AAPC - Chapter 4 - Review Exam
In ICD-10-CM what condition is reported as the default code when the provider documents
urosepsis? - ✔✔The provider must be queried before an ICD-10-CM code can be applied.
According to
...
AAPC - Chapter 4 - Review Exam
In ICD-10-CM what condition is reported as the default code when the provider documents
urosepsis? - ✔✔The provider must be queried before an ICD-10-CM code can be applied.
According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage
reported? - ✔✔A bilateral code can be used to report the type of glaucoma and the stage of
glaucoma.
According to ICD-10-CM guidelines, what is the maximum length of time for a myocardial
infarction to be considered acute? - ✔✔Four weeks (28 days)
When is it appropriate to use history of malignancy from category Z85? - ✔✔It has been
excised, no evidence of any existing primary malignancy, and there is no further treatment
directed to the site.
If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of
diabetes would be coded according to ICD-10-CM guidelines? - ✔✔Type 2
Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss a coronary
artery bypass graft (CABG). This will be the patient's first CABG. What ICD-10-CM code is
reported? - ✔✔I25.10
What diagnosis code is reported for secondary neoplasm of the descending colon? - ✔✔C78.5
A 70 year-old patient with exacerbation COPD is admitted to the hospital along with acute
exacerbation of bronchial asthma. What diagnosis code(s) is (are) reported? - ✔✔J44.1, J45.901
The patient has a significant visual impairment (category 2) due to astigmatism in the left eye. It
is corrected with glasses. The right eye has normal vision. What ICD-10-CM code(s) is/are
reported? - ✔✔H52.202, H54.52A2
A 45 year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver
cancer and the pump is being inserted for continuous administration of 5-FU. A pocket is created
just under the skin and the pump is placed in the pocket. A catheter is attached to the pump and
to the subclavian vein. The pump is filled with a chemotherapy agent provided by the hospital
and the patient is observed for adverse reaction and discharged to home. What ICD-10-CM
codes are reported? - ✔✔Z51.11, C22.8
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? - ✔✔H81.313
What ICD-10-CM code is used for the first episode of an acute myocardial infarction? -
✔✔I21.9
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with identified
intellectual disability. What ICD-10-CM code(s) is/are reported? - ✔✔E00.9, F79
A confirmed HIV positive patient who presents to the clinic for a medication refill for a
condition not related to his HIV. What ICD-10-CM codes are reported? - ✔✔Z76.0, Z21
A pediatrician sees an 8 month-old patient for ear pulling and excessive crying. The infant is
diagnosed with bilateral chronic and acute serous otitis media. What ICD-10-CM code(s) is/are
reported? - ✔✔H65.03, H65.23
A patient is coming in for follow up of his essential hypertension and cardiomegaly. Both
conditions are stable and he is told to continue with his medications. The two conditions are
unrelated. What ICD-10-CM code(s) is/are reported? - ✔✔I10, I51.7
A 33 year-old patient visits his primary care provider to discuss lap band procedure for his
morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is currently
45. What ICD-10-CM code(s) is/are reported? - ✔✔E66.01, Z68.42
The provider sees a 70 year-old patient with documented history of being combative and
aggressive in the nursing home. The provider diagnoses the patient with dementia and refers the
patient to a neurologist for further evaluation. What ICD-10-CM code(s) is/are reported? -
✔✔F03.91
A patient is being treated for ketoacidosis and diabetic coma due to malignant neoplasm of the
pancreatic body. The patient uses insulin routinely. What ICD-10-CM codes are reported? -
✔✔C25.1, E08.11, Z79.4
A young male, was brought to the clinic by his mom. He has had periods of major depression for
many years and is on Lithium. His provider also manages his migraine headaches and epilepsy.
During the past week, he became psychotic, hearing voices to kill himself and intense feelings of
worthlessness. On the day of the clinic visit, he had an epileptic seizure that could not be
controlled by medication. He was admitted for Lithium adjustment. Final diagnoses are: Severe
depression with psychotic behavior and epileptic seizure poorly controlled with medication.
What ICD-10-CM codes should be reported? - ✔✔F33.3, G40.919
What ICD-10-CM codes are reported for uncontrolled hypertension with stage 3 chronic kidney
disease? - ✔✔I12.9, N18.3
A patient with type 2 diabetes presents with diabetic macular edema and proliferative diabetic
retinopathy in the right eye. What ICD-10-CM code(s) is/are reported? - ✔✔E11.3511
A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid).
After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD10-CM codes are reported? - ✔✔F11.23, T40.2X5A
A 58 year-old patient sees the provider for confusion and loss of memory. The provider
diagnoses the patient with early onset stages of Alzheimer's disease with dementia. What ICD10-CM codes are reported? - ✔✔G30.0, F02.80
An HIV positive patient was admitted with skin lesions on the chest and back. Biopsies were
taken, and the pathologic diagnosis was Kaposi's sarcoma. Leukoplakia of the lips and
splenomegaly were also noted on physical examination. Discharge diagnoses: (1) HIV infection,
(2) Kaposi's sarcoma, back and chest, (3) leukoplakia (4) splenomegaly. What ICD-10-CM codes
should be reported? - ✔✔B20, C46.0, K13.21, R16.1
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