ICD-10-CM Coding Review Exam with Answers, Exams of Nursing

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In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? - Answer The provider must be queried before an ICD-10-CM code can be applied. According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? - Answer A bilateral code can be used to report the type of glaucoma and the stage of glaucoma. According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial infarction to be considered acute? - Answer Four weeks (28 days) When is it appropriate to use history of malignancy from category Z85? - Answer It has been excised, no evidence of any existing primary malignancy, and there is no further treatment directed to the site. If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of diabetes would be coded according to ICD-10-CM guidelines? - Answer Type 2 Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss a coronary artery bypass graft (CABG). This will be the patient's first CABG. What ICD-10-CM code is reported? - Answer I25. What diagnosis code is reported for secondary neoplasm of the descending colon? - Answer C78. A 70 year-old patient with exacerbation COPD is admitted to the hospital along with acute exacerbation of bronchial asthma. What diagnosis code(s) is (are) reported? - Answer J44.1, J45. The patient has a significant visual impairment (category 2) due to astigmatism in the left eye. It is corrected with glasses. The right eye has normal vision. What ICD-10- CM code(s) is/are reported? - Answer H52.202, H54.52A A 45 year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is created just under the skin and the pump is placed in the pocket. A catheter is attached to the pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the hospital and the patient is observed for adverse reaction and discharged to home. What ICD-10-CM codes are reported? - Answer Z51.11, C22. A 35 year-old woman is experiencing dizziness with nausea and vomiting. The provider documents auditory vertigo of both ears, possible Meniere's disease. What ICD-10-CM code(s) is/are reported? - Answer H81. What ICD-10-CM code is used for the first episode of an acute myocardial infarction?

• Answer I21.

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A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with identified intellectual disability. What ICD-10-CM code(s) is/are reported? - Answer E00.9, F A confirmed HIV positive patient who presents to the clinic for a medication refill for a condition not related to his HIV. What ICD-10-CM codes are reported? - Answer Z76.0, Z A pediatrician sees an 8 month-old patient for ear pulling and excessive crying. The infant is diagnosed with bilateral chronic and acute serous otitis media. What ICD- 10-CM code(s) is/are reported? - Answer H65.03, H65. A patient is coming in for follow up of his essential hypertension and cardiomegaly. Both conditions are stable and he is told to continue with his medications. The two conditions are unrelated. What ICD-10-CM code(s) is/are reported? - Answer I10, I51. A 33 year-old patient visits his primary care provider to discuss lap band procedure for his morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is currently 45. What ICD-10-CM code(s) is/are reported? - Answer E66.01, Z68. The provider sees a 70 year-old patient with documented history of being combative and aggressive in the nursing home. The provider diagnoses the patient with dementia and refers the patient to a neurologist for further evaluation. What ICD-10- CM code(s) is/are reported? - Answer F03. A patient is being treated for ketoacidosis and diabetic coma due to malignant neoplasm of the pancreatic body. The patient uses insulin routinely. What ICD-10- CM codes are reported? - Answer C25.1, E08.11, Z79. A young male, was brought to the clinic by his mom. He has had periods of major depression for many years and is on Lithium. His provider also manages his migraine headaches and epilepsy. During the past week, he became psychotic, hearing voices to kill himself and intense feelings of worthlessness. On the day of the clinic visit, he had an epileptic seizure that could not be controlled by medication. He was admitted for Lithium adjustment. Final diagnoses are: Severe depression with psychotic behavior and epileptic seizure poorly controlled with medication. What ICD-10-CM codes should be reported? - Answer F33.3, G40. What ICD-10-CM codes are reported for uncontrolled hypertension with stage 3 chronic kidney disease? - Answer I12.9, N18. A patient with type 2 diabetes presents with diabetic macular edema and proliferative diabetic retinopathy in the right eye. What ICD-10-CM code(s) is/are reported? - Answer E11.

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A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid). After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD-10-CM codes are reported? - Answer F11.23, T40.2X5A A 58 year-old patient sees the provider for confusion and loss of memory. The provider diagnoses the patient with early onset stages of Alzheimer's disease with dementia. What ICD-10-CM codes are reported? - Answer G30.0, F02. An HIV positive patient was admitted with skin lesions on the chest and back. Biopsies were taken, and the pathologic diagnosis was Kaposi's sarcoma. Leukoplakia of the lips and splenomegaly were also noted on physical examination. Discharge diagnoses: (1) HIV infection, (2) Kaposi's sarcoma, back and chest, (3) leukoplakia (4) splenomegaly. What ICD-10-CM codes should be reported? - Answer B20, C46.0, K13.21, R16.