AAPC CPC Practice Exam B
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1. Which statement is an example in which a diabetes-related problem exists
and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunc-
tion.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition.: A. If the patient has an underdose
of insulin due to an insulin pump malfunction.
The ICD-10-CM guidelines (Section I.C.4.a.5): An underdose of insulin due to an insulin pump failure should be
assigned T85.6-, as the principal or first listed code, followed by code T38.3X6-. Additional codes for the type of diabetes
mellitus should also be assigned.
2. Guidelines from which of the following code sets are included as part of the
code set requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes: B. ICD-10-CM
ICD-10-CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA requires the use of the
other code sets listed, there is no specific mention of the other guidelines in the law. This information is found in
the ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-CM codebook: These guidelines are a set
of rules that have been developed to accompany and complement the official conventions and instructions provided
within the ICD-10-CM itself. These guidelines are based on the coding and sequencing instructions in Volumes I, II
and III of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM
diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA).
3. Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
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Study online at https://quizlet.com/_8us3fr
1. Which statement is an example in which a diabetes-related problem exists
and the code for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunc-
tion.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition.: A. If the patient has an underdose
of insulin due to an insulin pump malfunction.
The ICD-10-CM guidelines (Section I.C.4.a.5): An underdose of insulin due to an insulin pump failure should be
assigned T85.6-, as the principal or first listed code, followed by code T38.3X6-. Additional codes for the type of diabetes
mellitus should also be assigned.
2. Guidelines from which of the following code sets are included as part of the
code set requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes: B. ICD-10-CM
ICD-10-CM guidelines are the only guidelines specifically mentioned in HIPAA. While HIPAA requires the use of the
other code sets listed, there is no specific mention of the other guidelines in the law. This information is found in
the ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-CM codebook: These guidelines are a set
of rules that have been developed to accompany and complement the official conventions and instructions provided
within the ICD-10-CM itself. These guidelines are based on the coding and sequencing instructions in Volumes I, II
and III of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM
diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA).
3. Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
1/3
