AAPC FINAL EXAM|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

Muscle is attached to bone by what method? Tendons, aponeurosis and directly to bone What is the great toe called? Hallux Which of the following does NOT circulate fluids throughout the body? Endocrine system What distinguishes a sentinel node from other lymph nodes? 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? It is a frequent site of a Spigelian (lateral ventral) hernia The loop of Henle is located in which structure? Kidney What is vernix caseosa? A white cheese like substance covering the fetus and newborn Which cells produce hormones to regulate blood sugar? Pancreatic islets Which of the following conditions results from an injury to the head? The symptoms include headache, dizziness and vomiting. Concussion Which of the following is true about the tympanic membrane? It separates the external ear from the middle ear Where would a subungual hematoma be located? Under the toenail/fingernail A procedure widening a narrowed vessel or obstructed blood vessel is called a(n): Angioplasty Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow collected from a close relative is: Allogenic A meningioma is defined as: Tumor of the meninges According to ICD-10-CM guideline I.B.1 use both ____ and ____ when locating and assigning a diagnosis code. 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? 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? 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? 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? 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? 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? 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? 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? 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. When the type of diabetes mellitus is not documented in the medical note, what is used as the default type? Type 2 Rationale: ICD-10-CM guideline I.C.4.a.2 indicates when the type of diabetes mellitus is not documented the default is E11.-, type 2 diabetes mellitus. If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of diabetes would be coded according to ICD-10-CM guidelines? Type 2 Rationale: Some patients with type 2 diabetes mellitus are unable to control their blood sugar through diet and oral medication alone and do require insulin. If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin, the diabetes is reported as type 2. Refer to ICD-10-CM guidelines I.C.4.a.3. A 32 year-old patient with hyperthyroidism has an ultrasound to determine why her neck is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD-10-CM code is reported? E05.10 Rationale: In the ICD-10-CM Alphabetic Index look for Hyperthyroidism/with/goiter/nodular/uninodular which directs you to E05.10. The code can also be found by looking in the Alphabetic Index for Goiter/uninodular/toxic or with hyperthyroidism which guides you to code E05.10. Verify code selection in the Tabular List. A pediatrician sees an 8 month-old patient for ear pulling and excessive crying. The infant is diagnosed with bilateral chronic and acute serous otitis media. What ICD-10-CM code(s) is/are reported? H65.03, H65.23 Rationale: Per ICD-10-CM guideline I.B.8, when a condition is diagnosed as acute and chronic and there are different codes for each, report both codes sequencing the acute code first. In the ICD-10-CM Alphabetic Index, look for Otitis/media/serous which directs you to see Otitis media, nonsuppurative. Otitis/media/nonsuppurative/acute/serous leads you to H65.0-. Otitis/media/nonsuppurative/chronic/serous leads you to H65.2-. The hyphen after both codes indicates you will need additional character(s). In the Tabular List a 5th character 3 is selected for both codes to indicate the condition is bilateral.