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ICD-10-CM Practice Questions: Coding Scenarios Quiz

Quick, free quiz with real ICD-10-CM coding scenarios and instant answers.

Editorial: Review CompletedCreated By: Daryl PerezUpdated Aug 24, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Colorful paper art illustration promoting a free ICD-10 coding scenarios quiz on a teal background

This quiz helps you practice ICD-10-CM coding scenarios, check your logic, and learn from instant answers. Work through short cases, track missed codes, and build speed. When you want more, try our icd 10 cm quiz, take a broader medical coding practice test, or prep with a focused cpc practice exam.

Initial encounter: Closed nondisplaced fracture of right patella after a fall at home; no open wound or foreign body.
S82.001A
S82.001D
S82.001B
S82.011A
undefined
Encounter for screening colonoscopy; no findings, average risk, asymptomatic adult.
Z09
Z13.818
K63.5
Z12.11
undefined
History of colon cancer; no current malignancy or treatment.
Z86.010
Z08
Z85.038
C18.9
undefined
Obesity due to excess calories, BMI 36.0 in adult.
E66.01 and Z68.36
E66.9 and Z68.36
E66.09 and Z68.36
Z68.36 only
undefined
Acute exacerbation of chronic obstructive pulmonary disease (COPD).
J44.9
J44.0
J44.1
J45.901
undefined
Laceration without foreign body of right forearm, initial encounter, 3 cm simple.
S51.811D
S51.811S
S51.821A
S51.811A
undefined
Type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3 CKD.
E11.22 and N18.30
N18.30 only
E11.9 and N18.3
E11.21 only
undefined
Subsequent encounter: Left ankle sprain, anterior talofibular ligament, routine healing.
S93.492D
S93.402D
S93.492A
S93.492S
undefined
Acute ST elevation myocardial infarction of inferior wall, initial.
I21.4
I22.1
I25.2
I21.19
undefined
COVID-19 confirmed by PCR with viral pneumonia.
U07.1 and J12.82
J12.82 and B97.29
U07.2 only
J18.9 only
undefined
Newborn single liveborn, delivered in hospital, vaginal delivery, current hospital record.
Z37.0
Z38.01
Z39.1
Z38.00
undefined
Poisoning by unintentional overdose of prescribed benzodiazepine causing somnolence.
T50.901A and R40.0
T42.4X1A and R40.0
T42.4X5A and R40.0
T42.4X1D and R40.0
undefined
Adverse effect of correctly dosed ACE inhibitor causing angioedema, initial encounter.
T46.4X6A and T78.3XXA
T46.4X5A and T78.3XXA
T46.4X1A and T78.3XXA
T46.4X5D and T78.3XXA
undefined
Uncontrolled essential hypertension with hypertensive chronic kidney disease, stage 4 CKD, no heart failure.
I10 and N18.4
I12.0 and N18.4
I13.0 and N18.4
I12.9 and N18.4
undefined
Subsequent encounter: Traumatic brain injury with loss of consciousness 30 minutes, routine healing.
S06.9X1A
S06.9X1D
S06.9X9D
S06.9X1S
undefined
Initial encounter: Open fracture of left distal radius; fracture type unspecified.
S52.502D
S52.502A
S52.501B
S52.502B
undefined
Severe sepsis due to E. coli urinary tract infection with septic shock.
A41.51, R65.20, N39.0
R65.21, A41.9, N39.0
A41.9, R65.20, N39.0
A41.51, R65.21, N39.0
undefined
Non-ST elevation myocardial infarction with a prior STEMI 3 months ago (old myocardial infarction).
I22.2 only
I22.2 and I25.2
I21.4 only
I21.4 and I25.2
undefined
Acute ischemic stroke due to thrombosis of left middle cerebral artery, right-sided hemiparesis.
I63.512 and G81.91
I69.351
I63.312 and G81.91
I63.9 and G81.91
undefined
Subsequent encounter: Open fracture type I or II of shaft of right tibia with nonunion.
S82.251G
S82.251K
S82.251A
S82.201K
undefined
0

Study Outcomes

  1. Apply Realistic ICD-10 Coding Scenarios -

    Practice coding a variety of real-world medical cases using icd-10 coding scenarios with answers to improve accuracy and speed.

  2. Analyze and Assign Accurate ICD-10-CM Diagnosis Codes -

    Interpret patient details and clinical documentation to select appropriate ICD-10-CM codes, reinforcing your understanding of coding guidelines.

  3. Verify Coding Solutions with Instant Answers -

    Use the instant feedback feature to check your answers against correct codes and identify areas where you can refine your coding skills.

  4. Differentiate Diagnosis vs. Procedure Codes in ICD-10-CM -

    Understand the key differences between diagnosis codes and procedure codes, including whether ICD-10-CM provides procedure codes for services provided.

  5. Assess True-or-False ICD-10-CM Guideline Statements -

    Evaluate common true-or-false questions - such as whether ICD-10-CM includes procedure codes - to solidify your guideline comprehension.

  6. Utilize Additional ICD-10-CM Practice Resources -

    Access icd-10-cm practice questions and answers pdf materials for further study and ongoing exam preparation.

Cheat Sheet

  1. ICD-10 Code Structure & Conventions -

    Every ICD-10 code starts with a letter, followed by two digits for the category, a decimal, then up to four alphanumeric characters for specificity, as defined by the CDC's official guidelines. For example, "M54.5" denotes low back pain (M = musculoskeletal, 54 = back pain category, .5 = low back). Remember the mnemonic "ABC.D" to recall letter, two digits, decimal, and detail characters.

  2. Using the 7th Character Correctly -

    The 7th character (e.g., A, D, S) indicates initial encounter, subsequent encounter, or sequela, per CMS Chapter 4 guidelines. For instance, "S52.521A" is a greenstick fracture of the right radius, initial encounter. Try the phrase "A New Situation, D Days Later, S Still Follows" to lock in those values.

  3. Sequencing & Diagnostic Priority -

    ICD-10-CM coding practice questions stress placing the principal diagnosis first, followed by coexisting conditions that affect treatment, consistent with AHIMA standards. In a pneumonia admission, J18.9 (pneumonia) leads, then E11.9 for comorbid diabetes. Always review Official Coding Guideline I.C.2 to sequence correctly in scenarios with multiple pathologies.

  4. Documentation & Clinical Indicators -

    Accurate coding hinges on clear documentation: signs vs. symptoms, confirmed vs. suspected conditions, as per AAPC best practices. If the record states "rule out MI," you'd code R94.31 (abnormal cardiac enzyme) instead of I21 (acute MI). Always cross-verify notes with lab values or imaging reports to choose the right code.

  5. Practice Strategies for Mastery -

    Regularly tackle icd-10 coding scenarios with answers and download icd-10-cm practice questions and answers PDF files from reliable sources (e.g., AHA). When you encounter "true or false: icd-10-cm provides procedure codes for services provided," recall that ICD-10-CM is strictly diagnostic; CPT/ICD-10-PCS cover procedures. Time yourself to simulate exam conditions and track your accuracy improvements.

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