AAPC Chapter 4 Questions & Answers
100% CORRECT 23
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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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.
100% CORRECT 23
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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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.
