CPPM/AAPC EXAM QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
Exam A Question 25
Spontaneous fracture of right humerus due to metastatic bone cancer, history of breast cancer
previously removed. Code for the ICD-10-CM codes.
A. M84.521A, C79.51, Z85.3
B. S42.301A, C79.51, C50.919
C. C79.51, S42.301A, Z85.3
D. M84.421A, C50.919, C79.51
A spontaneous fracture is not a traumatic fracture, but a pathologic fracture. The fracture resulted from
bone cancer (secondary cancer). In the ICD-10-CM Alphabetic Index, look for Fracture, pathological/due
to/neoplastic disease/ humerus referring you to M84.52. 7th character A is required for the initial
encounter. Instructional note at M84.5 says to "code also underlying neoplasm." In the Alphabetic
Index, Metastasis, metastatic/to specific site refers you to see Neoplasm, secondary, by site. In the Table
of Neoplasms, look for Bone/ humerus/the column for Malignant Secondary column referring you to
C79.51. In the Alphabetic Index, look for History/personal/malignant neoplasm/breast referring you to
Z85.3. Verify in the Tabular List.
Exam A Question 26
A complete cardiac magnetic resonance imaging (MRI) for morphology and function is completed
without contrast followed by with contrast. Final diagnosis is congestive heart failure with premature
ventricular contractions. What ICD-10-CM codes are reported?
A. I49.3, I50.9
B. I50.9, I49.3
C. I50.9, I49.8
D. I49.1, I50.9
In the ICD-10-CM Alphabetic Index look for Failure/heart/congestive referring you to I50.9, which is the
first-listed code. Next, look in the Alphabetic Index for Contractions/premature/ventricular guiding you
to I49.3 for the secondary code. Verify in the Tabular List.
Exam A Question 27
Patient presents today in emergency clinic with shortness of breath, heart palpitations, and a
headache. The clinic is running a battery of test. Physician suspects an anxiety attack. What ICD-10-CM
code(s) is/are reported for the visit?
A. F41.9
B. F41.1
C. R06.02, R00.2, R51.9
D. R06.02, R00.2, R51.9, F41.9
, C According to ICD-10-CM guideline (Section IV.H.), "Do not code diagnoses documented as "probable",
"suspected", "questionable", "rule out", or "working diagnosis" or other similar terms indicating
uncertainty." Until the tests show something conclusive or a more definitive diagnosis is available, the
symptoms are coded. In the ICD-10-CM Alphabetic Index look for Short, shortening, shortness/breath
referring you to R06.02. Look in the Alphabetic Index for Palpitations (heart) leading to R00.2 and
Headache referring you to R51.9. Verify codes in the Tabular List.
Exam A Question 28
What are the ICD-10-CM codes for a patient is admitted with hypertension due to fibromuscular
hyperplasia?
A. I77.3, I10
B. I15.8, I77.3
C. I77.3, I15.8
D. I77.3, I15.1
According to ICD-10-CM guidelines, Section I.C.9.a.6. secondary hypertension is due to an underlying
condition. Two codes are required: one to identify the underlying etiology and one from category I15 to
identify the hypertension. Sequencing of codes is determined by the reason for admission/encounter.
Hypertension is the reason for admission, so it is coded first. Look in the ICD-10-CM Alphabetic Index for
Hypertension/secondary/specified NEC referring you to I15.8. We are not told that this is fibromuscular
hyperplasia of the renal arteries, so I15.8 is correct.
Exam A Question 29
Surgeon replaces a dual chamber pacemaker generator and upgrades to a biventricular pacer after
placing a left ventricular lead. What CPT® code(s) is/are reported?
A. 33213, 33225
B. 33227
C. 33224
D. 33208, 33213, 33224
Multiple Choice C is the correct answer. The lead placement is found in the CPT® Index under
Pacemaker, Heart/Insertion/Electrode guiding you to 33202, 33203, 33216, 33217, 33224, 33225. Code
33224 describes the insertion of the left ventricular lead and the replacement of an existing pulse
generator.
Exam A Question 31
What is the correct CPT® code for percutaneous thrombectomy of an arteriovenous fistula?
A. 36904
B. 36905
C. 37187
D. 36906
A Look in the CPT Index for Dialysis/Thrombectomy/Dialysis Circuit referring you to 36904-36906. Code
36904 is correct because it describes percutaneous thrombectomy of an arteriovenous fistula. Code
36905 includes a thrombectomy and an angioplasty. Code 36906 includes a thrombectomy and a stent.
LATEST UPDATE (GRADED A+)
Exam A Question 25
Spontaneous fracture of right humerus due to metastatic bone cancer, history of breast cancer
previously removed. Code for the ICD-10-CM codes.
A. M84.521A, C79.51, Z85.3
B. S42.301A, C79.51, C50.919
C. C79.51, S42.301A, Z85.3
D. M84.421A, C50.919, C79.51
A spontaneous fracture is not a traumatic fracture, but a pathologic fracture. The fracture resulted from
bone cancer (secondary cancer). In the ICD-10-CM Alphabetic Index, look for Fracture, pathological/due
to/neoplastic disease/ humerus referring you to M84.52. 7th character A is required for the initial
encounter. Instructional note at M84.5 says to "code also underlying neoplasm." In the Alphabetic
Index, Metastasis, metastatic/to specific site refers you to see Neoplasm, secondary, by site. In the Table
of Neoplasms, look for Bone/ humerus/the column for Malignant Secondary column referring you to
C79.51. In the Alphabetic Index, look for History/personal/malignant neoplasm/breast referring you to
Z85.3. Verify in the Tabular List.
Exam A Question 26
A complete cardiac magnetic resonance imaging (MRI) for morphology and function is completed
without contrast followed by with contrast. Final diagnosis is congestive heart failure with premature
ventricular contractions. What ICD-10-CM codes are reported?
A. I49.3, I50.9
B. I50.9, I49.3
C. I50.9, I49.8
D. I49.1, I50.9
In the ICD-10-CM Alphabetic Index look for Failure/heart/congestive referring you to I50.9, which is the
first-listed code. Next, look in the Alphabetic Index for Contractions/premature/ventricular guiding you
to I49.3 for the secondary code. Verify in the Tabular List.
Exam A Question 27
Patient presents today in emergency clinic with shortness of breath, heart palpitations, and a
headache. The clinic is running a battery of test. Physician suspects an anxiety attack. What ICD-10-CM
code(s) is/are reported for the visit?
A. F41.9
B. F41.1
C. R06.02, R00.2, R51.9
D. R06.02, R00.2, R51.9, F41.9
, C According to ICD-10-CM guideline (Section IV.H.), "Do not code diagnoses documented as "probable",
"suspected", "questionable", "rule out", or "working diagnosis" or other similar terms indicating
uncertainty." Until the tests show something conclusive or a more definitive diagnosis is available, the
symptoms are coded. In the ICD-10-CM Alphabetic Index look for Short, shortening, shortness/breath
referring you to R06.02. Look in the Alphabetic Index for Palpitations (heart) leading to R00.2 and
Headache referring you to R51.9. Verify codes in the Tabular List.
Exam A Question 28
What are the ICD-10-CM codes for a patient is admitted with hypertension due to fibromuscular
hyperplasia?
A. I77.3, I10
B. I15.8, I77.3
C. I77.3, I15.8
D. I77.3, I15.1
According to ICD-10-CM guidelines, Section I.C.9.a.6. secondary hypertension is due to an underlying
condition. Two codes are required: one to identify the underlying etiology and one from category I15 to
identify the hypertension. Sequencing of codes is determined by the reason for admission/encounter.
Hypertension is the reason for admission, so it is coded first. Look in the ICD-10-CM Alphabetic Index for
Hypertension/secondary/specified NEC referring you to I15.8. We are not told that this is fibromuscular
hyperplasia of the renal arteries, so I15.8 is correct.
Exam A Question 29
Surgeon replaces a dual chamber pacemaker generator and upgrades to a biventricular pacer after
placing a left ventricular lead. What CPT® code(s) is/are reported?
A. 33213, 33225
B. 33227
C. 33224
D. 33208, 33213, 33224
Multiple Choice C is the correct answer. The lead placement is found in the CPT® Index under
Pacemaker, Heart/Insertion/Electrode guiding you to 33202, 33203, 33216, 33217, 33224, 33225. Code
33224 describes the insertion of the left ventricular lead and the replacement of an existing pulse
generator.
Exam A Question 31
What is the correct CPT® code for percutaneous thrombectomy of an arteriovenous fistula?
A. 36904
B. 36905
C. 37187
D. 36906
A Look in the CPT Index for Dialysis/Thrombectomy/Dialysis Circuit referring you to 36904-36906. Code
36904 is correct because it describes percutaneous thrombectomy of an arteriovenous fistula. Code
36905 includes a thrombectomy and an angioplasty. Code 36906 includes a thrombectomy and a stent.
