CHAPTER – 2: NEOPLASM

1) Patient presents with a lump on his left thigh. It has been present for several months and is not
painful. Exam reveals a lipoma. What is the appropriate ICD-10-CM code?
A) D36.7 B) L98.9 C) D48.7 D) D17.24

2) A patient presents to have a biopsy-proven squamous cell carcinoma removed from her right
thigh. She had a squamous cell carcinoma removed from her back last year. What is/are the
appropriate ICD-10-CM code(s)?
A) C44.712 B) C44.729, Z85.828 C) C44.722,Z85.820 D) C44.722,Z85.828

3) A patient with a malignant neoplasm of the right ovary is being treated by the oncologist for anemia
due to the tumor. What is/are the appropriate ICD-10-CM code(s)?
A) C56.9 D64.9 B) C56.1, D63.0 C) D64.9 D) D63.0, C56.1

4) A patient with a history of basal cell carcinoma in the past presents with a new basal cell carcinoma
lesion on her left hand. She is having Mohs micrographic surgery to the area. What is/are the
appropriate ICD-10-CM code(s)?
A) C44.619 B) C44.619, Z85.828 C) C44.612 Z85.828 D) C44.629, Z85.828

5) A patient is seen for a malignant neoplasm of the sigmoid colon. What is the code?
A) C18.9 B) C18.7 C) C18.5 D) D010

6) Melissa has cancer in the lower-outer quadrant of her right breast with metastasis to the bone. She
presents for discussion of her bone cancer. What are the appropriate ICD-10-CM code(s)?
A) C50.512, C79.51 B) C50.511, C79.51 C) C79.51, C50.521 D) C79.51, C50.511

7) A patient is seen for squamous cell carcinoma of the chin. What is the ICD-10-CM code?
A) C44.319 B) C44.329 C) C44.309 D) C44.399

8) Metastatic liver cancer spread from the descending colon with treatment directed to the liver. What
are the appropriate ICD-10-CM codes?
A) C78.7, C18.6 B) C22.8, C18.6 C) C18.6, C78.7 D) C18.6, C22.8

9) Patient is seen for follow-up of colon cancer of the sigmoid flexure. He also has metastatic disease of
the left lung. What are the appropriate ICD-10-CM codes?
A) C18.7, C78.02 B) C78.02, C18.7 C) C18.5, C78.00 D) C18.9, C78.00

10) Shelly is diagnosed with carcinoma in situ of the tongue. She also had been diagnosed with chewing
tobacco dependence. What is/are the appropriate ICD-10-CM code(s)?
A) D00.00, Z72.0 B) D00.03, F17.220 C) D00.07 D) D00.07, F17.220

11) A patient sees her oncologist for metastatic liver cancer, spread from the breast. Today the
treatment is directed at the liver cancer. What are the appropriate ICD-10-CM code(s)?
A) C50.919, C78.7 B) C22.8, C78.81 C) D49.0, C79.81 D) C78.7, C50.919
12) A patient is seen for follow-up of breast cancer. She completed chemotherapy one year ago. What
is/are the appropriate ICD-10-CM code(s)?
A) Z85.850 B) C50.919, Z92.21 C) C50.919 D) Z85.3, Z92.21

13) Dan is seen today for his chemotherapy treatment for his colon cancer of his transverse colon. What
are the appropriate ICD-10-CM code(s)?
A) Z51.11, C18.4 B) Z51.11, C18.9 C) C7A.023, Z51.11 D) C18.5, Z51.11

14) A patient presents to the dermatologist for removal of his basal cell carcinoma of his left ear. What is
the appropriate ICD-10-CM code?
A) C44.209 B) C44.211 C) C44.219 D) C44.229

15) A patient is diagnosed with cancer of the tail of the pancreas. He is also suffering from anemia due
to the malignancy. Patient encounter is for the management of anemia only. What is/are the
appropriate ICD-10-CM code(s)?
A) D63.0, C25.9 B) C25.2 C) C25.2, D63.0 D) D63.0

16) Patient presents for removal of BCC on the upper lip and on the left side of the nose. What are the
appropriate ICD-10-CM codes?
A) C43.0, C44.310 B) C44.311, C44.02 C) C44.01, C44.311 D) C44.02, C44.310

17) What is the correct code(s) for a patient with a history of prostate cancer treated with
prostatectomy and radiation therapy? What are the appropriate ICD-10-CM codes?
A) Z90.79, Z80.42, Z92.3 B) Z09, Z90.79
C) Z90.79, Z85.46, Z92.3 D) Z80.42, Z90.79, Z92.21

18) A 49-year-old female patient presented with a lump in the central region of the right
breast. Stereotactic biopsy was performed with diagnosis of CIS. What is ICD-10-CM code?
A) D24.1 B) C50.111 C) D05.91 D) C79.81

19) Patient with thyroid cancer has fever and found to have chemo drug induced agranulocytosis.
a. D72.0, T36.91XA, C73, R50.81 b. D70.1, T45.1X1A, C73
c. R50.81, J34.81, K92.81 d. D70.1, T45.1X5A, C73, R50.81

20) 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.
A. C31.1 B. C32.3 C. C30.0 D. C10.2

21) 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 cholecystitis or stones were found. 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.
A. R10.80 B. C23 C. C24.0 D. R10.0. R11.2. R63.4
22) Patient with viral hepatitis C and continued alcohol use is diagnoses with malignant primary
neoplasm of the liver. Report all the diagnoses.
A. C22.8 B. C22.9 C. C22.8, B19.20, F10.99 D. C22.9, B17.10

23) Patient comes into the office for follow-up of breast cancer 2 years ago. Doctor indicates her right
sided mastectomy has healed well and there is no evidence of malignancy per her recent imaging tests.
She is not currently receiving any treatments for the cancer. The doctor did indicate there is the
potential for recurrence and must continue to monitor her often and to make sure she performs
monthly breast exams and yearly imaging tests. Report ICD code(s) for this follow-up visit?

a) C50.912 b) C50.912, Z85.3 c) D24.1 d) Z85.3