AAPC CPC Practice Exam 6 Questions
and Answers5
What is the patient's right when it involves making changes in the personal medical record?
A. Patient must work through an attorney to revise any portion of the personal medical
information.
B. They should be able to obtain copies of the medical record and request corrections of errors
and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facility's compliance program
policy. - ANSWERS-B. They should be able to obtain copies of the medical record and request
corrections of errors and mistakes.
Under HIPAA regulations, patients have the right to receive a copy of their medical record and
request that errors are corrected.
https://www.hhs.gov/hipaa/for-individuals/medical-records/index.html
Which modifier is appended to a CPT®, for which the provider had a patient sign an Advance
Beneficiary Notice (ABN) form because there is a possibility the service may be denied because
the patient's diagnosis might not meet medical necessity for the covered service?
A. GJ
B. GA
C. GB
D. GY - ANSWERS-B. GA
, An Advance Beneficiary Notice (ABN) is a waiver of liability. When a patient has been informed a
service that is otherwise covered by Medicare but might not be covered in a particular instance
an ABN is signed by the patient prior to receiving the service. To inform Medicare the ABN has
been signed, append modifier GA. If an ABN is signed, the claim is the patient's responsibility if
the claim is denied. This modifier is listed in the HCPCS Level II codebook.
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate subentries exist in
the Alphabetic Index at the same indentation level, code only the acute condition.
B. Sequela (Late effect) codes are reported for a current acute phase of the injury or illness
C. An ICD-10-CM code is still valid even if it has not been coded to the full number of characters
required for that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as
additional codes, unless otherwise instructed. - ANSWERS-D. Signs and symptoms that are
integral to the disease process should not be assigned as additional codes, unless otherwise
instructed.
Multiple choice D is the correct answer, according to the ICD-10-CM Official Coding Guidelines,
I.B.5. indicates not to report signs and symptoms that are integral to a definitive diagnosis and
are not assigned unless otherwise instructed. When the same condition is diagnosed as acute
and chronic and there is a separate code for both, report both codes (I.B.8). Sequela (Late
Effect) codes are the residual effect (condition produced) after the acute phase of an illness or
injury has terminated (I.B.10). An ICD-10-CM code is not valid unless it is coded to the highest
level of specificity. Do not rely solely on the ICD-10-CM Alphabetic Index to Diseases and Injuries
to select the correct code.
The term paracentesis found in CPT® code 49082 means:
A. A procedure performed to drain fluid that has accumulated in the abdominal cavity
B. Biopsy of an abdominal mass
and Answers5
What is the patient's right when it involves making changes in the personal medical record?
A. Patient must work through an attorney to revise any portion of the personal medical
information.
B. They should be able to obtain copies of the medical record and request corrections of errors
and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facility's compliance program
policy. - ANSWERS-B. They should be able to obtain copies of the medical record and request
corrections of errors and mistakes.
Under HIPAA regulations, patients have the right to receive a copy of their medical record and
request that errors are corrected.
https://www.hhs.gov/hipaa/for-individuals/medical-records/index.html
Which modifier is appended to a CPT®, for which the provider had a patient sign an Advance
Beneficiary Notice (ABN) form because there is a possibility the service may be denied because
the patient's diagnosis might not meet medical necessity for the covered service?
A. GJ
B. GA
C. GB
D. GY - ANSWERS-B. GA
, An Advance Beneficiary Notice (ABN) is a waiver of liability. When a patient has been informed a
service that is otherwise covered by Medicare but might not be covered in a particular instance
an ABN is signed by the patient prior to receiving the service. To inform Medicare the ABN has
been signed, append modifier GA. If an ABN is signed, the claim is the patient's responsibility if
the claim is denied. This modifier is listed in the HCPCS Level II codebook.
Which statement regarding an ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate subentries exist in
the Alphabetic Index at the same indentation level, code only the acute condition.
B. Sequela (Late effect) codes are reported for a current acute phase of the injury or illness
C. An ICD-10-CM code is still valid even if it has not been coded to the full number of characters
required for that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as
additional codes, unless otherwise instructed. - ANSWERS-D. Signs and symptoms that are
integral to the disease process should not be assigned as additional codes, unless otherwise
instructed.
Multiple choice D is the correct answer, according to the ICD-10-CM Official Coding Guidelines,
I.B.5. indicates not to report signs and symptoms that are integral to a definitive diagnosis and
are not assigned unless otherwise instructed. When the same condition is diagnosed as acute
and chronic and there is a separate code for both, report both codes (I.B.8). Sequela (Late
Effect) codes are the residual effect (condition produced) after the acute phase of an illness or
injury has terminated (I.B.10). An ICD-10-CM code is not valid unless it is coded to the highest
level of specificity. Do not rely solely on the ICD-10-CM Alphabetic Index to Diseases and Injuries
to select the correct code.
The term paracentesis found in CPT® code 49082 means:
A. A procedure performed to drain fluid that has accumulated in the abdominal cavity
B. Biopsy of an abdominal mass
