ICD-10-PCS Foundations Course Exam

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1. Procedures performed on a device only and not on insertion

a body part are specified to all of the following root
operations except ___.

2. If the sole objective of the procedure is freeing a body Release

part from an abnormal physical constraint without
cutting the body part the root operation is___.

3. Therapeutic dilation and curettage performed during False

times other than the postpartum or post-abortion pe-
riod are coded to the root operation Extraction and the
body part Products of Conception, Retained.

4. The coronary arteries are classified as a single body the number of ar-
part that is further specified by ____. teries treated

5. When a procedure is performed on the skin, subcuta- Ankle is coded to

neous tissue or fascia overlying a joint which of the lower leg
following is not true about body parts?

6. Closed reduction of left humeral shaft fracture. 0PSGXZZ

7. A 56-year old male is suffering from painful shoulder 0RNK4ZZ

adhesions. A laparoscopic lysis of adhesions of his
left shoulder is performed.

8. This elderly female patient was admitted with ane- 30233N1

mia and heart palpitations. The cardiology consult
performed during her admission suggested that the
palpitations were probably due to the anemia. After
IV transfusion of two units of packed red blood cells
through the Basilic vein, her hemoglobin returned to
normal range and the patient was discharged.

9. Open removal of right kidney from live donor for organ 0TT00ZZ
transplantation.

10. This patient underwent a total abdominal colectomy 0DTE0ZZ,

with ileostomy for treatment of severe, complicated 0D1B0Z4
ulcerative colitis.
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11. Endoscopic excisional biopsy of a left lobe liver mass. 0FB24ZX

12. This 75 yr old male is suffering from respiratory failure 0BH17EZ,

due to pneumonia. The patient's condition required 5A1945Z
endotracheal intubation and mechanical ventilation.
The patient was intubated and placed on the vent at
16:36 on June 7th and extubated at 14:33 on June
11th.

13. 55 year old male patient comes prepped for a 18 sq cm 0KBW0ZZ

debridement of a diabetic ulcer on the plantar aspect
of the left foot. Ulcer was excised down to the bone
including necrotic dermis, fascia and muscle tissue.

14. L3-4 herniated nucleus pulposus - Open excision of 0SB20ZZ

L3-4 vertebral disc.

15. This 56 yr old male patient was admitted for TURP 0VB08ZZ,
secondary to urinary retention due to BPH and ure- 0T7D8ZZ
thral stricture. The patient's urethra was dilated and
the right and left lobes of the prostate were reduced
by removal of hypertrophic prostatic tissue.

16. Donna, a 41-year-old female patient had biopsies 0H9V3ZX

of both breasts. The biopsies were performed using
fine-needle aspiration with imaging guidance.

17. Open partial mastectomy upper outer quadrant, right 0HBT0ZZ

breast.

18. This is a 25 yr old patient admitted for delivery. She 3E0234Z

is Rh negative and was administered 300 mcg IM of
Rhogam during her admission.

19. Primary low transverse cesarean section. After the 10D00ZZ

patient was appropriately consented, consent was
signed and placed in the chart. The patient was tak-
en to the operating room. Epidural anesthesia was
dosed. Subsequently, patient prepped and draped in
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 ICD-10-PCS Foundations Course Exam
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the usual sterile fashion. A Pfannenstiel skin incision
was carried down to the level of the fascia. The fascia
was explored and dissected off the rectus muscle.
Muscle was split in the midline. Peritoneum entered
bluntly and incision extended superiorly and inferi-
orly. Bladder blade was placed in. Visceroperitoneum
was dissected. Lower uterine incision was created
with sharp scalpel and infant delivered in breech pre-
sentation without any difficulty. Bulb suction of the
oropharynx and nasopharynx and handed to pedi-
atric nursing in attendance. Cord blood was obtained.
Placenta was delivered. Uterus was externalized. In-
trauterine cavity cleaned with clean laps and bilat-
eral tubes and ovaries appeared normal. Uterine in-
cision was closed with 0 chromic running locking
fashion and figure-of-eight suturing. The uterus was
placed into the abdominal cavity. Copious amount of
irrigation was used. Muscle was approximated with
2-0 chromic. Fascia was closed with 0 Vicryl. Sub-
cutaneous tissue irrigated, small bleeders were elec-
trocauterized and the skin was closed with staples.
Needle, instrument and lap counts were correct and
accounted for times 2. The patient was taken to the
recovery room in stable condition.

20. This patient was admitted for aortic and mitral valve 02RF0JZ,
replacement with prosthesis secondary to bacterial 02RG0JZ,
endocarditis that has now resolved. The patient was 5A1221Z
placed on cardiopulmonary bypass during the perfor-
mance of the procedure.

21. Admit: I62.01 ------

S02.19XA
I62.01
S06.5X9A
S00.03XA
Principle ICD-10-CM Code: S06.5X9A(Y)
I62.01(Y)
S02.19XA(Y)

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S06.5X9A(Y)
I60.8(Y)
Secondary ICD-10-CM Code(s): S06.5X9A(Y),
R56.1(Y), I44.1(Y), S70.212A(Y), S50.312A(Y),
S60.511A(Y), S60.512A(Y), Z88.1(E), V00.132A(E),
Y92.019(E), Y93.51(E), Y99.8(E)
I62.01(Y), S02.118A(Y), S06.5X9A(Y), R56.1(Y),
I44.1(Y), S70.212A(Y), S50.312A(Y), S60.511A(Y),
S60.512A(Y), Z88.1(E), V00.131A(E), Y92.019(E),
Y93.51(E), Y99.8(E)
S02.119A(Y), S02.19XA(Y), R56.1(Y), R40.2432(Y),
I44.1(Y), S70.212A(Y), S50.312A(Y), S60.511A(Y),
S60.512A(Y), S80.211A(Y), S80.212A(Y), Z88.1(E),
V00.131A(E), Y93.51(E), Y99.8(E)
S06.5X9A(Y), R56.1(Y), I44.1(Y), S70.212A(Y),
S50.312A(Y), S60.511A(Y), S60.512A(Y), Z88.1(E),
V00.132A(E), Y92.019(E), Y93.51(E), Y99.8(E)
R56.9(Y), S02.118A(Y), S06.5X9A(Y), R56.1(Y), I44.1(Y),
S70.212A(Y), S50.312A(Y), S60.511A(Y), S60.512A(Y),
Z88.1(E), V00.131A(E), Y92.019(E), Y93.51(E), Y99.8(E)
Principle ICD-10-PCS Code: 5A1955Z
5A1955Z
5A09357
5A1935Z
5A09358
Secondary ICD-10-PCS Code(s): 0BP1XDZ, 4A003BD
0BP1XDZ, 4A103BD
0BP1XDZ, 4A1034G
0BP1XDZ, 00J04ZZ
0BP1XDZ, 4A003BD
DRG: 100
084
100
308
083

22. Answer 1 S06.5X9A

23. Answer 2 S06.5x9A(Y)

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24. Answer 3 S02.119A(Y),
S02.19XA(Y),
R56.1(Y),
R40.2432(Y),
I44.1(Y),
S70.212A(Y),
S50.312A(Y),
S60.511A(Y),
S60.512A(Y),
S80.211A(Y),
S80.212A(Y),
Z88.1(E),
V00.131A(E),
Y93.51(E),
Y99.8(E)

25. Answer 4 5A1955Z

26. Answer 5 0BP1XDZ,

4A103BD

27. Answer 6 083

28. Admit: O36.0121 ------

O36.0930
O36.0121
O36.0910
O36.0939
Principle ICD-10-CM Code: O36.0930(Y)
O36.0922(Y)
O36.0930(Y)
O36.0110(Y)
O36.0939(Y)
Secondary ICD-10-CM Code(s): O99.824(Y), Z37.0(E),
Z3A.39(E)
O99.72(Y), Z37.0(E)
Z38.01(E), Z37.0(E)
Z37.0(E), Z3A.39(E)
O99.824(Y), Z37.0(E), Z3A.39(E)
Principle ICD-10-PCS Code: 10D00ZZ
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10E0XZZ
10D00ZZ
3E043GZ
3E043VG
Secondary ICD-10-PCS Code(s): 3E030VJ
3E033VJ
3E043VJ
3E030VJ
3E033VH
DRG: 798
805
807
798
806

29. Answer 1: O36.0930

30. Answer 2: O36.0930(Y)

31. Answer 3: O99.824(Y),

Z37.0(E),
Z3A.39(E)

32. Answer 4: 10E0XZZ

33. Answer 5: 3E033VJ

34. Answer 6: 807

35. If a skin graft is harvested from a patient's abdomen True

to treat a wound on the patient's leg, harvesting of the
skin graft is separately reported.

36. Within a PCS table, valid codes include all combina- True
tions of choices in characters 4 through 7 contained
in the same row of the table.

37. When constructing a code in PCS all seven characters True

must be specified to be a valid code.

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38. Which of the following are coded as a device? Spacers

39. Endoscopic removal of a malignant laryngeal mass. 0CBS4ZZ

The mass was accessed by incision through the neck.

40. Percutaneous biopsy of lower lip. 0C913ZX

41. Primary low transverse cesarean section. After the 10D00Z1

patient was appropriately consented, consent was
signed and placed in the chart. The patient was tak-
en to the operating room. Epidural anesthesia was
dosed. Subsequently, patient prepped and draped in
the usual sterile fashion. A Pfannenstiel skin incision
was carried down to the level of the fascia. The fascia
was explored and dissected off the rectus muscle.
Muscle was split in the midline. Peritoneum entered
bluntly and incision extended superiorly and inferi-
orly. Bladder blade was placed in. Visceroperitoneum
was dissected. Lower uterine incision was created
with sharp scalpel and infant delivered in breech pre-
sentation without any difficulty. Bulb suction of the
oropharynx and nasopharynx and handed to pedi-
atric nursing in attendance. Cord blood was obtained.
Placenta was delivered. Uterus was externalized. In-
trauterine cavity cleaned with clean laps and bilat-
eral tubes and ovaries appeared normal. Uterine in-
cision was closed with 0 chromic running locking
fashion and figure-of-eight suturing. The uterus was
placed into the abdominal cavity. Copious amount of
irrigation was used. Muscle was approximated with
2-0 chromic. Fascia was closed with 0 Vicryl. Sub-
cutaneous tissue irrigated, small bleeders were elec-
trocauterized and the skin was closed with staples.
Needle, instrument and lap counts were correct and
accounted for times 2. The patient was taken to the
recovery room in stable condition.

42. Open reduction of the left zygomatic arch fracture. 0NSN0ZZ

The patient was placed on the operative room table
in the supine position and general endotracheal anes-
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thesia was administered. He was prepped and draped
in the usual fashion. A small incision was made in
the temporal scalp area and carried down through
the superficial temporal fascia until the deep tempo-
ral fascia was indentified. This was incised and an
elevator was passed beneath the deep fascia until it
was below the zygomatic arch. The arch was manually
reduced and elevated back into its anatomical posi-
tion noted by palpation. The wound was irrigated and
hemostasis was obtained with cautery. The superficial
temporal fascia was reapproximated using interrupt-
ed 4-0 Monocryl sutures. The skin was closed with
interrupted 4-0 nylon sutures. A sterile dressing was
applied along with a metal protective cup to protect
the zygomatic arch. The patient was extubated and
transferred to the recovery room in stable condition.

43. Endoscopic ventral hernia repair with placement of 0WUF4JZ

mesh reinforcement.

44. A 60-year-old patient presents with uncontrolled in- 08923ZZ

traocular pressure in the right eye. He has had pro-
gressive visual field loss and disc cupping. The pa-
tient has early cataracts. He states that he is afraid of
going blind. A laser goniolens is placed on the cornea
and a trabeculoplasty is performed. The aiming beam
is focused on the anterior trabecula and tests are
fired until pigment blending occurs. Between 60 and
100 beams are placed. The lens is rinsed and the eye
is irrigated and post-treated with anticoagulants and
anti-inflammatory drops.

45. Endoscopic release of right median nerve due to 01N54ZZ

carpal tunnel syndrome.

46. Chemosurgery introduced through the mouth for the 0D517ZZ

destruction of multiple lesions in the upper esopha-
gus.

47. 0SRD0JZ
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Total knee replacement, left knee joint with synthetic
joint installation.

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