AAPC CPC Chapter 4 Test Questions with Answers Rated A
A patient with chronic back and neck pain C
developed a drug dependency on oxycodone
(opioid). After being taken off the drug, he was
seen in the clinic for withdrawal symptoms. What A 33 year-old patient visits his primary care
ICD-10-CM codes are reported? provider to discuss lap band procedure for his
A) F11.23, T40.2X5S morbid obesity. His caloric intake is in excess of
B) F11.24, T40.2X5D 4,000 calories per day and his BMI is currently
C) F11.23, T40.2X5A 45. What ICD-10-CM code(s) is/are reported?
D) F11.10, F11.23, T40.2X5A - ANSWER - A) E66.01
C B) E66.01, Z68.42
C) E66.01, Z68.45
D) E66.3, Z68.45 - ANSWER -B
A 58 year-old patient sees the provider for
confusion and loss of memory. The provider
diagnoses the patient with early onset stages of A young male, was brought to the clinic by his
Alzheimer's disease with dementia. What ICD- mom. He has had periods of major depression for
10-CM codes are reported? many years and is on Lithium. His provider also
A) G30.0, F02.80, F29, R41.3 manages his migraine headaches and epilepsy.
B) F02.80, G30.0 During the past week, he became psychotic,
C) G30.0, F02.80 hearing voices to kill himself and intense feelings
D) F02.80, G30.0, F29, R41.3 - ANSWER - of worthlessness. On the day of the clinic visit, he
C had an epileptic seizure that could not be
controlled by medication. He was admitted for
Lithium adjustment. Final diagnoses are: Severe
An elderly male patient presents to the ED depression with psychotic behavior and epileptic
complaining of a high fever the day prior to the seizure poorly controlled with medication. What
encounter and of extreme lethargy. He has a ICD-10-CM codes should be reported?
history of benign hypertension which has been A) F33.3, G43.909, G40.909
elevated. On arrival he was examined and B) F33.2, G40.909
admitted, with possible septic urinary tract C) F33.3, G40.919
infection and concern for his elevated blood D) F33.1, G43.919, G40.919C - ANSWER -
pressure. He was noted to have hematuria. C
Positive UTI and pseudomonas showed in the
urine culture and IV antibiotics were
administered. During the course of the day, his The provider sees a 70 year-old patient with
fever decreased and his lethargy improved. He documented history of being combative and
was noted to have hematuria. As the IV fluids aggressive in the nursing home. The provider
were decreased, he resumed a benign diagnoses the patient with dementia and refers
hypertensive state. On the next hospital day, the the patient to a neurologist for further evaluation.
urine was clear and he was discharged on oral What ICD-10-CM code(s) is/are reported?
antibiotics, with septicemia ruled out. What ICD- A) F03.90
10-CM codes should be reported? B) F03.90, F03.91
A) I10, B95.6, R31.9, N39.0 C) F03.91
B) B96.5, N39.0, I10, R31.9 D) F03.91, F03.91 - ANSWER -C
C) N39.0, B96.5, I10
D) B95.6, A41.52, N39.0, I10 - ANSWER -
, AAPC CPC Chapter 4 Test Questions with Answers Rated A
A pediatrician sees an 8 month-old patient for A) D36.7
ear pulling and excessive crying. The infant is B) D49.2
diagnosed with bilateral chronic and acute C) C79.89
serous otitis media. What ICD-10-CM code(s) D) C49.3 - ANSWER -A
is/are reported?
A) H65.03, H65.23 (sequence acute code first,
but also include chronic) A patient is having surgery to repair a recurrent
B) H65.20 left inguinal hernia without obstruction. What ICD-
C) H65.21, H65.22 10-CM code is reported?
D) H65.93 - ANSWER -A A) K40.91
B) K40.90
C) K40.21
A 32 year-old patient with an ophthalmoplegic D) K40.20 - ANSWER -A
migraine is not responding to medication and is
admitted to the observation unit. What ICD-10-
CM code is reported? A patient returns to the provider for an injection to
A) G43.119 relieve low back pain from a car accident. What
B) G43.B1 ICD-10-CM code(s) is/are reported?
C) G43.B0 A) G89.21, M54.5
D) G43.101 - ANSWER -B B) G89.11, M54.5
C) M54.5 (Pain is not described as acute or
chronic, so no g89 code is reported)
What diagnosis code is reported for secondary D) M54.5, G89.11 - ANSWER -C
neoplasm of the descending colon?
A) C19
B) D01.0 When it is documented that the patient is both
C) C78.5 using tobacco and has a dependence on
D) C18.6 - ANSWER -C tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code
reported based on the hierarchy in the ICD-10-
Patient presents to this clinic with palpitations, CM guidelines.
weight loss, bulging eyes and extreme B) The use of tobacco and the dependence on
nervousness. The tests ordered come back tobacco are both reported.
positive with Graves' disease. Select the ICD-10- C) The use of tobacco is reported with a code for
CM code(s) to report. history of tobacco use to report the dependence
A) E05.01 on tobacco.
B) E05.00, R00.2, R63.4, H57.8, R45.0 D) The use of tobacco is the only code reported
C) R00.2, R63.4, H57.8, R45.0, E05.01 because it is considered acute. -
D) E05.00 - ANSWER -D ANSWER -A
A 50 year-old patient has a mass removed from According to ICD-10-CM guidelines, what is the
his chest. The surgeon sends it to pathology. maximum length of time for a A) Only at the time
The pathology report indicates the mass is a of occurrence
benign tumor. B) Eight weeks
What ICD-10-CM code is reported? C) Four weeks (28 days)
A patient with chronic back and neck pain C
developed a drug dependency on oxycodone
(opioid). After being taken off the drug, he was
seen in the clinic for withdrawal symptoms. What A 33 year-old patient visits his primary care
ICD-10-CM codes are reported? provider to discuss lap band procedure for his
A) F11.23, T40.2X5S morbid obesity. His caloric intake is in excess of
B) F11.24, T40.2X5D 4,000 calories per day and his BMI is currently
C) F11.23, T40.2X5A 45. What ICD-10-CM code(s) is/are reported?
D) F11.10, F11.23, T40.2X5A - ANSWER - A) E66.01
C B) E66.01, Z68.42
C) E66.01, Z68.45
D) E66.3, Z68.45 - ANSWER -B
A 58 year-old patient sees the provider for
confusion and loss of memory. The provider
diagnoses the patient with early onset stages of A young male, was brought to the clinic by his
Alzheimer's disease with dementia. What ICD- mom. He has had periods of major depression for
10-CM codes are reported? many years and is on Lithium. His provider also
A) G30.0, F02.80, F29, R41.3 manages his migraine headaches and epilepsy.
B) F02.80, G30.0 During the past week, he became psychotic,
C) G30.0, F02.80 hearing voices to kill himself and intense feelings
D) F02.80, G30.0, F29, R41.3 - ANSWER - of worthlessness. On the day of the clinic visit, he
C had an epileptic seizure that could not be
controlled by medication. He was admitted for
Lithium adjustment. Final diagnoses are: Severe
An elderly male patient presents to the ED depression with psychotic behavior and epileptic
complaining of a high fever the day prior to the seizure poorly controlled with medication. What
encounter and of extreme lethargy. He has a ICD-10-CM codes should be reported?
history of benign hypertension which has been A) F33.3, G43.909, G40.909
elevated. On arrival he was examined and B) F33.2, G40.909
admitted, with possible septic urinary tract C) F33.3, G40.919
infection and concern for his elevated blood D) F33.1, G43.919, G40.919C - ANSWER -
pressure. He was noted to have hematuria. C
Positive UTI and pseudomonas showed in the
urine culture and IV antibiotics were
administered. During the course of the day, his The provider sees a 70 year-old patient with
fever decreased and his lethargy improved. He documented history of being combative and
was noted to have hematuria. As the IV fluids aggressive in the nursing home. The provider
were decreased, he resumed a benign diagnoses the patient with dementia and refers
hypertensive state. On the next hospital day, the the patient to a neurologist for further evaluation.
urine was clear and he was discharged on oral What ICD-10-CM code(s) is/are reported?
antibiotics, with septicemia ruled out. What ICD- A) F03.90
10-CM codes should be reported? B) F03.90, F03.91
A) I10, B95.6, R31.9, N39.0 C) F03.91
B) B96.5, N39.0, I10, R31.9 D) F03.91, F03.91 - ANSWER -C
C) N39.0, B96.5, I10
D) B95.6, A41.52, N39.0, I10 - ANSWER -
, AAPC CPC Chapter 4 Test Questions with Answers Rated A
A pediatrician sees an 8 month-old patient for A) D36.7
ear pulling and excessive crying. The infant is B) D49.2
diagnosed with bilateral chronic and acute C) C79.89
serous otitis media. What ICD-10-CM code(s) D) C49.3 - ANSWER -A
is/are reported?
A) H65.03, H65.23 (sequence acute code first,
but also include chronic) A patient is having surgery to repair a recurrent
B) H65.20 left inguinal hernia without obstruction. What ICD-
C) H65.21, H65.22 10-CM code is reported?
D) H65.93 - ANSWER -A A) K40.91
B) K40.90
C) K40.21
A 32 year-old patient with an ophthalmoplegic D) K40.20 - ANSWER -A
migraine is not responding to medication and is
admitted to the observation unit. What ICD-10-
CM code is reported? A patient returns to the provider for an injection to
A) G43.119 relieve low back pain from a car accident. What
B) G43.B1 ICD-10-CM code(s) is/are reported?
C) G43.B0 A) G89.21, M54.5
D) G43.101 - ANSWER -B B) G89.11, M54.5
C) M54.5 (Pain is not described as acute or
chronic, so no g89 code is reported)
What diagnosis code is reported for secondary D) M54.5, G89.11 - ANSWER -C
neoplasm of the descending colon?
A) C19
B) D01.0 When it is documented that the patient is both
C) C78.5 using tobacco and has a dependence on
D) C18.6 - ANSWER -C tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code
reported based on the hierarchy in the ICD-10-
Patient presents to this clinic with palpitations, CM guidelines.
weight loss, bulging eyes and extreme B) The use of tobacco and the dependence on
nervousness. The tests ordered come back tobacco are both reported.
positive with Graves' disease. Select the ICD-10- C) The use of tobacco is reported with a code for
CM code(s) to report. history of tobacco use to report the dependence
A) E05.01 on tobacco.
B) E05.00, R00.2, R63.4, H57.8, R45.0 D) The use of tobacco is the only code reported
C) R00.2, R63.4, H57.8, R45.0, E05.01 because it is considered acute. -
D) E05.00 - ANSWER -D ANSWER -A
A 50 year-old patient has a mass removed from According to ICD-10-CM guidelines, what is the
his chest. The surgeon sends it to pathology. maximum length of time for a A) Only at the time
The pathology report indicates the mass is a of occurrence
benign tumor. B) Eight weeks
What ICD-10-CM code is reported? C) Four weeks (28 days)
