CPC Exam Questions – Certified Professional Coder Study Guide
(practice questions and exam preparation material)
The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or
disclosure of, and requests for, protected health information to the minimum necessary to
accomplish the intended purpose. The minimum necessary standard does not apply to the
following: - correct answer ✔✔- Disclosures to or requests by a health care provider for
treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the Department
of Health & Human Services (HHS) when disclosure of information is required under the Privacy
Rule for enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla - correct answer ✔✔d.Medulla
Myasthenia gravis (MG) - correct answer ✔✔- Chronic autoimmune disorder in which
antibodies destroy the communication between nerves and muscle, resulting in weakness of
the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes, mouth,
throat and limbs.
- Affects the neuromuscular junction
,Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland - correct answer ✔✔c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium - correct answer ✔✔a.Endocardium
Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria - correct answer ✔✔b.Hyperkalemia
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination
and urinalysis, the patient is diagnosed with a urinary tract infection (UTI).What ICD-10-CM
code(s) is/are reported?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct answer, your response)Feedback:Refer to ICD-10-CM guideline I.B.5. The
abdominal pain and urinary frequency are not reported because they are symptoms of the UTI.
Look in the ICD-10-CM Alphabetic Index for Infection, infected, infective/urinary (tract) which
,directs thecoder to N39.0. Verification in the Tabular List confirms code selection. - correct
answer ✔✔•N39.0
Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are not reported
because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for Infection,
infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the Tabular
List confirms code selection.
A 20-year-old comes into the emergency department (ED) with symptoms of a severe headache,
vomiting, stiff neck, and fever. The ED physician suspects meningitis and performs a lumbar
puncture. The ED physician reviews the results and the patient is admitted in the hospital for
meningitis which is suspected to be bacterial.
Which ICD-10-CM code(s) is/are reported by the ED physician?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9 - correct answer ✔✔d.G03.9
suspected to be bacteria= unspecified
50-year-old female presents to her provider with symptoms of insomnia and upset stomach.
The provider suspects she is premenopausal. She is diagnosed with impending menopause.
What diagnosis code(s) should be reported?
a.E28.319
b.G47.00, K30
c.N95.9
d.N95.9, G47.00, K30 - correct answer ✔✔b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
a.S62.101A
, b.S62.102A
c.S12.9XXA
d.M80.031A - correct answer ✔✔a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03 - correct answer ✔✔b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for both the
left and right side. There is a bilateral code provided for pain in the left and right ears H92.03.
You would not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia
is due to Staphylococcus aureaus and is methicillin resistant (MRSA). Applying the coding
concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) is/are reported? -
correct answer ✔✔J15.212
When a combination code exists for MRSA and the infection, only the combination code should
be reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is reported with
J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for
chemotherapy. Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What ICD-10-
CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table
of Neoplasms to locate the code for a Pancoast's tumor. - correct answer ✔✔Z51.11, C34.12
If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy
administration should be listed first, and a diagnosis for the malignancy requiring the
chemotherapy is reported secondarily. Look in the ICD-10-CM Alphabetic for Chemotherapy
(session) (for)/neoplasm or Encounter (with health service) (for)/ chemotherapy for neoplasm
(Z51.11). A Pancoast's tumor is a rapid growing tumor in the apex of the lung. The apex of the
lung is in the upper lobe for Pancoast's Tumor. Look for Tumor/Pancoast's - see Pancoast's
syndrome. Look for Pancoast's syndrome or tumor C34.1-. Add 2 as the 4th character for left
lung. The correct codes and sequencing are Z51.11 and C34.12.
(practice questions and exam preparation material)
The Privacy Rule generally requires covered entities to take reasonable steps to limit the use or
disclosure of, and requests for, protected health information to the minimum necessary to
accomplish the intended purpose. The minimum necessary standard does not apply to the
following: - correct answer ✔✔- Disclosures to or requests by a health care provider for
treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the Department
of Health & Human Services (HHS) when disclosure of information is required under the Privacy
Rule for enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla - correct answer ✔✔d.Medulla
Myasthenia gravis (MG) - correct answer ✔✔- Chronic autoimmune disorder in which
antibodies destroy the communication between nerves and muscle, resulting in weakness of
the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes, mouth,
throat and limbs.
- Affects the neuromuscular junction
,Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland - correct answer ✔✔c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium - correct answer ✔✔a.Endocardium
Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria - correct answer ✔✔b.Hyperkalemia
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination
and urinalysis, the patient is diagnosed with a urinary tract infection (UTI).What ICD-10-CM
code(s) is/are reported?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct answer, your response)Feedback:Refer to ICD-10-CM guideline I.B.5. The
abdominal pain and urinary frequency are not reported because they are symptoms of the UTI.
Look in the ICD-10-CM Alphabetic Index for Infection, infected, infective/urinary (tract) which
,directs thecoder to N39.0. Verification in the Tabular List confirms code selection. - correct
answer ✔✔•N39.0
Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are not reported
because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for Infection,
infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the Tabular
List confirms code selection.
A 20-year-old comes into the emergency department (ED) with symptoms of a severe headache,
vomiting, stiff neck, and fever. The ED physician suspects meningitis and performs a lumbar
puncture. The ED physician reviews the results and the patient is admitted in the hospital for
meningitis which is suspected to be bacterial.
Which ICD-10-CM code(s) is/are reported by the ED physician?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9 - correct answer ✔✔d.G03.9
suspected to be bacteria= unspecified
50-year-old female presents to her provider with symptoms of insomnia and upset stomach.
The provider suspects she is premenopausal. She is diagnosed with impending menopause.
What diagnosis code(s) should be reported?
a.E28.319
b.G47.00, K30
c.N95.9
d.N95.9, G47.00, K30 - correct answer ✔✔b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist?
a.S62.101A
, b.S62.102A
c.S12.9XXA
d.M80.031A - correct answer ✔✔a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03 - correct answer ✔✔b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for both the
left and right side. There is a bilateral code provided for pain in the left and right ears H92.03.
You would not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia
is due to Staphylococcus aureaus and is methicillin resistant (MRSA). Applying the coding
concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) is/are reported? -
correct answer ✔✔J15.212
When a combination code exists for MRSA and the infection, only the combination code should
be reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is reported with
J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for
chemotherapy. Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What ICD-10-
CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table
of Neoplasms to locate the code for a Pancoast's tumor. - correct answer ✔✔Z51.11, C34.12
If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy
administration should be listed first, and a diagnosis for the malignancy requiring the
chemotherapy is reported secondarily. Look in the ICD-10-CM Alphabetic for Chemotherapy
(session) (for)/neoplasm or Encounter (with health service) (for)/ chemotherapy for neoplasm
(Z51.11). A Pancoast's tumor is a rapid growing tumor in the apex of the lung. The apex of the
lung is in the upper lobe for Pancoast's Tumor. Look for Tumor/Pancoast's - see Pancoast's
syndrome. Look for Pancoast's syndrome or tumor C34.1-. Add 2 as the 4th character for left
lung. The correct codes and sequencing are Z51.11 and C34.12.
