AAPC Chapter 4 Questions & Answers. Latest Update. 99% proven passing rate. Graded A+

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A patient is admitted to the hospital for repair of an open fracture, type 1, of the head of the left femur. The patient has been previously diagnosed with symptomatic HIV. Applying the coding concept... from ICD-10-CM guideline I.C.1.a.2.b, what ICD-10-CM code(s) is/are reported for the admission? A. B20 B. S72.052B C.B20, S72.052B D. S72.052B, B20 - ☑☑D. S72.052B, B20 A 22 year old female is admitted to ICU for acute renal (kidney) failure due to sepsis (casual organism unknown). Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM codes are reported (in the correct sequencing)? A. A41.9, R65.20, N17.9 B. N17.9, R65.20, A41.9 C. R65.21, A41.9, N17.9 D. N17.9, R65.21, A41.01 - ☑☑A. A41.9, R65.20, N17.9 A patient is admitted to the hospital with pneumonia. Testing indicates the patient's pneumonia is due to staphylococcus aureus and is methicillin resistant (MRSA). Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM code(s) are reported? A. J18.9 B. J15.212 C. J15.212, A41.02 D. J18.9, A41.02 - ☑☑B. J15.212 A 32 year old female had a mastectomy for breast cancer. The mastectomy completely removed the breast cancer with no further treatment. On a followup visit to her oncologist, it is determined the cancer has metastasized to the right lung. The patient is now undergoing a lung resection for the lung cancer. Applying the coding concept from ICD-10-CM guidelines I.C.2.b and I.C.2.d, what ICD-10-CM codes are reported for the lung resection? A. C50.911, C78.01 B. Z85.3, C78.01 C. C78.01, C50.911 D. C78.01, Z85.3 - ☑☑D. C78.01, Z85.3 A 45 year old female with ovarian cancer visits her oncologist to receive an injection of Procrit. The Procrit has been prescribed to her for treatment of her anemia resulting from antineoplastic chemotherapy treatment. Applying the coding concept from ICD-10-CM guideline I.C.2.c.2, what ICD-10-CM codes should be reported? A. D64.81, C56.9, T45.1X5A B. D64.81, C56.9 C. C56.9, D64.81 D. T45.1X5A, D64.81, C56.9 - ☑☑A. D64.81, C56.9, T45.1X5A A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for chemotherapy. Applying the coding concept from ICD-10-CM guideline I.C.2.e.2, what ICD-10-CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index instead of the Table of Neoplasms to locate the code for a Pancoast's tumor. A. C34.12 B. Z51.11 C. C34.12, Z51.11 D. Z51.11, C34.12 - ☑☑D. Z51.11, C34.12 Referencing the ICD-10-CM guideline I.A.13, when using a code from category D63, it is also necessary to code 1st: A. The hematocrit level of the patient B. A primary (1st listed) diagnosis C. The chronic condition causing the anemia D. The acute condition presented in the patient encounter - ☑☑C. The chronic condition causing the anemia Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue than usual. Lab tests determine the patient has anemia due to the cancer. Applying the coding concept from ICD-10-CM guideline I.C.2.c.1, what ICD-10-CM codes should be reported for the visit? A. C61, D63.0 B. C61, D64.81 C. D63.0, C61 D. D64.81, C61 - ☑☑A. C61, D63.0 Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia. She has stage 3 chronic kidney disease, which is the cause of the anemia. Applying the coding concept from ICD-10-CM guideline I.A.13, what ICD-10-CM code(s) should be reported for the EPO injection? A. D63.1 B. N18.30, D63.1 C. D63.1, N18.30 D. N18.30 - ☑☑B. N18.30, D63.1 Name an example of when a problem caused by diabetes is NOT sequenced after the code for diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a. A. When a patient's insulin pump malfunctions. B. When the patient has type 2 diabetes. C. When the patient has type 1 diabetes. D. When the patient has end stage renal disease caused by diabetes. - ☑☑A. When the patient's insulin pump malfunctions. A 12 year old's diabetes mellitus is well controlled with oral antidiabetic medications. The patient has no complications. Applying the coding concepts from ICD-10-CM guidelines I.C.4.a.1, I.C.4.a.2, and I.C.4.a.3, what ICD-10-CM code(s) is/are reported? A. E11.9, Z79.84 B. E10.9 C. E13.9, Z79.84 D. E08.9, Z79.84 - ☑☑A. E11.9, Z79.84 A type 2 diabetic patient with diabetic retinopathy visits his ophthalmologist for blurred vision. After performing a visual acuity test and a dilated eye exam, the provider states the patient has macular edema. Applying the coding concept from ICD-10-CM guideline I.C.4.a, what ICD-10-CM code is reported? A. E11.311 B. E11.3219 C. E08.311 D. E10.311 - ☑☑A. E11.311 A patient with a 4 year history of eating disorders is seen in the physician's office due to significant weight loss over the past 3 months. She went from 82lbs. to 53lbs due to restricting her food intake. She is diagnosed with anorexia nervosa. Select the diagnosis code(s). A. F50.02 B. F50.02, R63.4 C. F50.01, R63.4 D. F50.01 - ☑☑D. F50.01 A patient presents to her physician and tells him she drinks each night when she gets home from work. She asks her physician to recommend an alcohol treatment center because her life has become unmanageable and she wishes to quit drinking. The patient is diagnosed with uncomplicated alcohol dependence. Select the diagnosis code. A. F10.221 B. F10.20 C. F10.239 D. F10.288 - ☑☑B. F10.20 A mother brings her son into the doctor because he has been getting in trouble in school for his behavior. He is not paying attention or following the instructions. He is constantly losing his pencil and forgetting to bring his homework in. After evaluating the child, the provider diagnoses him with attention deficit hyperactivity disorder (ADHD), predominantly inattentive type, and sends the patient for a consultation with a psychiatrist to see if medication can help. Select the diagnosis code. A. F90.0 B. F90.9 C. F90.8 D. F90.2 - ☑☑A. F90.0 Referencing the ICD-10-CM guideline I.C.6.b.1.a, when should a code from category G89 be reported as a 1st code listed? A. Whenever it is documented B. When the pain control or pain management is the purpose of the encounter C. Only within the 1st 72 hours of continuous pain D. When the pain is chronic - ☑☑B. When the pain control or pain management is the purpose of the encounter Mr. Elliot visits the surgeon for evaluation for a wedge resection of left lung cancer. During the admission, the patient reports pain in the chest due to the malignancy. Applying the coding concept from ICD-10-CM guideline I.C.6.b.5, what ICD-10-CM code(s) should be reported? A. C34.92 B. C34.92, G89.3 C. G89.3, C34.92 D. G89.3 - ☑☑B. C34.92, G89.3 Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he has been suffering from chronic pain in his lower back for several years. Today he presents for insertion of a neurostimulator for pain control. Applying the coding concept from ICD-10-CM guidelines I.C.6.b.1.a and I.C.6.b.1.b.ii, what ICD-10-CM codes should be reported for the pain? (Do not code the external cause.) A. M54.9, G89.21 B. M54.5, G89.11 C. G89.21, M54.5 D. G89.29, M54.9 - ☑☑C. G89.21, M54.5 A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right, mild stage on the left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM code(s) is/are reported? A. H40.1332 B. H40.1312, H40.1322 C. H40.1332, H40.1331 D. H40.1312, H40.1321 - ☑☑D. H40.1312, H40.1321 A mother takes her child to the pediatrician because her right eye is red, itchy, with a mucus discharge coming from the eye. The provider documents the child has pink eye. What ICD-10-CM code is reported? A. H10.011 B. H10.021 C. H10.013 D. H10.023 - ☑☑B. H10.021 A patient is having phacoemulsification of an age-related nuclear cataract of the left eye. What ICD-10-CM code is reported? A. H25.12 B. H26.032 C. H26.9 D. Q12.0 - ☑☑A. H25.12 A patient presents with right ear pain and fever. The provider diagnoses acute otitis media. What ICD-10-CM code(s) is/are reported? A. H92.02, R50.9 B. H66.90 C. H92.01 D. H66.91 - ☑☑D. H66.91 A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes each, fluctuating hearing loss, and tinnitus. The provider performs a hearing test and confirms hearing loss in the right ear. The provider documents the patient has Meniere's disease in the right ear. What ICD-10-CM code(s) is/are reported? A. R42, H91.91, H93.11 B. H81.01 C. H93.8X1 D. H81.01, H81.4, H91.21, H93.11 - ☑☑B. H81.01 A patient sees his family practitioner for a muted feeling in his ears. The provider determines there is impacted cerumen in both ears. What ICD-10-CM code(s) is/are reported? A. H61.23 B. H61.21, H61.22 C. H61.23, H90.5 D. H61.21, H61.22, H90.5 - ☑☑A. H61.23 Applying the coding concept from ICD-10-CM guideline I.C.9.a.5, how do you code hypertensive retinopathy? A. 1st code the hypertension, then the retinopathy B. 1st code the retinopathy, then the heart disease C. 1st code the heart disease, then the retinopathy D. Sequencing is based on the reason for the encounter - ☑☑D. Sequencing is based on the reason for the encounter If an ST elevation myocardial infarction converts to a non-ST elevation myocardial infarction in the course of thrombolytic therapy, how is it coded? (Reference ICD-10-CM guideline I.C.9.e.1). A. Sequence the STEMI 1st then NSTEMI B. Sequence NSTEMI 1st, then STEMI C. Code only STEMI D. Code only NSTEMI - ☑☑C. Code only STEMI Which of the following does NOT require documentation for a cause and effect relationship to be coded? (Reference ICD-10-CM guidelines I.C.9.a.2 and I.C.9.a.3.) A. Cerebrovascular hemorrhage due to an operation B. Hypertension and chronic kidney disease C. Hypertension and encephalopathy D. All require cause and effect to be documented - ☑☑B. Hypertension and chronic kidney disease What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline I.C.10.a.1.) A. Uncomplicated asthma or COPD B. Worsening or decompensation of ashtma or COPD C. An infection superimposed on asthma or COPD D. When a condition is severe enough to be admitted to a hospital - ☑☑B. Worsening or decompensation of asthma or COPD A 12 year old child presents to the ED with an acute exacerbation of asthma. The patient is wheezing and is having difficulty breathing. She is not responding to the therapy. The physician documents as the final diagnosis asthma with status asthmaticus. What ICD-10-CM code(s) is/are reported? A. J45.52 B. J45.901 C. J45.902 D. R06.2, J45.901 - ☑☑C. J45.902 A patient with COPD visits the physician with acute bronchitis. What ICD-10-CM code(s) should be reported? A. J20.9 B. J44.9 C. J44.0, J20.9 D. J20.9, J44.0 - ☑☑C. J44.0, J20.9 A 39 year old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code for this encounter? A. K41.41 [Show More]

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