ICD-10-CM AND CPT ACTUAL EXAM 2025 ||63 QUESTIONS
WITH ACCURATE SOLUTIONS
1. In ICD-10-CM, inclusion notes:
List excluded conditions
Instruct to use another code
Mean code this condition elsewhere
List conditions similar enough to be classified to the same
code
2. If a patient undergoes a diagnostic endoscopy followed by
a surgical endoscopy during the same session, how should
the coder approach the coding for these procedures based
on CPT guidelines?
Code only the diagnostic endoscopy as it is a separate
procedure.
Code both the diagnostic and surgical endoscopies as
separate procedures.
Code the surgical endoscopy and include the
diagnostic endoscopy as part of it.
, Code the surgical endoscopy and use a modifier to
indicate the diagnostic endoscopy was performed.
3. What are Inclusion Notes in the context of ICD-10-CM?
Notes that provide guidelines for coding procedures
Notes that list conditions similar enough to be
classified to the same code
Notes that indicate exclusions from certain codes
Notes that describe the history of the classification
system
4. In the ICD-10-CM, congenital conditions are primarily
indexed under which main term in the Alphabetic Index?
Congenital Anomalies
, Birth Defects
Genetic Disorders
Developmental Disorders
5. Explain the significance of using the correct CPT code
when coding for a laparoscopic hernia repair. Why is it
important to differentiate between codes 49567 and
49568?
To ensure accurate billing and reimbursement
To comply with hospital
policies To simplify
coding processes
To avoid legal issues
6. A patient is diagnosed with diabetic neuropathy as a result of
their diabetes mellitus. How should a coder apply the 'Code
First Underlying Condition'
note when coding this scenario?
The coder should only code for diabetic neuropathy
without considering diabetes.
The coder should assign the code for diabetes
, mellitus first, followed by the code for diabetic
neuropathy.
The coder should assign the code for diabetic
neuropathy first, as it is the primary diagnosis.
The coder should use a modifier to indicate the
relationship between the two conditions.
7. A patient is diagnosed with a congenital heart defect.
When coding this condition using ICD-10-CM, which of
the following steps should be taken to ensure accurate
coding?
Use the main term 'Heart Disease' and select the code.
Refer to the Alphabetic Index under 'Congenital
Anomalies' and find the specific code.
WITH ACCURATE SOLUTIONS
1. In ICD-10-CM, inclusion notes:
List excluded conditions
Instruct to use another code
Mean code this condition elsewhere
List conditions similar enough to be classified to the same
code
2. If a patient undergoes a diagnostic endoscopy followed by
a surgical endoscopy during the same session, how should
the coder approach the coding for these procedures based
on CPT guidelines?
Code only the diagnostic endoscopy as it is a separate
procedure.
Code both the diagnostic and surgical endoscopies as
separate procedures.
Code the surgical endoscopy and include the
diagnostic endoscopy as part of it.
, Code the surgical endoscopy and use a modifier to
indicate the diagnostic endoscopy was performed.
3. What are Inclusion Notes in the context of ICD-10-CM?
Notes that provide guidelines for coding procedures
Notes that list conditions similar enough to be
classified to the same code
Notes that indicate exclusions from certain codes
Notes that describe the history of the classification
system
4. In the ICD-10-CM, congenital conditions are primarily
indexed under which main term in the Alphabetic Index?
Congenital Anomalies
, Birth Defects
Genetic Disorders
Developmental Disorders
5. Explain the significance of using the correct CPT code
when coding for a laparoscopic hernia repair. Why is it
important to differentiate between codes 49567 and
49568?
To ensure accurate billing and reimbursement
To comply with hospital
policies To simplify
coding processes
To avoid legal issues
6. A patient is diagnosed with diabetic neuropathy as a result of
their diabetes mellitus. How should a coder apply the 'Code
First Underlying Condition'
note when coding this scenario?
The coder should only code for diabetic neuropathy
without considering diabetes.
The coder should assign the code for diabetes
, mellitus first, followed by the code for diabetic
neuropathy.
The coder should assign the code for diabetic
neuropathy first, as it is the primary diagnosis.
The coder should use a modifier to indicate the
relationship between the two conditions.
7. A patient is diagnosed with a congenital heart defect.
When coding this condition using ICD-10-CM, which of
the following steps should be taken to ensure accurate
coding?
Use the main term 'Heart Disease' and select the code.
Refer to the Alphabetic Index under 'Congenital
Anomalies' and find the specific code.
