AAPC CPC Practice Exam B

AAPC CPC Practice Exam B 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 malfunction. 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. Ans- A. 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): An 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. 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 C. HCPCS Level II D. ADA Dental Codes Ans- B. 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 mention 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 complement 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). Which health plan does NOT fall under HIPAA? A. Medicaid B. Medicare C. Workers' compensation D. Private plans Ans- C. Workers' compensation Workers' compensation is excluded from the definition of a health plan under the Health Insurance Portability and Accountability Act (HIPAA). Workers' compensation plans are not required to meet HIPAA standards for privacy, security or code sets. Which of the following is an example of electronic data? A. A digital X-ray B. An explanation of benefits C. An advance beneficiary notice D. A written prescription Ans- A. A digital X-ray While B, C, or D might be done electronically, by definition they aren't required to be done electronically. A digital X-ray is an X-ray with an image that is stored electronically rather than on film, and so A is the correct answer. Which statement is TRUE about Z codes: A. Z codes are never reported as a primary code. B. Z codes are only reported with injury codes. C. Z codes may be used either as a primary code or a secondary code. D. Z codes are always reported as a secondary code. Ans- C. Z codes may be used either as a primary code or a secondary code. According to ICD-10-CM Coding Guidelines (Section I.C.21.a): Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed, others only as secondary codes. Multiple choice C is the correct answer. A patient is having pyeloplasty performed to treat an uretero-pelvic junction obstruction. What is being performed? A. Surgical repair of the bladder B. Removal of the kidney C. Cutting into the ureter D. Surgical reconstruction of the renal pelvis Ans- D. Surgical reconstruction of the renal pelvis Pyeloplasty is the surgical reconstruction or revision of the pelvis of the kidney (renal) to correct an obstruction. The CPT® Index refers you to codes , and 50544 for Pyeloplasty. The code is found under the Repair heading in the numeric section and the code description states "plastic operation on renal pelvis" to help you know what is being performed. Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________. A. Medulla lobe B. Occipital lobe C. Middle lobe D. Inferior lobe Ans- B. Occipital lobe The series of terms are lobes found in the brain. You can find an illustration of the brain showing the different lobes in your CPT® codebook in the beginning of the Nervous System section. The root word trich/o means: A. Hair B. Sebum C. Eyelid D. Trachea Ans- A. Hair Trich/o means hair. In the ICD-10-CM Alphabetical Index look for a diagnosis that starts with Trich. Trichorrhexis refers you to code L67.0. In the Tabular List category code L67 is for Hair color and hair shaft abnormalities. What is the term used for inflammation of the bone and bone marrow? A. Chondromatosis B. Osteochondritis C. Costochondritis D. Osteomyelitis Ans- D. Osteomyelitis Osteomyelitis is an inflammation of bone and bone marrow caused by a bacterial infection which can lead to a reduction of blood supply to the bone. In the ICD-10-CM Alphabetical Index look for Inflammation/bone-see Osteomyelitis