LCP4801 INTERNATIONAL LAW
COMPREHENSIVE TEST SCRIPT 2026
COMPLETE QUESTIONS ANSWERS VERIFIED
◉ When do you code acute respiratory failure as a secondary diagnosis?
Answer: When it occurs after admission
Rationale: According to ICD-10-CM guideline I.C.10.b.2, respiratory
failure may be listed as a secondary diagnosis if it occurs after
admission, or if it is present on admission, but does not meet the
definition of principal diagnosis.
◉ According to ICD-10-CM guidelines, when a patient is seen for
management of anemia due to malignancy, how is it reported? Answer:
The malignancy is reported first, followed by the code for the anemia.
Rationale: ICD-10-CM guideline I.C.2.c.1, when the patient is being
seen for management of the anemia associated with malignancy, the
code for the malignancy is reported first, followed by the appropriate
code for the anemia (for example D63.0 Anemia in neoplastic disease).
◉ According to the ICD-10-CM guidelines, how is bilateral glaucoma of
the same type and stage reported? Answer: A bilateral code can be used
to report the type of glaucoma and the stage of glaucoma.
Rationale: In ICD-10-CM guideline I.C.7.a.2 states when a patient has
bilateral glaucoma and both eyes are documented as the same type and
stage, and there is a code for bilateral glaucoma, report only the code for
the type of glaucoma, bilateral, with the 7th character for the stage.
, ◉ When a patient has a blood test for HIV that is inconclusive, what
ICD-10-CM code is assigned? Answer: R75
Rationale: ICD-10-CM guideline I.C.1.a.2.e instructs us to use R75 for
patients with inconclusive HIV serology and without definitive
diagnosis or manifestations of the illness. To locate the code in the ICD-
10-CM Alphabetic Index look for Human/immunodeficiency virus
(HIV) disease (infection)/laboratory evidence R75. Verify code selection
in the Tabular List.
◉ A patient has a history of MRSA. She has just been diagnosed with
pneumonia due to possible staphylococcus aureus. What ICD-10-CM
code(s) is/are reported? Answer: J18.9, Z86.14
Rationale: The verbiage possible staphylococcus aureus is an uncertain
diagnosis and per ICD-10-CM guidelines should not be coded. The
definitive diagnosis is pneumonia reported with code J18.9 which is
found in the ICD-10-CM Alphabetic Index by looking for Pneumonia.
The patient also has a history of MRSA. Look in the Alphabetic Index
for History/personal (of)/Methicillin resistant Staphylococcus aureus
(MRSA) referring you to Z86.14. Verify code selection in the Tabular
List.
◉ A 35 year-old woman is experiencing dizziness with nausea and
vomiting. The provider documents auditory vertigo of both ears,
possible Meniere's disease. What ICD-10-CM code(s) is/are reported?
Answer: H81.313
COMPREHENSIVE TEST SCRIPT 2026
COMPLETE QUESTIONS ANSWERS VERIFIED
◉ When do you code acute respiratory failure as a secondary diagnosis?
Answer: When it occurs after admission
Rationale: According to ICD-10-CM guideline I.C.10.b.2, respiratory
failure may be listed as a secondary diagnosis if it occurs after
admission, or if it is present on admission, but does not meet the
definition of principal diagnosis.
◉ According to ICD-10-CM guidelines, when a patient is seen for
management of anemia due to malignancy, how is it reported? Answer:
The malignancy is reported first, followed by the code for the anemia.
Rationale: ICD-10-CM guideline I.C.2.c.1, when the patient is being
seen for management of the anemia associated with malignancy, the
code for the malignancy is reported first, followed by the appropriate
code for the anemia (for example D63.0 Anemia in neoplastic disease).
◉ According to the ICD-10-CM guidelines, how is bilateral glaucoma of
the same type and stage reported? Answer: A bilateral code can be used
to report the type of glaucoma and the stage of glaucoma.
Rationale: In ICD-10-CM guideline I.C.7.a.2 states when a patient has
bilateral glaucoma and both eyes are documented as the same type and
stage, and there is a code for bilateral glaucoma, report only the code for
the type of glaucoma, bilateral, with the 7th character for the stage.
, ◉ When a patient has a blood test for HIV that is inconclusive, what
ICD-10-CM code is assigned? Answer: R75
Rationale: ICD-10-CM guideline I.C.1.a.2.e instructs us to use R75 for
patients with inconclusive HIV serology and without definitive
diagnosis or manifestations of the illness. To locate the code in the ICD-
10-CM Alphabetic Index look for Human/immunodeficiency virus
(HIV) disease (infection)/laboratory evidence R75. Verify code selection
in the Tabular List.
◉ A patient has a history of MRSA. She has just been diagnosed with
pneumonia due to possible staphylococcus aureus. What ICD-10-CM
code(s) is/are reported? Answer: J18.9, Z86.14
Rationale: The verbiage possible staphylococcus aureus is an uncertain
diagnosis and per ICD-10-CM guidelines should not be coded. The
definitive diagnosis is pneumonia reported with code J18.9 which is
found in the ICD-10-CM Alphabetic Index by looking for Pneumonia.
The patient also has a history of MRSA. Look in the Alphabetic Index
for History/personal (of)/Methicillin resistant Staphylococcus aureus
(MRSA) referring you to Z86.14. Verify code selection in the Tabular
List.
◉ A 35 year-old woman is experiencing dizziness with nausea and
vomiting. The provider documents auditory vertigo of both ears,
possible Meniere's disease. What ICD-10-CM code(s) is/are reported?
Answer: H81.313
