CHAPTER – 11

DIGESTIVE SYSTEM

1) A patient who is a long time alcoholic presents to the ED with severe abdominal pain, nausea and
vomiting. The patient is admitted and diagnosed with alcohol induced pancreatitis. What is/are the
appropriate ICD-10-CM code(s)? B
a) K86.0 b) K85.2 c) K85.9, F10.220 d) F10.10, K85.8

2) Patient is diagnosed with acute, bleeding gastritis. What is/are the ICD-10-CM code(s)? A
a) K29.01 b) K29.21, F10.188 c) K29.01, F10.20 d) K29.51

3) Patient has complaints of rectal pain for 2 days. He has been constipated and has noticed bright red
blood on the tissue. He is diagnosed with external hemorrhoids. What is the ICD-10-CM code?
A) K64.9 B) K64.4 C) K64.8 D) K64.0 B

4) Patient is diagnosed with left, recurrent strangulated inguinal hernia. What is the appropriate ICD-
10-CM code? A
A) K40.31 B) K40.40 C) K42.0 D) K40.40

5) Tim is diagnosed with an anal fistula. What is the appropriate ICD-10-CM code? A
A) K60.3 B) A18.32 C) Q43.6 D) K60.0

6) Apatient comes to the emergency department having a gallbladder attack. Upon exam and testing,
he is found to have acute cholecystitis with stones in the gallbladder. What is the appropriate ICD-10-
CM code? C
A) K80.20 B) K80.10 C) K80.00 D) K80.43

7) A patient has an acute duodenal ulcer without bleeding. What is the ICD-10-CM code?
A) K26.7 B) K26.3 C) K26.9 D) K26.4 B

8) A patient presents for a screening colonoscopy. What is/are the appropriate ICD-10-CM code(s)?
A) Z12.11 B) Z13.811, Z80.0 C) Z12.11, Z80.0 D) Z13.811 A

9) Apatient that abuses alcohol presents with abdominal pain, nausea, and vomiting. An upper GI
reveals that the patient has peptic ulcer of the esophagus. What is/are the appropriate ICD-10-CM
code(s)? C
A) K22.3 B) K22.10, F10.19 C) K22.10, F10.188 D) K22.11, F10.10

10) Newborn is brought in by the mother with complaint of incessant crying? Mother states she offers
food, changes diapers, cuddles, and the baby continues to cry. She feels helpless and wonders what to
do. After history and normal exam the physician suspects reflux. Formula is changed, mother is
instructed to have baby sleep with head elevated, and try giving gaviscon drops with feeding. What
is/are the appropriate ICD-10-CM code(s)? D
A) Q62.7 B) K21.9, R68.12 C) K21.9 D) R68.12

11) Patient is seen for a screening colonoscopy. During the procedure a small polyp is found and
removed. What is/are the appropriate ICD-10-CM code(s)? C
A) K63.5 B) Z12.11 C) Z12.11,K63.5 D) D12.6

12) Patient is seen with symptoms of diarrhea, abdominal pain, and rectal bleeding. Diagnostic
testing confirms diverticulitis of the small intestine. What is the appropriate ICD-10-CM code?
A) K57.13 B) K57.12 C) K57.33 D) K62.5 A
13) A patient presents with acute appendicitis with localized peritonitis. What is the appropriate ICD-
10-CM code? D
A) K37 B) K35.2 C) K36 D) K35.3

14) The patient is a long time alcoholic. He presents to the ED with severe abdominal pain, nausea
and vomiting. The patient is admitted and diagnosed with alcohol induced acute pancreatitis. What is
the appropriate ICD-10-CM code? C
A) K86.0, F10.20 B) K85.9, F10.20 C) K85.2 D) K85.2, F10.20

Rationale: Alcohol abuse and dependence (F10.-), should be reported as additional code only for
Alcohol-induced chronic pancreatitis.

15) Stacy who is a patient who smokes one pack of cigarettes a day for the past 30 years comes in
today and is diagnosed with gingivitis. What is/are the appropriate ICD-10-CM code(s)? C
A) K50.00 B) K50.11 C) K05.10, F17.210 D) K05.00, Z72.0
Rationale: Use additional code to identify:tobacco dependence (F17.-)

16) Jeff comes in to be seen with complaints of diarrhea and belly pain. He has Crohn’s disease of the
ascending colon. After exam and testing, he is found to have an abscess. What is/are the appropriate
ICD-10-CM code(s)? C
A) K50.014 B) K50.814 C) K50.114 D) K50.914

17) Patient has been frequently using stimulant laxatives because she feels constipated. She has
not been following the physician’s instructions and is now experiencing diarrhea. What is/are
the appropriate ICD-10-CM code(s)? C
A) K52.1 B) K59.00, T47.2X1A, K52.1
C) K52.1, T47.2X1A D) T47.4X1A, K52.1

Rationale: Follow poisoning guidelines

18) Jack presents to the physician’s office complaining of increased sweating and weakness since he
woke up this morning. Patient has chronic pancreatitis, causing diabetes. He is currently using insulin
to control his diabetes. Tests indicate that his blood sugar is extremely low and he is instructed to go
to the hospital right away to be admitted for treatment of the hypoglycemia. D
A. E16.2, K86.1 B. E16.2 C. E11.65, K85.3, Z79.4 D. K86.1, E08.649, Z79.4

19) Patient with tobacco use has acute gingivitis, non-plaque induced. This would be coded as: C
a. K05.10, Z87.891 b. K05.00, J72.0 c. K05.01, Z72.0 d. K14.0, Z77.22

CHAPTER-12
SKIN AND SUBCUTANEOUS TISSUE
1) Based on the coding guidelines for pressure ulcers (Coding Guidelines for Chapter 12) a pressure
ulcer documented as healed should be coded as: D
A) STAGE 1 B) UNSPECIFIED C) UNSTAGEABLE D) NO CODE

2) Josh is seen in the wound clinic for an unstageable pressure ulcer of the left heel. What is the
appropriate ICD-10-CM code? C
A) L89.629 B) L89.623 C) L89.620 D) L89.622

3) Patient presents to the dermatologist with areas of concern on both hands and on the face. After
exam he is diagnosed with seborrhea keratosis. What is the appropriate ICD-10-CM code? A
A) L82.1 B) L82.0 C) L57.0 D) L21.9

4) A patient is seen for a stage 3 pressure ulcer of the right buttock. What is the ICD-10-CM code?
A) L89.93 B) L89.153 C) L89.303 D) L89.313 D

5) An overweight patient presents with a red rash in her skin folds, under her armpits, and in her inner
thighs. It is itchy and raw. She is diagnosed with intertrigo that is exacerbated by her size. She is told
the keep the area dry and given a prescription for a steroid cream. What is/are the appropriate ICD-
10-CM code(s)? D
A) L30.8 B) K13.0, E66.3 C) L30.4, E66.8 D) L30.4, E66.3

6) A patient presents with for a recheck of a cut on his left index finger. It has become red and
swollen and he has a slight fever. He is diagnosed with cellulitis. What is the ICD-10-CM code?
A) L03.012 B) L03.022 C) L03.113 D) L03.116 A

7) The patient is being seen today due to her fears of flying. She has a flight planned for a work trip.
What is the appropriate ICD-10-CM code? D
A) F40.241 B) F40.228 C) F40.9 D) F40.243

8) Patient is diagnosed with atherosclerosis of native arteries of the left calf with ulceration that is
limited to the breakdown of the skin. What is/are the appropriate ICD-10-CM code(s)?
A) L97.221, I70.242 B) I70.242, L97.221 C) I70.242 D) I70.232 L97.221 B

9) A 3-week-old baby is seen by the pediatrician for small red bumps on his face. The patient is
diagnosed with acne. What is the appropriate ICD-10-CM code? C
A) L70.9 B) L70.8 C) L70.4 D) L70.0

10) What ICD-10-CM code(s) would be used for a patient with pressure ulcer of the left heel, stage 2;
pressure ulcer of right buttock, stage 3, and pressure ulcer of left hip, stage 2. What are the
appropriate ICD-10-CM codes? B
A) L89.513, L89.522, L89.622 B) L89.313, L89.622, L89.222
C) L89.629, L89.42, L89.209 D) L89.43, L89.513

11) A patient is seen for bilateral elbow pressure ulcers – stage 1 on the left and stage 2 on the right.
What are the appropriate ICD-10-CM codes? C
A) L89.001, L89.012 B) L89.011, L89.022 C) L89.012, L89.021 D) L89.013, L89, 022

12) A patient presents with an infection on the right index finger. It is red, swollen, and painful. She
states she had loose skin around the nail bed that she cut too closely. She is diagnosed paronychia.
What is the appropriate ICD-10-CM code? B
A) L02.511 B) L03.011 C) L03.021 D) L08.9

13) A patient with an ischemic ulcer of the left heel presents for debridement. Debridement was
performed for necrotic fat layer. What is the appropriate ICD-10-CM code? C
A) L97.402 B) L97.412 C) L97.422 D) L97.502

14) The patient presents with an upper extremity rash. After examination the patient is diagnosed with
bullous impetigo. What is the appropriate ICD-10-CM code? D
A) R21 B) L01.09 C) L0.03 D) L01.03

15) Patient presents with boils in both axillae D

a. L02.431, L02.432 b. L02.411, L02.412 c. L02.423, L02.424 d. L02.421, L02.422

16) A patient is treated for three pressure ulcers: bilateral buttock ulcers, stage 3 on the right and stage
2 on the left; and a stage 4 on the sacral area. B
a. L89.323, L89.312, L89.154 b. L89.313, L89.322, L89.154
c. L89.313, L89.312, L89.153 d. L89.313, L89.322, L89.155
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