aapc crc exam 10 with complete
solutions.
A patient is admitted to the hospital for repair of an open fracture, type 1, of the head
of the left femur. The patient has been previously diagnosed with symptomatic HIV.
What ICD-10-CM code(s) is/are reported for the admission? - Answer S72.052B,
B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown). Which ICD-10-CM codes are reported in the correct
sequencing? - Answer A41.9, R65.20, N17.9
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's
pneumonia is due to Staphylococcus aureus and is methicillin resistant (MRSA).
What ICD-10-CM code(s) is/are reported? - Answer J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown).
Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM
codes are reported (in the correct sequencing)? - Answer A41.9, R65.20, N17.9
A 45-year-old female with ovarian cancer visits her oncologist to receive an injection
of Procrit®. The Procrit® has been prescribed to her for treatment of her anemia
resulting from antineoplastic chemotherapy treatment. Applying the coding concept
from ICD-10-CM guidelines I.C.2.c.2. What ICD-10-CM codes should be reported? -
Answer D64.81, C56.9, T45.1X5A
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue
than usual. Lab tests determine the patient has anemia due to the cancer. Applying
the coding concept from ICD-10-CM guideline I.C.2.c.1., what ICD-10-CM codes
should be reported for the visit? - Answer C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications.
The patient has no complications. Applying the coding concept from ICD-10-CM
guidelines I.C.4.a.1., I.C.4.a.2., and I.C.4.a.3, what ICD-10-CM code(s) is/are
reported? - Answer E11.9, Z79.84
A mother brings her son into the doctor because he has been getting in trouble in
school for his behavior. He is not paying attention or following the instructions. He is
constantly losing his pencil and forgetting to bring in his homework. After evaluating
the child, the provider diagnoses him with attention deficit hyperactivity disorder
(ADHD), predominately inattentive type, and sends the patient for a consultation with
a psychiatrist to see if medication can help. Select the diagnosis code. - Answer
F90.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he
has been suffering from chronic pain in his lower back for several years. Today, he
presents for insertion of a neurostimulator for pain control. Applying the coding
concept from ICD-10-CM guideline I.C.6.b.1.a and I.C.6.b.1.b.ii, what ICD-10-CM
codes should be reported for the pain? Do not code the external cause codes
(discussed later in the curriculum). - Answer G89.21, M54.5
Page 1 of 123
,aapc crc exam 10 with complete
solutions.
A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right,
mild stage on the left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM
code(s) is/are reported? - Answer H40.1312, H40.1321
A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes
each, fluctuating hearing loss, and tinnitus. The provider performs a hearing test and
confirms hearing loss in the right ear. The provider documents the patient has
Meniere's disease in the right ear. What ICD-10-CM code(s) is (are) reported? -
Answer H81.01
Which of the following does NOT require documentation for a cause-and-effect
relationship to be coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - Answer
Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM
guideline I.C.10.a.1) - Answer Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - Answer
When it occurs after admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is
assigned - Answer R75
What does the 4th character in diabetes mellitus diabetes codes indicate? - Answer
Any complication associated with diabetes.
According to ICD-10-CM guidelines, when a patient is seen for management of
anemia due to malignancy, how is it reported? - Answer The malignancy is reported
first, followed by the code for the anemia.
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - Answer J12.0
A 32 year-old patient with an ophthalmoplegic migraine is not responding to
medication and is admitted to the observation unit. What ICD-10-CM code is
reported? - Answer G43.B1
Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss
a coronary artery bypass graft (CABG). This will be the patient's first CABG. What
ICD-10-CM code is reported? - Answer I25.10
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with
identified intellectual disability. What ICD-10-CM code(s) is/are reported? - Answer
E00.9, F79
A patient returns to the provider for an injection to relieve low back pain from a car
accident. What ICD-10-CM code(s) is/are reported? - Answer M54.5
Page 2 of 123
,aapc crc exam 10 with complete
solutions.
Patient presents to this clinic with palpitations, weight loss, bulging eyes and extreme
nervousness. The tests ordered come back positive with Graves' disease. Select the
ICD-10-CM code(s) to report. - Answer E05.00
What diagnosis code is reported for secondary neoplasm of the descending colon? -
Answer C78.5
A 32 year-old male was seen in the ASC for removal of two lipomas. One was
located on his back and the other was located on the right forearm. Both involved
subcutaneous tissue. What ICD-10-CM code(s) is/are reported? - Answer D17.21,
D17.1
A 23 year-old patient presents to the Emergency Department with a cut on his leg.
He is a confirmed AIDS patient as documented in the record. What ICD-10-CM
codes should be reported? - Answer S81.819A, B20
What ICD-10-CM code is used for the first episode of an acute myocardial infarction?
- Answer I21.9
A patient presents to the ED with weakness on the left side and aphasia. Tests are
ordered and the patient is admitted with a cerebrovascular accident (CVA). What
ICD-10-CM code(s) is/are reported? - Answer I63.9
The provider sees a 70 year-old patient with documented history of being combative
and aggressive in the nursing home. The provider diagnoses the patient with
dementia and refers the patient to a neurologist for further evaluation. What ICD-10-
CM code(s) is/are reported? - Answer F03.91
A patient is brought in by the ambulance with seizures. After examination and
workup is complete, it is determined the seizures were due to alcohol abuse with
intoxication. What ICD-10-CM code(s) is/are reported? - Answer R56.9, F10.129
Four years post hepatic transplant, the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM
codes are reported? - Answer T86.49, C80.2, C22.0
A 58 year-old patient sees the provider for confusion and loss of memory. The
provider diagnoses the patient with early onset stages of Alzheimer's disease with
dementia. What ICD-10-CM codes are reported? - Answer G30.0, F02.80
An elderly male patient presents to the ED complaining of a high fever the day prior
to the encounter and of extreme lethargy. He has a history of benign hypertension
which has been elevated. On arrival he was examined by his primary care physician
and admitted, with possible septic urinary tract infection and concern for his elevated
blood pressure. He was noted to have hematuria and a urine culture performed.
Positive UTI and pseudomonas showed in the urine culture and IV antibiotics were
administered. During the course of the day, his fever decreased and his lethargy
improved. As the IV fluids were decreased, he resumed a benign hypertensive state.
Page 3 of 123
, aapc crc exam 10 with complete
solutions.
On the next hospital day, his primary care physician noted the urine was clear and
he was discharged on oral antibiotics, with septicemia ruled out. What ICD-10-CM
codes should be reported? - Answer N39.0, B96.5, I10
A patient with type 2 diabetes presents with diabetic macular edema and proliferative
diabetic retinopathy in the right eye. What ICD-10-CM code(s) is/are reported? -
Answer E11.3511
A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant
anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are
reported? - Answer N18.3, D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the
debilitating pain of her malignancy. Her cancer has metastasized to her bones in her
thoracic spine. Primary cancer is unknown. What ICD-10-CM codes are reported? -
Answer G89.3, C79.51, C80.1
After referral from the ED, patient is seeing the ophthalmologist to examine an old
injury with retained magnetic iron metal foreign body in his posterior wall within the
right eye with the possibility of infection. What ICD-10-CM codes are reported? -
Answer H44.641, Z18.11
A patient is coming in for follow up of his essential hypertension and cardiomegaly.
Both conditions are stable and he is told to continue with his medications. The two
conditions are unrelated. What ICD-10-CM code(s) is/are reported? - Answer I10,
I51.7
CASE 1
Operative Report
PREOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C.
POSTOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C. (Postoperative diagnoses are
reported.)
OPERATIVE PROCEDURE:
1. Exploratory laparotomy with drainage of multiple intra-abdominal abscesses.
2. Splenectomy.
3. Vac Pak closure.
FINDINGS: This is a 42-year-old man who was recently admitted to the medical
service with a splenic defect and found to a splenic vein thrombosis. He was treated
Page 4 of 123
solutions.
A patient is admitted to the hospital for repair of an open fracture, type 1, of the head
of the left femur. The patient has been previously diagnosed with symptomatic HIV.
What ICD-10-CM code(s) is/are reported for the admission? - Answer S72.052B,
B20
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown). Which ICD-10-CM codes are reported in the correct
sequencing? - Answer A41.9, R65.20, N17.9
A patient is admitted to the hospital with pneumonia. Testing indicates the patient's
pneumonia is due to Staphylococcus aureus and is methicillin resistant (MRSA).
What ICD-10-CM code(s) is/are reported? - Answer J15.212
A 22-year-old female is admitted to ICU for acute renal (kidney) failure due to sepsis
(causal organism unknown).
Applying the coding concept from ICD-10-CM guideline I.C.1.d.1.b, what ICD-10-CM
codes are reported (in the correct sequencing)? - Answer A41.9, R65.20, N17.9
A 45-year-old female with ovarian cancer visits her oncologist to receive an injection
of Procrit®. The Procrit® has been prescribed to her for treatment of her anemia
resulting from antineoplastic chemotherapy treatment. Applying the coding concept
from ICD-10-CM guidelines I.C.2.c.2. What ICD-10-CM codes should be reported? -
Answer D64.81, C56.9, T45.1X5A
Mr. McFarland visits his oncologist for prostate cancer. He is reporting more fatigue
than usual. Lab tests determine the patient has anemia due to the cancer. Applying
the coding concept from ICD-10-CM guideline I.C.2.c.1., what ICD-10-CM codes
should be reported for the visit? - Answer C61, D63.0
A 12-year-old's diabetes mellitus is well controlled with oral antidiabetic medications.
The patient has no complications. Applying the coding concept from ICD-10-CM
guidelines I.C.4.a.1., I.C.4.a.2., and I.C.4.a.3, what ICD-10-CM code(s) is/are
reported? - Answer E11.9, Z79.84
A mother brings her son into the doctor because he has been getting in trouble in
school for his behavior. He is not paying attention or following the instructions. He is
constantly losing his pencil and forgetting to bring in his homework. After evaluating
the child, the provider diagnoses him with attention deficit hyperactivity disorder
(ADHD), predominately inattentive type, and sends the patient for a consultation with
a psychiatrist to see if medication can help. Select the diagnosis code. - Answer
F90.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the injury, he
has been suffering from chronic pain in his lower back for several years. Today, he
presents for insertion of a neurostimulator for pain control. Applying the coding
concept from ICD-10-CM guideline I.C.6.b.1.a and I.C.6.b.1.b.ii, what ICD-10-CM
codes should be reported for the pain? Do not code the external cause codes
(discussed later in the curriculum). - Answer G89.21, M54.5
Page 1 of 123
,aapc crc exam 10 with complete
solutions.
A patient presents with pigmentary glaucoma bilaterally, moderate stage on the right,
mild stage on the left. Reference ICD-10-CM guideline I.C.7.a.3. What ICD-10-CM
code(s) is/are reported? - Answer H40.1312, H40.1321
A patient sees her provider for spontaneous episodes of vertigo lasting 30 minutes
each, fluctuating hearing loss, and tinnitus. The provider performs a hearing test and
confirms hearing loss in the right ear. The provider documents the patient has
Meniere's disease in the right ear. What ICD-10-CM code(s) is (are) reported? -
Answer H81.01
Which of the following does NOT require documentation for a cause-and-effect
relationship to be coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) - Answer
Hypertension and chronic kidney disease
What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM
guideline I.C.10.a.1) - Answer Worsening or decompensation of asthma or COPD
When do you code acute respiratory failure as a secondary diagnosis? - Answer
When it occurs after admission.
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is
assigned - Answer R75
What does the 4th character in diabetes mellitus diabetes codes indicate? - Answer
Any complication associated with diabetes.
According to ICD-10-CM guidelines, when a patient is seen for management of
anemia due to malignancy, how is it reported? - Answer The malignancy is reported
first, followed by the code for the anemia.
Pneumonia due to adenovirus. What ICD-10-CM code is reported? - Answer J12.0
A 32 year-old patient with an ophthalmoplegic migraine is not responding to
medication and is admitted to the observation unit. What ICD-10-CM code is
reported? - Answer G43.B1
Patient with coronary arteriosclerosis disease (CAD) sees his cardiologist to discuss
a coronary artery bypass graft (CABG). This will be the patient's first CABG. What
ICD-10-CM code is reported? - Answer I25.10
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with
identified intellectual disability. What ICD-10-CM code(s) is/are reported? - Answer
E00.9, F79
A patient returns to the provider for an injection to relieve low back pain from a car
accident. What ICD-10-CM code(s) is/are reported? - Answer M54.5
Page 2 of 123
,aapc crc exam 10 with complete
solutions.
Patient presents to this clinic with palpitations, weight loss, bulging eyes and extreme
nervousness. The tests ordered come back positive with Graves' disease. Select the
ICD-10-CM code(s) to report. - Answer E05.00
What diagnosis code is reported for secondary neoplasm of the descending colon? -
Answer C78.5
A 32 year-old male was seen in the ASC for removal of two lipomas. One was
located on his back and the other was located on the right forearm. Both involved
subcutaneous tissue. What ICD-10-CM code(s) is/are reported? - Answer D17.21,
D17.1
A 23 year-old patient presents to the Emergency Department with a cut on his leg.
He is a confirmed AIDS patient as documented in the record. What ICD-10-CM
codes should be reported? - Answer S81.819A, B20
What ICD-10-CM code is used for the first episode of an acute myocardial infarction?
- Answer I21.9
A patient presents to the ED with weakness on the left side and aphasia. Tests are
ordered and the patient is admitted with a cerebrovascular accident (CVA). What
ICD-10-CM code(s) is/are reported? - Answer I63.9
The provider sees a 70 year-old patient with documented history of being combative
and aggressive in the nursing home. The provider diagnoses the patient with
dementia and refers the patient to a neurologist for further evaluation. What ICD-10-
CM code(s) is/are reported? - Answer F03.91
A patient is brought in by the ambulance with seizures. After examination and
workup is complete, it is determined the seizures were due to alcohol abuse with
intoxication. What ICD-10-CM code(s) is/are reported? - Answer R56.9, F10.129
Four years post hepatic transplant, the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM
codes are reported? - Answer T86.49, C80.2, C22.0
A 58 year-old patient sees the provider for confusion and loss of memory. The
provider diagnoses the patient with early onset stages of Alzheimer's disease with
dementia. What ICD-10-CM codes are reported? - Answer G30.0, F02.80
An elderly male patient presents to the ED complaining of a high fever the day prior
to the encounter and of extreme lethargy. He has a history of benign hypertension
which has been elevated. On arrival he was examined by his primary care physician
and admitted, with possible septic urinary tract infection and concern for his elevated
blood pressure. He was noted to have hematuria and a urine culture performed.
Positive UTI and pseudomonas showed in the urine culture and IV antibiotics were
administered. During the course of the day, his fever decreased and his lethargy
improved. As the IV fluids were decreased, he resumed a benign hypertensive state.
Page 3 of 123
, aapc crc exam 10 with complete
solutions.
On the next hospital day, his primary care physician noted the urine was clear and
he was discharged on oral antibiotics, with septicemia ruled out. What ICD-10-CM
codes should be reported? - Answer N39.0, B96.5, I10
A patient with type 2 diabetes presents with diabetic macular edema and proliferative
diabetic retinopathy in the right eye. What ICD-10-CM code(s) is/are reported? -
Answer E11.3511
A patient sees the nephrologist for a B-12 injection to treat erythropoietin resistant
anemia due to stage 3 chronic kidney disease. What ICD-10-CM codes are
reported? - Answer N18.3, D63.1
Mrs. Johnson is here today to receive an intercostal nerve block to mitigate the
debilitating pain of her malignancy. Her cancer has metastasized to her bones in her
thoracic spine. Primary cancer is unknown. What ICD-10-CM codes are reported? -
Answer G89.3, C79.51, C80.1
After referral from the ED, patient is seeing the ophthalmologist to examine an old
injury with retained magnetic iron metal foreign body in his posterior wall within the
right eye with the possibility of infection. What ICD-10-CM codes are reported? -
Answer H44.641, Z18.11
A patient is coming in for follow up of his essential hypertension and cardiomegaly.
Both conditions are stable and he is told to continue with his medications. The two
conditions are unrelated. What ICD-10-CM code(s) is/are reported? - Answer I10,
I51.7
CASE 1
Operative Report
PREOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C.
POSTOPERATIVE DIAGNOSES: Splenic abscesses and multiple intra-abdominal
abscesses, related to HIV, AIDS, and hepatitis C. (Postoperative diagnoses are
reported.)
OPERATIVE PROCEDURE:
1. Exploratory laparotomy with drainage of multiple intra-abdominal abscesses.
2. Splenectomy.
3. Vac Pak closure.
FINDINGS: This is a 42-year-old man who was recently admitted to the medical
service with a splenic defect and found to a splenic vein thrombosis. He was treated
Page 4 of 123
