ANSWERS ALL CORRECT
The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his
etiology is unknown and to help delineate the diagnosis, Neurology has consulted us to
obtain a right bicep muscle biopsy. What diagnosis code is reported?
a. R29.898
b. M62.81
c. R53.1
d. G58.9 - Answer- b. M62.81
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient
does not have a history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 - Answer- c. R03.0
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located
on his back and the other was located on the right forearm. Both involved subcutaneous
tissue. What ICD-10-CM code(s) is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - Answer- b. D17.21, D17.1
What is the time frame defining when pain becomes chronic?
a. After the global period
b. One year
c. The 30th day
d. No time frame - Answer- d. No time frame
A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes
are reported?
a. E85.3, N08
b. E85.4, N08
,c. N08, E85.3
d. N08, E85.4 - Answer- b. E85.4, N08
A 45 year-old-male patient has developed an ulcer on his upper back. He has had
diabetes for several years and is on insulin. The provider determines that the ulcer is
due to his diabetes. What ICD-10-CM codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - Answer- c. E11.622, L98.429, Z79.4
In which circumstances would an external cause code be reported?
a. Delivery of a newborn.
b. Causes of injury or health condition.
c. Chemotherapy treatment of neoplasms.
d. Only for the cause of motor vehicle accidents. - Answer- b. Causes of injury or health
condition.
Patient presents with no menses and positive pregnancy test but an ultrasound reveals
no uterine contents. An embryo has implanted on the left ovary and this is treated with
laparoscopic oophorectomy. What ICD-10-CM code is reported for this procedure?
a. O00.102
b. O00.202
c. O00.802
d. O00.09 - Answer- b. O00.202
A patient has an open displaced fracture of the second cervical vertebra. This is her fifth
visit and the fracture is healing normally. What ICD-10-CM code is reported?
a. S12.9XXS
b. S12.190D
c. S12.9XXD
d. S12.190A - Answer- b. S12.190D
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle.
What ICD-10-CM codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - Answer- d. E11.622, L97.319
, A patient is prescribed anticonvulsant medication for her seizures. She returns to her
doctor three days later with nausea and rash due to taking the anticonvulsant
medication. The provider notes that this is a drug reaction to an anticonvulsant and
changes the medication. What ICD-10-CM codes are reported?
a. L27.0, R11.2, T42.71XA
b. R21, R11.2, T42.71XA
c. R21, R11.0, T42.75XA
d. L27.0, R11.0, T42.75XA - Answer- d. L27.0, R11.0, T42.75XA
Local Coverage Determinations are administered by whom?
a. State Law
b. NCDs
c. Each regional MAC
d. LMRPs - Answer- c. Each regional MAC
ABN stands for _____.
a. Advanced Benefits Notification
b. Advisory Beneficial Notice
c. Admitting Beneficiary Notice
d. Advance Beneficiary Notice - Answer- d. Advance Beneficiary Notice
What type of health insurance provides coverage for low-income families?
a. Commercial HMO
b. Medicaid
c. Medicare
d. Commercial PPO - Answer- b. Medicaid
Which type of information is NOT maintained in a medical record?
a. Treatment outcomes
b. Financial records
c. Medical or surgical interventions
d. Observations - Answer- b. Financial records
According to the OIG, internal monitoring and auditing should be performed by what
means?
a. Focused audits on problems brought to the attention of the compliance officer.
b. Baseline audits.
c. Periodic audits.
d. Audits on all denied claims. - Answer- c. Periodic audits.