AAPC CPC FINAL EXAM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which statement is TRUE regarding coding COPD with asthma in
ICD-10-CM? - CORRECT ANSWER The type of asthma is
reported along with the COPD.
A patient is seen in the endoscopy suite for a diagnostic maxillary
sinusotomy. During the sinusotomy, the provider observes some
diseased tissue which needs to be removed. The provider
decides to perform a maxillary antrostomy with tissue removal.
Bleeding is controlled. The patient tolerated the procedure well.
What CPT® code(s) is/are reported? - CORRECT ANSWER
31267
An ICU diabetic patient who has been in a coma for weeks as the
result of a head injury becomes conscious and begins to improve.
The physician performs a tracheostomy closure and since the
scar tissue is minimal, the plastic surgeon is not needed. What
CPT® and ICD-10-CM codes are reported for this procedure?
31820, Z43.0, S06.9X9D, E11.9:Rationale: In the CPT® Index
look for Tracheostomy/Surgical Closure/without Plastic Repair.
This directs you to code 31820.In the ICD-10-CM Alphabetic
Index look for Attention (to)/tracheostomy which directs you to
Z43.0. It is reported as a primary code because the closure of the
tracheostomy is the reason for the procedure performed. Diabetic
coma (E11.641) is not reported because the coma resulted from a
, head injury not diabetes. Coma would not be reported because it
is resolved and the patient no longer has it. In the Alphabetic
Index look for Injury/head directing you to S09. - CORRECT
ANSWER
A surgeon performs a high thoracotomy with resection of a single
lung segment on a 57-year-old who is currently a heavy smoker
who had presented with a six-month history of right shoulder pain
that radiates to the chest. An apical lung biopsy had confirmed
lung cancer. What CPT® and ICD-10-CM codes are reported?
32484, C34.10, F17.210:Rationale: A segment of the lung is
removed. In the CPT® Index look for Removal/Lung/Single
Segment. This directs you to code 32484.We have a confirmed
diagnosis of apical lung cancer, a cancer in an upper lobe, which
is code C34.10 (no indication of right or left lung). The term apical
means the tip of a pyramidal or rounded structure, so apical lung
cancer means the tumor/cancer is located at the top or upper lobe
of the lung. We find this by looking in the Table of Neoplasms for
Neoplasm, neoplastic/lung/upper lobe and select from the Primary
Malignant column which directs you to c - CORRECT ANSWER
Patient presents to her physician 10 weeks following a true
posterior wall myocardial infarction. The patient is still
symptomatic and is diagnosed with ischemic heart disease. What
is (are) the correct ICD-10-CM code(s) for this condition? -
CORRECT ANSWER
Patient presents to her physician 10 weeks following a true
posterior wall myocardial infarction. The patient is still
symptomatic and is diagnosed with ischemic heart disease. What
is (are) the correct ICD-10-CM code(s) for this condition?
Z51.89, I25.9Rationale: Because it is past four weeks since the
myocardial infarction and the patient is still symptomatic, ICD-10-
CM guideline, I.C.9.e.1, indicates that the appropriate aftercare
code is assigned rather than a code from category I21. Look in
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which statement is TRUE regarding coding COPD with asthma in
ICD-10-CM? - CORRECT ANSWER The type of asthma is
reported along with the COPD.
A patient is seen in the endoscopy suite for a diagnostic maxillary
sinusotomy. During the sinusotomy, the provider observes some
diseased tissue which needs to be removed. The provider
decides to perform a maxillary antrostomy with tissue removal.
Bleeding is controlled. The patient tolerated the procedure well.
What CPT® code(s) is/are reported? - CORRECT ANSWER
31267
An ICU diabetic patient who has been in a coma for weeks as the
result of a head injury becomes conscious and begins to improve.
The physician performs a tracheostomy closure and since the
scar tissue is minimal, the plastic surgeon is not needed. What
CPT® and ICD-10-CM codes are reported for this procedure?
31820, Z43.0, S06.9X9D, E11.9:Rationale: In the CPT® Index
look for Tracheostomy/Surgical Closure/without Plastic Repair.
This directs you to code 31820.In the ICD-10-CM Alphabetic
Index look for Attention (to)/tracheostomy which directs you to
Z43.0. It is reported as a primary code because the closure of the
tracheostomy is the reason for the procedure performed. Diabetic
coma (E11.641) is not reported because the coma resulted from a
, head injury not diabetes. Coma would not be reported because it
is resolved and the patient no longer has it. In the Alphabetic
Index look for Injury/head directing you to S09. - CORRECT
ANSWER
A surgeon performs a high thoracotomy with resection of a single
lung segment on a 57-year-old who is currently a heavy smoker
who had presented with a six-month history of right shoulder pain
that radiates to the chest. An apical lung biopsy had confirmed
lung cancer. What CPT® and ICD-10-CM codes are reported?
32484, C34.10, F17.210:Rationale: A segment of the lung is
removed. In the CPT® Index look for Removal/Lung/Single
Segment. This directs you to code 32484.We have a confirmed
diagnosis of apical lung cancer, a cancer in an upper lobe, which
is code C34.10 (no indication of right or left lung). The term apical
means the tip of a pyramidal or rounded structure, so apical lung
cancer means the tumor/cancer is located at the top or upper lobe
of the lung. We find this by looking in the Table of Neoplasms for
Neoplasm, neoplastic/lung/upper lobe and select from the Primary
Malignant column which directs you to c - CORRECT ANSWER
Patient presents to her physician 10 weeks following a true
posterior wall myocardial infarction. The patient is still
symptomatic and is diagnosed with ischemic heart disease. What
is (are) the correct ICD-10-CM code(s) for this condition? -
CORRECT ANSWER
Patient presents to her physician 10 weeks following a true
posterior wall myocardial infarction. The patient is still
symptomatic and is diagnosed with ischemic heart disease. What
is (are) the correct ICD-10-CM code(s) for this condition?
Z51.89, I25.9Rationale: Because it is past four weeks since the
myocardial infarction and the patient is still symptomatic, ICD-10-
CM guideline, I.C.9.e.1, indicates that the appropriate aftercare
code is assigned rather than a code from category I21. Look in
