ER ADVANCE CODING EXAM
QUESTIONS AND ANSWERS
This 53-year-old male patient comes to the emergency department after being found
unresponsive. Patient has a known history of lung carcinoma and has been told to
expect this outcome at some time in the near future.
Patient was found by paramedics in sinus bradycardia with a pressure. IV started and
patient was intubated on the scene. Atropine and epinephrine were administered on
several occasions without development of a pressure. Patient placed on pacemaker but
no pressure or pulse developed.
On arrival, no pulse, no respirations, no blood pressure, undergoing cardiopulmonary
resuscitation. Pupils fixed and dilated; corneal reflexes absent. Heart sounds not heard,
no spontaneous respiratory effort. No peripheral pulses, femoral pulses felt. Patient has
been unresponsive without blood pressure or pulse for approximately 45-50 minutes
and pronounced dead.
DIAGNOSIS:
Cardiorespiratory Arrest
History of Lung Carcinom - Correct Answers -ICD-10-CM:Arrest, CardiacI46.9
History, (Personal of), Neoplasm, Malignant, Lung Z85.118
Assigned 99285 based on the following:
Emergency Department
Acute/chronic illness posing threat to life (High)
Data:None
Risk:Decision not to resuscitate (High)
CPT 99285
Instructions: Read the Emergency Department scenario and assign code(s) for ED
services as appropriate. There is no need to code external cause of injury codes for
these exercises.
Female patient who states she slipped and fell today. She landed on her right side and
began having lower abdominal pain and bleeding. Abdomen showed tenderness to
deep palpation mid-lower abdomen. Pelvic exam shows blood at the introitus. Also,
blood in the vaginal vault. An abdominal ultrasound, abdominal x-ray, and lab work were
ordered which were all negative. Patient with possible ruptured ovarian cyst or possible
intra-abdominal injury. Will continue to watch patient on an outpatient basis to make
certain no issues needing additional attention. Given prescription for pain medication
until she is able to see her primary care physician for further follow-up. - Correct
Answers -N93.9, R10.30
QUESTIONS AND ANSWERS
This 53-year-old male patient comes to the emergency department after being found
unresponsive. Patient has a known history of lung carcinoma and has been told to
expect this outcome at some time in the near future.
Patient was found by paramedics in sinus bradycardia with a pressure. IV started and
patient was intubated on the scene. Atropine and epinephrine were administered on
several occasions without development of a pressure. Patient placed on pacemaker but
no pressure or pulse developed.
On arrival, no pulse, no respirations, no blood pressure, undergoing cardiopulmonary
resuscitation. Pupils fixed and dilated; corneal reflexes absent. Heart sounds not heard,
no spontaneous respiratory effort. No peripheral pulses, femoral pulses felt. Patient has
been unresponsive without blood pressure or pulse for approximately 45-50 minutes
and pronounced dead.
DIAGNOSIS:
Cardiorespiratory Arrest
History of Lung Carcinom - Correct Answers -ICD-10-CM:Arrest, CardiacI46.9
History, (Personal of), Neoplasm, Malignant, Lung Z85.118
Assigned 99285 based on the following:
Emergency Department
Acute/chronic illness posing threat to life (High)
Data:None
Risk:Decision not to resuscitate (High)
CPT 99285
Instructions: Read the Emergency Department scenario and assign code(s) for ED
services as appropriate. There is no need to code external cause of injury codes for
these exercises.
Female patient who states she slipped and fell today. She landed on her right side and
began having lower abdominal pain and bleeding. Abdomen showed tenderness to
deep palpation mid-lower abdomen. Pelvic exam shows blood at the introitus. Also,
blood in the vaginal vault. An abdominal ultrasound, abdominal x-ray, and lab work were
ordered which were all negative. Patient with possible ruptured ovarian cyst or possible
intra-abdominal injury. Will continue to watch patient on an outpatient basis to make
certain no issues needing additional attention. Given prescription for pain medication
until she is able to see her primary care physician for further follow-up. - Correct
Answers -N93.9, R10.30
