FREE Certified Professional Coder Practice Questions and Answers

Question 1

A woman who is 89 years old and has been smoking every day since 1950. Due to her hypertension, congestive heart failure, and chronic shortness of breath (SOB), she has been brought to the emergency room (CHF). She has acute diastolic CHF, according to her prior cardiology records.

Which codes from ICD-10 should be applied?

Accepted Answer

I11.0, I50.31, F17.210

Answer

The correct codes are I11.0 for hypertensive heart disease with heart failure, I50.31 for acute diastolic congestive heart failure, and F17.210 for nicotine dependence on cigarettes, severe, uncomplicated. This sequence accurately captures the patient's primary conditions, specifying the type of heart failure and her long-standing smoking habit. The other options either miss key diagnoses or use less specific codes.

Question 2

In order to treat bacterial pneumonia, a patient with chronic obstructive pulmonary disease (COPD) is brought to the hospital.

Which codes from ICD-10 should be applied?

Accepted Answer

J44.0, J15.9

Answer

The correct codes are J44.0 for COPD with acute lower respiratory infection and J15.9 for unspecified bacterial pneumonia. J44.0 is used when COPD is complicated by an acute lower respiratory infection like pneumonia, establishing the link between the two conditions. J15.9 specifies the type of pneumonia as bacterial, completing the diagnostic picture.

Question 3

A man, 34 years old, is taken to the hospital with sepsis. A Covid-19 viral test was performed on him, and the findings were positive. His vaccination status is included in his medical file. While being treated in the hospital, he started showing signs of septic shock.

What ICD-10 codes should be used in this case?

Accepted Answer

U07.1, A41.89, R65.21

Answer

The correct codes are U07.1 for confirmed COVID-19, A41.89 for other specified sepsis, and R65.21 for severe sepsis with septic shock. U07.1 is the primary code for confirmed COVID-19. Sepsis (A41.89) is a complication, and the development of septic shock (R65.21) indicates a severe form, making this the most comprehensive and accurate coding sequence.

Question 4

A woman comes into the emergency room with SOB. She may be experiencing respiratory failure due to hypoxia and hypercapnia. Acute respiratory distress syndrome is the diagnosis made by the doctor (ARDS). What is the accurate diagnostic for this scenario?

Accepted Answer

J80

Answer

The diagnosis given is Acute Respiratory Distress Syndrome (ARDS). J80 is the specific ICD-10 code for ARDS. ARDS is a severe form of respiratory failure, and its diagnosis encompasses the symptoms of hypoxia and hypercapnia, making J80 the most precise and complete code for this scenario.

Question 5

Should the case be coded where the line begins (the insertion) or where the line ends up when coding the installation of a catheter in the right main artery?

Accepted Answer

Beginning

Answer

In medical coding for vascular access procedures, the insertion site (where the line begins) is typically the primary factor in determining the correct code. The complexity and anatomical considerations of the insertion point often dictate the procedure's difficulty and resource utilization. Therefore, coding begins at the point of insertion.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

FREE Certified Professional Coder Practice Questions and Answers