Question 1
A patient comes to the office for a follow-up. She had carcinoma OUQ right breast, ER positive, bilateral mastectomy. Her mammogram last month did not show any evidence of disease. The provider evaluates her and asks her to follow up after six months. How do you code the encounter?
A. C50.411, Z17.0, Z92.13
B. Z08, Z85.3, Z90.13
C. Z08, Z85.3
D. Z85.3, Z90.13, Z17.0
Question 2
A patient with colon cancer arrives for a follow-up visit. The patient had a hemicolectomy. His last colonoscopy was unremarkable. His mother had colon cancer. How do you code the encounter?
A. Z08, Z85.038, Z80.0, Z98.890
B. Z98.890, Z85.038, Z08
C. C18.9, Z80.0, Z98.890
D. Z08, C18.9, Z80.0
Question 3
What is the ICD-10-CM code for plaque induced chronic gingivitis?
A. K05.00
B. K05.01
C. K05.10
D. K05.11
Question 4
A patient is diagnosed with depression. How should this be reported?
A. F32.0
B. F32.9
C. F32.A
D. F43.21
Question 5
Which of the following should be done when reporting cannabis use?
A. All use should be reported from category F12.-.
B. Only report an F12.- category code for patients for whom the provider has documented a problem precipitated by the cannabis use.
C. All use should be reported from subcategory F12.9-.
D. Only report an F12.- category code for patients for whom the provider has documented a problem precipitated by the cannabis use or if the patient is pregnant.
Question 6
An orthopedic practitioner evaluates a patient in the ER who was struck on his left arm and shoulder by a line drive during a softball game. The physician determines the patient sustained a left proximal humerus fracture. The fracture is nondisplaced and will be treated nonsurgically, without manipulation. The patient is fitted with a sling for comfort and a swathe for immobilization. He is scheduled to follow up with the orthopedic practice two weeks later. What is the correct ICD-10-CM code for the fracture?
A. S42.202A
B. S42.215A
C. S42.295A
D. S42.92xA
Question 7
An orthopedic practitioner evaluates a patient in the ER who was struck on his left arm and shoulder by a line drive during a softball game. The physician determines the patient sustained a left proximal humerus fracture. The fracture is nondisplaced and will be treated nonsurgically, without manipulation. The patient is fitted with a sling for comfort and a swathe for immobilization. He is scheduled to follow up with the orthopedic practice two weeks later. Following a coder query to the physician, we find out that the injury was a two-part surgical neck fracture. What is the correct coding for this scenario that includes a level 3 ER visit?
A. S42.215A, W21.07xA, Y93.64, 23605-LT, 99283
B. S42.222A, W21.07xA, Y93.64, 23600-LT, 99283-25
C. S42.225A, W21.07xA, Y93.64, 23600-LT, 99283-57
D. S42.232A, W21.07xA, Y93.64, 23605-LT, 99283
Question 8
A patient comes to the office for a respiratory-related condition. The provider documents in the medical record’s discharge note that the patient has not been immunized against COVID-19, as he is not eligible for the COVID-19 vaccines. How is this coded?
A. Assign first the respiratory-related condition followed by Z28.310.
B. Assign first the respiratory-related condition followed by Z28.39.
C. Assign first the respiratory-related condition followed by Z28.310 and Z28.39.
D. Assign only the respiratory-related condition.
Question 9
A 27-year-old female was hospitalized due to shortness of breath. The provider documented in the discharge note that the patient had pneumothorax and has not been immunized against COVID-19 because of her refusal to get vaccinated. How is this coded?
A. J93.83, Z28.310
B. J93.83, Z28.310, Z28.21
C. J93.83, Z28.310, Z28.2
D. J93.83, Z28.21, Z28.310
Question 10
What is the correct code for a pilonidal cyst that has not abscessed?
A. L05.01
B. L05.02
C. L05.91
D. L05.92
