ICD 10 Mock
ICD 10 Mock
ICD 10 Mock
1. A 6-year-old child presents with fever and right ear pain. Examination
reveals acute right serous otitis media with slight perforation of the central
portion of the tympanic membrane. Of note, the patient’s parents are smokers,
and the patient is often exposed to cigarette smoke in the home and
automobile.
2. This Type II diabetic patient uses insulin and has stage II chronic kidney
disease. What code(s) would be used to report this encounter?
a. E11.22
b. E11.22, Z79.4
c. E11.9, N18.9
3. Patient is brought into the emergency room for a stress fracture of the
left upper arm. The dumbbell was dropped on his arm when lifting weights at
high school. What code(s) would be used to report this encounter?
a. H40.41X2, H40.42X3
b. H40.43X4, H20.023
5. Patient is in her 21st week of pregnancy and is seen by her OB/GYN for
cholecysitis. What code(s) would be used to report this encounter?
a. K81.9, Z34.02
b. K81.9, Z3A.0
c. Z3A.21, O99.612
d. O99.612, Z3A.21
a. Z21, F32.1
b. B20, F32.1
c. F32.1, Z21
d. F32.1, B20
a. F20.9, F12.222
b. F20.5, F12.222
c. F20.9, F12.220
d. F20.5, F12.20
8. This 5 year-old child is seen by her pediatrician for cough, sore throat, chills
and fever. The patient tested positive for H1N1 virus. What code(s) would be
used to report this encounter?
a. J10.1
b. J11.1
9. This patient was diagnosed with malignant breast cancer (right breast) and
how has metastasized to the ascending colon. They are being treated for
the colon cancer. What code(s) would be used to report this encounter?
a. C79.81, C18.2
b. C18.2, C79.81
c. C50.911, C78.5
d. C78.5, C50.911
10. Patient has hypertensive chronic kidney disease, moderate stage. What
code(s) would be used to report this encounter?
a. N18.3, I12.9
b. I12.9, N18.3
c. I12.2, N18.5
d. I12.2, N18.6
11. Patient in nursing home is diagnosed with a stage 3 pressure ulcer of the
right hip. Patient is also a type I diabetic. What code(s) would be used to
report this encounter?
a. L89.214, E11.622
b. L89.213, E10.622
c. L89.213, E11.622
d. L89.214, E10.622
12. Jim was at a bonfire when he tripped and fell into the flames. Jim sustained
multiple burns. He came to the emergency room via an ambulance and was
treated for second and third degree burns of his face, second degree burn on
his shoulders and forearms, and third degree burns on the fronts of his thighs.
A.T20.20XA, T20.30XA, T22.259A, T22.219A, T24.319A, T31.42, X03.0XXA
B.T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA
C.T20.09XA, T22.099A, T24.099A, T31.64, X03.0XXA
D.T20.30XA, T22.299A, T24.319A, T31.64, X03.0XXA
A. M81.0, B91
B. M81.0, A80.9
C. A80.9, M81.0
D. B91, M81.0
14. Hemiplegia affecting the left dominant side following CVA 6 months ago.
What ICD-10-CM codes are reported?
A. I63.9, G81.02
B. I69.952
C. I69.959
D. I63.9, G81.92
15. Malignant ascites primary site unknown. What ICD codes are reported?
A. C80.1, R18
B. R18.0
C. C79.9
D. C80.1, R18.0
16. Acute and chronic salpingitis. What ICD codes are reported?
A. N70.11, N70.01
B. N70.01, N70.11
C. N70.91
D. A54.24
17. Mrs. Elkin while a spectator at a pumpkin chucking contest got hit in the
back by a pumpkin flying through the air. The pumpkin was launched by a
mechanical catapult build by a student. The injury occurred at Public Park.
This is the second visit for the patient who will begin receiving therapeutic
nerve block today in our office and every week for the alleviation of acute post
traumatic pain to thoracic spine. Treatment will continue until the pain has
subsided. Reevaluate condition in 4 weeks if the condition is not improved.
What are the ICD codes for encounter for pain management?
19. A 30 week pregnant patient has a UTI. What ICD code is coded?
A. O23.23, Z3A.20
B. O23.43, Z3A.30
C. O23.42
D. O23.90
20. A pregnant woman who is HIV positive status but is without symptoms
complains of back pain. What are ICD codes?
A. H40.2290
B. H40.2294
C. H40.213
D. H40.219
23. Patient has pressure ulcer of right elbow (stage 2) and pressure (ulcer
stage1) on the contingious area of the back, buttock, and hip on the right side
of the body. The pressure ulcer of the left heel is completely healed. What ICD-
10-CM codes are reported?
24. 8 year old child suffered second degree burn to the chest wall and right
arm (totaling 18% of body surface area) and the third degree burn to the right
leg (9%) when fleeing from the house fire. This is second time the doctor has
seen him since the incident. Just code the burn code and omit the external
cause codes. What ICD-10-CM codes are reported?
A. T31.20, T24.301D, T23.30XD
B. T24.309D, T22.20XD, T21.21XD
C. T24.301D, T22.20XD, T21.21XD, T31.20
D. T24. 301D, T22. 30XD, T21.21XD, T31.21
A. P23.6, J15.0
B. P23.6
C. P23.9, J15.0
D. P23.6, B96.1
28. A COPD patient with tobacco use develops acute respiratory failure after
admission. What ICD-10-CM codes are reported?
A. J44.9, J96.00, Z87.891
B. J44.9, J96.10
C. J96.10, J44.1, Z87.891
D. J96.00, Z87.891
29. An elderly patient with influenza is suspected to have asian flu. What ICD-
10-CM codes are reported?
A. J09.X2
B. J11.1
C. J10.1
D. J09.X
30. EPO resistant anemia in moderate CKD patient. What ICD-10-CM codes are
reported?
A. N18.3, D64.9
B. D63.1, D64.9, N18.4
C. D64.9, N18.3
D. N18.3, D63.1
31. Tuberculosis of lung in a 34 yr old patient with HIV stage 3. The physician
documents that the patient’s tuberculosis infection is a related condition to
HIV. What ICD-10-CM codes are reported?
A. B20, A15.0
B. A15.7, Z21
C. A15.9, Z21
D. B20, A15.7
A. B20
B. R75
C. Z20.6
D. Z21
33. A 45- year old female visits her primary care physician to discuss lap band
procedure for her morbid obesity due to excess calories. Her BMI is currently
42.5. What ICD-10-CM codes are reported?
A. E66.01, Z68.42
B. E66.1, Z68.42
C. E66.01, Z68.45
D. E66.01, Z68.41
A. L92.9
B. L92.8
C. H71.21
D. H95.121
A. M43.17
B. M45.7
C. M45.7, M35.2
D. M46.57, M35.2
36. Closed non displaced spiral fracture of the right fibula shaft due to skiing
into aboveground exposed pipe. This is subsequent encounter with delayed
healing. What ICD-10-CM codes are reported?
A. S82.444G, V00.322D
B. S82.444G, V00.322G
C. S82.444S, V00.382
D. S82.444S, V00.382S
A. Z37.9
B. Z79.890
C. Z87.710
D. Z00.129
38. When coding for a patient who had a primary malignancy of thyroid gland
that was completely excised a year ago and there is no current treatment
directed at that site which of the following statement is TRUE?
39. The patient has acute gangrenous tonsillitis. Code his condition.
A. J35.01, I96
B. J35.01
C. J03.90, I96
D. J03.90
40. The patient presents with sternal chest wall pain, possible angina.
Physician rules out angina and documents probable costochondritis. Code the
diagnosis.
A. R07.9
B. M94.0
C. R07.89
D. I20.9
41. Four year post hepatic transplant the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. Code the
condition.
42. Mrs. Bixby who is 83 year old is being admitted for dehydration and
anorexia probable cause dementia. She was brought in by her daughter. Her
daughter will take her from our office to St. Mary’s hospital. The gerontologist
unit will evaluate her mental condition tomorrow after she is stabilized. Code
the diagnosis?
A. F50.00, E86.0
B. R63.0, E86.0
C. F50.00, E86.0, F06.8
D. R63.0, E86.0, F06.8
43. A 27 year old man with 25 year history of juvenile diabetes is admitted to
the ICU with diabetes keto-acidosis brought on by H1N1 influenza virus which
includes respiratory symptoms. Which code best report how his consulting
endocrinologist will report his condition?
A. E10.10, J10.1
B. J11.89, E13.10
C. J10.08, E10.10
D. E08.10, J11.89
44. The site of the patient cellulites is within the fold of redundant skin in his
apron of fat. It covers approximately 20 cm of skin. A swab from the site was
cultured and found to be MRSA. What code is reported for the diagnosis?
A. B95.62
B. B95.62, L03.319
C. L03.319, B95.62
D. L03.90, B95.62
45. The MRI shows full thickness tear of the right rotator cuff consistent with
Mr. John’s acute symptoms. The symptom begins when he slipped and fell on
the ice Thursday. What code is reported for the diagnosis?
A. S46.001A, W00.0XXA
B. M66.20, W00.0XXA
C. M75.121, W00.0XXA
D. S46.011A, W00.0XXA
46. The patient’s dense breast tissue made the mammogram unreadable and
she is here today for a breast ultrasound. Her mother and sister both have a
history of breast cancer. What codes are reported for the diagnosis?
A. N60.89, Z80.3
B. Z12.39, N64.59, Z80.3
C. Z12.39, R92.2, Z80.3
D. Z12.31, R92.2, Z80.3
A. 5-7
B. 1-2
C. 2-3
48. When you see an "X" in an ICD-10 Code, it is being used as a placeholder
for that digit and will be used for future code expansion.
A. True
B. False
49. What encloses supplementary words that may be present or absent in the
statement of a disease without affecting the code number to which it is
assigned?
A. Brackets
B. Colon
C. Parentheses
D. Dash
50. “Excludes 2” note indicates that the condition excluded is not part of the
conditions represented by the code, but a patient may have both conditions at
the same time.
A. True
B. False