Medical Billers and Coders Practice Exam Solution Paper

Here is your practice examination. All the Best

1. Combination codes are single code used to classify two diagnoses, or a diagnosis with an
associated secondary processor 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. Patient with viral hepatitis C and continued alcohol use is diagnoses with malignant primary
neoplasm of the liver.

4. 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, nocholecystitis or stones. The patient was admitted and a surgeon was consulted.
The next day acholecystectomy was performed. The pathology results show the patient to have
cancer of the gallbladder. Code the diagnosis for the surgery.

5. 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.

6. Patient with thyroid cancer has fever and found to have chemo drug induced agranulocytosis.

7. Baby born with thrombocytopenia purpura also is found to have an absent radius.

8. Patient has post-operative hemorrhage due to accidental puncture of the spleen during gastric
bypass surgery.

9. A patient diagnosed with Beta-thalassemia minor should be coded:

10. 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.

11. Secondary diabetes is caused by another condition or event.

a. Never
b. Always
c. Maybe
d. An adverse effect

12. A 30-year-old male is diagnosed with hypersomnia. The correct ICD-10-CM code would be:

13. Which of the following are included in the Mental and Behavioral Disorders section of ICD-
10CM? a. Catatonic stupor
b. Organic brain syndrome
c. Toxic effect of alcohol
d. Mild cognitive impairment

14. Patient presents with vascular dementia with behavioral disturbance:

15. Code paraphrenic schizophrenia:

16. Sonny has been a cigarette smoker for over 29 years. Her physician prescribes her smoking
cessation medication.

17. Encounter for pain management for acute neck pain from trauma.

18. A patient had a left mastoidectomy for a cholesteatoma several years prior to this visit. On
exam it is found they now have a recurrence of the tumor

19. A condition where the bridge of the nose is flat and the eyelid size is reduced both horizontally
and vertically would be coded to:

20. A 6 year-old with right acute nonsuppurativeotitis media found to have a perforated tympanic
membrane. His parents smoke in the home.

21. Patient suffers from asudden onset of eczematoidotitis externa of the right ear.

22. Code for acute rheumatic endocarditis:

23. Smoker diagnosed with CHF due to hypertension.

24. Hypertensive heart with CKD Stage 5 with heart failure.

25. A patient is diagnosed with ischemia cardiomyopathy. He also has a history of tobacco
dependence.

26. The term is a worsening oradecompensation of a chronic condition and is not

equivalent to an infection superimposed on the chronic condition but could be triggered by the
infection.
a. Exacerbation
b. Acute exacerbation
c. Complication
d. Acute complication

27. Acute influenza upper respiratory infection due to Avian flu.

28. Patient with tobacco use has acute gingivitis, non-plaque induced. This would be coded as:

29. An anomaly involving the growth of the molar teeth that can be hereditary. This condition is
known as:
a. Sialoadenitis
b. Sialolithiasis
c. Sialectasia
d. Taurodontism

30. A rare condition where the esophagus cannot move food down is called:
a. Aphthae
b. Achalasia
c. Acheilia
d. Achillobursiti
31. 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.

32. Patient presents with boils in both axillae

33. A post-menopausal woman presents with a follow-up visit for a pathological, osteoporitic
fracture of the right wrist that is healing well. She has a history of pathological fractures due to
osteoporosis.

34. A patient presents to the rheumatologist with rheumatoid polyneuropathy with rheumatoid
arthritis of both hands.

35. Patient presents with renal and ureteric stones.

36. A patient presents with nephrotic syndrome with diffuse membranous glomerulonephritis:

37. Patient is diagnosed with anectopic pregnancy that is found to be in the fallopian tubes.

38. Patient delivered full term single live birth with no complications:

39. Pregnancy associated cardiomyopathy:

40. Newborn birth weight 800 g, gestational age 30.1 weeks

41. A new mother brings her 2 week old daughter into the pediatrician’s office. She is having
difficulty getting her to breastfeed.

42. A patient presents with congenital fusion of both ear ossicles to the plastic surgeon’soffice to
see if otoplasty is possible:

43. A patient is diagnosed with atresia of the esophagus with a Broncho-esophageal fistula:

44. A patient presents to the ED with RLQ pain and fever. The physician lists appendicitis as a
differential diagnosis.
45. A fireman suffered third degree burns of his upper back involving 8% TBSA, a second degree
burns of the neck involving 2% TBSA,a third degree burns of the right forearm involving 4%
TBSA, while in a house battling a fire. He was taken to the hospital ED for treatment:

46. A patient presents to the ED after getting tackled playing football in the park. He is diagnosed
with a right ankle sprain.

47. A patient is seen for a posterior subluxation of the left shoulder:

48. A man presents for treatment after falling on the moving walkway at the airport:

49. While learning to ride a bike, Tommy hit a street pole.

50. A patient dropped a rolling pin on her foot in the kitchen in her single family home while
making pie crust.

51. Man was injured helping build walls for houses for Habitat for Humanity as a volunteer.
52. A physician documents that the patient has been non-compliant with medications and has only
been taking half dose to save on money.

53. Child comes in for DTap, Tet/Dipth, HepA, MMR and would be coded as:

54. Patient presents to the surgeon’s office 10 days after a breast augmentation procedure. She
complains of pain and tenderness in the left breast. The physical exam findings include elevated
temperature and the right breast is red along the incision line and warm to the touch. A culture
is taken and confirms Staph Aureus resistant to Methicillin. Select the correct ICD-10-CM
code(s):

55. Following a previous surgery the patient suffered blood loss that required a packed red cell
transfusion He continues to be anemic as evidenced by a low blood count. What is the correct
ICD-10-CM code for the acute anemia due to hemorrhaging?

56. 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 togo to the hospital right away to be admitted for treatment of the hypoglycemia.
57. This 55-year-old established male patient presents for an annual physical exam. The patient’s
other complaints include intermittent chest pain and a productive cough. The nurse practitioner
collects a detailed history related to the symptoms and performs a detailed respiratory and
cardiovascular exam. A chest x-ray confirms acute bronchitis. Oral antibiotics are prescribed
along with instructions to stop smoking. The physical examination is also performed and there
are baseline labs ordered. The patient is also counseled on appropriate diet and exercise.

58. A 15-year-old is being seen by his family practice physician after suffering a contusion of his
nose after being hit by a football.

59. A 56-year-old male is discharged from the hospital with a diagnosis of an Acute ST elevation
(STEMI) inferolateral myocardial infarction. What is the ICD-10 code?

60. A 66 year-old patient is diagnosed with hypertensive heart disease and congestive heart failure.
What is the ICD-9 code or code(s)?