MEDICAL CODING

ICD-10 CM
MODULE -01 EXAM
Total Hr - 1hrs 30min
Total Mark: - 50

1) Combination codes are used to classify two diagnoses or a diagnosis with an associated
secondary process or associated _____
a. Definitive diagnosis b. Default code
c. Complications d. Residual diagnosis
2) In ICD-10-CM a placeholder character is used for codes requiring the seventh character
extender. This placeholder is represented as _____
a. A default code b. An A
c. An X d. An Excludes 1
3) ICD-10-CM code(s) for sepsis due to streptococcus, group B, following immunization,
initial encounter.
4) A patient with HIV positive serology is seen by a doctor for Kaposi’s sarcoma. Code the
scenario?
5) A diabetes patient has under dosing due to insulin pump leakage.
6) A patient is admitted with MRSA pneumonia and further develops staphylococcal sepsis
with acute renal failure?
7) A patient with secondary carcinoma of bone coming for his chemotherapy. What will be
the possible codes?
8) A patient who is a known case of HIV positive coming for the complaint of acute
appendicitis?
9) Diagnosis: MSSA Pneumonia, Alcohol abuse& Alcohol use.
10) A female patient coming for the management of anemia due to secondary carcinoma of
brain. She had a previous mastectomy for the treatment of primary neoplasm of breast
upper outer quadrant.
11) Diabetic mellitus due to pancreatectomy.
12) Patient with viral hepatitis C and continued alcohol use is diagnosed with malignant
primary neoplasm of the liver.
13) Patient arrived in the ED complaining of having severe right upper quadrant pain, nausea
and vomiting for several weeks with 20 lb weight loss. Tests revealed a mass within the
gallbladder. However, no cholecystectomy or stones. The patient was admitted and a
surgeon was consulted. The next day a cholecystectomy was performed. The pathology
results show the patient to have cancer of the gallbladder. Code the diagnosis for the
surgery.
14) Dr. C sees a patient with nasal hemorrhage and performs a fiberoptic exam of the
nasopharynx. A mass is encountered at the nasal concha and a biopsy is taken.
Pathology report shows cancer. Additional surgery is planned.
15) Patient with thyroid cancer has fever and found to have chemo drug induced
agranulocytosis.
16) A patient with Type 1 diabetes with diabetic retinopathy is seen for an eye checkup. After
a thorough examination, the ophthalmologist determines the patient has retinal edema.
17) Sonny has been a cigarette smoker for over 29 years. Her physician prescribes her
smoking cessation medication.
18) Patient has Type 1 diabetes with hyperglycemia due to mechanical breakdown of insulin
pump, which resulted in overdosing
19) Morbid obese patient with a BMI of 39.
20) A patient is admitted with cellulitis and abscess of the left leg, severe sepsis with SIRS,
septic shock, acute renal failure and encephalopathy due to sepsis.
21) Acute cholecystitis and chronic cholecystitis.