id stringlengths 17 17 | question stringlengths 30 560 | choices listlengths 4 4 | answer int32 0 3 | answer_text stringlengths 3 93 | category stringclasses 2
values | distractor_type stringclasses 2
values |
|---|---|---|---|---|---|---|
exam-0158814160be | A 25-yr old Patient with a five year history chewing tobacco dependence is diagnosed with malignant neoplasm of the inner lower lip. What is/are appropriate ICD-10-CM codes? | [
"C00.3,Z72.0",
"C00.4",
"C00.1",
"C00.4,F17.220"
] | 3 | C00.4,F17.220 | code_assignment | adjacent_code |
exam-0212f1f0ca71 | A 25 year old male presents to the clinic requesting assistance for cessation of chewing tobacco use. He has been dependent on chewing tobacco since age 13 and is now motivated to quit. Counseling on the options for chewing tobacco cessation was provided to the patient. What diagnosis codes are assigned? | [
"F17.220",
"Z71.6,F17.220",
"Z71.6,F17.200",
"Z71.6,F17.210"
] | 1 | Z71.6,F17.220 | code_assignment | adjacent_code |
exam-027f3484da39 | What is the correct way to code a patient having bradycardia due to Demerol that was correctly prescribed and properly administered? | [
"R00.1, T40.2X5A",
"T40.2X1A, R00.1",
"T40.2X5A, R00.1",
"R00.1, T40.2X1A"
] | 0 | R00.1, T40.2X5A | code_assignment | adjacent_code |
exam-02be6d12b94e | 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. | [
"S00.33XA, W21.01XA",
"S00.33XA, W21.31XA",
"S00.33XA, W21.81XA",
"S00.33XA, W18.01XA"
] | 0 | S00.33XA, W21.01XA | code_assignment | adjacent_code |
exam-048a71a8907d | A physician documents that the patient has been non-compliant with medications and has only been taking half dose to save on money. | [
"Z91.19",
"Z91.130",
"T50.906",
"Z91.120"
] | 3 | Z91.120 | code_assignment | adjacent_code |
exam-056840a25b28 | What diagnosis codes should be reported for spastic cerebral palsy due to meningitis? | [
"G80.1, G43.909, G03.9",
"G80.1, G09",
"G03.9, G80.1",
"G09, G80.1"
] | 1 | G80.1, G09 | code_assignment | adjacent_code |
exam-0708f8cbe3da | Pregnancy associated cardiomyopathy: | [
"J42.9, O90.3, Z3A.00",
"J42.9, O90.3",
"O90.3, Z3A.00",
"O00.1, Z3A.12"
] | 2 | O90.3, Z3A.00 | code_assignment | adjacent_code |
exam-09181647068f | What does ICD-10-CM stand for? | [
"Infections Classified Diseases-10th Revision-Clinical Modification",
"International Class Diagnosis -10th Book-Clinical Medicine",
"International Code Diagnosis-10-Coding Medical",
"International Classification of Diseases-10th Revision-Clinical Modification"
] | 3 | International Classification of Diseases-10th Revision-Clinical Modification | conventions | misapplied_rule |
exam-09e849b2bc4f | A three-year-old is brought to the burn unit after pulling a pot of hot soup off the stove spilling onto her body. She sustained 18% second degree burns on her legs and 20% third degree burns on her chest and arms. Total body surface area burned is 38%. What ICD-10-CM codes should be reported for the burns (do not incl... | [
"T21.31XA, T22.30XA, T24.209A, T31.32",
"T22.20XA, T21.01XA, T24.209A, T31.32",
"T22.00XA, T21.00XA, T24.209A, T31.32",
"T21.31XA, T21.01XA, T24.209A, T31.32"
] | 0 | T21.31XA, T22.30XA, T24.209A, T31.32 | code_assignment | adjacent_code |
exam-0a0afc8edb45 | A patient is diagnosed with atresia of the esophagus with a Broncho-esophageal fistula: | [
"Q39.1",
"J86.0",
"Q39.3",
"Q39.0"
] | 0 | Q39.1 | code_assignment | adjacent_code |
exam-0a3282077500 | Patient presents with boils in both axillae | [
"L02.421, L02.422",
"L02.411, L02.412",
"L02.431, L02.432",
"L02.423, L02.424"
] | 0 | L02.421, L02.422 | code_assignment | adjacent_code |
exam-0c670e6564c0 | Who are the parties responsible for providing the guidelines to ICD-10-CM? | [
"AAPC and AMA",
"WHO and CMS",
"AMA and CMS",
"NCHS and CMS"
] | 3 | NCHS and CMS | conventions | misapplied_rule |
exam-0cce6c38bde9 | A patient has been taking Digoxin and is experiencing nausea, vomiting and profound fatigue. The patient indicates that he has been taking the drug appropriately. The evaluation and treatment was focused on adjustment of medication only. What is the correct diagnosis code? | [
"T46.0X1A,R11.2,R53.83",
"R11.2,R53.83,T46.0X5A",
"T46.0X5A,R11.2,R53.83",
"R11.2,R53.83,T46.0X6A"
] | 1 | R11.2,R53.83,T46.0X5A | code_assignment | adjacent_code |
exam-0d077d54376e | What diagnosis codes should be reported for fragilitas ossium, osteogenesis imperfecta, and osteopsathyrosis? | [
"Q78.0",
"Q78.8",
"Q78.9",
"Q78"
] | 0 | Q78.0 | code_assignment | adjacent_code |
exam-0efebd674f52 | What diagnosis code(s) should be reported for primary osteoarthritis in both knees? | [
"M17.0, M17.0",
"M17.11, M17.12",
"M17.0",
"M17.4"
] | 2 | M17.0 | code_assignment | adjacent_code |
exam-10162c9b746d | While in the hospital for acute inferioposterior transmural infarction a 55 year old woman is found to have stenosis of tricuspid valve due to the birth defect. She has a long history of tobacco use and currently has a dependence on cigarette. What ICD-10-CM codes are reported? | [
"I21.09,Q22.4,Z87.891",
"I21.11,Q22.4,F17.210",
"I21.09,I07.0,Z87.891",
"I21.11,I07.0,Z72.0"
] | 1 | I21.11,Q22.4,F17.210 | code_assignment | adjacent_code |
exam-11e01ba0a79d | What is the ICD-10-CM code for fatigue? | [
"F45.8",
"R29.898",
"F48.8",
"R53.83"
] | 3 | R53.83 | code_assignment | adjacent_code |
exam-14c64e206663 | Patient is diagnosed with an ectopic pregnancy that is found to be in the fallopian tubes. | [
"O00.1, Z3A.00",
"O09.11, Z3A.12",
"O09.11",
"O08.89, Z3A.01"
] | 0 | O00.1, Z3A.00 | code_assignment | adjacent_code |
exam-161dc3bf4a36 | A rare condition where the esophagus cannot move food down is called: | [
"Acheilia",
"Aphthae",
"Achalasia",
"Achillobursitis"
] | 2 | Achalasia | conventions | misapplied_rule |
exam-16e78e9c30b1 | A patient presents to the rheumatologist with rheumatoid polyneuropathy with rheumatoid arthritis of both hands. | [
"M05.141, M05.142",
"M05.541, M05.542",
"M05.231, M05.232",
"M05.341, M05.342"
] | 1 | M05.541, M05.542 | code_assignment | adjacent_code |
exam-17369b38aa64 | A patient presents to the Emergency Department with nausea and vomiting, abdominal pain and fever. The physician suspects appendicitis. The test results are pending. What ICD-10-CM code(s) is/are reported? | [
"R11.0, R11.10, R10.9, R50.9",
"R11.2, R10.9, R50.9",
"R11.2, R10.9, R50.9, K37",
"K37"
] | 1 | R11.2, R10.9, R50.9 | code_assignment | adjacent_code |
exam-17a35b76ae58 | Combination codes are single code used to classify two diagnoses, or a diagnosis with an associated secondary process or associated __________________. | [
"Default code",
"Definitive diagnosis",
"Complications",
"Residual diagnosis"
] | 2 | Complications | conventions | misapplied_rule |
exam-17d89ec6df9f | Patient sees his primary care physician for chest pain and regurgitation. The doctor’s diagnosis for the patient is gastroesophageal reflux. What diagnosis code(s) should be reported? | [
"R07.9, 787.03",
"K21.9",
"K21.9, R07.9, K21.9",
"R07.9, R11.10, K21.9"
] | 1 | K21.9 | code_assignment | adjacent_code |
exam-1828eabd85b2 | What diagnosis code(s) is/are reported for pneumonia due to SARS? | [
"J12.81",
"J18.9",
"J18.9, B97.21",
"J12.81, B97.21"
] | 0 | J12.81 | code_assignment | adjacent_code |
exam-1960fd88ff91 | Patient with thyroid cancer has fever and found to have chemo drug induced agranulocytosis. | [
"R50.81, J34.81, K92.81",
"D70.1, T45.1X1A, C73",
"D70.1, T45.1X5A, C73, R50.81",
"D72.0, T36.91XA, C73, R50.81"
] | 2 | D70.1, T45.1X5A, C73, R50.81 | code_assignment | adjacent_code |
exam-1a063a4ef8a2 | The word “and” should be interpreted to mean ____ when it appears in a title. | [
"“and” or “or” – patient may have either or both",
"instead of",
"do not use",
"“and” – patient must have both"
] | 0 | “and” or “or” – patient may have either or both | conventions | misapplied_rule |
exam-1bcebe464657 | What is the ICD-10-CM code for a laceration on the left shoulder, subsequent encounter? | [
"S41.019B",
"S51.801B",
"S46.001B",
"S51.009B"
] | 0 | S41.019B | code_assignment | adjacent_code |
exam-1d3eb514d8e2 | In the ICD-10-CM Index to Diseases and Injuries (Alphabetic Index), what is the code next to the main term called? | [
"Default Code",
"Subcategory Code",
"Category Code",
"Unspecified Code"
] | 0 | Default Code | conventions | misapplied_rule |
exam-1e7f2eda2940 | How are the transport accident categories structured in the ICD-10-CM Chapter 20 overview? | [
"Randomly assigned based on the severity of the injury",
"Structured into 12 distinct groups based on the mode of transport and victim role",
"Organized into 5 major clinical groups",
"Grouped solely by the speed of the vehicle involved"
] | 1 | Structured into 12 distinct groups based on the mode of transport and victim role | conventions | misapplied_rule |
exam-208d757be20c | A patient has a history of bilateral, otitis media not responsive to medical therapy. Given the history and physical examination, the provider felt he was a candidate for bilateral myringotomy and tubes. The patient went to the ASC for the procedure. The physicians findings were bilateral chronic serous otitis media. W... | [
"H65.22",
"H65.23",
"H65.21",
"H66.93"
] | 1 | H65.23 | code_assignment | adjacent_code |
exam-23d6a0393d90 | What is the diagnosis code(s) for a patient with bronchitis and the flu? | [
"J40, J09.X2",
"J09.X2",
"J11.1",
"J40, J11.1"
] | 2 | J11.1 | code_assignment | adjacent_code |
exam-25d6ca831d2c | A physician or healthcare facility must report external cause codes: | [
"Never, as they are purely voluntary",
"Optionally, unless there is a mandatory reporting requirement",
"Always, as they are mandatory for all US claims",
"Only for transport accidents"
] | 1 | Optionally, unless there is a mandatory reporting requirement | conventions | misapplied_rule |
exam-262ee7fa572a | A 14 year old patient is seen for red, scaly crusted rash on his trunk. The patient is diagnosed with ring worm. What is the appropriate ICD code? | [
"B35.4",
"B35.9",
"B35.3",
"B35.6"
] | 1 | B35.9 | code_assignment | adjacent_code |
exam-263d9d801d1c | 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 a. b. c. d. | [
"H95.02",
"H70.12",
"H71.02",
"H71.22"
] | 0 | H95.02 | code_assignment | adjacent_code |
exam-29b1d9bfc2eb | Henry was playing baseball at the town's sports field and slid for home base where he collided with another player. He presents to the emergency department complaining of pain in the distal portion of his right middle finger. It is swollen and deformed. The physician orders an x-ray and diagnoses Henry with a displaced... | [
"S62.392A, Y93.64, W51.XXXA, Y92.320",
"S62.632A, Y93.67, W03.XXXA, Y92.320",
"S62.662A, Y93.64, W03.XXXA, Y92.320",
"S62.632A, Y93.64, W51.XXXA, Y92.320"
] | 3 | S62.632A, Y93.64, W51.XXXA, Y92.320 | code_assignment | adjacent_code |
exam-2a437344acd6 | A patient with CKD Stage 5. He is currently receiving chronic dialysis and will continue this treatment would be coded as: | [
"N18.9",
"N18.6, Z99.2",
"N18.5, Z99.2",
"N18.5, Z91.15"
] | 1 | N18.6, Z99.2 | code_assignment | adjacent_code |
exam-2c6af04343c4 | A 22-year-old is in an outpatient facility for hernia repair of an inguinal hernia. Just before surgery, the surgeon discovers the patient is positive for MRSA and the surgery is cancelled. Which ICD-10-CM code(s) should be reported for the outpatient service? | [
"A49.01, K40.90, Z53.09",
"Z53.09",
"A49.02",
"K40.90, A49.02, Z53.09"
] | 3 | K40.90, A49.02, Z53.09 | code_assignment | adjacent_code |
exam-3128518ce042 | A patient was seen in the physician’s office and was diagnosed with “influenza with pneumonia.” The physician selected J18.9. Refer to your ICD-10-CM Tabular List of Diseases to verify code J18.9. Is it correct to report code J18.9? Why? | [
"No, there is a combination code J11.00 includes influenza with pneumonia.",
"Yes, code J18.9 is a combination code assigned to “influenza with pneumonia.”",
"Yes, because the physician selected J18.9, it must be reported.",
"No, the influenza code, J11.1 also needs to be reported on the claim."
] | 0 | No, there is a combination code J11.00 includes influenza with pneumonia. | code_assignment | adjacent_code |
exam-35cb52b63a0f | When multiple external cause codes are assigned, which code should correspond to the cause of the most serious diagnosis? | [
"The first external cause code assigned",
"The status code (Y99)",
"The activity code (Y93)",
"The place of occurrence code (Y92)"
] | 0 | The first external cause code assigned | conventions | misapplied_rule |
exam-363c39d53663 | 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 to go to the hospital... | [
"E16.2, K86.1",
"E16.2",
"K86.1, E08.649, Z79.4",
"E11.65, K85.3, Z79.4"
] | 2 | K86.1, E08.649, Z79.4 | code_assignment | adjacent_code |
exam-37c90a753cb9 | 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: | [
"T21.73XA, T20.67XA, T22.011xA, T31.0, X02.0XA, Y92.013",
"T20.27xA, T21.34XA, T31.9, X03.0XA, Y92.029",
"T20.27XA, T22.311A, T22.33XA, T31.11, Y91.019, X00.0XXA",
"T21.33XA, T22.311A, T20.27XA, T31.11, X00.0XXA, Y92.019"
] | 3 | T21.33XA, T22.311A, T20.27XA, T31.11, X00.0XXA, Y92.019 | code_assignment | adjacent_code |
exam-38bd958f95be | What is the ICD-10-CM code for hives? | [
"L29.9",
"T78.40XA",
"L50.9",
"L29.8"
] | 2 | L50.9 | code_assignment | adjacent_code |
exam-3c09205235d8 | A patient diagnosed with Beta-thalassemia minor should be coded: | [
"D56.3",
"D57.40",
"D56.5",
"D56.1"
] | 0 | D56.3 | code_assignment | adjacent_code |
exam-3ce353ec6bf6 | A 66 year-old patient is diagnosed with hypertensive heart disease and congestive heart failure. What is the ICD-9 code or code(s)? | [
"I11.9, I50.9",
"I50.9, I11.0",
"I11.0, I50.9",
"I11.0"
] | 2 | I11.0, I50.9 | code_assignment | adjacent_code |
exam-3d0320b07375 | Man was injured helping build walls for houses for Habitat for Humanity as a volunteer. | [
"Y93.H3",
"Y93.H1, Y99.8",
"Y93.H3, Y99.2",
"Y93.H9, Y99.2"
] | 2 | Y93.H3, Y99.2 | code_assignment | adjacent_code |
exam-3f8573493bbc | What is the ICD-10-CM code for hay fever? | [
"J45.909",
"J30.1",
"J30.81",
"J30.89"
] | 1 | J30.1 | code_assignment | adjacent_code |
exam-41bc5caf2f38 | A patient presents with nephrotic syndrome with diffuse membranous glomerulonephritis: | [
"N03.2",
"N00.2",
"N04.8, N00.9",
"N04.2"
] | 3 | N04.2 | code_assignment | adjacent_code |
exam-43a604de27bd | Secondary diabetes is ________________ caused by another condition or event. | [
"Never",
"Always",
"An adverse effect",
"Maybe"
] | 1 | Always | conventions | misapplied_rule |
exam-497093279f00 | Which statement regarding the assignment of Y92 (Place of Occurrence) codes is correct according to the guidelines? | [
"Y92 codes are only used for transport accidents",
"Y92 codes require a 7th character for the encounter type",
"Multiple Y92 codes are typically assigned to every encounter",
"Y92 codes are secondary codes and do not use 7th characters"
] | 3 | Y92 codes are secondary codes and do not use 7th characters | conventions | misapplied_rule |
exam-4b523d15ba8f | According to the classification blocks in Chapter 20, which of the following is categorized as an "other external cause of accidental injury" rather than a transport accident? | [
"Air and space transport accidents",
"Slipping, tripping, and falls",
"Water transport accidents",
"Pedal cycle rider injured in transport accident"
] | 1 | Slipping, tripping, and falls | conventions | misapplied_rule |
exam-4ba4f922d05b | A patient presents to the ED with RLQ pain and fever. The physician lists appendicitis as a differential diagnosis. | [
"R10.31, R50.9",
"R10.813, R50.9",
"R10.12, R50.9",
"K37"
] | 0 | R10.31, R50.9 | code_assignment | adjacent_code |
exam-4d3d877f6d0f | The instructions and conventions of the classification take precedence over | [
"CPT®",
"documentation",
"nothing, they are only used in the event of no other instruction.",
"Official Coding Guidelines"
] | 3 | Official Coding Guidelines | conventions | misapplied_rule |
exam-4d7513f446dd | Mr. Alphy admitted with CKD stage 3 worsened to stage 4 after 1 week. What are the appropriate ICD-10-CM code? | [
"N18.4",
"N18.9",
"N18.6",
"N18.3"
] | 0 | N18.4 | code_assignment | adjacent_code |
exam-4e8b5d6d3e6b | What ICD-10-CM code is reported for nausea and vomiting? | [
"R11.0",
"R50.9",
"R52",
"R11.2"
] | 3 | R11.2 | code_assignment | adjacent_code |
exam-4fad11b165c7 | 37-year-old male is diagnosed as having cholelithiasis, choledocholithiasis, and acute and chronic Cholecystitis. Which ICD-10-CM code(s) should is/are reported? | [
"K80.66",
"K80.20, K80.70, K80.66",
"K80.62, K80.66",
"K80.20, K80.70, K80.62, K80.60"
] | 0 | K80.66 | code_assignment | adjacent_code |
exam-4fcfb56b03dd | 20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and performs a lumbar puncture. The ED physician reviews the results and the patient is admitted in the hospital for meningitis. The ED physician suspects that th... | [
"G00.9",
"G00.9, R51, R11.10, M43.6, R50.9",
"G03.9, R51, R11.10, M43.6, R50.9",
"G03.9"
] | 3 | G03.9 | code_assignment | adjacent_code |
exam-506076d049f3 | If an injury occurs during a hospitalization due to a new event, what should the coder do regarding the Y92 code? | [
"Assign an additional place of occurrence code for the new injury",
"Assign Y92.9 (Unspecified place) only",
"Do not assign a place of occurrence code because the patient is already admitted",
"Change the original place of occurrence code to the hospital"
] | 0 | Assign an additional place of occurrence code for the new injury | conventions | misapplied_rule |
exam-51d3c3bd2e40 | The placeholder character 'X' is used in external cause coding to: | [
"Signify that the patient is a civilian during a war",
"Fill in empty characters to allow for a 7th character extension",
"Indicate that the intent is undetermined",
"Indicate the patient has a subsequent encounter"
] | 1 | Fill in empty characters to allow for a 7th character extension | conventions | misapplied_rule |
exam-51d64f244ef5 | Patient has been on Percocet for low back pain. He is experiencing constipation that is due to the pain medication. What is the appropriate ICD-10-CM code? | [
"K59.09,M54.5",
"K59.09,T40.2X5A,M54.5",
"K59.09,T40.2X5A,M54.5,Z79.891",
"T40.2X5A,M54.5"
] | 1 | K59.09,T40.2X5A,M54.5 | code_assignment | adjacent_code |
exam-52f12dc3cb18 | The patient has a history of symptomatic HIV. What ICD-10-CM code is reported? | [
"Z86.39",
"Z21",
"B20",
"R75"
] | 2 | B20 | code_assignment | adjacent_code |
exam-534ecdbe62dd | Which diagnosis below would be considered a combination code? | [
"E06.0",
"R78.0",
"I07.0",
"K80.00"
] | 3 | K80.00 | code_assignment | adjacent_code |
exam-5704c9cd92e4 | A patient dropped a rolling pin on her foot in the kitchen in her single family home while making pie crust. | [
"W20.XXXA, Y92.010, Y93.G3",
"W20.8XXA, Y92.020, Y93.G3",
"W22.8XXA, Y92.010A, Y93.G1",
"W20.8XXA, Y92.010, Y93.G1"
] | 3 | W20.8XXA, Y92.010, Y93.G1 | code_assignment | adjacent_code |
exam-582845956f23 | What is the sequencing order when coding a sequela (late effect)? | [
"The cause of the late effect is coded first, the residual condition is coded second followed",
"The cause of the late effect is coded first and the residual condition is coded second.",
"The residual condition is coded first, and the code(s) for the cause of the late effect are",
"The symptom is coded first ... | 2 | The residual condition is coded first, and the code(s) for the cause of the late effect are | conventions | misapplied_rule |
exam-5a494be26fdf | What is the ICD-10-CM code for strep throat? | [
"A49.1",
"J02.0",
"J02.8",
"B97.89"
] | 1 | J02.0 | code_assignment | adjacent_code |
exam-5acfa8302cb4 | 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. The patient was admitted and a surgeon was consulted. The next day a cholecystectomy was perf... | [
"C24.0",
"R10.0. R11.2. R63.4",
"R10.80",
"C23"
] | 3 | C23 | code_assignment | adjacent_code |
exam-5b6031c06803 | A previously asymptomatic HIV patient in her 13th week of pregnancy is evaluated for HIV related candidial bronchitis? | [
"O98.711, B20, B37.1, Z3A.13",
"B20, O98.711, B37.1, Z3A.13",
"O98.711, Z21, B37.1, Z3A.13",
"Z21, O98.711, B37.1, Z3A.13"
] | 0 | O98.711, B20, B37.1, Z3A.13 | code_assignment | adjacent_code |
exam-5c6f22f7c78b | What is the ICD-10-CM code for sore throat? | [
"J02.9",
"J02.0",
"J31.2",
"R07.0"
] | 3 | R07.0 | code_assignment | adjacent_code |
exam-5d405976c4a8 | According to the transport accident coding assumptions, all transport accidents are assumed to be: | [
"Intentional self-harm",
"Undetermined intent",
"Accidental",
"Assault"
] | 2 | Accidental | conventions | misapplied_rule |
exam-5dabab451192 | A 30 year old female with secondary diabetes mellitus due to acute idiopathic pancreatitis. She has diabetic hyperglycemia and takes insulin. What are the diagnosis codes? | [
"E08.69, K85.0, Z79.4",
"K85.0, E08.65, Z79.84",
"E08.69, K85.0, Z79.84",
"K85.0, E08.65, Z79.4"
] | 3 | K85.0, E08.65, Z79.4 | code_assignment | adjacent_code |
exam-5e72633f0420 | Sonny has been a cigarette smoker for over 29 years. Her physician prescribes her smoking cessation medication. | [
"Z87.891",
"T65.222",
"O99.330",
"F17.210"
] | 3 | F17.210 | code_assignment | adjacent_code |
exam-624f3fae6121 | Encounter for pain management for acute neck pain from trauma. | [
"G89.3, C34.12",
"M54.2, G89.11",
"G89.11, M54.2",
"G89.21, M54.2"
] | 2 | G89.11, M54.2 | code_assignment | adjacent_code |
exam-63169a78428d | Hypertensive heart with CKD Stage 5 with heart failure. | [
"I13.2, I50.9, N18.5",
"I10, I50.1, N17.8",
"I50.9, I13.2, N19",
"I12.9, I50.31, N18.9"
] | 0 | I13.2, I50.9, N18.5 | code_assignment | adjacent_code |
exam-65ba44f69fec | What is the ICD-10-CM code for keloid scar on the foot? | [
"Q81.0",
"L91.0",
"I51.89",
"M35.4"
] | 1 | L91.0 | code_assignment | adjacent_code |
exam-665cb8b2309d | A patient in her 2nd trimester of pregnancy at 23 weeks 5 days presents for her routine visit. Her gestational diabetes is in good control with insulin. What are the appropriate ICD-10-CM code? | [
"O24.424,Z3A.23",
"O24.312,Z3A.23",
"O24.434,Z3A.23",
"O24.414,Z3A.23"
] | 3 | O24.414,Z3A.23 | code_assignment | adjacent_code |
exam-66d629cd18e5 | Newborn birth weight 800 g, gestational age 30.1 weeks | [
"P07.03, P07.33",
"P07.33, P07.03",
"P07.32",
"P07.34"
] | 0 | P07.03, P07.33 | code_assignment | adjacent_code |
exam-69fe31124666 | What is an example of an eponym? | [
"Neuropathy",
"Paget’s disease",
"Xanthoma",
"Salpingo-oophoritis"
] | 1 | Paget’s disease | conventions | misapplied_rule |
exam-6b3856770039 | 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 codes? | [
"D00.07,F17.220",
"D00.03,F17.220",
"D00.07",
"D00.00,Z72.0"
] | 0 | D00.07,F17.220 | code_assignment | adjacent_code |
exam-6cbdac85e196 | Patient presents with complaint of being tired, having difficulty sleeping, dry skin and reports that her nails break easily. The physician suspects thyroid disorder and orders a thyroid panel, CBC, and chem20. The patient is to return in 10 days for test results. What are the codes? | [
"Z13.29",
"E05.90",
"R53.83,G47.00,L98.8,L60.3",
"E03.9"
] | 2 | R53.83,G47.00,L98.8,L60.3 | code_assignment | adjacent_code |
exam-6cc85b586d0f | What is the ICD-10-CM code for sprained left ankle, initial ecounter? | [
"S83.90XD",
"S93.402A",
"S93.601A",
"S73.192D"
] | 1 | S93.402A | code_assignment | adjacent_code |
exam-6d7a150cc01e | Smoker diagnosed with CHF due to hypertension. | [
"I13.10, Z98.89",
"I11.0, I50.9, Z72.0",
"I13.10, I50.4, Z77.22",
"I50.3, I11.0, Z77.22"
] | 1 | I11.0, I50.9, Z72.0 | code_assignment | adjacent_code |
exam-6fd236037281 | When coding for ambulatory surgery which statement is TRUE in reporting a confirmed diagnosis for the surgery performed: | [
"Code the preoperative diagnosis because it is the most definitive.",
"Code the preoperative diagnosis and postoperative diagnosis when both diagnoses are",
"Code the postoperative diagnosis because it is the most definitive",
"V codes are always reported for ambulatory surgery."
] | 2 | Code the postoperative diagnosis because it is the most definitive | conventions | misapplied_rule |
exam-7126acefb867 | What ICD-10-CM code(s) is/are reported for enlargement of the prostate with a symptom of urinary retention? | [
"N40.1",
"N40.0",
"N40.3, R33.8",
"N40.1, R33.8"
] | 3 | N40.1, R33.8 | code_assignment | adjacent_code |
exam-72ab86ae625b | A patient with AIDS is seen by her physician for severe dehydration. The final diagnosis by the physician is salmonella with dehydration. Code(s) | [
"A02.8, B20",
"A02.8, Z21",
"A02.9, B20",
"A02.9"
] | 2 | A02.9, B20 | code_assignment | adjacent_code |
exam-741d5103c288 | 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. | [
"C30.0",
"C10.2",
"C31.1",
"C32.3"
] | 0 | C30.0 | code_assignment | adjacent_code |
exam-742044e65c1c | Patient with viral hepatitis C and continued alcohol use is diagnoses with malignant primary neoplasm of the liver. | [
"C22.8",
"C22.8, B19.20, F10.99",
"C22.9, B17.10",
"C22.9"
] | 1 | C22.8, B19.20, F10.99 | code_assignment | adjacent_code |
exam-7532e3c18b03 | 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. | [
"E13.9, H35.81",
"E10.311",
"E10.9, H35.81",
"E11.351"
] | 1 | E10.311 | code_assignment | adjacent_code |
exam-759e73e14869 | A 50-year old female visits her physician with symptoms of insomnia and upset stomach. The physician suspects she is pre-menopausal. His diagnosis is impending menopause. What diagnosis code(s) should be reported? | [
"N92.0",
"Z78.0, G47.09, K30",
"Z78.0",
"G47.00, K30"
] | 3 | G47.00, K30 | code_assignment | adjacent_code |
exam-7759913cbfe6 | A 25 yr old type 1 diabetic male patient is treated in emergency department for hyperglycemia. His insulin pump is found to be mal positioned and underdosing has occurred? | [
"T85.624A, T38.3X6A, E11.65",
"T85.624A, T38.3X6A, E10.65",
"T85.624A, T38.3X1A, E10.65",
"T85.624A, T38.3X1A, E11.65"
] | 1 | T85.624A, T38.3X6A, E10.65 | code_assignment | adjacent_code |
exam-7bd3f6ab416f | A patient presents with congenital fusion of both ear ossicles to the plastic surgeon’s office to see if otoplasty is possible: | [
"Q16.0",
"Q16.1",
"Q16.3",
"Q16.9"
] | 2 | Q16.3 | code_assignment | adjacent_code |
exam-7d97a2e7c87f | What is the correct sequencing when coding for adverse effects? | [
"code first the symptoms, followed by the code from the Table of Chemicals and Drugs",
"code the adverse effect from the Table of Chemicals and Drugs, followed by the symptoms",
"code the adverse effect from the Table of Chemicals and Drugs only",
"code the symptoms, followed by the external cause code"
] | 0 | code first the symptoms, followed by the code from the Table of Chemicals and Drugs | conventions | misapplied_rule |
exam-7e0692b281ec | Which of the following describes a 'combination external cause code' as defined in Guideline I.C.20.a.7? | [
"A code that combines the injury and the place of occurrence",
"A code identifying sequential events, such as a fall resulting in striking against an object",
"A code that includes both the external cause and the patient's activity",
"A code used only for multiple transport accidents"
] | 1 | A code identifying sequential events, such as a fall resulting in striking against an object | conventions | misapplied_rule |
exam-7e2d9b0a4cd5 | 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. | [
"L89.323, L89.312, L89.154",
"L89.313, L89.322, L89.155",
"L89.313, L89.312, L89.153",
"L89.313, L89.322, L89.154"
] | 3 | L89.313, L89.322, L89.154 | code_assignment | adjacent_code |
exam-7e750c256446 | A 43 years old male is currently receiving treatment for alcohol dependence. As a result of drinking he is also on medication for chronic alcoholic gastritis. He also has a history of cocaine dependence. What diagnosis codes are assigned? | [
"K29.20, F10.20",
"F10.20, K29.20",
"F10.20, K29.20, F14.21",
"F14.21"
] | 2 | F10.20, K29.20, F14.21 | code_assignment | adjacent_code |
exam-803d22dbe414 | This HIV positive Patient is asymptomatic and never had any opportunistic infections. He is being seen today by his primary care physician for moderate, major depressive disorder, single episode. What codes would be used to report this encounter? | [
"F32.1,B20",
"Z21,F32.1",
"B20,F32.1",
"F32.1,Z21"
] | 3 | F32.1,Z21 | code_assignment | adjacent_code |
exam-82300ff1d60e | Which organization must identify an event as 'terrorism' before a code from category Y38 can be assigned? | [
"The World Health Organization (WHO)",
"The Federal Bureau of Investigation (FBI)",
"The attending physician",
"The local police department"
] | 1 | The Federal Bureau of Investigation (FBI) | conventions | misapplied_rule |
exam-82c49248cd85 | Patient presents with vascular dementia with behavioral disturbance: | [
"F02.80",
"F02.81",
"F01.50",
"F01.51"
] | 3 | F01.51 | code_assignment | adjacent_code |
exam-82eb828135ef | Rosemary, a 52-year-old female, returned to her physician for treatment of glaucoma and problems with peripheral angiopathy of her feet due to diabetes. She has had problems controlling her diabetes and is insulin dependent. Which diagnosis codes best describe this patient's condition? | [
"E08.39, E08.51, H42, Z79.4",
"E10.39, E10.51, H40.9, Z79.4",
"E10.39, E08.51, H40.9, Z79.4",
"E11.51, E11.39, H42, Z79.4"
] | 3 | E11.51, E11.39, H42, Z79.4 | code_assignment | adjacent_code |
exam-82fef1db8791 | A fireman suffered a third degree burn of the scalp with a 2.25% total body surface area (TBSA) and a third degree burn of the right forearm involving 4.5% TBSA while battling a house fire. He was taken to the emergency department and treated. | [
"T20.35XA,T22.312A,T31.0",
"T20.25XA,T22.311A,T31.0",
"T20.35XA,T22.311A,T31.0",
"T20.25XA,T22.312A,T31.0"
] | 2 | T20.35XA,T22.311A,T31.0 | code_assignment | adjacent_code |
exam-836cd54e0bc3 | 42 year old HIV positive male has a fever and shortness of breath. The diagnostic work up including chest X-ray and sputum culture diagnosis of Pneumocystis pneumonia. This was documented as pneumocystis pneumonia due to AIDS. What diagnosis was assigned? | [
"B59",
"B20",
"B20,B59",
"B59,B20"
] | 2 | B20,B59 | code_assignment | adjacent_code |
exam-837aabb49383 | According to the sequencing hierarchy, which external cause event takes priority over all others except for child and adult abuse? | [
"Activity and status codes",
"Transport accidents",
"Terrorism events",
"Cataclysmic events"
] | 2 | Terrorism events | conventions | misapplied_rule |
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