AAPC CPC Practice Exam B: Questions/Answers
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. ✔️Ans - 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 ✔️Ans - 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?
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. ✔️Ans - 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 ✔️Ans - 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?
