AAPC CPB FINAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+BRAND NEW.pdf

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AAPC CPB FINAL EXAM|| AAPC CPB FINAL EXAM P
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REPARATION ALL QUESTIONS AND CORRECT AN m m m m m



SWERS|| LATEST UPDATE GRADED A+|| BRAMND m m m m m m



NEW!!!
Patient is in the observation room with an impending CVA. The test results come
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back with the patient having a CVA and is admitted to the hospital. What ICD-10-
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mCM code is reported?
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A. I63.8
B. I67.9
C. Z03.89
D. I63.9 - ANSWER: D. I63.9 m m m m



ICD-10-
CM coding guideline I.B.11 indicates because the CVA did occur and is no longe
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r impending, code the confirmed diagnosis. You will only report one code, the con
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firmed diagnosis CVA. CVA stands for Cerebrovascular accident. From the ICD-
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10-
CM Alphabetic Index look for Accident/cerebrovascular (embolic) (ischemic) (thr
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ombotic). This index refers you to I63.9 in the Tabular List.
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A patient presents with symptoms of chest pain, nausea, and pain in the neck and
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arm. He is diagnosed with a STEMI (or ST Elevation) myocardial infarction of the
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manterior wall. What ICD-10-CM code(s) is/are reported?
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A. I21.29, R07.89 m



B. I21.29
C. I21.09, R07.9, R11.0, M54.2, M79.629 m m m m



D. I21.09 - ANSWER: D. I21.09 m m m m



A STEMI is an ST Elevated Myocardial Infarction. In the ICD10-
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CM Alphabetic Index look for Infarct, infarction/myocardium myocardial/ST Elev
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ation (STEMI)/anterior (anteroapical) (anteroseptal) (Q wave) (wall), which leads
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to I21.09. Chest pain, nausea, and pain in the neck and arm are symptoms of the
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MI and not separately reported. Verify code in the Tabular List.
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Patient is admitted with SOB (shortness of breath) and cough with production of sput
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um. He has a history of COPD (chronic obstructive pulmonary disease) and is taking
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Symbicort. Diagnosis: Exacerbation of COPD. What ICD-10-CM code is reported?
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A. J44.1
B. J44.0
C. J44.9
D. J42 - ANSWER: A. J44.1
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Rationale: In the ICD-10- m m m


CM Alphabetic Index look for Disease, diseased/pulmonary/chronic obstructive/w
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ith/exacerbation (acute) which leads to J44.1. Verify in the Tabular List. An exace
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rbation is different from an infection
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A private practice hires a consultant to come in and audit some medical recor
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ds. Under the Privacy Rule, what is this consultant considered?
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A. A business associate
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B. An employee m



C. A covered entity
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D. A clearinghouse - ANSWER: A. A business associate
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Business associates perform certain functions or activities, which involve the use
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or disclosure of individually identifiable health information, on behalf of another
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person or organization. These services include claims processing or administration
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, data analysis, utilization review, billing, benefit management, and re-pricing.
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Because the consultant will be auditing medical records, PHI will need to be s
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hared from the practice. The practice would be the covered entity
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A practice agrees to pay $250,000 to settle a lawsuit alleging that the practice use
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d X-m


rays of one patient to justify services on multiple other patients' claims. The man
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ager of the office brought the civil suit. What type of case is this?
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A. HIPAA
B. Qui Tam m



C. Anti-Kickback
D. Stark case - ANSWER: B. Qui Tam m m m m m m




A Qui Tam case is also known as a whistleblower case. If an individual knows of
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a violation of the FCA, he or she may bring a civil action on behalf of him or hers
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elf and on behalf of the U.S. government (such an individual is called a relator)
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A 16-year-
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old presents to the emergency room with a possible head injury from falling off hi
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s skateboard. The patient was wearing his helmet. Examination reveals no outward
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mhead injury. What ICD-10-CM codes are reported?
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A. S09.90XA, Z04.1, V00.131A, Y93.51 m m m



B. V00.131A, Y93.51, S09.90XA m m



C. S09.90XA, V00.131A, Y93.51 m m



D. Z04.1, V00.131A, Y93.51 - ANSWER: D. Z04.1, V00.131A, Y93.51
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The patient had a possible head injury. ICD-10-
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CM coding guideline, section IV.H indicates not to code diagnoses that indicate u
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ncertainty. The head injury code, S09.90XA, is not reported. ICD-10-
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CM guideline, I.21.c.6, Observation Codes are reported when a person is being ob
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served for a suspected condition that is ruled out. In the ICD-10-
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CM Alphabetic Index look for Observation/accident/transport referring you to Z0
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4.1. Verify code in the Tabular List. The observation codes are to be used as a pri
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ncipal diagnosis only. ICD-10-
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CM guideline, I.C.20.a.6, An External Cause code can never be a principal diagn
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osis. Look in the Alphabetical Index to External Causes of Injures for Accident/tr
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ansport/pedestrian/conveyance/skateboard/fall. This index refers you V00.131, wh m m m m m m


ich needs a 7th character A. Then look for Activity/skateboarding.
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This refers you to Y93.51. Verify all codes in the Tabular List.
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After testing a newborn in the NICU, the newborn is found to have hypothyroidis
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m due to congenital absence of a thyroid gland. How is this reported for the newbo
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rn?
A. E03.4m



B. E03.1m



C. P72.2m



D. E03.8 - ANSWER: B. E03.1
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Congenital means present at birth. Although it seems like a code from the congeni
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tal anomaly chapter would apply to a congenital condition, not all congenital code
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s appear there. From the ICD-10-
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CM Alphabetic Index look for Hypothyroidism/congenital (without goiter). You a
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re referred to E03.1. In the Tabular List under code E03.4 there is an excludes not
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e that indicates Congenital atrophy of thyroid is excluded from E03.4, meaning yo
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u do not code E03.4 for congenital hypothyroidism. Because congenital hypothyr
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oidism is classified to a specific code, a nonspecific alternative E03.8 is not appro
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priate. This thyroid disorder is not transitory, since it is permanent, therefore code
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mP72.2 is incorrect m m




What is the ICD-10-CM code for DM?
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A. E09.9m



B. E11.9m



C.E10.9
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D. Z71.3 - ANSWER: B. E11.9
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DM is the medical abbreviation for diabetes mellitus. In the ICD-10-
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CM Alphabetic Index, look for Diabetes, diabetic (mellitus) (sugar). You are referr
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ed to E11.9. In the Tabular List locate code E11.9. ICD-10-
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CM Official Guideline Section I.C.4.a.2. states if the type of diabetes mellitus is n
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ot documented in the medical record the default is subcategory E11, type 2 diabet
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es mellitus
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