Free Sample CPC exam Questions with explained answers

1.       Preschool vision testing discovered that Matt has congenital tritanopia, just like his mother.
     A. 743.59                                                                                             B. 368.52
    C. 368.53                                                                                              D. 743.8

2.       Mr. Jones is here today to receive an intercostal nerve block to mitigate the debilitating pain of his malignancy. His cancer has metastatized to his lungs.
A. 338.3, 197.0                                                                  B. 338.3, 162.9
C. 338.12, 162.9                                                                 D. 338.12, 197.0

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3.       The patient came today to discuss Lapband surgery. He is engaged to be married next spring, and is ready to change his life. He is morbidly obese and his BMI calculates to 41. His diabetes is controlled with preprandial tablets of 120 mg Starlix. He has bilateral osteoarthritic changes in his knees. Overall, he is a good candidate for the procedure, and I have referred him to Dr. Mast, general surgeon.
A. 250.00, 278.00, 715.96, V84.89                                   B. 278.01, 250.00, 715.96, V85.41
C. 250.80, 713.06, 278.00, V85.41                                    D. 278.01, 250.80, 715.96, V85.41

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Free Sample CPC questions with answers

4.      Patient presents with sternal chest pain, possible angina. Physician rules out angina and documents probable costochondritis. Code the diagnosis.
             A. 786.50                                                                                             B. 733.6
              C. 786.51                                                                                              D. 413.9

5.   The patient is seen today for radiation therapy for treatment of breast cancer following a lumpectomy that removed a lesion on the central portion of the right breast. Which of the following diagnosis codes would be listed first for this encounter?
               A. 174.1                                                                               B. V10.3
              C. 233.0                                                                                D. V58.0


1.       C

This is a straightforward lookup from the index, under Tritanopia, and reports a form of color blindness involving blue and yellow. What’s important to remember here is that congenital conditions are not limited to the congenital chapter of ICD-9-CM, but appear throughout the code set.
2.       A

The reason for this encounter is pain management, pain in neoplastic disease (338.3) should be the first listed diagnosis. The patient has metastatic cancer of the lung, which is reported with 197.0 as a secondary diagnosis.
3.       B

The patient is being counseled regarding his obesity, which would be reported with 278.01 and V85.41. The comorbidities of the patient, his bad knees, and diabetes contribute to the decision for surgery and should be included. There are no complications of diabetes noted, so 250.00 is the correct code for his condition. The arthritis is a complication of his obesity, not his diabetes.
4.       C

Keep in mind that codes describing symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a diagnosis has not been confirmed by the physician. Coders should select an ICD-9-CM code to describe the diagnosis, symptom, complaint, condition, or problem, indicating why the service was performed if a final diagnosis is not available. In this case, the angina was ruled out by the physician, so 413.9 is incorrect. The costochondritis, 733.6, has not been confirmed. The guidelines tell us we cannot report “rule out” or “probable” diagnoses in an outpatient setting. Therefore, all we can code is the precordial pain, 786.51. Code 786.50 is unspecified, and since we know the pain is behind the sternum, 786.51 is a better choice. See Pain/substernal, which takes us to 786.51.
5.   D

The reason for this encounter is for radiation therapy. The ICD-9-CM Coding Guidelines instruct us that V58.0 is to be “first listed, followed by the diagnosis code when a patient’s encounter is solely to receive radiation therapy or chemotherapy for the treatment of a neoplasm.” In this case, 174.1 would be sequenced secondarily. Because the cancer is still being treated, a history code would be inappropriate.

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