Medical Coding Scenarios Exam
Questions and Answers 100% Pass
A mother brings her 4-year-old son to the doctor because she found a lump at the
front of his neck. After an ultrasound and a blood test, the doctor diagnoses a
thyroglossal duct cyst and recommends surgery. On the day of surgery, the surgeon
tells the mother that he will perform a Sistrunk operation. Code the diagnosis and
procedure codes on the day of surgery. - ANSWER-759.2, 60200
A 36-year-old patient is admitted through the Emergency Department with
epigastric abdominal pain and diarrhea. An ultrasound shows calculus in her
gallbladder but no obstruction. The doctor diagnoses the pain as cholelithiasis with
acute cholecystitis. The doctor performs a laparoscopic cholecystectomy the next
day. Code the diagnoses and procedure for this scenario. - ANSWER-574.00,
47562
A mother brings a three-year-old boy in for removal of nasopharyngeal polyps.
The physician thinks the procedure may need to be extensive, and he is concerned
about the patient's ability to tolerate the procedure in an office setting. They
schedule the procedure for the operating room at the local hospital. Upon
examination under anesthesia, the physician realizes that the procedure is a simple
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, excision of three nasal polyps. He performs it, and the patient recovers well. Code
the diagnosis and procedure for this scenario. - ANSWER-471.0, 30110
A man goes to his doctor complaining of chronic pain in his throat. The doctor
performs a laryngoscopy with a flexible fiberoptic scope. While performing the
procedure, the doctor completely excises a 1 centimeter lesion in the patient's
larynx. The pathology report identifies a benign lesion, and the man's throat pain
goes away. Code this diagnosis and procedure. - ANSWER-212.1, 31578
Paul Bunyan presents to the emergency department after accidentally cutting his
upper thigh with a chainsaw, resulting in an injury to his common femoral artery.
Mr. Bunyan is taken to the operating room, where a surgeon does a direct repair of
the blood vessel (femoral artery). The surgeon also performs a 7.5-centimeter
complex repair of his leg (with no tendon involvement) after repairing the artery.
Code this scenario, making sure to code the two procedures separately . . . and
don't forget the E-code! - ANSWER-E920.1, 904.0, 890.1, 35226, 13121
A 64-year-old male patient arrives at the hospital with acute renal failure
(unspecified). The IV team is unable to gain access, so the surgical resident is called
to obtain vascular access. The resident places a non-tunneled centrally inserted
central venous catheter in the patient's right subclavian vein. Code the diagnosis
and procedure for this scenario - ANSWER-584.9, 36556
A 40-year-old man with a family history of colon cancer sees his doctor for a
check-up. He has no symptoms of illness, but the doctor recommends that he have
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
A mother brings her 4-year-old son to the doctor because she found a lump at the
front of his neck. After an ultrasound and a blood test, the doctor diagnoses a
thyroglossal duct cyst and recommends surgery. On the day of surgery, the surgeon
tells the mother that he will perform a Sistrunk operation. Code the diagnosis and
procedure codes on the day of surgery. - ANSWER-759.2, 60200
A 36-year-old patient is admitted through the Emergency Department with
epigastric abdominal pain and diarrhea. An ultrasound shows calculus in her
gallbladder but no obstruction. The doctor diagnoses the pain as cholelithiasis with
acute cholecystitis. The doctor performs a laparoscopic cholecystectomy the next
day. Code the diagnoses and procedure for this scenario. - ANSWER-574.00,
47562
A mother brings a three-year-old boy in for removal of nasopharyngeal polyps.
The physician thinks the procedure may need to be extensive, and he is concerned
about the patient's ability to tolerate the procedure in an office setting. They
schedule the procedure for the operating room at the local hospital. Upon
examination under anesthesia, the physician realizes that the procedure is a simple
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, excision of three nasal polyps. He performs it, and the patient recovers well. Code
the diagnosis and procedure for this scenario. - ANSWER-471.0, 30110
A man goes to his doctor complaining of chronic pain in his throat. The doctor
performs a laryngoscopy with a flexible fiberoptic scope. While performing the
procedure, the doctor completely excises a 1 centimeter lesion in the patient's
larynx. The pathology report identifies a benign lesion, and the man's throat pain
goes away. Code this diagnosis and procedure. - ANSWER-212.1, 31578
Paul Bunyan presents to the emergency department after accidentally cutting his
upper thigh with a chainsaw, resulting in an injury to his common femoral artery.
Mr. Bunyan is taken to the operating room, where a surgeon does a direct repair of
the blood vessel (femoral artery). The surgeon also performs a 7.5-centimeter
complex repair of his leg (with no tendon involvement) after repairing the artery.
Code this scenario, making sure to code the two procedures separately . . . and
don't forget the E-code! - ANSWER-E920.1, 904.0, 890.1, 35226, 13121
A 64-year-old male patient arrives at the hospital with acute renal failure
(unspecified). The IV team is unable to gain access, so the surgical resident is called
to obtain vascular access. The resident places a non-tunneled centrally inserted
central venous catheter in the patient's right subclavian vein. Code the diagnosis
and procedure for this scenario - ANSWER-584.9, 36556
A 40-year-old man with a family history of colon cancer sees his doctor for a
check-up. He has no symptoms of illness, but the doctor recommends that he have
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
