AAPC - Chapter 5 Review Exam Test with 100%
Verified Answers
Can Z codes be listed as a primary code? - -D: Yes; Z codes can be
sequenced as primary and secondary codes.
Rationale: ICD-10-CM guideline I.C.21.a indicates Z codes may be used as
either a first listed (principal diagnosis code in the inpatient setting) or
secondary code, depending on the circumstances of the encounter. Z codes
are not external cause codes. The external cause codes are listed in chapter
20 in the Tabular List and begin with alpha characters V, W, or Y, and can only
be reported as secondary codes.
In which circumstances would an external cause code be reported? - -
B: Causes of injury or health condition.
Rationale: ICD-10-CM guideline I.C.20.a.1 states, an external cause code may
be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that
is a health condition due to an external cause. Though they are most
applicable to injuries, they are also valid for use with such things as infections
or diseases due to an external source, and other health conditions, such as
heart attack that occurs during strenuous physical activity.
What does the root word colp/o stand for? - -B: Vagina
Rationale: Colp/o is the combining form referring to the vagina. As examples,
colpocele (N81.5) and colpocystitis (N76.0) are medical conditions of the
vagina.
, AAPC - Chapter 5 Review Exam Test with 100%
Verified Answers
What does the 7th character A indicate in Chapter 19? - -A :Initial
encounter
Rationale: According to ICD-10-CM guideline I.C.19.a. the 7th character A
represents the initial encounter for each encounter where active treatment is
received for the condition.
The provider documents CKD stage 5 and ESRD. What ICD-10-CM code(s)
is/are reported? - -D: N18.6
Rationale: According to ICD-10-CM guideline I.C.14.a.1 when both a stage of
CKD and ESRD are documented, you assign only code N18.6. Verify code
selection in the Tabular List.
A patient is seen in the nursing home for dizziness and a healed stage II
pressure ulcer is also noted. What ICD-10-CM code(s) is/are reported? -
-D: R42
Rationale: Dizziness is found in the ICD-10-CM Alphabetic Index by looking for
Dizziness and verified in the Tabular List as R42. The pressure ulcer is stated
as healed and would not be coded according to ICD-10-CM guideline
I.C.12.a.4, "No code is assigned if the documentation states that the pressure
ulcer is completely healed."
Verified Answers
Can Z codes be listed as a primary code? - -D: Yes; Z codes can be
sequenced as primary and secondary codes.
Rationale: ICD-10-CM guideline I.C.21.a indicates Z codes may be used as
either a first listed (principal diagnosis code in the inpatient setting) or
secondary code, depending on the circumstances of the encounter. Z codes
are not external cause codes. The external cause codes are listed in chapter
20 in the Tabular List and begin with alpha characters V, W, or Y, and can only
be reported as secondary codes.
In which circumstances would an external cause code be reported? - -
B: Causes of injury or health condition.
Rationale: ICD-10-CM guideline I.C.20.a.1 states, an external cause code may
be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that
is a health condition due to an external cause. Though they are most
applicable to injuries, they are also valid for use with such things as infections
or diseases due to an external source, and other health conditions, such as
heart attack that occurs during strenuous physical activity.
What does the root word colp/o stand for? - -B: Vagina
Rationale: Colp/o is the combining form referring to the vagina. As examples,
colpocele (N81.5) and colpocystitis (N76.0) are medical conditions of the
vagina.
, AAPC - Chapter 5 Review Exam Test with 100%
Verified Answers
What does the 7th character A indicate in Chapter 19? - -A :Initial
encounter
Rationale: According to ICD-10-CM guideline I.C.19.a. the 7th character A
represents the initial encounter for each encounter where active treatment is
received for the condition.
The provider documents CKD stage 5 and ESRD. What ICD-10-CM code(s)
is/are reported? - -D: N18.6
Rationale: According to ICD-10-CM guideline I.C.14.a.1 when both a stage of
CKD and ESRD are documented, you assign only code N18.6. Verify code
selection in the Tabular List.
A patient is seen in the nursing home for dizziness and a healed stage II
pressure ulcer is also noted. What ICD-10-CM code(s) is/are reported? -
-D: R42
Rationale: Dizziness is found in the ICD-10-CM Alphabetic Index by looking for
Dizziness and verified in the Tabular List as R42. The pressure ulcer is stated
as healed and would not be coded according to ICD-10-CM guideline
I.C.12.a.4, "No code is assigned if the documentation states that the pressure
ulcer is completely healed."
