AAPC CPC Practice Exam A

AAPC CPC Practice Exam A Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code Ans- D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct answer. The ICD-10-CM guidelines for the External Causes Of Morbidity (V00-Y99) is in Section I.C.20. Which statement is TRUE about reporting codes for diabetes mellitus? A. If the type of diabetes mellitus is not documented in the medical record the default type is E11.- Type 2 diabetes mellitus. B. When a patient uses insulin, Type 1 is always reported. C. The age of the patient is a sole determining factor to report Type 1. D. When assigning codes for diabetes and its associated condition(s), the code(s) from category E08-E13 are not reported as a primary code. Ans- A. If the type of diabetes mellitus is not documented in the medical record the default type is E11.- Type 2 diabetes mellitus. The ICD-10-CM coding guidelines for diabetes mellitus are found in Section I.C.4. Multiple choice A is the correct answer, this guideline is in Section I.C.4.a.2. What is NOT included in CPT® surgical package? A. Typical postoperative follow-up care B. One related Evaluation and Management service on the same date of the procedure C. Returning to the operating room the next day for a complication resulting from the initial procedure D. Evaluating the patient in the post-anesthesia recovery area Ans- C. Returning to the operating room the next day for a complication resulting from the initial procedure The CPT® surgical package definition is in the Surgery Guidelines found in the CPT® code book (right after the Anesthesia section of codes). Multiple choice C is the correct answer, because modifier 78 is reported on a procedure code to indicate a patient's return to the OR for a complication (unplanned return) that has occurred during the postoperative period of the initial procedure. What is PHI? A. Physician-health care interchange B. Private health insurance C. Protected health information D. Provider identified incident-to Ans- C. Protected health information Protected health information under the Health Information Portability and Accountability Act (HIPAA) is any information, whether oral or recorded, in any form or medium that is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse relating to the past, present, or future physical or mental health or condition of an individual, the provision of health services to that individual, or payment around those services. Only health information at the individual level is covered; health information of groups is not. Which statement is TRUE when reporting pregnancy codes (O00-O9A): A. These codes can be used on the maternal and baby records. B. These codes have sequencing priority over codes from other chapters. C. Code Z33.1 should always be reported with these codes. D. The seventh character assigned to these codes only indicate a complication during the pregnancy. Ans- B. These codes have sequencing priority over codes from other chapters. According to ICD-10-CM guidelines (Section I.C.15.a.1): Chapter 15 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with chapter 15 codes to further specify conditions. When a patient is having a tenotomy performed on the abductor hallucis muscle, where is this muscle located? A. Foot B. Upper Arm C. Upper Leg D. Hand Ans- A. Foot The abductor hallucis is a muscle of the foot that abducts the big toe. In the CPT® Index look for Tenotomy. There are many anatomical areas to choose from, but you will find this muscle located in the description of code 28240. All the codes in that section deal with the foot. Fracturing the acetabulum involves what area? A. Skull B. Shoulder C. Pelvis D. Leg Ans- C. Pelvis The acetabulum is the cup-shaped socket of the hip joint which is part of the pelvis. You can locate this answer in the ICD-10-CM codebook. In the ICD-10-CM Alphabetic Index look for Fracture, traumatic/pelvis and you will see acetabulum listed under pelvis. Ventral, umbilical, spigelian and incisional are types of: A. Surgical approaches B. Hernias C. Organs found in the digestive system D. Cardiac catheterizations Ans- B. Hernias These are types of hernias. CPT® codes are categorized by the type of hernias to be repaired. An arteriovenous anastomosis is used to increase blood flow in hemodialysis. Which one of the following describes a direct arteriovenous anastomosis? A. Insertion of a cannula B. A section of artery and a neighboring vein are joined C. A donor's vein is used to connect an artery and a vein D. Radical hysterectomy not otherwise specified Ans- B. A section of artery and a neig