CPC Practice Test 3

1. A patient presents with white fuzzy patches on the tongue and is diagnosed with oral hairy leukoplakia. The provider suspects HIV but does not have a confirmed positive lab test. The patient is also a smoker. What is the correct sequencing of ICD-10 codes?

2. A 23-year-old female is being seen for anemia one week after an appendectomy. Her hemoglobin dropped from 13.4 g/dL (before surgery) to 10.3 g/dL (post-surgery), and the physician concluded that she lost a large amount of blood during the procedure. She does not have any history of anemia before surgery. What is the correct diagnosis for this patient's anemia?

3. Which bone is located in the lower extremity of the body?

4. What does the Excludes 1 note mean in ICD-10 coding?

5. Which one of the following is a commercial or private payer?

6. A 66-year-old male received a viral test for Covid-19 from his physician, and the results were positive. The physician also sent him for a chest x-ray, which showed pneumonia in the RUL (right upper lobe). What is the correct ICD-10 code to use?

7. Which place of service code is submitted on the claim for a service performed in an outpatient surgical floor?

8. A 25-year-old patient is 27 weeks and 6 days pregnant and is experiencing dysuria and blood in her urine. She is diagnosed with acute cystitis. What is the correct coding for this patient's chart?

9. A patient has chronic obstructive pulmonary disease (COPD) and is admitted to the hospital for treatment for bacterial pneumonia. What ICD-10 codes should be used?

10. Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?

11. A patient diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for treatment of bacterial pneumonia. Which ICD-10-CM codes should be assigned to accurately reflect the diagnosis?

12. Medicare reimburses Skilled Nursing Facilities (SNFs) using a prospective payment system (PPS). What is the basis for this reimbursement method?

13. Which of the following data sets is required for home healthcare providers to collect and report?

14. A 34-year-old male is admitted to the hospital with sepsis. He undergoes a COVID-19 viral test, which returns positive. His medical records confirm that he has been vaccinated. During hospitalization, he develops symptoms of septic shock. What are the appropriate ICD-10-CM codes for this case?

15. A patient diagnosed with idiopathic dystonia received botulinum toxin injections during today's visit. The procedure includes three muscle injections in both upper extremities and seven injections in six paraspinal muscles. How should these injections be reported according to CPT® guidelines?

16. A female patient presents to the emergency department (ED) with shortness of breath (SOB), hypoxia, and hypercapnia, with a possible diagnosis of respiratory failure. After evaluation, the physician confirms that she has acute respiratory distress syndrome (ARDS). What is the correct ICD-10-CM diagnosis code for this scenario?

17. A patient presents to the office with a sore throat. The throat appeared bright red on examination, but there was no sinus drainage or fever. The provider ordered a throat swab to rule out strep throat, and the test results returned negative. What is the correct ICD-10-CM code for this encounter?

18. According to the Application of Cast and Strapping CPT® guidelines, how should the procedure be reported when an orthopedic provider performs initial fracture care for a closed scaphoid wrist fracture, applies a short arm cast, and the patient is scheduled to return for subsequent fracture care?

19. What is another name for the tympanic membrane?

20. A patient is diagnosed with diabetic polyneuropathy. According to ICD-10-CM coding guidelines, what is the correct diagnosis code?