Review For AAPC CPC Exam 2023
Questions And Answers
15-year-
olddmaledisdseendbydthedpediatriciandindhisdofficedfordhavingdexcessivedthirstdanddfrequentdu
rination.dAdurineddipdisdperformeddshowingd+3dsugardanddwithdsomedketones.dGlucometerdr
eadingdisddonedshowingdadblooddsugardrangedofd500-
600.dPhysiciandsendsdthedpatientdwithdhisdfatherdtodthedhospitaldfordemergencydadmissionda
nddinsulinddrip.dThedpediatriciandmeetsdthedpatientdatdthedhospitaldanddperformsdadmedicall
ydappropriatedhistorydandexamdcontinuingdtreatmentdfordthedpatient.dHowdshoulddthedpedia
triciandcodedthedE/Mdservicedfordthisdvisit?
dA.dOfficedvisitdE/Mdcodedonlyd
B.dInitialdHospitaldInpatientdE/MdcodedanddOfficedVisitdE/Mdcodedwithdmodifierd25d
C.dInitialdHospitaldInpatientdE/Mdcodedonlyd
D.dSubsequentdHospitaldInpatientdE/Mdcoded-dCORRECTddANSWER-
b.dInitialdhospitaldinpatientdE/MdcodedanddofficedvisitdE/Mdcoedwithdmodifierd25d
AccordingdtodCPT®dsubsectiondguidelinesdfordInitialdHospitaldCare:dWhendthedpatientdisdad
mitteddtodthedhospitaldasdandinpatientdordtodobservationdstatusdindthedcoursedofdandencounte
rdindanotherdsitedofdserviced(eg,dhospitaldemergencyddepartment,doffice,dnursingdfacility),dth
edservicesdindthedinitialdsitedmaydbedseparatelydreported.dModifierd25dmaydbedaddeddtodthed
otherdevaluationdanddmanagementdservicedtodindicatedadsignificant,dseparatelydidentifiable
dservicedbydthedsamedphysiciandordotherdqualifieddhealthdcaredprofessionaldwasdperformedd
ondthedsameddate.
Ad2-year-
olddmaledrequiresdadcentraldvenousdcatheter.dUsingdxylocainedlocaldanesthesiadadpercutan
eousdapproachdisduseddindthedneckdanddvenousdaccessdisdachieved.dAdsubcutaneousdtunn
eldisdcreateddfromdthedanteriordchestdwalldtodthedvenotomydsitedanddthedcatheterdpasseddthr
oughdthedtunnel.dThedCVdcatheterdisdthendplaceddatdthedsuperiordvenadcavadanddsutureddind
position.dWhichdproceduredcodedisdreported?
A.d36568d
B.d36555d
C.d36557d
D.d36560d-dCORRECTddANSWER-c.d36557
Thedselectiondofdthedcentraldvenousdcodesdaredbaseddondthedtechniquedofdplacement,difdthe
redisdadusedofdportdordpump,danddthedagedofdthedpatient.dProceduredperformeddisdfordplacem
entdofdadcentraldvenousdcatheterdeliminatingdmultipledchoicedA.dAndaccessddevicedisdnotdins
erteddeliminatingdmultipledchoicedD.dTheddocumentationdsupportsdthatdadsubcutaneousdtun
neldisdcreateddtodplacedthedcatheterdguidingdyoudtodcoded36557.
,Ad22dyeardolddisdindandoutpatientdfacilitydfordandinguinaldherniadrepair.dJustdbeforedsurgery,dt
hedsurgeonddiscoversdthedpatientdisdpositivedfordMRSAdanddthedsurgerydisdcanceled.dWhich
dICD-10-CMdcode(s)dshoudldbedreporteddfordthedoutpatientdservice?
a.dA49.02
b.dA49.01,dK40.90,dZ53.09
c.dZ53.09
d.dK40.90,dA49.02,dZ53.09d-dCORRECTddANSWER-d.dK40.90,dA49.02,dZ53.09
ICD-10-
CMdguidelinedfordoutpatientdservicesdIV.A.1dstatesdtodreportdreasondfordthedsurgerydasdthedfi
rstdlistedddiagnosisdevendifdthedsurgerydisdcanceleddduedtodadcontraindication.
Ad24dyeardolddwomanddevelopeddadkeloiddscardasdadresultdofdadthirdddegreedburndsondthedL
EFTdupperdarm.dWhatdICD-10-Cmdcode(s)dis/aredreports?
a.dL91.0
b.dT22.332D
c.dL91.0,dT22.332S
d.dT22.332A,dL91.0d-dCORRECTddANSWER-c.dL91.0,dT22.332S
Adkeloiddisdadtypedofdscardresultingdfromdgranulationdtissuedatdthedsitedofdadhealeddskindinjur
y.dThisdwoulddbedconsidereddadsequelad(latedeffect)dafterdthedacutedphasedofdthedburn.dPerdI
CD-10-
CMdguidelinedI.B.10,dcodingdofdsequeladgenerallydrequiresd2dcodesdsequenceddindthedfollo
wingdorder:dthedconditiondordnaturedofdthedsequeladisdsequenceddfirstd(keloiddscar).dThedseq
ueladcodedisdsequenceddsecond.
Ad24-year-
olddpatientdhaddandabscessdbydherdvulvadwhichdburst.dShedhasddevelopeddadsoftdtissuedinfe
ctiondcauseddbydgasdgangrene.dThedareadwasddebrideddofdnecroticdinfecteddtissue.dAlldofdth
edpusdwasdremoveddanddirrigationdwasdperformeddwithdadliterdofdsalineduntildcleardanddclean
.dThedinfecteddareadwasdcompletelyddraineddanddthedwounddwasdpackeddgentlydwithdsteriled
salinedmoisteneddgauzedanddpadsdweredplaceddondtopdofdthis.dThedcorrectdCPT®dcodedis:
dA.d56405d
B.d10061d
C.d11004d
D.d11042d-dCORRECTddANSWER-c.d11004
Thedabscessdhaddalreadydburst,dwithdnodneeddtodperformdandincisiondtodopendit,deliminating
dmultipledchoicedanswersdAdanddB.dTheddifferencedbetweendmultipledchoicedanswersdCdand
dD,disdthatdthedpatientdisdhavingdtheddebridementdperformeddduedtodadsoftdtissuedinfectiondind
thedperineumdarea.dThedcorrectdcodedisd11004dforddebridementdofdnecrotizeddinfecteddtiss
uedondthedexternaldgenitalia.
Ad41dyeardolddmaledisdindhisddoctor'sdofficedfordadfollowdupdofdandabnormalitydwhichdwasdnot
eddondandabdominaldCTdscan.dHedalsodhaddadchestdx-
rayd(PAdanddlateraldviews)dperformeddindthedofficedduedtodchestdtightness.dHedstatesdhedoth
erwisedfeelsdwelldanddisdheredtodgodoverdthedresultsdofdhisdchestdx-
,raydperformeddindthedoffice,danddthedCTdscandperformeddatdtheddiagnosticdcenter.dThedresul
tsdofdthedchestdx-
raydwerednormal.dCTdscandofdthedabdomendshoweddadsmalldmassdindhisdRIGHTdupperdqua
drant.dWhatdCPTdcodesdaredreporteddfordtheddoctor'sdofficedradiologicaldservices?
a.d71046-26,d74150-26
b.d71046,74150
c.d71046-26,d74150
d.d71046,d74150-26d-dCORRECTddANSWER-d.d71046,d74150-26
LookdindthedCPTdindexdfordx-
ray/chest.dCoded71046disdthedcorrectdcodedford2dviews.dThedchestdx-
raydwasdtakendindtheddoctor'sdofficedanddinterpreted.dThisdmeansdtheddoctor'sdofficedcandbill
dthedcodedwithoutdappendingdadmodifier.dNextdlookdindthedCPTdbookdfordCT/scan/withoutdco
ntrast/abdomen.dThedcorrectdcodedfordthedCTdscandisd74150.dModifierd26disdappendeddtodth
edCTdscandcode,dasditdwasdperformeddatdanotherdsitedanddtheddoctordonlydinterpreteddthedim
age
Ad45-year-
olddmaledisdindoutpatientdsurgerydtodexcisedadbasaldcelldcarcinomadofdthedrightdnosedanddha
vedreconstructiondwithdandadvancementdflap.dThed1.2dcmdlesiondwithdandexcisedddiameterd
ofd1.5dcmdwasdexciseddwithdad15-
bladedscalpelddowndtodthedleveldofdthedsubcutaneousdtissue,dtotalingdadprimaryddefectdofd1.
8dcm.dElectrocauterydwasduseddfordhemostasis.dAndadjacentdtissuedtransferdofd3dsqdcmdwa
sdtakendfromdthednasolabialdfolddanddwasdadvanceddintodthedprimaryddefect.dWhichdCPT®d
code(s)disd(are)dreported?
dA.d14060d
B.d11642,d14060d
C.d11642,d15115d
D.d15574d-dCORRECTddANSWER-A.d14060
Andadjacentdtissuedtransferd(advancementdflap)dwasduseddtodrepairdaddefectdondthednosedd
uedtodandexcisiondofdadmalignantdlesion,deliminatingdmultipledchoicedanswersdCdanddD.dThed
sectiondguidelinesdindthedCPT®dcodebookdfordAdjacentdTissuedordRearrangementdindicated
thatdthedexcisiondofdadbenigndlesiond(11400-11446)dordadmalignantdlesiond(11600-
11646)disdincludeddindcodesdfordadjacentdtissuedtransferd(14000-
14302),danddarednotdseparatelydreported.dThisdeliminatesdmultipledchoicedanswerdB.
Ad46-year-
olddfemaledwithdhistorydofdcervicaldcarcinomadunderwentdplacementdofdandilealdconduit,dwit
hdsubsequentddevelopmentdofdleftdhydronephrosis.dAdretrogradedureteraldcatheterdwasdrec
entlydplaced.dShedreturnsdtodaydfordcatheterdexchange.dPatientdwasdplaceddindthedsupinedo
ndthedoperatingdtable.dThedilealdconduitdwasdaccessed.dThedexistingdcatheterdwasdremoved
doverdadguidewiredanddreplaceddwithdadsimilard10dFrenchd50dcmdlongdlockingdpigtaildcathete
r.dContrastdwasdinjecteddfordmonitoring,dconfirmingdgooddpositiondofdthedcatheterdplacemen
t.dInterpretationdanddreportdisdindthedrecord.dIMPRESSION:dLeftdretrogradedureteraldcathet
erdexchangedviadthedilealdconduit.dHowdisdthisdreported?
dA.d50435d
, B.d50693d
C.d50385d
D.d50688,d75984-26d-dCORRECTddANSWER-d.d50688,d75984-26
Thedpatientdpresentsdfordadureteraldcatheterdexchangedviadthedilealdconduit.d50435disdnotdco
rrectdbecauseditdisdandexchangedofdthedcatheterdpercutaneously.d50693disdperformeddusing
dadpercutaneousdapproachdfordplacementdofdadureteraldstent,dwhichdisdnotdperformeddindthis
dcase.d50385disdperformeddusingdadtransurethraldapproach,dwhichdisdnotdcorrect.dThedexch
angedisdperformeddviadthedilealdconduit,dwhichdisdreporteddwithd50688.dMonitoringdcontrastdi
magingdisdperformed.dTheredisdadparentheticaldnotedunderd50688dthatdstatesdthatdimagingdi
sdreporteddwithd75984.
Ad47-year-
olddpatientdwasdpreviouslydtreateddwithdexternaldfixationdfordadtypedIIIAdopendleftdtibiadfractu
re.dTheredisdnowdnonuniondofdthedleftdproximaldtibiadanddhedisdadmitteddfordopendreductiondo
fdtibiadwithdbonedgrafting.dApproximatelyd30dgramsdofdcancellousdbonedwasdharvesteddfrom
dthediliacdcrest.dThedfracturedsitedwasdexposeddanddthedareadofdnonuniondwasdosteotomized
,dcleaned,danddrepositioned.dInterfragmentarydcompressiondwasdapplieddanddthreedscrews
danddthedharvesteddbonedgraftdweredpackeddintodthedfracturedsite.dWhatdaredthedcorrectdcod
esdfordthisddiagnosisdanddprocedure?
A.d27724,dS82.102Nd
B.d27758,dS82.202Sd
C.d27722,dS82.202Pd
D.d27759,dS82.102Nd-dCORRECTddANSWER-a.d27724,dS82.102N
Thedselectiondofdthedcodedisdbaseddondthedanatomicdlocationdanddmethoddofdrepair.dCodesd
ared27758dandd27759darednotdreporteddwithdthisdscenariodbecausedthedfracturedisdnotdandac
utedtraumaticdfracture.dThedphysiciandisdrepairingdadnonuniondtibiadfractured(failuredofdtwode
ndsdofdadfracturedtodcompletelydheal).dEliminatingdmultipledchoicesdBdanddD.dTodselectdthedc
orrectdchoicedyoudneeddtodfinddoutdwhatdtypedofdgraftdwasdused.dYourdhintsdared"bonedgrafti
ng"dandd"iliacdcrest,"dwhichdleadsdyoudtodthedcoded27724.dThedbonedgraftdwasdharvesteddfr
omdthediliacdcrest,danddthendthedgraftdisdplaceddatdthedfracturedsitedofdthedtibiadcompressingdi
tdforddesireddpositiondanddalignmentdanddthedscrewsdwereduseddtodstabilizedthedfracture.d
IndthedICD-10-CMdAlphabeticdIndex,dlookdfordNonunion/fracture-
seedFracture,dbydsite.dLookdfordFracture,dtraumatic/tibia/upperdenddreferringdyoudtodcodedS
82.10-.dCompetedcodedindthedTabulardList,dS82.102N.dICD-10-
CMdCodingdGuideline,dI.C.19.c.1,dindicatesdCaredofdcomplicationsdofdfractures,dsuchdasdm
aluniondanddnonunion,dshoulddbedreporteddwithdthedappropriated7thdcharacterdfordsubsequ
entdcaredwithdnonuniond(K,dM,dN)dordsubsequentdcaredwithdmaluniond(P,dQ,dR).
Ad50dyeardolddfemaledpresentsdtodherdproviderdwithdsymptomsdofdinsomniadanddupsetdstom
ach.dThedproviderdsuspectsdshedisdindpremenopausal.dShedisddiagnoseddwithdimpendingdm
enopause.dWhatddiagnosisdcoedd(s)dshoulddbedreported?
a.dG47.00,dK30
b.dN95.9
c.dN95.9,dG47.00,dK30
d.dE28.319d-dCORRECTddANSWER-a.dG47.00,dK30
Questions And Answers
15-year-
olddmaledisdseendbydthedpediatriciandindhisdofficedfordhavingdexcessivedthirstdanddfrequentdu
rination.dAdurineddipdisdperformeddshowingd+3dsugardanddwithdsomedketones.dGlucometerdr
eadingdisddonedshowingdadblooddsugardrangedofd500-
600.dPhysiciandsendsdthedpatientdwithdhisdfatherdtodthedhospitaldfordemergencydadmissionda
nddinsulinddrip.dThedpediatriciandmeetsdthedpatientdatdthedhospitaldanddperformsdadmedicall
ydappropriatedhistorydandexamdcontinuingdtreatmentdfordthedpatient.dHowdshoulddthedpedia
triciandcodedthedE/Mdservicedfordthisdvisit?
dA.dOfficedvisitdE/Mdcodedonlyd
B.dInitialdHospitaldInpatientdE/MdcodedanddOfficedVisitdE/Mdcodedwithdmodifierd25d
C.dInitialdHospitaldInpatientdE/Mdcodedonlyd
D.dSubsequentdHospitaldInpatientdE/Mdcoded-dCORRECTddANSWER-
b.dInitialdhospitaldinpatientdE/MdcodedanddofficedvisitdE/Mdcoedwithdmodifierd25d
AccordingdtodCPT®dsubsectiondguidelinesdfordInitialdHospitaldCare:dWhendthedpatientdisdad
mitteddtodthedhospitaldasdandinpatientdordtodobservationdstatusdindthedcoursedofdandencounte
rdindanotherdsitedofdserviced(eg,dhospitaldemergencyddepartment,doffice,dnursingdfacility),dth
edservicesdindthedinitialdsitedmaydbedseparatelydreported.dModifierd25dmaydbedaddeddtodthed
otherdevaluationdanddmanagementdservicedtodindicatedadsignificant,dseparatelydidentifiable
dservicedbydthedsamedphysiciandordotherdqualifieddhealthdcaredprofessionaldwasdperformedd
ondthedsameddate.
Ad2-year-
olddmaledrequiresdadcentraldvenousdcatheter.dUsingdxylocainedlocaldanesthesiadadpercutan
eousdapproachdisduseddindthedneckdanddvenousdaccessdisdachieved.dAdsubcutaneousdtunn
eldisdcreateddfromdthedanteriordchestdwalldtodthedvenotomydsitedanddthedcatheterdpasseddthr
oughdthedtunnel.dThedCVdcatheterdisdthendplaceddatdthedsuperiordvenadcavadanddsutureddind
position.dWhichdproceduredcodedisdreported?
A.d36568d
B.d36555d
C.d36557d
D.d36560d-dCORRECTddANSWER-c.d36557
Thedselectiondofdthedcentraldvenousdcodesdaredbaseddondthedtechniquedofdplacement,difdthe
redisdadusedofdportdordpump,danddthedagedofdthedpatient.dProceduredperformeddisdfordplacem
entdofdadcentraldvenousdcatheterdeliminatingdmultipledchoicedA.dAndaccessddevicedisdnotdins
erteddeliminatingdmultipledchoicedD.dTheddocumentationdsupportsdthatdadsubcutaneousdtun
neldisdcreateddtodplacedthedcatheterdguidingdyoudtodcoded36557.
,Ad22dyeardolddisdindandoutpatientdfacilitydfordandinguinaldherniadrepair.dJustdbeforedsurgery,dt
hedsurgeonddiscoversdthedpatientdisdpositivedfordMRSAdanddthedsurgerydisdcanceled.dWhich
dICD-10-CMdcode(s)dshoudldbedreporteddfordthedoutpatientdservice?
a.dA49.02
b.dA49.01,dK40.90,dZ53.09
c.dZ53.09
d.dK40.90,dA49.02,dZ53.09d-dCORRECTddANSWER-d.dK40.90,dA49.02,dZ53.09
ICD-10-
CMdguidelinedfordoutpatientdservicesdIV.A.1dstatesdtodreportdreasondfordthedsurgerydasdthedfi
rstdlistedddiagnosisdevendifdthedsurgerydisdcanceleddduedtodadcontraindication.
Ad24dyeardolddwomanddevelopeddadkeloiddscardasdadresultdofdadthirdddegreedburndsondthedL
EFTdupperdarm.dWhatdICD-10-Cmdcode(s)dis/aredreports?
a.dL91.0
b.dT22.332D
c.dL91.0,dT22.332S
d.dT22.332A,dL91.0d-dCORRECTddANSWER-c.dL91.0,dT22.332S
Adkeloiddisdadtypedofdscardresultingdfromdgranulationdtissuedatdthedsitedofdadhealeddskindinjur
y.dThisdwoulddbedconsidereddadsequelad(latedeffect)dafterdthedacutedphasedofdthedburn.dPerdI
CD-10-
CMdguidelinedI.B.10,dcodingdofdsequeladgenerallydrequiresd2dcodesdsequenceddindthedfollo
wingdorder:dthedconditiondordnaturedofdthedsequeladisdsequenceddfirstd(keloiddscar).dThedseq
ueladcodedisdsequenceddsecond.
Ad24-year-
olddpatientdhaddandabscessdbydherdvulvadwhichdburst.dShedhasddevelopeddadsoftdtissuedinfe
ctiondcauseddbydgasdgangrene.dThedareadwasddebrideddofdnecroticdinfecteddtissue.dAlldofdth
edpusdwasdremoveddanddirrigationdwasdperformeddwithdadliterdofdsalineduntildcleardanddclean
.dThedinfecteddareadwasdcompletelyddraineddanddthedwounddwasdpackeddgentlydwithdsteriled
salinedmoisteneddgauzedanddpadsdweredplaceddondtopdofdthis.dThedcorrectdCPT®dcodedis:
dA.d56405d
B.d10061d
C.d11004d
D.d11042d-dCORRECTddANSWER-c.d11004
Thedabscessdhaddalreadydburst,dwithdnodneeddtodperformdandincisiondtodopendit,deliminating
dmultipledchoicedanswersdAdanddB.dTheddifferencedbetweendmultipledchoicedanswersdCdand
dD,disdthatdthedpatientdisdhavingdtheddebridementdperformeddduedtodadsoftdtissuedinfectiondind
thedperineumdarea.dThedcorrectdcodedisd11004dforddebridementdofdnecrotizeddinfecteddtiss
uedondthedexternaldgenitalia.
Ad41dyeardolddmaledisdindhisddoctor'sdofficedfordadfollowdupdofdandabnormalitydwhichdwasdnot
eddondandabdominaldCTdscan.dHedalsodhaddadchestdx-
rayd(PAdanddlateraldviews)dperformeddindthedofficedduedtodchestdtightness.dHedstatesdhedoth
erwisedfeelsdwelldanddisdheredtodgodoverdthedresultsdofdhisdchestdx-
,raydperformeddindthedoffice,danddthedCTdscandperformeddatdtheddiagnosticdcenter.dThedresul
tsdofdthedchestdx-
raydwerednormal.dCTdscandofdthedabdomendshoweddadsmalldmassdindhisdRIGHTdupperdqua
drant.dWhatdCPTdcodesdaredreporteddfordtheddoctor'sdofficedradiologicaldservices?
a.d71046-26,d74150-26
b.d71046,74150
c.d71046-26,d74150
d.d71046,d74150-26d-dCORRECTddANSWER-d.d71046,d74150-26
LookdindthedCPTdindexdfordx-
ray/chest.dCoded71046disdthedcorrectdcodedford2dviews.dThedchestdx-
raydwasdtakendindtheddoctor'sdofficedanddinterpreted.dThisdmeansdtheddoctor'sdofficedcandbill
dthedcodedwithoutdappendingdadmodifier.dNextdlookdindthedCPTdbookdfordCT/scan/withoutdco
ntrast/abdomen.dThedcorrectdcodedfordthedCTdscandisd74150.dModifierd26disdappendeddtodth
edCTdscandcode,dasditdwasdperformeddatdanotherdsitedanddtheddoctordonlydinterpreteddthedim
age
Ad45-year-
olddmaledisdindoutpatientdsurgerydtodexcisedadbasaldcelldcarcinomadofdthedrightdnosedanddha
vedreconstructiondwithdandadvancementdflap.dThed1.2dcmdlesiondwithdandexcisedddiameterd
ofd1.5dcmdwasdexciseddwithdad15-
bladedscalpelddowndtodthedleveldofdthedsubcutaneousdtissue,dtotalingdadprimaryddefectdofd1.
8dcm.dElectrocauterydwasduseddfordhemostasis.dAndadjacentdtissuedtransferdofd3dsqdcmdwa
sdtakendfromdthednasolabialdfolddanddwasdadvanceddintodthedprimaryddefect.dWhichdCPT®d
code(s)disd(are)dreported?
dA.d14060d
B.d11642,d14060d
C.d11642,d15115d
D.d15574d-dCORRECTddANSWER-A.d14060
Andadjacentdtissuedtransferd(advancementdflap)dwasduseddtodrepairdaddefectdondthednosedd
uedtodandexcisiondofdadmalignantdlesion,deliminatingdmultipledchoicedanswersdCdanddD.dThed
sectiondguidelinesdindthedCPT®dcodebookdfordAdjacentdTissuedordRearrangementdindicated
thatdthedexcisiondofdadbenigndlesiond(11400-11446)dordadmalignantdlesiond(11600-
11646)disdincludeddindcodesdfordadjacentdtissuedtransferd(14000-
14302),danddarednotdseparatelydreported.dThisdeliminatesdmultipledchoicedanswerdB.
Ad46-year-
olddfemaledwithdhistorydofdcervicaldcarcinomadunderwentdplacementdofdandilealdconduit,dwit
hdsubsequentddevelopmentdofdleftdhydronephrosis.dAdretrogradedureteraldcatheterdwasdrec
entlydplaced.dShedreturnsdtodaydfordcatheterdexchange.dPatientdwasdplaceddindthedsupinedo
ndthedoperatingdtable.dThedilealdconduitdwasdaccessed.dThedexistingdcatheterdwasdremoved
doverdadguidewiredanddreplaceddwithdadsimilard10dFrenchd50dcmdlongdlockingdpigtaildcathete
r.dContrastdwasdinjecteddfordmonitoring,dconfirmingdgooddpositiondofdthedcatheterdplacemen
t.dInterpretationdanddreportdisdindthedrecord.dIMPRESSION:dLeftdretrogradedureteraldcathet
erdexchangedviadthedilealdconduit.dHowdisdthisdreported?
dA.d50435d
, B.d50693d
C.d50385d
D.d50688,d75984-26d-dCORRECTddANSWER-d.d50688,d75984-26
Thedpatientdpresentsdfordadureteraldcatheterdexchangedviadthedilealdconduit.d50435disdnotdco
rrectdbecauseditdisdandexchangedofdthedcatheterdpercutaneously.d50693disdperformeddusing
dadpercutaneousdapproachdfordplacementdofdadureteraldstent,dwhichdisdnotdperformeddindthis
dcase.d50385disdperformeddusingdadtransurethraldapproach,dwhichdisdnotdcorrect.dThedexch
angedisdperformeddviadthedilealdconduit,dwhichdisdreporteddwithd50688.dMonitoringdcontrastdi
magingdisdperformed.dTheredisdadparentheticaldnotedunderd50688dthatdstatesdthatdimagingdi
sdreporteddwithd75984.
Ad47-year-
olddpatientdwasdpreviouslydtreateddwithdexternaldfixationdfordadtypedIIIAdopendleftdtibiadfractu
re.dTheredisdnowdnonuniondofdthedleftdproximaldtibiadanddhedisdadmitteddfordopendreductiondo
fdtibiadwithdbonedgrafting.dApproximatelyd30dgramsdofdcancellousdbonedwasdharvesteddfrom
dthediliacdcrest.dThedfracturedsitedwasdexposeddanddthedareadofdnonuniondwasdosteotomized
,dcleaned,danddrepositioned.dInterfragmentarydcompressiondwasdapplieddanddthreedscrews
danddthedharvesteddbonedgraftdweredpackeddintodthedfracturedsite.dWhatdaredthedcorrectdcod
esdfordthisddiagnosisdanddprocedure?
A.d27724,dS82.102Nd
B.d27758,dS82.202Sd
C.d27722,dS82.202Pd
D.d27759,dS82.102Nd-dCORRECTddANSWER-a.d27724,dS82.102N
Thedselectiondofdthedcodedisdbaseddondthedanatomicdlocationdanddmethoddofdrepair.dCodesd
ared27758dandd27759darednotdreporteddwithdthisdscenariodbecausedthedfracturedisdnotdandac
utedtraumaticdfracture.dThedphysiciandisdrepairingdadnonuniondtibiadfractured(failuredofdtwode
ndsdofdadfracturedtodcompletelydheal).dEliminatingdmultipledchoicesdBdanddD.dTodselectdthedc
orrectdchoicedyoudneeddtodfinddoutdwhatdtypedofdgraftdwasdused.dYourdhintsdared"bonedgrafti
ng"dandd"iliacdcrest,"dwhichdleadsdyoudtodthedcoded27724.dThedbonedgraftdwasdharvesteddfr
omdthediliacdcrest,danddthendthedgraftdisdplaceddatdthedfracturedsitedofdthedtibiadcompressingdi
tdforddesireddpositiondanddalignmentdanddthedscrewsdwereduseddtodstabilizedthedfracture.d
IndthedICD-10-CMdAlphabeticdIndex,dlookdfordNonunion/fracture-
seedFracture,dbydsite.dLookdfordFracture,dtraumatic/tibia/upperdenddreferringdyoudtodcodedS
82.10-.dCompetedcodedindthedTabulardList,dS82.102N.dICD-10-
CMdCodingdGuideline,dI.C.19.c.1,dindicatesdCaredofdcomplicationsdofdfractures,dsuchdasdm
aluniondanddnonunion,dshoulddbedreporteddwithdthedappropriated7thdcharacterdfordsubsequ
entdcaredwithdnonuniond(K,dM,dN)dordsubsequentdcaredwithdmaluniond(P,dQ,dR).
Ad50dyeardolddfemaledpresentsdtodherdproviderdwithdsymptomsdofdinsomniadanddupsetdstom
ach.dThedproviderdsuspectsdshedisdindpremenopausal.dShedisddiagnoseddwithdimpendingdm
enopause.dWhatddiagnosisdcoedd(s)dshoulddbedreported?
a.dG47.00,dK30
b.dN95.9
c.dN95.9,dG47.00,dK30
d.dE28.319d-dCORRECTddANSWER-a.dG47.00,dK30
