CPPM/AAPC EXAM QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
Exam B Question 14
A Status Indicator of H establishes what?
A. A drug pass through payment
B. A supply pass through payment
C. A device pass through payment
D. An additional APC payment
C Status Indicator H shows a devise pass through payment
Exam B Question 15
An occurrence code of 32 notifies the payer that the beneficiary has been informed of what?
A. The providers intent to bill for the procedure
B. The providers intent to collect from the beneficiary
C. The providers intent to bill the secondary payer
D. The providers intent to bill the spouse
Occurrence code 32 allows the payer to know that the beneficiary has been informed that the provider
Exam B Question 16
Which of the following is required under a Corporate Integrity Agreement?
A. New hires to be trained thoroughly on the compliance of the facility
B. Ongoing education to the entire staff, including a thorough orientation upon new hire
C. Implement the facility's own practice and procedure which does not have to comply with Federal
Health Laws
D. Require only administration to be responsible for the compliance of the facility
B Corporate Integrity Agreements require a thorough orientation upon hire and ongoing yearly
education.
Exam B Question 17
When used correctly, NCCI edits prevent what?
A. Upcoding
B. Downcoding
C. Unbundling
D. Bundling
C The NCCI edits prevent unbundling by providing a list of codes for each code billed that cannot be
billed with that code.
Exam B Question 18
External cause codes report the cause, the intent, and the place, the activity, and person's status for
an accident or injury. Why is this important?
, A. Establishes who gets sued
B. Establishes who is at fault
C. Establishes liability for payment
D. Establishes blame on the patient
C External cause codes allow the payer to evaluate the claim for liability purposes and allow the payer to
make a decision for payment and then collect from the responsible party or pay the claim or to deny it
for other coverage.
Exam B Question 19
Report the correct diagnosis codes for cancer of the sigmoid colon that has spread to the peritoneum.
A. D37.2, D48.4
B. C18.7, C78.6
C. C18.7, D38.3
D. C48.2, C78.5
B The sigmoid colon is the primary malignant neoplasm reported with code C18.7. The cancer has
metastasized (or spread) to the peritoneum which is reported as the secondary malignant neoplasm,
C78.6.
Exam B Question 20
A 30 year-old male developed gas gangrene (gas bacillus infection) and went into septic shock. What
ICD-10-CM codes are reported.
A. A48.0, R65.20
B. R65.21, A48.0
C. R65.20, A48.0
D. A48.0, R65.21
D Per ICD-10-CM coding guidelines (Section I.C.1.d.2.a.) for cases of septic shock the code for the
systemic infection is sequenced first followed by code R65.21 for severe sepsis with septic shock or code
T81.21 post-procedural septic shock. The code for septic shock cannot be assigned as a first-listed
diagnosis.
Exam B Question 21
A 32 year-old female has vaginitis three days after she was discharged from the hospital after a
vaginal delivery. What ICD-10-CM code should be reported?
A. O86.13
B. N76.0, O86.19
C. O86.13, N76.0
D. N76.0, Z39.0
A This patient has a postpartum complication. In the ICD-10-CM Alphabetic Index look for Puerperal,
puerperium (complicated by, complications)/vaginitis referring you to O86.13. Verify in the Tabular List.
Notes indicate to code for the infection if known. Code Z39.0 is not reported when there are
complications noted during the postpartum period. N76.0 is not reported, because vaginitis is already
listed in O86.13.
LATEST UPDATE (GRADED A+)
Exam B Question 14
A Status Indicator of H establishes what?
A. A drug pass through payment
B. A supply pass through payment
C. A device pass through payment
D. An additional APC payment
C Status Indicator H shows a devise pass through payment
Exam B Question 15
An occurrence code of 32 notifies the payer that the beneficiary has been informed of what?
A. The providers intent to bill for the procedure
B. The providers intent to collect from the beneficiary
C. The providers intent to bill the secondary payer
D. The providers intent to bill the spouse
Occurrence code 32 allows the payer to know that the beneficiary has been informed that the provider
Exam B Question 16
Which of the following is required under a Corporate Integrity Agreement?
A. New hires to be trained thoroughly on the compliance of the facility
B. Ongoing education to the entire staff, including a thorough orientation upon new hire
C. Implement the facility's own practice and procedure which does not have to comply with Federal
Health Laws
D. Require only administration to be responsible for the compliance of the facility
B Corporate Integrity Agreements require a thorough orientation upon hire and ongoing yearly
education.
Exam B Question 17
When used correctly, NCCI edits prevent what?
A. Upcoding
B. Downcoding
C. Unbundling
D. Bundling
C The NCCI edits prevent unbundling by providing a list of codes for each code billed that cannot be
billed with that code.
Exam B Question 18
External cause codes report the cause, the intent, and the place, the activity, and person's status for
an accident or injury. Why is this important?
, A. Establishes who gets sued
B. Establishes who is at fault
C. Establishes liability for payment
D. Establishes blame on the patient
C External cause codes allow the payer to evaluate the claim for liability purposes and allow the payer to
make a decision for payment and then collect from the responsible party or pay the claim or to deny it
for other coverage.
Exam B Question 19
Report the correct diagnosis codes for cancer of the sigmoid colon that has spread to the peritoneum.
A. D37.2, D48.4
B. C18.7, C78.6
C. C18.7, D38.3
D. C48.2, C78.5
B The sigmoid colon is the primary malignant neoplasm reported with code C18.7. The cancer has
metastasized (or spread) to the peritoneum which is reported as the secondary malignant neoplasm,
C78.6.
Exam B Question 20
A 30 year-old male developed gas gangrene (gas bacillus infection) and went into septic shock. What
ICD-10-CM codes are reported.
A. A48.0, R65.20
B. R65.21, A48.0
C. R65.20, A48.0
D. A48.0, R65.21
D Per ICD-10-CM coding guidelines (Section I.C.1.d.2.a.) for cases of septic shock the code for the
systemic infection is sequenced first followed by code R65.21 for severe sepsis with septic shock or code
T81.21 post-procedural septic shock. The code for septic shock cannot be assigned as a first-listed
diagnosis.
Exam B Question 21
A 32 year-old female has vaginitis three days after she was discharged from the hospital after a
vaginal delivery. What ICD-10-CM code should be reported?
A. O86.13
B. N76.0, O86.19
C. O86.13, N76.0
D. N76.0, Z39.0
A This patient has a postpartum complication. In the ICD-10-CM Alphabetic Index look for Puerperal,
puerperium (complicated by, complications)/vaginitis referring you to O86.13. Verify in the Tabular List.
Notes indicate to code for the infection if known. Code Z39.0 is not reported when there are
complications noted during the postpartum period. N76.0 is not reported, because vaginitis is already
listed in O86.13.
