AAPC FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Muscle is attached to bone by what method? - ANSWERS-Tendons, aponeurosis and directly to
bone
What is the great toe called? - ANSWERS-Hallux
Which of the following does NOT circulate fluids throughout the body? - ANSWERS-Endocrine
system
What distinguishes a sentinel node from other lymph nodes? - ANSWERS-A sentinel node is the
first lymph node in a group of nodes to be reached by metastasizing cancer cells
Which of the following is NOT true of the thoracic diaphragm? - ANSWERS-It is a frequent site of
a Spigelian (lateral ventral) hernia
The loop of Henle is located in which structure? - ANSWERS-Kidney
What is vernix caseosa? - ANSWERS-A white cheese like substance covering the fetus and
newborn
Which cells produce hormones to regulate blood sugar? - ANSWERS-Pancreatic islets
Which of the following conditions results from an injury to the head? The symptoms include
headache, dizziness and vomiting. - ANSWERS-Concussion
,Which of the following is true about the tympanic membrane? - ANSWERS-It separates the
external ear from the middle ear
Where would a subungual hematoma be located? - ANSWERS-Under the toenail/fingernail
A procedure widening a narrowed vessel or obstructed blood vessel is called a(n): - ANSWERS-
Angioplasty
Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow
collected from a close relative is: - ANSWERS-Allogenic
A meningioma is defined as: - ANSWERS-Tumor of the meninges
According to ICD-10-CM guideline I.B.1 use both ____ and ____ when locating and assigning a
diagnosis code. - ANSWERS-ICD-10-CM Alphabetic Index and Tabular List
Rationale: According to the ICD-10-CM guideline 1.B.1 both the Alphabetical Index and Tabular
List are used to locate and assign a code. Reliance on only the Alphabetic Index or the Tabular
List will lead to errors and less specificity in reporting codes.
What is the ICD-10-CM code for keloid scar on the foot? - ANSWERS-L91.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Scar/keloid L91.0. The location does not
affect code selection. Verify code selection in the Tabular List.
What do brackets [] indicate in the ICD-10-CM Alphabetic Index? - ANSWERS-Use the code(s) in
brackets in addition to the disease or condition to identity an associated manifestation.
,Rationale: ICD-10-CM guideline I.A.7 states brackets that appear in the ICD-10-CM Alphabetic
Index indicates manifestation codes.
What is the ICD-10-CM code for classical migraine? - ANSWERS-G43.109
Rationale: Look in the ICD-10-CM Alphabetic Index for Migraine/classical and you are directed
to see migraine with aura. Migraine/with aura directs you to G43.109. Verify code selection in
the Tabular List.
A 20 year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and
fever. The ED physician suspects meningitis and performs a lumbar puncture. The ED physician
reviews the results and the patient is admitted in the hospital for meningitis which is suspected
to be bacterial. Which ICD-10-CM code(s) is/are reported by the ED physician? - ANSWERS-
G03.9
Rationale: The symptoms for this scenario (headache, vomiting, stiff neck, and fever) are
associated with meningitis (definitive diagnosis). ICD-10-CM guideline I.B.4 states signs and
symptoms that are associated routinely with a disease process should not be assigned as
additional codes. Per ICD-10-CM guidelines IV.D and II.H do not code a diagnosis documented as
probable, suspected, questionable, rule out, or working diagnosis. Look in the Alphabetic Index
for Meningitis G03.9 Verify code selection in the Tabular List.
What diagnosis codes should be reported for a patient with polyneuropathy as a result of
vitamin B deficiency? - ANSWERS-E53.9, G63
, Rationale: In the ICD-10-CM Alphabetic Index look for Polyneuropathy/in (due to) deficiency
(of)/B (-complex) vitamins guiding you to codes E53.9 [G63]. Code G63 is a manifestation code.
In the Tabular List the description is Polyneuropathy in other diseases classified elsewhere.
There is an instructional note stating to code first underlying disease such as nutritional
deficiency (E40-E64). Verify code selection in the Tabular List.
What diagnosis code(s) should be reported for primary osteoarthritis in both knees? -
ANSWERS-M17.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Osteoarthritis/primary/knee/bilateral
which directs the coder to M17.0. Verify code selection in the Tabular List.
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist? -
ANSWERS-S62.101A
Rationale: Look in the ICD-10-CM Alphabetic Index for Fracture/wrist which directs the coder to
S62.10-. In the Tabular List the 6th character 1 is selected for the right wrist. This code also
indicates a 7th character is required. A is selected for the initial encounter.
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination
and urinalysis, the patient is diagnosed with a urinary tract infection (UTI). What ICD-10-CM
code(s) is/are reported? - ANSWERS-N39.0
Rationale: Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are
not reported because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for
Infection, infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the
Tabular List confirms code selection.
COMPLETE SOLUTIONS
Muscle is attached to bone by what method? - ANSWERS-Tendons, aponeurosis and directly to
bone
What is the great toe called? - ANSWERS-Hallux
Which of the following does NOT circulate fluids throughout the body? - ANSWERS-Endocrine
system
What distinguishes a sentinel node from other lymph nodes? - ANSWERS-A sentinel node is the
first lymph node in a group of nodes to be reached by metastasizing cancer cells
Which of the following is NOT true of the thoracic diaphragm? - ANSWERS-It is a frequent site of
a Spigelian (lateral ventral) hernia
The loop of Henle is located in which structure? - ANSWERS-Kidney
What is vernix caseosa? - ANSWERS-A white cheese like substance covering the fetus and
newborn
Which cells produce hormones to regulate blood sugar? - ANSWERS-Pancreatic islets
Which of the following conditions results from an injury to the head? The symptoms include
headache, dizziness and vomiting. - ANSWERS-Concussion
,Which of the following is true about the tympanic membrane? - ANSWERS-It separates the
external ear from the middle ear
Where would a subungual hematoma be located? - ANSWERS-Under the toenail/fingernail
A procedure widening a narrowed vessel or obstructed blood vessel is called a(n): - ANSWERS-
Angioplasty
Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow
collected from a close relative is: - ANSWERS-Allogenic
A meningioma is defined as: - ANSWERS-Tumor of the meninges
According to ICD-10-CM guideline I.B.1 use both ____ and ____ when locating and assigning a
diagnosis code. - ANSWERS-ICD-10-CM Alphabetic Index and Tabular List
Rationale: According to the ICD-10-CM guideline 1.B.1 both the Alphabetical Index and Tabular
List are used to locate and assign a code. Reliance on only the Alphabetic Index or the Tabular
List will lead to errors and less specificity in reporting codes.
What is the ICD-10-CM code for keloid scar on the foot? - ANSWERS-L91.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Scar/keloid L91.0. The location does not
affect code selection. Verify code selection in the Tabular List.
What do brackets [] indicate in the ICD-10-CM Alphabetic Index? - ANSWERS-Use the code(s) in
brackets in addition to the disease or condition to identity an associated manifestation.
,Rationale: ICD-10-CM guideline I.A.7 states brackets that appear in the ICD-10-CM Alphabetic
Index indicates manifestation codes.
What is the ICD-10-CM code for classical migraine? - ANSWERS-G43.109
Rationale: Look in the ICD-10-CM Alphabetic Index for Migraine/classical and you are directed
to see migraine with aura. Migraine/with aura directs you to G43.109. Verify code selection in
the Tabular List.
A 20 year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and
fever. The ED physician suspects meningitis and performs a lumbar puncture. The ED physician
reviews the results and the patient is admitted in the hospital for meningitis which is suspected
to be bacterial. Which ICD-10-CM code(s) is/are reported by the ED physician? - ANSWERS-
G03.9
Rationale: The symptoms for this scenario (headache, vomiting, stiff neck, and fever) are
associated with meningitis (definitive diagnosis). ICD-10-CM guideline I.B.4 states signs and
symptoms that are associated routinely with a disease process should not be assigned as
additional codes. Per ICD-10-CM guidelines IV.D and II.H do not code a diagnosis documented as
probable, suspected, questionable, rule out, or working diagnosis. Look in the Alphabetic Index
for Meningitis G03.9 Verify code selection in the Tabular List.
What diagnosis codes should be reported for a patient with polyneuropathy as a result of
vitamin B deficiency? - ANSWERS-E53.9, G63
, Rationale: In the ICD-10-CM Alphabetic Index look for Polyneuropathy/in (due to) deficiency
(of)/B (-complex) vitamins guiding you to codes E53.9 [G63]. Code G63 is a manifestation code.
In the Tabular List the description is Polyneuropathy in other diseases classified elsewhere.
There is an instructional note stating to code first underlying disease such as nutritional
deficiency (E40-E64). Verify code selection in the Tabular List.
What diagnosis code(s) should be reported for primary osteoarthritis in both knees? -
ANSWERS-M17.0
Rationale: Look in the ICD-10-CM Alphabetic Index for Osteoarthritis/primary/knee/bilateral
which directs the coder to M17.0. Verify code selection in the Tabular List.
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right wrist? -
ANSWERS-S62.101A
Rationale: Look in the ICD-10-CM Alphabetic Index for Fracture/wrist which directs the coder to
S62.10-. In the Tabular List the 6th character 1 is selected for the right wrist. This code also
indicates a 7th character is required. A is selected for the initial encounter.
A patient is seen in the ED for severe abdominal pain and urinary frequency. After examination
and urinalysis, the patient is diagnosed with a urinary tract infection (UTI). What ICD-10-CM
code(s) is/are reported? - ANSWERS-N39.0
Rationale: Refer to ICD-10-CM guideline I.B.5. The abdominal pain and urinary frequency are
not reported because they are symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for
Infection, infected, infective/urinary (tract) which directs the coder to N39.0. Verification in the
Tabular List confirms code selection.
