(answered) CPC Exam Questions And
Answers Ace Your CPC Certification Exam.
2022
The Privacy Rule generally requires covered entities to take reasonable steps to limit
the use or disclosure of, and requests for, protected health information to the minimum
necessary to accomplish the intended purpose. The minimum necessary standard does
not apply to the following:
- Disclosures to or requests by a health care provider for treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the
Department of Health & Human Services (HHS) when disclosure of information is
required under the Privacy Rule for enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla
d.Medulla
Myasthenia gravis (MG)
- Chronic autoimmune disorder in which antibodies destroy the communication between
nerves and muscle, resulting in weakness of the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes,
mouth, throat and limbs.
- Affects the neuromuscular junction
Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland
c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium
a.Endocardium
,Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria
b.Hyperkalemia
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?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct answer, your response)Feedback: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 thecoder to N39.0. Verification in the Tabular List
confirms code selection.
•N39.0
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.
A 20-year-old comes into the emergency department (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?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9
d.G03.9
suspected to be bacteria= unspecified
50-year-old female presents to her provider with symptoms of insomnia and upset
stomach. The provider suspects she is premenopausal. She is diagnosed with
impending menopause. What diagnosis code(s) should be reported?
a.E28.319
b.G47.00, K30
c.N95.9
d.N95.9, G47.00, K30
b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right
wrist?
a.S62.101A
b.S62.102A
, c.S12.9XXA
d.M80.031A
a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03
b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for
both the left and right side. There is a bilateral code provided for pain in the left and right
ears H92.03. You would not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's
pneumonia is due to Staphylococcus aureaus and is methicillin resistant (MRSA).
Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM
code(s) is/are reported?
J15.212
When a combination code exists for MRSA and the infection, only the combination code
should be reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is
reported with J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for
chemotherapy. Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What
ICD-10-CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index
instead of the Table of Neoplasms to locate the code for a Pancoast's tumor.
Z51.11, C34.12
If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy
administration should be listed first, and a diagnosis for the malignancy requiring the
chemotherapy is reported secondarily. Look in the ICD-10-CM Alphabetic for
Chemotherapy (session) (for)/neoplasm or Encounter (with health service) (for)/
chemotherapy for neoplasm (Z51.11). A Pancoast's tumor is a rapid growing tumor in
the apex of the lung. The apex of the lung is in the upper lobe for Pancoast's Tumor.
Look for Tumor/Pancoast's - see Pancoast's syndrome. Look for Pancoast's syndrome
or tumor C34.1-. Add 2 as the 4th character for left lung. The correct codes and
sequencing are Z51.11 and C34.12.
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia.
She has Stage 3 chronic kidney disease, which is the cause of the anemia. Applying the
coding concept from ICD-10-CM guideline I.A.13., what ICD-10-CM code(s) should be
reported for the EPO injection?
N18.30, D63.1
Anemia/in (due to) (with)/chronic kidney disease D63.1. See the Code first note
instructing to report the CKD (N18-) code first. Look in the ICD 10-CM Alphabetic Index
for Disease/kidney/chronic/stage 3 (moderate) N18.30. Verification in the Tabular List
verifies correct sequencing as N18.30, D63.1.
Name an example of when a problem caused by diabetes is NOT sequenced after the
code for diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a.
When a patient's insulin pump malfunctions.
Answers Ace Your CPC Certification Exam.
2022
The Privacy Rule generally requires covered entities to take reasonable steps to limit
the use or disclosure of, and requests for, protected health information to the minimum
necessary to accomplish the intended purpose. The minimum necessary standard does
not apply to the following:
- Disclosures to or requests by a health care provider for treatment purposes.
- Disclosures to the individual who is the subject of the information.
- Uses or disclosures made pursuant to an individual's authorization.
- Uses or disclosures required for compliance with the Health Insurance Portability and
Accountability Act (HIPAA) Administrative Simplification Rules.· Disclosures to the
Department of Health & Human Services (HHS) when disclosure of information is
required under the Privacy Rule for enforcement purposes.
- Uses or disclosures that are required by other law.
Which part of the brain controls blood pressure, heart rate and respiration?
a.Cerebrum
b.Cerebellum
c.Cortex
d.Medulla
d.Medulla
Myasthenia gravis (MG)
- Chronic autoimmune disorder in which antibodies destroy the communication between
nerves and muscle, resulting in weakness of the skeletal muscles.
- Affects the voluntary muscles of the body, especially those that control the eyes,
mouth, throat and limbs.
- Affects the neuromuscular junction
Adrenomegaly is defined as:
a. Infection of the adrenal gland
b. A tumor of the adrenal gland
c. Enlargement of the adrenal gland
d. Any disease of the adrenal gland
c. Enlargement of the adrenal gland
A thin membrane lining the chambers of the heart and valves is called the:
a.Endocardium
b.Pericardium
c.Epicardium
d.Myocardium
a.Endocardium
,Excessive potassium in the blood is referred to as:
a.Hypoproteinemia
b.Hyperkalemia
c.Hypernatremia
d.Hematuria
b.Hyperkalemia
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?
• R10.0, R35.0
• R10.0, R35.0, N39.0
• R10.0, N39.0
•N39.0 (correct answer, your response)Feedback: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 thecoder to N39.0. Verification in the Tabular List
confirms code selection.
•N39.0
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.
A 20-year-old comes into the emergency department (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?
a.G00.9
b.G00.9, R51.9, R11.10, M43.6, R50.9
c.G03.9, R51.9, R11.10, M43.6, R50.9
d.G03.9
d.G03.9
suspected to be bacteria= unspecified
50-year-old female presents to her provider with symptoms of insomnia and upset
stomach. The provider suspects she is premenopausal. She is diagnosed with
impending menopause. What diagnosis code(s) should be reported?
a.E28.319
b.G47.00, K30
c.N95.9
d.N95.9, G47.00, K30
b.G47.00, K30
Impending Menopause = not happen yet = no menopause -> symptom codes only
What is the ICD-10-CM code for an initial encounter for a closed fracture of the right
wrist?
a.S62.101A
b.S62.102A
, c.S12.9XXA
d.M80.031A
a.S62.101A
Which diagnosis code(s) below reports pain in the left and right ears?
a. H92.01, H92.02
b. H92.03
b. H92.03
If no bilateral code is provided and the condition is bilateral, assign separate codes for
both the left and right side. There is a bilateral code provided for pain in the left and right
ears H92.03. You would not report two separate codes.
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's
pneumonia is due to Staphylococcus aureaus and is methicillin resistant (MRSA).
Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-10-CM
code(s) is/are reported?
J15.212
When a combination code exists for MRSA and the infection, only the combination code
should be reported. Pneumonia due to Methicillin-resistant Staphylococcus aureus is
reported with J15.212.
A patient with a Pancoast's tumor in the left lung arrives at the oncologist office for
chemotherapy. Applying the coding concept from ICD-10-CM guidelines I.C.2.e.2. What
ICD-10-CM code(s) should be reported? Note: Use the ICD-10-CM Alphabetic Index
instead of the Table of Neoplasms to locate the code for a Pancoast's tumor.
Z51.11, C34.12
If the reason for the encounter is solely chemotherapy, a diagnosis for chemotherapy
administration should be listed first, and a diagnosis for the malignancy requiring the
chemotherapy is reported secondarily. Look in the ICD-10-CM Alphabetic for
Chemotherapy (session) (for)/neoplasm or Encounter (with health service) (for)/
chemotherapy for neoplasm (Z51.11). A Pancoast's tumor is a rapid growing tumor in
the apex of the lung. The apex of the lung is in the upper lobe for Pancoast's Tumor.
Look for Tumor/Pancoast's - see Pancoast's syndrome. Look for Pancoast's syndrome
or tumor C34.1-. Add 2 as the 4th character for left lung. The correct codes and
sequencing are Z51.11 and C34.12.
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for her anemia.
She has Stage 3 chronic kidney disease, which is the cause of the anemia. Applying the
coding concept from ICD-10-CM guideline I.A.13., what ICD-10-CM code(s) should be
reported for the EPO injection?
N18.30, D63.1
Anemia/in (due to) (with)/chronic kidney disease D63.1. See the Code first note
instructing to report the CKD (N18-) code first. Look in the ICD 10-CM Alphabetic Index
for Disease/kidney/chronic/stage 3 (moderate) N18.30. Verification in the Tabular List
verifies correct sequencing as N18.30, D63.1.
Name an example of when a problem caused by diabetes is NOT sequenced after the
code for diabetes. Refer to ICD-10-CM guideline I.C.4.a.5.a.
When a patient's insulin pump malfunctions.
