AAPC CRC practice exam 3 Questions With Complete
Solutions
A 77 year-old male presents for follow up with his primary care
provider. The provider documents a healed pressure ulcer of the
right heel and hypertension. The Assessment and Plan is: A/P
healed pressure ulcer of right heel, no further treatment and
hypertension.
Assign the correct ICD-10-CM code(s) for this visit.
A. L89.619, I10
B. I10, L89.619
C. L89.610, I10
D. I10
D. I10
An AV fistula connects:
A. The aorta to a vein
B. An artery to a varicose vein
C. An artery to a vein
D. An artery to a ventricle
C. An artery to a vein
A 65 year-old male patient was admitted with ascending
cellulitis and infection of a 2nd, 3rd, and 4th toes amputation
site. What are the appropriate diagnosis codes for this?
A. E11.9, T87.40
B. T87.40, L03.039
C. L03.039, E11.9
D. Z89.429, T87.40
,B. T87.40, L03.039
A 32 year-old patient suffered a crush and avulsion type injury
which has now resulted in loss of the fourth and fifth digits at
the metacarpophalangeal joint levels, loss of the index and long
fingers through the proximal phalanx proximal aspect and soft
tissue loss dorsally over the left hand.What is (are) the
appropriate diagnosis code(s)?
A. S63.261A, S63.263A, S67.191A, S67.193A
B. M20.092
C. Z89.022, S63.261A, S63.263A
D. M20.092, S67.191A, S67.193A
B. M20.092
A 65 year-old male presents to the office with history of
ongoing diabetes which has been controlled with insulin for
follow-up exam with his family practice physician, during this
encounter the physician notes a chronic diabetic wound of his
right greater toe and determines gangrene has set in. After
examination and testing the family practice physician
recommends the gentleman to be seen by a general surgeon for
treatment of his gangrene of his right great toe. What are the
correct diagnoses to report for this encounter?
A. I96, E11.51, Z79.4
B. Z79.4, E10.52
C. E11.52, Z79.4
D. E11.51, I70.269, Z79.4
C. E11.52, Z79.4
, Do the HCC category hierarchies play a role in which medical
record to submit for a RADV?
I. No, there are no benefits in taking hierarchies into
consideration
II. No, CMS will treat all diagnosis with the same financial
weight
III. Yes, CMS will accept a lower or higher HCC to validate an
HCC within the same category
IV. Yes, there can be a financial gain by submitting a higher
hierarchy HCC
A. I
B. II
C. III
D. III and IV
D. III and IV
Retrospective audits provide insurance companies with ability to
scrub/correct their data which accomplishes which of the
following?
I. Provides opportunities to increase revenue by submitting
additional codes
II. Provides opportunities to compare claims data to the
documentation and submit deletions if the documentation does
not support what was on the claim
III. Provides opportunities to correct coding errors prior to data
being submitted
A. I and II
B. I
Solutions
A 77 year-old male presents for follow up with his primary care
provider. The provider documents a healed pressure ulcer of the
right heel and hypertension. The Assessment and Plan is: A/P
healed pressure ulcer of right heel, no further treatment and
hypertension.
Assign the correct ICD-10-CM code(s) for this visit.
A. L89.619, I10
B. I10, L89.619
C. L89.610, I10
D. I10
D. I10
An AV fistula connects:
A. The aorta to a vein
B. An artery to a varicose vein
C. An artery to a vein
D. An artery to a ventricle
C. An artery to a vein
A 65 year-old male patient was admitted with ascending
cellulitis and infection of a 2nd, 3rd, and 4th toes amputation
site. What are the appropriate diagnosis codes for this?
A. E11.9, T87.40
B. T87.40, L03.039
C. L03.039, E11.9
D. Z89.429, T87.40
,B. T87.40, L03.039
A 32 year-old patient suffered a crush and avulsion type injury
which has now resulted in loss of the fourth and fifth digits at
the metacarpophalangeal joint levels, loss of the index and long
fingers through the proximal phalanx proximal aspect and soft
tissue loss dorsally over the left hand.What is (are) the
appropriate diagnosis code(s)?
A. S63.261A, S63.263A, S67.191A, S67.193A
B. M20.092
C. Z89.022, S63.261A, S63.263A
D. M20.092, S67.191A, S67.193A
B. M20.092
A 65 year-old male presents to the office with history of
ongoing diabetes which has been controlled with insulin for
follow-up exam with his family practice physician, during this
encounter the physician notes a chronic diabetic wound of his
right greater toe and determines gangrene has set in. After
examination and testing the family practice physician
recommends the gentleman to be seen by a general surgeon for
treatment of his gangrene of his right great toe. What are the
correct diagnoses to report for this encounter?
A. I96, E11.51, Z79.4
B. Z79.4, E10.52
C. E11.52, Z79.4
D. E11.51, I70.269, Z79.4
C. E11.52, Z79.4
, Do the HCC category hierarchies play a role in which medical
record to submit for a RADV?
I. No, there are no benefits in taking hierarchies into
consideration
II. No, CMS will treat all diagnosis with the same financial
weight
III. Yes, CMS will accept a lower or higher HCC to validate an
HCC within the same category
IV. Yes, there can be a financial gain by submitting a higher
hierarchy HCC
A. I
B. II
C. III
D. III and IV
D. III and IV
Retrospective audits provide insurance companies with ability to
scrub/correct their data which accomplishes which of the
following?
I. Provides opportunities to increase revenue by submitting
additional codes
II. Provides opportunities to compare claims data to the
documentation and submit deletions if the documentation does
not support what was on the claim
III. Provides opportunities to correct coding errors prior to data
being submitted
A. I and II
B. I
