CERTIFIED CODING SPECIALIST
PRACTICE TEST #1 QUESTIONS WITH
VERIFIED ANSWERS
A 55-year-old patient with AIDS admitted with traumatic comminuted fracture femur
shaft, right leg, initial encounter. The coder should
_______________________________. - Answer-Assign a code for the fracture and
the AIDS
The patient is seen in the pain clinic for chronic neoplasm-related pain that was
known to be caused by the metastatic bone carcinoma of the vertebra that has
spread from carcinoma of the left main bronchus of the lung. How should this be
coded? - Answer-G89.3, Neoplasm related pain (acute) (chronic); C79.51,
Secondary malignant neoplasm of bone; C34.02, Malignant neoplasm of left main
bronchus
A 45-year-old man with known AIDS is admitted to the hospital for treatment of
Pneumocystis pneumonia. What is the principal diagnosis code? - Answer-B20-
AIDS
A patient is prescribed diazepam and reports taking more than the prescribed
amount. The patient is admitted to the hospital for complete work up. The final
diagnosis is documented as diazepam use and abuse. How should this be coded? -
Answer-F13.10- Sedative, hypnotic, or anxiolytic abuse, uncomplicated
A female patent with terminal carcinoma of the breast, metastatic to the lover, brain,
and intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient
was rehydrated with IVs and discharged, with no treatment given to the cancer. What
are the codes assigned? - Answer-E86.0, dehydration, C50.919, malignant
neoplasm of unspecified site of unspecified female breast, C78.7, secondary
malignant neoplasm of liver and intrahepatic bile duct, C79.31, secondary malignant
neoplasm of brain, C78.89, secondary malignant neoplasm of other digestive organs
This patient was admitted for chemotherapy due to primary hepatocellular carcinoma
of the transplanted liver. What codes are assigned? - Answer-Z51.11, encounter for
antineoplastic chemotherapy, T86.49 other complications of the liver transplant, , ,
C80.2, malignant neoplasm associated with transplanted organ, C22.0, liver cell
carcinoma
A child has second- and third-degree burns of the left lower leg and second- and
third-degree burns of the lower back with a total of 16 percent total body surface
areas (TBSA), 9 percent third-degree. What is the correct code assignment? -
Answer-T24.302A- burn of third degree of unspecified site of left lower limb, except
ankle and foot, initial encounter, T21.34XA- burn of third degree of lower back, initial
encounter, T31.10, diagnosis of burns involving 10-19% of body surface with 0% to
9% third degree burns
, The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular
lists indicates that this code may be assigned when the causal condition is unknown
or not applicable. When the causal condition is known, the code for that condition
may be reported as which of diagnosis? - Answer-Principal
45-year-old patient admitted with insulin dependent diabetes. The type of diabetes is
not specified in the medical record. How should this be coded? - Answer-E11.9- type
2 diabetes mellitus without complications, Z79.4- long term (current) use of insulin
A 65-year-old man is admitted due to an acute myocardial infraction. The patient
also has coronary artery disease. How should this be coded? - Answer-AMI, CAD
A patient is admitted to the hospital during the postpartum period as a result of
developing a thromboembolism or pulmonary blood clot leading to respiratory failure.
What is the principal diagnosis? - Answer-O22.23- a diagnosis of superficial
thrombophlebitis in pregnancy, third trimester
Patient admitted with hemorrhage due to placenta previa with twin pregnancy. This
patient had two prior (caesarean section) deliveries. Emergency C-section was
performed due to the hemorrhage. The appropriate principal diagnosis would be
__________________________________. - Answer-Placenta previa with
hemorrhage
A 70-year-old patient was admitted with pneumonia. The history and physical
documented that the patient has a history of diabetes, hypertension, and migraine
headache about 10 years ago without recurrence. The patient was administered IV
antibiotics, metformin, and Altace during the hospitalization. Which conditions would
be reported at the time of discharge? - Answer-Pneumonia, diabetes, and
hypertension
A 75-year-old female was admitted for acute myocardial infarction and underwent a
diagnostic cardiac catherization. Following the cauterization, the patient developed a
thrombophlebitis documented as due to the catheter in common femoral artery. The
thrombophlebitis would be coded as ________________________________. -
Answer-T81.718A, Complication of other artery following a procedure, not
elsewhere, classified, initial encounter
A patient was admitted to the emergency department with chest pain and was
diagnosed with aborted myocardial infarction with acute myocardial ischemic
ischemia. There was no prior cardiac surgery. The appropriate coding of the
diagnosis for this case is __________________________. - Answer-I24.0, acute
coronary thrombosis not resulting in myocardial infarction
A patient has nausea and vomiting with abdominal pain due to acute cholecystitis.
The physician documents the following on the discharge summary: acute
cholecystitis, nausea, vomiting, and abdominal pain. The correct diagnosis code(s)
are ________________________________. - Answer-Acute cholecystitis
PRACTICE TEST #1 QUESTIONS WITH
VERIFIED ANSWERS
A 55-year-old patient with AIDS admitted with traumatic comminuted fracture femur
shaft, right leg, initial encounter. The coder should
_______________________________. - Answer-Assign a code for the fracture and
the AIDS
The patient is seen in the pain clinic for chronic neoplasm-related pain that was
known to be caused by the metastatic bone carcinoma of the vertebra that has
spread from carcinoma of the left main bronchus of the lung. How should this be
coded? - Answer-G89.3, Neoplasm related pain (acute) (chronic); C79.51,
Secondary malignant neoplasm of bone; C34.02, Malignant neoplasm of left main
bronchus
A 45-year-old man with known AIDS is admitted to the hospital for treatment of
Pneumocystis pneumonia. What is the principal diagnosis code? - Answer-B20-
AIDS
A patient is prescribed diazepam and reports taking more than the prescribed
amount. The patient is admitted to the hospital for complete work up. The final
diagnosis is documented as diazepam use and abuse. How should this be coded? -
Answer-F13.10- Sedative, hypnotic, or anxiolytic abuse, uncomplicated
A female patent with terminal carcinoma of the breast, metastatic to the lover, brain,
and intrahepatic and extrahepatic bile ducts, was admitted with dehydration. Patient
was rehydrated with IVs and discharged, with no treatment given to the cancer. What
are the codes assigned? - Answer-E86.0, dehydration, C50.919, malignant
neoplasm of unspecified site of unspecified female breast, C78.7, secondary
malignant neoplasm of liver and intrahepatic bile duct, C79.31, secondary malignant
neoplasm of brain, C78.89, secondary malignant neoplasm of other digestive organs
This patient was admitted for chemotherapy due to primary hepatocellular carcinoma
of the transplanted liver. What codes are assigned? - Answer-Z51.11, encounter for
antineoplastic chemotherapy, T86.49 other complications of the liver transplant, , ,
C80.2, malignant neoplasm associated with transplanted organ, C22.0, liver cell
carcinoma
A child has second- and third-degree burns of the left lower leg and second- and
third-degree burns of the lower back with a total of 16 percent total body surface
areas (TBSA), 9 percent third-degree. What is the correct code assignment? -
Answer-T24.302A- burn of third degree of unspecified site of left lower limb, except
ankle and foot, initial encounter, T21.34XA- burn of third degree of lower back, initial
encounter, T31.10, diagnosis of burns involving 10-19% of body surface with 0% to
9% third degree burns
, The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular
lists indicates that this code may be assigned when the causal condition is unknown
or not applicable. When the causal condition is known, the code for that condition
may be reported as which of diagnosis? - Answer-Principal
45-year-old patient admitted with insulin dependent diabetes. The type of diabetes is
not specified in the medical record. How should this be coded? - Answer-E11.9- type
2 diabetes mellitus without complications, Z79.4- long term (current) use of insulin
A 65-year-old man is admitted due to an acute myocardial infraction. The patient
also has coronary artery disease. How should this be coded? - Answer-AMI, CAD
A patient is admitted to the hospital during the postpartum period as a result of
developing a thromboembolism or pulmonary blood clot leading to respiratory failure.
What is the principal diagnosis? - Answer-O22.23- a diagnosis of superficial
thrombophlebitis in pregnancy, third trimester
Patient admitted with hemorrhage due to placenta previa with twin pregnancy. This
patient had two prior (caesarean section) deliveries. Emergency C-section was
performed due to the hemorrhage. The appropriate principal diagnosis would be
__________________________________. - Answer-Placenta previa with
hemorrhage
A 70-year-old patient was admitted with pneumonia. The history and physical
documented that the patient has a history of diabetes, hypertension, and migraine
headache about 10 years ago without recurrence. The patient was administered IV
antibiotics, metformin, and Altace during the hospitalization. Which conditions would
be reported at the time of discharge? - Answer-Pneumonia, diabetes, and
hypertension
A 75-year-old female was admitted for acute myocardial infarction and underwent a
diagnostic cardiac catherization. Following the cauterization, the patient developed a
thrombophlebitis documented as due to the catheter in common femoral artery. The
thrombophlebitis would be coded as ________________________________. -
Answer-T81.718A, Complication of other artery following a procedure, not
elsewhere, classified, initial encounter
A patient was admitted to the emergency department with chest pain and was
diagnosed with aborted myocardial infarction with acute myocardial ischemic
ischemia. There was no prior cardiac surgery. The appropriate coding of the
diagnosis for this case is __________________________. - Answer-I24.0, acute
coronary thrombosis not resulting in myocardial infarction
A patient has nausea and vomiting with abdominal pain due to acute cholecystitis.
The physician documents the following on the discharge summary: acute
cholecystitis, nausea, vomiting, and abdominal pain. The correct diagnosis code(s)
are ________________________________. - Answer-Acute cholecystitis
