AAPC CPC Practice Exam B
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 malfunction.
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. - ANSWER 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.
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 - ANSWER 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).
Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
D. Private plans - ANSWER C. Workers' compensation
Workers' compensation is excluded from the definition of a health plan under the Health
Insurance Portability and Accountability Act (HIPAA). Workers' compensation plans are not
required to meet HIPAA standards for privacy, security or code sets.
Which of the following is an example of electronic data?
A. A digital X-ray
B. An explanation of benefits
C. An advance beneficiary notice
D. A written prescription - ANSWER A. A digital X-ray
While B, C, or D might be done electronically, by definition they aren't required to be done
electronically. A digital X-ray is an X-ray with an image that is stored electronically rather than on
film, and so A is the correct answer.
Which statement is TRUE about Z codes:
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 malfunction.
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. - ANSWER 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.
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 - ANSWER 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).
Which health plan does NOT fall under HIPAA?
A. Medicaid
B. Medicare
C. Workers' compensation
D. Private plans - ANSWER C. Workers' compensation
Workers' compensation is excluded from the definition of a health plan under the Health
Insurance Portability and Accountability Act (HIPAA). Workers' compensation plans are not
required to meet HIPAA standards for privacy, security or code sets.
Which of the following is an example of electronic data?
A. A digital X-ray
B. An explanation of benefits
C. An advance beneficiary notice
D. A written prescription - ANSWER A. A digital X-ray
While B, C, or D might be done electronically, by definition they aren't required to be done
electronically. A digital X-ray is an X-ray with an image that is stored electronically rather than on
film, and so A is the correct answer.
Which statement is TRUE about Z codes:
