1|Page
COC 2025 FINAL EXAM STUDY QUESTIONS (SET 3) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement
with evidence of necrosis and is identified as stage 4. Select the diagnosis code(s): -
(ANSWER)L89.614,L89.624
A patient is given Xylocaine, a local anesthetic, by injection in the thigh above the site to be
biopsied. A small bore needle is then introduced into the muscle, about 3 inches deep, and a
muscle biopsy is taken. What CPT code is reported for this service? - (ANSWER)20206
A patient is having a decompression of the nerve root involving two segments of the lumbar
spine via transpedicular approach. Report the CPT® code(s). - (ANSWER)63056, 63057
A patient is having phacoemulsification ofan age-related nuclear cataract of the left eye. What
ICD-10-CM code is reported? - (ANSWER)H25.12
A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What
ICD-10-CM code is reported? - (ANSWER)K40.91
,2|Page
A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After
admission, the anesthesiologist discovered the patient had an upper respiratory infection and the
surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.I, what is
the appropriate ICD-10-CM code selection? - (ANSWER)N83.201, J06.9, Z53.09
A patient is in the hospital for a hysterosalpingogram due to her infertility for 10 years. She has
no history of pelvic infection or surgery. A 5-F hysterosalpingogram catheter was used. The
catheter balloon was inflated in the lower uterine segment. Contrast was administered through
the catheter and multiple images were taken. Findings were possible right cornual contour
abnormality manifested by focal extravasation and minimal intravasation of undetermined
etiology. Recommend endovaginal ultrasound for further evaluation. What are the CPT ® and
ICD-10-CM codes reported? - (ANSWER)58340, 74740, N97.9
A patient is in the outpatient radiology department of the hospital for an MRI of the brain to rule
out stroke. His symptoms are slurred speech and headache. The ventricles and sulci are seen
within the brain. There is no evidence of space-occupying lesion or intracranial hemorrhage. No
abnormal extra-axial cerebral fluid collections are identified. Diffusion weighting imaging shows
no abnormality. Impression is negative. What CPT ® and ICD-10-CM codes are reported by the
facility? - (ANSWER)70551, R47.81, R51
, 3|Page
A patient is receiving pain management treatment for chronic cervical pain caused by a motor
vehicle accident. Report the ICD-10-CM code(s). - (ANSWER)G89.21, M54.2, V49.9XXA
A patient is referred to the hospital radiology clinic for numbness and tingling in the arms. The
radiologist performs a Doppler analog waveform analysis, a volume plethysmography and a flow
velocity signal of the arteries of both arms. What procedure and diagnosis codes are reported for
the facility services? - (ANSWER)93922, R20.0, R20.2
A patient is respirator dependent and has a tracheostomy in need of revision due to redundant
scar tissue formation surrounding the site. Under general anesthesia and establishing the airway
to maintain ventilation, the scar tissue is resected and then repair is accomplished using a layered
closure. What CPT ® and ICD-10-CM codes are reported? - (ANSWER)31830, L90.5, Z43.0,
Z99.11
A patient is scheduled for closure of a cystostomy. The patient has a personal history of bladder
carcinoma. After removing the sutures that secured the cystostomy tube to the skin and bladder,
the surgeon removed the cystostomy tube and sutured the bladder musculature to repair the
opening. The physician placed a drain tube, brought it out through a separate stab incision in the
skin, and performed a layered closure. What CPT ® and ICD-10-CM codes are reported? -
(ANSWER)51880, Z43.5, Z85.51
COC 2025 FINAL EXAM STUDY QUESTIONS (SET 3) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement
with evidence of necrosis and is identified as stage 4. Select the diagnosis code(s): -
(ANSWER)L89.614,L89.624
A patient is given Xylocaine, a local anesthetic, by injection in the thigh above the site to be
biopsied. A small bore needle is then introduced into the muscle, about 3 inches deep, and a
muscle biopsy is taken. What CPT code is reported for this service? - (ANSWER)20206
A patient is having a decompression of the nerve root involving two segments of the lumbar
spine via transpedicular approach. Report the CPT® code(s). - (ANSWER)63056, 63057
A patient is having phacoemulsification ofan age-related nuclear cataract of the left eye. What
ICD-10-CM code is reported? - (ANSWER)H25.12
A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What
ICD-10-CM code is reported? - (ANSWER)K40.91
,2|Page
A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After
admission, the anesthesiologist discovered the patient had an upper respiratory infection and the
surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.I, what is
the appropriate ICD-10-CM code selection? - (ANSWER)N83.201, J06.9, Z53.09
A patient is in the hospital for a hysterosalpingogram due to her infertility for 10 years. She has
no history of pelvic infection or surgery. A 5-F hysterosalpingogram catheter was used. The
catheter balloon was inflated in the lower uterine segment. Contrast was administered through
the catheter and multiple images were taken. Findings were possible right cornual contour
abnormality manifested by focal extravasation and minimal intravasation of undetermined
etiology. Recommend endovaginal ultrasound for further evaluation. What are the CPT ® and
ICD-10-CM codes reported? - (ANSWER)58340, 74740, N97.9
A patient is in the outpatient radiology department of the hospital for an MRI of the brain to rule
out stroke. His symptoms are slurred speech and headache. The ventricles and sulci are seen
within the brain. There is no evidence of space-occupying lesion or intracranial hemorrhage. No
abnormal extra-axial cerebral fluid collections are identified. Diffusion weighting imaging shows
no abnormality. Impression is negative. What CPT ® and ICD-10-CM codes are reported by the
facility? - (ANSWER)70551, R47.81, R51
, 3|Page
A patient is receiving pain management treatment for chronic cervical pain caused by a motor
vehicle accident. Report the ICD-10-CM code(s). - (ANSWER)G89.21, M54.2, V49.9XXA
A patient is referred to the hospital radiology clinic for numbness and tingling in the arms. The
radiologist performs a Doppler analog waveform analysis, a volume plethysmography and a flow
velocity signal of the arteries of both arms. What procedure and diagnosis codes are reported for
the facility services? - (ANSWER)93922, R20.0, R20.2
A patient is respirator dependent and has a tracheostomy in need of revision due to redundant
scar tissue formation surrounding the site. Under general anesthesia and establishing the airway
to maintain ventilation, the scar tissue is resected and then repair is accomplished using a layered
closure. What CPT ® and ICD-10-CM codes are reported? - (ANSWER)31830, L90.5, Z43.0,
Z99.11
A patient is scheduled for closure of a cystostomy. The patient has a personal history of bladder
carcinoma. After removing the sutures that secured the cystostomy tube to the skin and bladder,
the surgeon removed the cystostomy tube and sutured the bladder musculature to repair the
opening. The physician placed a drain tube, brought it out through a separate stab incision in the
skin, and performed a layered closure. What CPT ® and ICD-10-CM codes are reported? -
(ANSWER)51880, Z43.5, Z85.51
