy and a large basal cell carcinoma of his right cheek, which was
more obvious. This was marked for elliptical excision wi - CORRECT ANSWER - a)
CA4.202, C44.309, D48.5, DA9.2
b) C44,319, D04.39, D48.5, D22.39
C) C44.202, C44.40, D22.23, D22.39
d) C44.319, D22.39
(10000 series)
Indications for surgery: Area of high recurrence, area of functional and/or cosmetic importance.
Discussed procedure including alternative therapy, expectations, complications, and the