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Online Practice Exam for Medical Coding Beginners


1.    A patient presents with a spinal cord injury without evidence of a spinal bone injury. The spinal cord injury pertains to levels C1 through C4 with anterior cord syndrome. Which code should you report?

a.    952.01
b.    952.02
c.    952.03
d.    952.04

2.    A physician diagnoses a patient with an injury to the nerve root and spinal plexus, specifically the sacral root. Which code should you report?

a.    952.3
b.    953.3
c.    953.4
d.    953.9

3.    What code should you report for cellulitis and abscess of the finger, unspecified digit?

a.    681.00
b.    681.02
c.    681.10
d.    681.11

4.    What code should you report for other cellulitis and abscess of the face?

a.    682.0
b.    682.1
c.    682.2
d.     682.9

5.    What code should you report for pilonidal cyst without mention of abscess?

a.    685.0
b.    685.1
c.    686.00
d.    686.01

6.    What code should you report for seborrhea capitis?

a.    520.4
b.    520.5
c.    520.6
d.    520.7

7.    What code should you report for acute apical periodontitis of pulpal origin?

a.    522.4
b.    522.5
c.    522.6
d.    522.7

8.    What code should you report for unspecified anomaly of dental arch relationship?

a.    524.11
b.    524.20
c.    524.21
d.    524.22

9.    What code should you report for fissural cysts of jaw?

a.    526.0
b.    526.1
c.    526.2
d.    526.3

10.    What code should you report for plicated tongue?

a.    690.10
b.    690.11
c.    690.12
d.    690.18

11.    What code should you report for contact dermatitis and other eczema due to oils and greases?

a.    691.8
b.    692.0
c.    692.1
d.    692.2

12.    What ICD-9 code shoult you report for craniorachischisis (congenital slat in cranium and vertebral column)?

a.    740.0
b.    740.1
c.    740.2
d.    741

13.    What ICD-9 code should you report for microcephalus (extremely small head or brain)?

a.    742
b.    742.0
c.    742.1
d.    742.2

14.     What ICD-9 code should you report for unspecifed clinical anophthalmos (complete absence of the eyes or the presence of vestiginal eyes)?

a.    743.0
b.    743.00
c.    743.03
d.    743.06

15.    What ICD-9 code should you report for the absence of an external ear?

a.    744.0
b.    744.00
c.    744.01
d.    744.02

16.    What ICD-9 code should you report for agenesis, hypoplasia, and dysplasia of the lung?

a.    748.2
b.    748.3
c.    748.4
d.    748.5 

17.    Which of the following codes should you report for a fracture of the upper and of the forearm, unspecified?

a.    813.00
b.    813.01
c.    813.02
d.    813.03

18.    Which of the following anatomical parts makes up the pelvis?

a.    Acromion
b.    Humerus
c.    Iliac crest
d.    Glenoid fossa

19.    Which of the following codes should you report for an open fracture of the upper end of the tibia alone?

a.    823.10
b.    823.11
c.    823.20
d.    823.22

20.    According to the ICD-9 code category for dislocations (830-839), which of the following terms represents an open fracture?

a.    Complete
b.    Partial
c.    Simple
d.    Compound

21.      When a patient experiences a concussion with mental confusion or disorientation, without loss of consciousness, which of the following codes should you assign?

a.    850.0
b.    850.11
c.    850.12
d.    850.20

22.    Which of the following codes should you assign for a ventral hernia with gangrence, unspecified?

a.    551.20
b.    551.21
c.    551.29
d.    551.3

23.    When a physician documents “bilateral, recurrent inguinal hernia,” which of the following codes should you report?

a.    550.0
b.    550.1
c.    550.2
d.    550.3

24.    Code 551.3 inculdes all of the following type of hernias except:

a.    Diaphragmatic hiatal hernia with gangrence
b.    Diaphragmatic paraesophageal hernia with gangrene
c.    Congenital diaphragmatic hernia
d.    Diaphragmatic thoracic stomach hernia with gangrene

25.    Which of the following codes should you assign for femoral hernia with obstruction, unilateral, not spectfied as recurrent?

a.    552.00
b.    552.01
c.    552.03
d.    552.20
  
26.    Which of the following codes should you assign for an umbilical hernia?

a.    553.02
b.    553.03
c.    553.01
d.    553.21

27.    A patient was treated with third-degree burns of the left ankle. How should you report this?

a.    945.33
b.    945.30
c.    945.43
d.    945.40

28.    A patient with acute appendicitis underwent a routine appendectomy. During the appendectomy, the surgeon accidentally nicked a surrounding blood vessel. The nick complicated the procedure. How should you report this?

a.    540.9, 998.2
b.    998.2, 540.9, E870.0
c.    540.9, 998.2, E870.3
d.    540.9, 998.2, E870.0

29.    A patient was treated for multiple corns and callosities on both feet. How should you report this?

a.    700
b.    701.0
c.    701.1
d.    701.9

30.    A patient was treated for multiple open pelvic fractures with disruption of the pelvic circle. How should report this?

a.    808.43
b.    808.53
c.    808.49
d.    808.51

31.    A women sought treatment in an outpatient clinic for a cut on her hand due to an accident involving a paper cutter at church. The cut was noly a flesh wound and none of the tendone in the hand were damaged. How should you report this?

a.    E920.4, E849.6, 882.0
b.    E849.6, E920.4, 882.0
c.    882.0, E920.4, E849.6
d.    882.1, E920.4, E849.6

32.    A patient present with second and deep third degree on the back. The patient was burned by an explosion of dynamite. What are the appropriate ICD-9-CM code(s)?

a.    942.24, 942.34, E923.1
b.    942.49, E979.2
c.    942.44, E923.1
d.    942.34, E923.8

33.    A patient presents with first degree burns covering 15% of the patient’s total body surface area (TBSA). The physician does not identify the specific location of the burns. What are the appropriate ICD-9-CM code(s)?

a.    949.1
b.    948.10, 949.1
c.    946.1
d.    948.10

34.     A patient is treated for first degree burns of the left ankle and second degree burns of the right elbow. The patient is treated in a burn unit. Which tracks mortality of every burn treated. What are the appropriate ICD-9-CM cod(s)?

a.    945.13, 943.22, 948.00
b.    943.22, 945.13, 948.00
c.    946.2, 946.1, 948.00
d.    945.14, 943.21, 948.00

35.    A patient presents for treatment of a non-healing second degree burn on the right forearm. What are the appropriate ICD-9-CM code(s)?

a.    906.7, 943.21, E929.4
b.    943.21, 906.7
c.    943.21
d.    906.7

36.    A patient presents with third degree burns on the patient’s entire arms and legs. The patient was burned due to an uncontrolled house fire. What are the appropriate ICD-9-CM code(s)?

a.    946.3, E890.3
b.    943.30, 945.30, 948.39, E890.3
c.    943.30, 945.30, 948.33, E890.3
d.    943.39, 945.39, 948.33, E890.3

37.    The best definition of septicemia is:

a.    A severe infection in the leukocytes which include the presence of bacteria and viruses
b.    A systemic infection in the blood which include the presence of bacteria and viruses
c.    A severe infection affecting the skin and subcutaneous tissues of a wound
d.    A inflammation of the blood due to bacteria an viruses

38.    A patient is diagnosed with septicemia due to E. coil. What are the appropriate ICD-9 diagnosis code(s)?

a.    038.9, 041.4
b.    038.42, 041.4
c.    038.42
d.    038.42, 995.91

39.    A patient is diagnosed on admission with sepsis due to cellulitis of the leg: What are the appropriate ICD-9 diagnosis code(s)?

a.    038.9, 682.6, 995.91
b.    682.6, 038.9
c.    038.8, 682.6, 995.91
d.    038.9, 682.6, 995.90

40.    A patient is diagnosed with end stage renal failure due to hypertension and developed sepsis during the admission. What are the appropriate ICD-9 diagnosis code(s)?

a.    403.91, 585.6, 038.9, 995.92
b.    401.9, 585.6, 995.91
c.    403.90, 585.9, 038.9, 995.91
d.    403.91, 585.6, 038.9, 995.91

41.    An inpatient is diagnosed with septicemia. The lab results indicate that the patient was positive for strptococcus in the blood. On discharge, the attending physician documents “septicemia”. What are the appropriate ICD-9 diagnosis code(s)?

a.    038.0, 041.00
b.    038.0
c.    038.9, 995.91
d.    038.9 and query the physician for the lab results clinical significance

42.    A patient is diagnosed with streptococcal pneumoniae pneumonia with hypoxemia. What is the correct code(s)?

a.    482.30
b.    482.39, 799.02
c.    481
d.    481, 799.02

43.    A patient is admitted to the hospital with respiratory failure due to pneumonia. During the course of the admission, both conditions were equally treated and documented as definitive discharge diagnoses.What is the correct code sequence for this inpatient admission?

a.    518.81, 486
b.    518.81
c.    486, 518.81
d.    486

44.    An inpatient is diagnosed on discharge with a principal diagnosis of pneumonia. During the admission, a sputum culture is performed revealing it is positive for gramnegative bacteria. What is the correct code(s) based on this documentation?

a.    486
b.    482.83
c.    486, 041.85
d.    482.83, 041.85

45.    The most common form of pneumonia associated with HIV/AIDS is:

a.    Klebsitella pneumonia
b.    Pneumocystis carnii pneumonia
c.    Pneumococcal pneumonia
d.    Mycoplasma pneumonia

46.     A common medication used to treat bacterial pneumonia is:

a.    Omeprazole
b.    Augmentin
c.    Lipitor
d.    Diclofenac

47.    A patient who is 10 years old is diagnosed with diabetes mellitus. The physician does not specify whether the patient is a Type I or Type II diabetic. The patient has no associated manifestations or complications. What is the correct code?

a.    250.01
b.    250.00
c.    790.29
d.    250.02

48.    A patient with Type II diabetes that is normally controlled on Glucophage is temporarily placed on sliding scale insulin to stabilze his glucose levels. The patient has no associated manifestations or complications. What is the correct code(s)?

a.    250.00, V58.67
b.    250.01
c.    250.01, V58.67
d.    250.00

49.     A patient present to an ophthalmologist’s office for treatment of diabetic cataracts. The patient is Type I diabetic is the correct code(s)?

a.    366.9, 250.01
b.    250.51, 366.41
c.    366.41, 250.51
d.    250.01, 366.41

50.    A patient presents to an emergency room in a diabetic hypoglycemic coma (not hypersmolar) due to faiilure of her insulin pump. The patient is a Type I diabetic. What are the appropriate code(s)?

a.    996.57, 962.3, 250.31, E932.3
b.    996.57, 962.3, 250.33, E932.3
c.    996.57, 250.31, E932.3
d.    251.0, 250.01, 996.57, 962.3, E933.3

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