Coding Clinic for ICD-10-CM/PCS - Continuing Education Quiz 214-10 - Fourth Quarter 2021

Sep 30, 2026

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Continuing Education Quiz 214-10 for ICD-10-CM/PCS tests clinical scenario coding decisions across depression, malignant neoplasms, cervicogenic headaches, non-traumatic myocardial injury, and non-suicidal self-harm. It also evaluates procedural ICD-10-PCS coding for mitral valve annuloplasty with the Ancora AccuCinch device, percutaneous bone marrow biopsies, and microsurgical hemispherotomy tissue resection using CUSA. Additional items address ALPPS staging for hepatobiliary cancer and automated chest compression statements.

LanguageEnglish

CategoryExam

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Continuing Education Quiz 214-10

Clinical Diagnosis Coding

Procedural ICD-10-PCS Coding

True/False Item

Coding Clinic for ICD-10-CM/PCS Continuing Education Quiz 214-10 Postmarked no later than April 1, 2022 Fourth Quarter 2021 1. A 22-year-old patient was seen in his physician’s office for a follow-up visit. He continues to express feelings of loneliness, sadness, and loss of interest in hobbies he once enjoyed. The provider diagnosed depression. Assign the appropriate ICD-10-CM diagnosis code assignment for depression that has not been further specified by the provider. 2. Assign the appropriate code assignment for secondary malignant neoplasm of bilateral ovaries. 3. A 47-year-old patient with cervical disc displacement of C2-C3 presented to the physician’s office due to frequent headaches and neck pain. The patient was diagnosed with cervicogenic headaches (CGH) associated with disc displacement and was prescribed medication for pain management. Assign the correct code assignment for CGH associated with C2-C3 disc displacement. 4. A 63-year-old patient presents to the Emergency Department after becoming progressively somnolent. Diagnostic workup revealed elevated troponin level and intermittent atrial fibrillation and the patient was admitted for further cardiology management. The patient never reported any chest pain; did not demonstrate electrocardiogram (ECG) changes; troponin levels stabilized; and at discharge, the provider diagnosed non-traumatic myocardial injury. Assign the appropriate ICD-10-CM diagnosis code assignment for non-traumatic myocardial injury. 5. A 13-year-old presented to the pediatrician’s office after his mother witnessed on several occasions the patient intentionally biting himself. He denied wanting to end his life and stated that he often feels anxious because of stressful situations at school. The provider diagnosed non-suicidal self-harm. Assign the appropriate ICD-10-CM code assignment for non-suicidal self-harm. 6. A 63-year-old patient, who had been diagnosed with heart failure, dyspnea and severe mitral regurgitation with moderate to severe left ventricular dysfunction and left ventricular ejection fraction, underwent mitral valve annuloplasty using the Ancora AccuCinch® percutaneous device. During surgery, a wire was placed across the aortic valve to gain access into the left ventricular cavity. A flexible wire delivery sheath was placed beneath the mitral annulus at the superior aspect of the ventricle and the base of the heart. The Trac™ catheter was placed around the mitral annulus. The AccuCinch® device was ultimately deployed. The device seated well and there was a reduction of mitral regurgitation. Assign the appropriate ICD-10-PCS code for mitral valve annuloplasty using the Ancora AccuCinch® device. 7. A 32-year-old patient with pancytopenia underwent percutaneous bone marrow biopsy. A dermatotomy was created on the right thigh. A bone marrow biopsy needle was advanced into the femoral diaphysis just below the surgical neck for bone marrow aspiration. Next, a bone marrow core biopsy sample was obtained from a second puncture site. Assign the correct ICD-10-PCS code assignments for the bone marrow biopsies. 8. A patient presented for microsurgical hemispherotomy for intractable seizures. During surgery, the incision along the previous suture line was opened. Subcutaneous dissection was carried out down to the bone flap, which was then elevated and retracted. The dura was opened along the previous suture line. At this point, entry into the temporal horn was made. Using a cavitron ultrasonic surgical aspirator (CUSA), the temporal horn was gradually removed until the atrium was reached and from the atrium, any tissue between the ventricle and the thalamus was removed. The choroid plexus was identified and medial to the choroid plexus, an additional part of the fornix was removed and sectioned. At this point under visual inspection, it was confirmed that the corpus callosum was completely resected as was also the frontal basal dissection. Wha

FAQs

What types of ICD-10-CM diagnosis coding questions are included in the quiz?

The quiz includes case-based diagnosis coding for conditions such as depression, secondary malignant neoplasm of the ovaries, cervicogenic headaches associated with disc displacement, non-traumatic myocardial injury, and non-suicidal self-harm.

Which ICD-10-PCS procedures are tested in the quiz?

Procedural coding is tested for mitral valve annuloplasty using the Ancora AccuCinch percutaneous device, percutaneous bone marrow biopsy, and microsurgical hemispherotomy with CUSA for removal of brain tissue.

Does the quiz include a statement that must be marked True or False?

Yes. One item asks whether automated chest compression may be used as an adjunct to manual CPR under specified circumstances, with choices True or False.

Sep 30, 2026

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