Chapter 05 : ICD 10 CM 12-21 – Set A

1. When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is
assigned?
a. Z21 c. B20
b. R75 d. Z11.4
2. What does MRSA stand for?
a. Methicillin Resistant Staphylococcus Aureus
b. Methicillin Resistant Streptococcus Aureus
c. Moderate Resistance Susceptible Aureus
d. Mild Resistance Streptococcus Aureus
3. What does the 4th character in diabetes mellitus diabetes codes indicate?
a. The condition as controlled or uncontrolled
b. Any complication associated with diabetes.
c. Type of diabetes (type 1, type 2, secondary).
d. If the diabetes is primary or secondary diabetes.
4. When do you code acute respiratory failure as a secondary diagnosis?
a. The patient has any other condition at the same time.
b. When it is determined to be the cause of the shortness of breath.
c. Acute respiratory failure is always listed first.
d. When it occurs after admission.
5. When the type of diabetes mellitus is not documented in the medical note, what is used as
the default type?
a. Type 2 c. Can be type 1 or 2
b. Type 1 d. Secondary diabetes
6. When is it appropriate to use history of malignancy from category Z85?
a. Once the malignancy is removed from that site but the patient is still receiving
chemotherapy.
b. When the patient cancels treatment for that site.
c. It has been excised, no evidence of any existing primary malignancy, and there is no
further treatment directed to the site.
d. When five years has passed after surgery.
7. 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?
a. Secondary diabetes
b. The use of insulin does not specify that a patient is a certain type of diabetes
c. Type 1
d. Type 2
8. Pneumonia due to adenovirus. What ICD-10-CM code is reported?
a. B34.0 c. B97.0
b. J12.0 d. B30.1
9. 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. R03.0 c. I13.0
 b. I10 d. I15.0
10. Patient with postoperative anemia due to acute blood loss during the surgery needs a
blood transfusion. What ICD-10-CM code is reported?
a. D50.0 c. D64.9
b. D62 d. D53.0
11. In ICD-10-CM, what condition is reported as the default code when the provider
documents urosepsis?
a. Urinary tract infection (UTI)
b. Sepsis
c. Severe Sepsis
d. The provider must be queried before an ICD-10-CM code can be applied.
12. According to ICD-10-CM guidelines, when a patient is seen for management of anemia
due to malignancy, how is it reported?
a. Anemia is the only condition reported
b. The malignancy is the only condition reported
c. The malignancy is reported first, followed by the code for the anemia.
d. Anemia is reported first, followed by the code for the malignancy.
13. When it is documented that the patient using tobacco and has a dependence on tobacco,
how is this reported in ICD-10-CM?
a. The use of tobacco is the only code reported because it is considered acute.
b. The dependence on tobacco is the only code reported based on the hierarchy in the
ICD-10-CM guidelines.
c. The use of tobacco and the dependence on tobacco are both reported.
d. The use of tobacco is reported with a code for history of tobacco use to report the
dependence on tobacco.
14. According to ICD-10-CM guidelines what is the maximum length of time for a
myocardial infarction to be considered acute?
a. One week c. Eight weeks
b. Four weeks (28 days) d. Only at the time of occurrence
15. According to ICD-10-CM guidelines how is bilateral glaucoma of the same type and
stage reported?
a. Three codes are reported; one code for the type of glaucoma and two codes to
indicate the stages of glaucoma.
b. A bilateral code can be used to report the type of glaucoma and the state of glaucoma.
c. One code is used to report the type of glaucoma; the stage of glaucoma is not
reported.
d. One code is used to report the stage of glaucoma; the type of glaucoma is not
reported.
16. What ICD-10-CM code is used for the first episode of an acute myocardial infarction?
a. I21 c. I25.3
b. I22 d. I21.9
17. What diagnostic code is reported for secondary neoplasm of the descending colon?
a. C18.6 c. C19
 b. D01.0 d. C78.5
18. What icd-10-cm code is reported for a patient who is a habitual abuser of cannabis?
a. F12.129 c. F12.159
b. F12.10 d. F12.121
19. Patient is admitted to the hospital with streptococcal group B severe sepsis which has
caused pneumonia. What codes are assigned?
a. A41.9, R65.21 c. A40.1, J15.3
b. A40.1, J15.3, R65.20 d. A41.9, J15.3, R65.21
20. A 70-year-old patient with COPD is admitted to the hospital for acute exacerbation of
bronchial asthma. What diagnosis code is reported?
a. J44.1 c. J44.0
b. J44.9 d. J47.9
21. A 23-year-old patient presents to the ED with a cut on his leg. He is a confirmed AIDS
patient as documented in the record. What ICD-10-CM code should be reported?
a. S81.819A, B20 c. S81.819A, R75
b. S81.819A, Z11.4 d. S81.819A, Z71.7
22. A 50-year-old patient has a mass removed from his chest. The surgeon sends it to
pathology. The pathology report indicates the mass is a benign tumor. What ICD-10 code
is reported?
a. C79.89 c. C49.3
b. D36.7 d. D49.2
23. A 32-year-old patient with hyperthyroidism has an ultrasound to determine why her neck
is enlarged. The results of the ultrasound reveal a uninoldular goiter. What ICD-10-CM
code is reported?
a. E04.1 c. E05.11
b. E05.10 d. E05.20
24. A patient returns to the physician for an injection to relieve low back pain from a car
accident. What icd-10-cm code is reported?
a. M54.5 c. M54.5, G89.11
b. G89.11, M54.5 d. G89.21 M54.5
25. What is the time frame for defining when pain becomes chronic?
a. No time frame c. One year
b. The 30th day d. After the global period