CHAPTER 1-11 QUIZZES, PART 3
59. A patient is admitted after being found unresponsive at home. The patient had right-sided
hemiplegia and aphasia from a previous CVA. The provider documents a current cerebral
infarction due to occlusion of the right middle cerebral artery as the final diagnosis and the
patient is transferred for rehabilitation. What ICD-10-CM code(s) is/are reported?
A. I65.319
B. I67.89, I69.954, R47.01
C. I63.511, I69.351, I69.320
D. I67.89, I69.959, I69.920
70. A 45 year-old-male patient has developed an ulcer on his upper back. He has had
diabetes for several years and is on insulin. The provider determines that the ulcer is due to
his diabetes. What ICD-10-CM codes are reported?
A. E11.622, Z79.4
B. E11.9, L98.429, Z79.4
C. E11.622, L98.429
D. E11.622, L98.429, Z79.4
CORRECT
57. Friends brought a young male with type 1 diabetes to the emergency department,
in a comatose state. He was admitted with ketoacidosis and was resuscitated with saline
hydration via insulin drip. After regaining consciousness, the patient reported that the
morning of admission he was experiencing nausea and vomiting and decided not to take his
insulin because he had not eaten. He was treated with intravenous hydration and insulin drip.
By the following morning, his laboratory work was within normal range and he was
experiencing no symptoms. What ICD-10-CM codes are reported?
A. E11.01, R06.4
B. E10.10, R06.4, Z79.4
C.E11.01, Z79.4
D. E10.11
66. 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?
A. E11.311, E11.3519
B. E11.3519
C. E11.3511
D. E11.9, E11.311, E11.3519
72. A 65 year-old female patient returns to her primary care provider for follow up of an upper
respiratory infection diagnosed the previous week. Her condition has not improved and her
cough has increased. She has a long history of smoking. She currently smokes one pack a
day and is dependent on the cigarettes. She uses a bronchodilator for her COPD. The
provider changes her antibiotics to treat her acute bronchitis with COPD. What ICD-10-CM
codes are reported for this visit?
A. J44.0, J21.9, F17.210
B. J44.9, J20.9, Z72.0
C. J44.0, J20.9, F17.210
D. J44.0, Z72.0
58. A young female, was brought to the clinic by her sister. She has had periods of severe
depression for many years and is on Lithium. Her provider also manages her
manic-depressive psychosis, hypothyroidism, and migraine headaches. Additional
medications are Synthroid and Midrin. During the past week, she became manic, running all
her credit cards to the limit, getting inappropriately involved in a friend’s suicide attempt,
quitting her job, and trying to take over the pulpit at church. On the day of the clinic visit, she
threatened to strike the telephone repairman with a lead pipe. She was admitted for Lithium
adjustment. Diagnoses are: moderate manic-depressive bipolar with circular current manic
state, hypothyroidism and migraine. What ICD-10-CM codes are reported?
A.F31.62, E03.9, G43.911
B. F31.32, E03.9, G43.909
C. F31.89, G43.911, E03.8
D. F31.12, E03.9, G43.909
60. A 63 year-old came in to the ED with severe shortness of breath and goes into respiratory
failure. He was intubated and admitted for acute respiratory failure. Chest X-ray shows he
has pulmonary effusion. What ICD-10-CM code(s) is/are reported?
A. J96.00, J90
B. J96.00
C. J94.0, J96.01
D. J94.0, J96.00, R09.1
52. 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?
A. E13.11, C25.1
B. E10.11, C25.2, Z79.4
C. C25.1, E08.11, Z79.4
D. C25.9, E08.11
INCORRECT
71. Four years post hepatic transplant, the patient is diagnosed with combined hepatocellular
carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes are reported?
A. C80.2, C22.0
B. C80.2, C22.0, C22.1, Z94.4
C. T86.49, C80.2, C22.0
D. T86.49, C80.2, C22.0, C22.1, Z94.4
65. After referral from the ED, patient is seeing the ophthalmologist to examine an old injury
with retained magnetic iron metal foreign body in his posterior wall within the right eye with
the possibility of infection. What ICD-10-CM codes are reported?
A. H44.741, Z18.11
B. S05.51XD, Z18.11
C. S05.51XA, Z18.11
D. H44.641, Z18.11
63. 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?
A. E66.01
B. E66.01, Z68.45
C. E66.01, Z68.42
D. E66.3, Z68.45
75. 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?
A. F03.90
B. F03.91
C. F03.90, F03.91
D. F03.91, F03.91
73. Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the
debilitating pain of her malignancy. Her cancer has metastasized to her bones in her thoracic
spine. What ICD-10-CM codes are reported?
A. G89.3, C79.51
B. M54.6, C79.51
C. C79.51, G89.3
D. C79.51, G89.3, M54.6
62. 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?
A. I11.0, I51.3
B. I10, I51.7
C. I51.7
D. I11.9, I51.7
61. A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes
are reported?
A. E85.3, N08
B. N08, E85.4
C. N08, E85.3
D. E85.4, N08
64. A patient is brought in by the ambulance with seizures. After examination and workup is
complete, it is determined the seizures were due to alcohol abuse with intoxication. What
ICD-10-CM code(s) is/are reported?
A. F10.129
B. R56.9, F10.129
C. G40.501, R56.9, F10.129
D. G40.509, F10.120
56. An elderly male patient presents to the ED complaining of a high fever the day prior to the
encounter and of extreme lethargy. He has a history of benign hypertension which has been
elevated. On arrival he was examined and admitted, with possible septic urinary tract
infection and concern for his elevated blood pressure. He was noted to have hematuria.
Positive UTI and pseudomonas showed in the urine culture and IV antibiotics were
administered. During the course of the day, his fever decreased and his lethargy improved.
He was noted to have hematuria. As the IV fluids were decreased, he resumed a benign
hypertensive state. On the next hospital day, the urine was clear and he was discharged on
oral antibiotics, with septicemia ruled out. What ICD-10-CM codes should be reported?
A. B95.6, A41.52, N39.0, I10
B. N39.0, B96.5, I10
C. B96.5, N39.0, I10, R31.9
D. I10, B95.6, R31.9, N39.0
53. A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant
anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are reported?
A. D63.1, N18.3
B. N18.3, D63.1
C. D63.8, N18.9
68. The patient has a history of unstable angina, hypertension, and chronic systolic heart
failure. He is seen in the ED after prolonged chest pain that was not relieved by medication.
Cardiac enzymes are elevated, and EKG shows anterior infarct. A decision was made to
perform a cardiac catheterization and coronary angiography. Left heart catheterization was
performed in order to perform a left ventriculogram. He tolerated the procedure well and will
be discharged. His final diagnosis is chronic systolic heart failure and hypertension. The two
conditions are unrelated. What ICD-10-CM code(s) is/are reported?
A. I11.0
B. I11.0, I50.22
C. I50.22, I10
D. I11.0, I10
67. A provider performed an aspiration via thoracentesis on a patient in observation status in
the hospital. The patient has advanced right lung cancer that has metastasized to the pleura
with malignant pleural effusion. Later the same day, due to continued accumulation of fluid,
the patient was returned to the procedure room and the same provider performed a repeat
thoracentesis. What ICD-10-CM codes are reported?
A. C78.2, C34.91
B. C78.2, C34.91, J91.0
C. C34.91, C78.2, J91.0
D. J91.0
69. A patient with a history of hypertension controlled with medication presents to the
outpatient hospital radiology department for an ultrasound due to a suspected suspicious
mass. The patient’s provider performed an ACTH and a 24-hour urinary free cortisol and
short suppression test confirming the diagnosis of Cushing’s disease. The radiology report
indicated a 5.5 cm right adrenal mass that appeared well circumscribed and rounded. The
final diagnosis indicated Cushing’s disease secondary to a right adrenal tumor. What
ICD-10-CM codes are reported?
A. C74.91, E24.9, I10
B. D49.7, E24.9, I10
C. C74.91, E24.9, I15.2
D. D49.7, I15.2
55. 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?
A. B20, C46.0, K13.21, R16.1
B. Z21, C46.0, K13.21, R16.1
C. B20, C46.0, K13.21, R16.1, Z21
D. R16.1, C46.0, R16.1, Z21
74. 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?
A. F33.2, G40.909
B. F33.2, G40.919
C. F33.3, G43.909, G40.909
D. F33.1, G43.919, G40.919
54. The patient was given thrombolytic therapy for an acute myocardial infarction (STEMI) of
the anterolateral wall which converted to a NSTEMI. What ICD-10-CM code is reported?
A. I21.09
B. I21.29
C. I22.0
D. I22.8
51. A patient is seen for his hypertension with stage 5 CKD and myocardial disease. The
conditions are stable and he is told to continue with his medications. The myocardial disease
is unrelated to the hypertension. What ICD-10-CM codes are reported?
A. I12.0, N18.5, I51.5
B. I10, N18.5, 151.5
C. I12.0, I51.5
D. I13.11, N18.5