MEDICAL CODING EXAM 5| MEDICAL CODER | LATEST QUESTION AND CORRECT ANSWER WITH EXPLANATION

MEDICAL CODING EXAM 5| MEDICAL CODER
| LATEST 2025-2026 QUESTION AND CORRECT
ANSWER WITH EXPLANATION WEST COAST
UNIVERSITY
1. A patient is admitted with sepsis due to pneumonia, acute
respiratory failure, and acute kidney injury. What is the correct
sequencing?

A. J18.9, A41.-, J96.00, N17.9
B. A41.-, R65.20, J18.9, J96.00, N17.9
C. J96.00, A41.-, J18.9
D. N17.9, A41.-, J18.9

Correct Answer: B
Rationale: Sepsis is principal, followed by severe sepsis and all organ
dysfunctions.



2. A patient presents with chest pain, but MI is ruled out and GERD
is diagnosed. What is coded?

A. I21.-
B. R07.9
C. K21.9
D. Both B and C

Correct Answer: C
Rationale: Definitive diagnosis replaces symptom coding.



3. A patient undergoes laparoscopic procedure converted to open
surgery. What is coded?

A. Laparoscopic code
B. Both procedures
C. Open procedure only
D. Unlisted code

Correct Answer: C
Rationale: Only completed procedure is reported.

,4. A patient has type 2 diabetes with ketoacidosis and CKD stage 3.
What is correct?

A. E11.10, N18.3
B. E11.10 only
C. N18.3 only
D. E11.9, N18.3

Correct Answer: A
Rationale: Both conditions coded.



5. A patient has postoperative hemorrhage with acute blood loss
anemia. What is coded?

A. D62 only
B. T81.0XXA only
C. Both T81.0XXA and D62
D. R58 only

Correct Answer: C
Rationale: Both complication and anemia coded.



6. A patient has acute MI with cardiogenic shock. What applies?

A. I21.- only
B. R57.0 only
C. Both
D. Neither

Correct Answer: C
Rationale: Both conditions coded.



7. A patient has anemia due to CKD stage 4. What is correct
sequencing?

A. D63.1, N18.4
B. N18.4, D63.1

, C. D64.9 only
D. N17.9 only

Correct Answer: B
Rationale: CKD first.



8. A patient has dehydration and acute kidney injury. What is
principal?

A. N17.9
B. E86.0
C. Both equal
D. Symptom only

Correct Answer: B
Rationale: Dehydration is underlying cause.



9. Diagnostic colonoscopy followed by polypectomy. What is coded?

A. Diagnostic only
B. Polypectomy only
C. Both
D. Neither

Correct Answer: B
Rationale: Therapeutic procedure supersedes diagnostic.



10. Opioid overdose with respiratory failure. What is first?

A. J96.00
B. T40.2X1A
C. J69.0
D. R09.02

Correct Answer: B
Rationale: Poisoning is principal.