AAPC CRC Exam 10 Accurate
Solutions
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. What
ICD-10-CM code(s) is/are reported for the admission? - ANS-S72.052B, B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown). Which ICD-10-CM codes are reported in the correct
sequencing? - ANS-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). What
ICD-10-CM code(s) is/are reported? - ANS-J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal 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)? - ANS-A41.9, R65.20, N17.9
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 guidelines I.C.2.c.2. What ICD-10-CM codes should be reported? - ANS-D64.81,
C56.9, T45.1X5A
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? - ANS-C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications.
The patient has no complications. Applying the coding concept 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?
- ANS-E11.9, Z79.84
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 in his homework. After evaluating the
child, the provider diagnoses him with attention deficit hyperactivity disorder (ADHD),
,predominately inattentive type, and sends the patient for a consultation with a
psychiatrist to see if medication can help. Select the diagnosis code. - ANS-F90.0
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 guideline 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 codes (discussed later in the
curriculum). - ANS-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? - ANS-H40.1312, H40.1321
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? - ANS-H81.01
Which of the following does NOT require documentation for a cause-and-effect
relationship to be coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - ANS-
Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline
I.C.10.a.1) - ANS-Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - ANS-When it
occurs after admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is
assigned - ANS-R75
What does the 4th character in diabetes mellitus diabetes codes indicate? - ANS-Any
complication associated with diabetes.
According to ICD-10-CM guidelines, when a patient is seen for management of anemia
due to malignancy, how is it reported? - ANS-The malignancy is reported first, followed
by the code for the anemia.
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - ANS-J12.0
A 32 year-old patient with an ophthalmoplegic migraine is not responding to medication
and is admitted to the observation unit. What ICD-10-CM code is reported? - ANS-
G43.B1
,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? - ANS-I25.10
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with
identified intellectual disability. What ICD-10-CM code(s) is/are reported? - ANS-E00.9,
F79
A patient returns to the provider for an injection to relieve low back pain from a car
accident. What ICD-10-CM code(s) is/are reported? - ANS-M54.5
Patient presents to this clinic with palpitations, weight loss, bulging eyes and extreme
nervousness. The tests ordered come back positive with Graves' disease. Select the
ICD-10-CM code(s) to report. - ANS-E05.00
What diagnosis code is reported for secondary neoplasm of the descending colon? -
ANS-C78.5
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located
on his back and the other was located on the right forearm. Both involved subcutaneous
tissue. What ICD-10-CM code(s) is/are reported? - ANS-D17.21, D17.1
A 23 year-old patient presents to the Emergency Department with a cut on his leg. He is
a confirmed AIDS patient as documented in the record. What ICD-10-CM codes should
be reported? - ANS-S81.819A, B20
What ICD-10-CM code is used for the first episode of an acute myocardial infarction? -
ANS-I21.9
A patient presents to the ED with weakness on the left side and aphasia. Tests are
ordered and the patient is admitted with a cerebrovascular accident (CVA). What ICD-
10-CM code(s) is/are reported? - ANS-I63.9
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? - ANS-F03.91
A patient is brought in by the ambulance with seizures. After examination and workup is
complete, it is determined the seizures were due to alcohol abuse with intoxication.
What ICD-10-CM code(s) is/are reported? - ANS-R56.9, F10.129
Four years post hepatic transplant, the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes
are reported? - ANS-T86.49, C80.2, C22.0
, 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 ICD-10-CM codes are reported? - ANS-G30.0, F02.80
An elderly male patient presents to the ED complaining of a high fever the day prior to
the encounter and of extreme lethargy. He has a history of benign hypertension which
has been elevated. On arrival he was examined by his primary care physician and
admitted, with possible septic urinary tract infection and concern for his elevated blood
pressure. He was noted to have hematuria and a urine culture performed. Positive UTI
and pseudomonas showed in the urine culture and IV antibiotics were administered.
During the course of the day, his fever decreased and his lethargy improved. As the IV
fluids were decreased, he resumed a benign hypertensive state. On the next hospital
day, his primary care physician noted the urine was clear and he was discharged on
oral antibiotics, with septicemia ruled out. What ICD-10-CM codes should be reported? -
ANS-N39.0, B96.5, I10
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? - ANS-
E11.3511
A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant
anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are reported? -
ANS-N18.3, D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the
debilitating pain of her malignancy. Her cancer has metastasized to her bones in her
thoracic spine. Primary cancer is unknown. What ICD-10-CM codes are reported? -
ANS-G89.3, C79.51, C80.1
After referral from the ED, patient is seeing the ophthalmologist to examine an old injury
with retained magnetic iron metal foreign body in his posterior wall within the right eye
with the possibility of infection. What ICD-10-CM codes are reported? - ANS-H44.641,
Z18.11
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? - ANS-I10, I51.7
CASE 1
Operative Report
PREOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C.
Solutions
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. What
ICD-10-CM code(s) is/are reported for the admission? - ANS-S72.052B, B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown). Which ICD-10-CM codes are reported in the correct
sequencing? - ANS-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). What
ICD-10-CM code(s) is/are reported? - ANS-J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal 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)? - ANS-A41.9, R65.20, N17.9
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 guidelines I.C.2.c.2. What ICD-10-CM codes should be reported? - ANS-D64.81,
C56.9, T45.1X5A
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? - ANS-C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications.
The patient has no complications. Applying the coding concept 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?
- ANS-E11.9, Z79.84
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 in his homework. After evaluating the
child, the provider diagnoses him with attention deficit hyperactivity disorder (ADHD),
,predominately inattentive type, and sends the patient for a consultation with a
psychiatrist to see if medication can help. Select the diagnosis code. - ANS-F90.0
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 guideline 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 codes (discussed later in the
curriculum). - ANS-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? - ANS-H40.1312, H40.1321
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? - ANS-H81.01
Which of the following does NOT require documentation for a cause-and-effect
relationship to be coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - ANS-
Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline
I.C.10.a.1) - ANS-Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - ANS-When it
occurs after admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is
assigned - ANS-R75
What does the 4th character in diabetes mellitus diabetes codes indicate? - ANS-Any
complication associated with diabetes.
According to ICD-10-CM guidelines, when a patient is seen for management of anemia
due to malignancy, how is it reported? - ANS-The malignancy is reported first, followed
by the code for the anemia.
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - ANS-J12.0
A 32 year-old patient with an ophthalmoplegic migraine is not responding to medication
and is admitted to the observation unit. What ICD-10-CM code is reported? - ANS-
G43.B1
,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? - ANS-I25.10
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with
identified intellectual disability. What ICD-10-CM code(s) is/are reported? - ANS-E00.9,
F79
A patient returns to the provider for an injection to relieve low back pain from a car
accident. What ICD-10-CM code(s) is/are reported? - ANS-M54.5
Patient presents to this clinic with palpitations, weight loss, bulging eyes and extreme
nervousness. The tests ordered come back positive with Graves' disease. Select the
ICD-10-CM code(s) to report. - ANS-E05.00
What diagnosis code is reported for secondary neoplasm of the descending colon? -
ANS-C78.5
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located
on his back and the other was located on the right forearm. Both involved subcutaneous
tissue. What ICD-10-CM code(s) is/are reported? - ANS-D17.21, D17.1
A 23 year-old patient presents to the Emergency Department with a cut on his leg. He is
a confirmed AIDS patient as documented in the record. What ICD-10-CM codes should
be reported? - ANS-S81.819A, B20
What ICD-10-CM code is used for the first episode of an acute myocardial infarction? -
ANS-I21.9
A patient presents to the ED with weakness on the left side and aphasia. Tests are
ordered and the patient is admitted with a cerebrovascular accident (CVA). What ICD-
10-CM code(s) is/are reported? - ANS-I63.9
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? - ANS-F03.91
A patient is brought in by the ambulance with seizures. After examination and workup is
complete, it is determined the seizures were due to alcohol abuse with intoxication.
What ICD-10-CM code(s) is/are reported? - ANS-R56.9, F10.129
Four years post hepatic transplant, the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes
are reported? - ANS-T86.49, C80.2, C22.0
, 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 ICD-10-CM codes are reported? - ANS-G30.0, F02.80
An elderly male patient presents to the ED complaining of a high fever the day prior to
the encounter and of extreme lethargy. He has a history of benign hypertension which
has been elevated. On arrival he was examined by his primary care physician and
admitted, with possible septic urinary tract infection and concern for his elevated blood
pressure. He was noted to have hematuria and a urine culture performed. Positive UTI
and pseudomonas showed in the urine culture and IV antibiotics were administered.
During the course of the day, his fever decreased and his lethargy improved. As the IV
fluids were decreased, he resumed a benign hypertensive state. On the next hospital
day, his primary care physician noted the urine was clear and he was discharged on
oral antibiotics, with septicemia ruled out. What ICD-10-CM codes should be reported? -
ANS-N39.0, B96.5, I10
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? - ANS-
E11.3511
A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant
anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are reported? -
ANS-N18.3, D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the
debilitating pain of her malignancy. Her cancer has metastasized to her bones in her
thoracic spine. Primary cancer is unknown. What ICD-10-CM codes are reported? -
ANS-G89.3, C79.51, C80.1
After referral from the ED, patient is seeing the ophthalmologist to examine an old injury
with retained magnetic iron metal foreign body in his posterior wall within the right eye
with the possibility of infection. What ICD-10-CM codes are reported? - ANS-H44.641,
Z18.11
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? - ANS-I10, I51.7
CASE 1
Operative Report
PREOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C.
