AAPC CPC Practice Exam B Questions 2022
(Verified Answers by Expert)
1. Which statement is an example in which a diabetes-related problem
exists and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump
malfunc- tion.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition. >>>>If the
patient has an underdose of insulin due to an insulin pump
malfunction.
The ICD-10-CM guidelines (Section I.C.4.a.5) underdose of insulin due
to an insulin pump failure should be assigned T85.6-, as the principal
or first listed code, followed by code T38.3X6-. Additional codes for the
type of diabetes mellitus should also be assigned.
2. Guidelines from which of the following code sets are included as part
of the code set requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
1/
, C. HCPCS Level II
D. ADA Dental Codes >>>>ICD-10-CM
ICD-10-CM guidelines are the only guidelines specifically mentioned in
HIPAA. While HIPAA requires the use of the other code sets listed, there
is no specific men- tion of the other guidelines in the law. This
information is found in the ICD-10-CM Official Guidelines for Coding
and Reported in you ICD-10-CM codebook: These guidelines are a set
of rules that have been developed to accompany and com- plement
the official conventions and instructions provided within the ICD-10-CM
itself. These guidelines are based on the coding and sequencing
instructions in Volumes I, II and III of ICD-10-CM, but provide additional
instruction. Adherence to these guidelines when assigning ICD-10-CM
diagnosis and procedure codes is required under the Health Insurance
Portability and Accountability Act (HIPAA).
3. Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
D. Private plans >>>>Workers' compensation
2/
(Verified Answers by Expert)
1. Which statement is an example in which a diabetes-related problem
exists and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump
malfunc- tion.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition. >>>>If the
patient has an underdose of insulin due to an insulin pump
malfunction.
The ICD-10-CM guidelines (Section I.C.4.a.5) underdose of insulin due
to an insulin pump failure should be assigned T85.6-, as the principal
or first listed code, followed by code T38.3X6-. Additional codes for the
type of diabetes mellitus should also be assigned.
2. Guidelines from which of the following code sets are included as part
of the code set requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
1/
, C. HCPCS Level II
D. ADA Dental Codes >>>>ICD-10-CM
ICD-10-CM guidelines are the only guidelines specifically mentioned in
HIPAA. While HIPAA requires the use of the other code sets listed, there
is no specific men- tion of the other guidelines in the law. This
information is found in the ICD-10-CM Official Guidelines for Coding
and Reported in you ICD-10-CM codebook: These guidelines are a set
of rules that have been developed to accompany and com- plement
the official conventions and instructions provided within the ICD-10-CM
itself. These guidelines are based on the coding and sequencing
instructions in Volumes I, II and III of ICD-10-CM, but provide additional
instruction. Adherence to these guidelines when assigning ICD-10-CM
diagnosis and procedure codes is required under the Health Insurance
Portability and Accountability Act (HIPAA).
3. Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
D. Private plans >>>>Workers' compensation
2/
