CHAPTER – 1

CERTAIN INFECTIONS AND PARASITIC DISEASES

1. A 28 year old Paula received HIV counseling from Dr. Little. Report appropriate ICD-10-CM code for
this encounter?

a) B20 b) R75 c) Z21 d) Z71.7

2. A 19-year-old Sean is diagnosed with Herpes Zoster meningitis. What is the ICD-10-CM code?

a) G00.9 b) A87.9 c) G03.1 d) B02.1

3. A patient reason for visit is for management of candidiasis, a HIV related condition. What are the
appropriate codes reported for this scenario?

a) B37.9, Z21 b) B37.9, B20 c) Z21, B37.9 d) B20, B37.9

4. What is the correct code for the HIV screening test?

a) Z71.7 b) Z79.4 c) Z11.4 d) Z20.6

5. A 22 year old male patient was counseled by his PCP after the result of his HIV test was found
negative. How would you code this encounter?

a) B20 b) Z71.7 c) R75 d) Z21

6. 8-year-old Sofia is to her physician with SOB, skin sores and swallowing difficulty for the past 5 days.
After examination the physician diagnoses her with cutaneous leishmaniasis. What is the appropriate
ICD-10-CM code?
A) A08.39 B) B97.11 C) B55.9 D) B55.1

7. A patient was admitted and managed in a hospital for Hydrocephalus and was recently discharged.
The patient is HIV positive and he is currently under medical management. What is the appropriate ICD-
10-CM code for HIV?
A) Z21 B) R75 C) B20 D) Z20.6

8. A patient is seen for Cerebral Malaria. What is the appropriate ICD-10-CM code?
A) B54 B) B50.9 C) B50.0 D) B51.9

9. Alex was treated with Cytomegaloviral pancreatitis. What is ICD-10-CM code?

A) B26.3 B) B25.2 C) B25.9 D) B25.0

10. A 25 year Susan presents to the Emergency department with fever, headache, muscle ache and sore
throat. This patient has a positive history of HIV. After examination and related lab work, the ED
physician confirms the condition as toxoplasmosis, an opportunistic infection of HIV. What is/are the
appropriate ICD-10-CM code(s)?
A) B58.9, Z21 B) B58.89, B20
C) B20, R50.9, R51, J02.9, M79.1 D) B20, B58.9

11. A female patient comes in with itching, stinging, and burning between toes and soles of
feet. Potassium hydroxide examination was performed and was diagnosed with athlete's foot. What
is/are the appropriate ICD-10-CM code(s)?
A) B35.1 B) B35.6 C) B35.3 D) B35.2

12. Which of the following ICD-10-CM code is reported for symptomatic HIV?
A. Z11.4 B. R75 C. B20 D. 098.7

13. Clarke presents with reduced amount of urine, swelling of legs and feet, fatigue, nausea and SOB. He
is diagnosed with Enterococcus severe sepsis with acute renal dysfunction after evaluation. Later he was
advised for admission for further management. How is this scenario coded?

A. A41.81, R39.12, R60.0, R53.83, R11.0, R06.02 B. A41.89, R65.20, N17.9

C. N17.9, A41.81 D. A41.81, R65.20, N17.9

14. A 25-year-old female patient presents with burning micturition, urgency of urination, lower
abdominal pain and fever. After urine culture, she was diagnosed with E-coli Urosepsis. Report
appropriate ICD-10-CM codes?

A. A41.51, N39.0 B. N39.0, B96.20

C. R30.9, R39.15, R10.30, R50.9, B96.20 D. A41.9, N39.0, B96.20

15. 36 year-old patient with advanced HIV is being treated for red purplish spots and severe leg swelling.
They are diagnosed with skin Kaposi sarcoma. What are the correct ICD-10-CM code(s) for this
diagnosis?

a) B20, C46.0, M79.89 b) C46.0, B20, M79.89 c) C46.0, B20 d) B20, C46.0

16. John suffered a hand injury and was brought to the ED. X-ray revealed spiral fracture of the shaft of
the left humerus. He has HIV viral infection without any symptoms. How is this encounter coded?

a) S42.342A, Z21 b) Z21, S42.342A c) B20, S42.342A d) S42.345A, B20

17. Established 10 yr old patient comes into office with nausea, vomiting, runny nose and sore throat.
He has been sick for several days however the nausea and vomiting starting today. Mother indicates
there are many children at school with the same symptoms. After examination the doctor diagnosed the
patient with a viral infection. Strep test was performed and was negative. What are the ICD-10-CM
code(s) for this encounter?

a) R11.1, R09.89, J02.9, A49.1 b) R11.2, R09.89, J02.9, B34.9

c) B34.9, A49.1, R11.2 d) B34.9

18. This HIV positive patient is asymptomatic and never had any opportunistic infections. He is being
seen today by his primary care physician for moderate, major depressive disorder, single episode. What
code(s) would be used to report this encounter?

a) Z21, F32.1 b) B20, F32.1 c) F32.1, Z21 d) F32.1, B20

19. An 8-year-old patient is seen as he has had a fever, sore throat and itchy rash on hands and feet for
the past 4 days. After examination the physician diagnoses him with coxsackie virus infection. What is
the appropriate ICD-10-CM code?

A) A08.39 B) B97.11 C) B33.8 D) B34.1

20. A 19-year-old patient is diagnosed with viral meningitis. What is the ICD-10-CM code?

A) G00.9 B) A87.9 C) G03.1 D) G02

21. A patient is seen for a hospital follow-up. The patient is HIV positive and was recently in the hospital
for an Osteogenesis Imperfecta. What is the appropriate ICD-10-CM code?
A) Z21 B) R75 C) B20 D) Z20.6

22. A patient with AIDS is being seen for hallucinations. After examination the patient is diagnosed with
dementia with behavioral disturbance. What is/are the appropriate ICD-10-CM code(s)?

A) B20, F02.81 B) F02.81, B20 C) F03.90 D) F03.90, Z21

23. A patient is seen for a flat wart. What is the appropriate ICD-10-CM code?
A) B07.8 B) A63.0 C) B07.0 D) B07.9

24. Male patient was treated with acute hepatitis B without coma. What is ICD-10-CM code?
A) B19.10 B) B16.9 C) B17.9 D) B18.1

25. HIV positive patient presents to the ED complaining of nausea, vomiting, watery diarrhea and
stomach cramps. After the appropriate lab work is completed the ED physician documents the
assessment as HIV with cryptosporidiosis. What is/are the appropriate ICD-10-CM code(s)?
A) A07.2, Z21 B) A07.2, B20
C) B20, A07.2, R11.2, R19.7, R10.10 D) B20, A07.2

26. A female patient comes in with vaginal itching and burning on urination. Wet prep is positive for
yeast vaginitis. What is/are the appropriate ICD-10-CM code(s)?
A) N76.0 B) B37.3 C) N76.0, B37.3 D) B37.41

27. A patient presents with fever, cough, and rigors. He is admitted with the diagnoses of severe sepsis
with acute organ dysfunction, pneumonia, COPD exacerbation, and hypoxia. Severe sepsis with elevated
lactate, community-acquired pneumonia, COPD exacerbation, and severe hypoxemia are listed on the
discharge summary. How is this coded?
A. A41.9, R65.20, J18.9, J44.1, R09.02 B. A41.9, J18.9, J44.1, R09.02
C. A41.89, J18.9, J44.9 D. A41.89, R65.20, J18.9, J44.9

28. An 80-year-old patient presents with altered mental status, tachycardia, and leukocytosis. His urine
culture was positive for E. coli and blood cultures were negative. On the discharge summary, he is
diagnosed as having SIRS due to an E. coli UTI and encephalopathy. How is this scenario coded in ICD-
10?
A. A41.51, N39.0, G93.40 B. N39.0, V65.20, G93.40, B96.20
C. N39.0, B96.20, G93.40 D. A41.9, N39.0, B96.20, G93.40