AAPC CPC CHAPTER 8 EXAM WITH
CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+
|| 2026-2027 LATEST UPDATE!!!
What information is required to accurately code osteoarthritis in ICD-
10-CM? - ANSWER-Whether the osteoarthritis is primary, secondary,
post-traumatic, the site and laterality.
Rationale: To accurately code osteoarthritis in ICD-10-CM, the
documentation needs to include whether the arthritis is primary,
secondary, post-traumatic, the site and laterality (right/left).
What is the acromion? - ANSWER-Extension of the scapula
,Rationale: The acromion is an extension of the scapula that meets the
clavicle at the shoulder to form the acromioclavicular joint.
Most of the codes in ICD-10-CM Chapter 13 Diseases of the
Musculoskeletal System and Connective Tissue have site and laterality
designations. According to ICD-10-CM guidelines what is considered
the site? - ANSWER-The site may be the bone, joint or muscle
involved.
Rationale: According to ICD-10-CM guideline I.C.13.a., the site may be
the bone, joint or muscle involved.
A patient has a greenstick fracture of the right radial shaft. It is treated
by surgically placing a bone plate on the distal radial shaft. What ICD-
10-CM code is reported? - ANSWER-S52.311A
Rationale: A greenstick fracture occurs when the bone does not break
completely through, and the bone does not protrude through the skin;
this is a closed fracture. The treatment to fix the fracture is an open
approach to expose the bone to insert the plate across the fracture
site; however, the fracture care treatment is not considered when
coding for the diagnosis. In the ICD-10-CM Alphabetic Index look for
Fracture, traumatic/radius/shaft/greenstick S52.31-. In ICD-10-CM
codes are specific for laterality (left, right) and the episode of care.
Check the Tabular List and seven characters are needed to complete
the code. Right radial shaft is indicated in the question and because
the encounter is being treated surgically, this meets the definition of
, initial encounter or active treatment (See ICD-10-CM guideline
I.C.19.a.). The complete code is S52.311A.
What is segmental instrumentation? - ANSWER-A spinal fixation
device attached at each end of a rod and at additional bony
attachment
Rationale: Segmental instrumentation of the spine is a procedure used
to repair a spinal defect where the fixation device is attached in at
least three places: at each end of the construct (rod) and at least one
additional interposed bony attachment.
A patient presented with a closed, displaced supracondylar fracture of
the left elbow. After conscious sedation, the left upper extremity was
draped and closed reduction was performed, achieving anatomical
reduction of the fracture. The elbow was then prepped and with the
use of fluoroscopic guidance, two K-wires were directed crossing the
fracture site and piercing the medial cortex of the left distal humerus.
Stable reduction was obtained, with full flexion and extension. K-wires
were bent and cut at a 90-degree angle. Telfa padding and splint were
applied. What CPT® code(s) is/are reported? - ANSWER-24538-LT
Rationale: This is a supracondylar fracture of the elbow repaired by
percutaneous fixation. In the CPT® Index look for
Fracture/Humerus/Supracondylar/Percutaneous Fixation and you are
referred to 24538. Modifier LT is appended to indicate the procedure
is performed on the left side. The application of the first cast or splint
is included in the fracture codes. See the guidelines before Application
CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+
|| 2026-2027 LATEST UPDATE!!!
What information is required to accurately code osteoarthritis in ICD-
10-CM? - ANSWER-Whether the osteoarthritis is primary, secondary,
post-traumatic, the site and laterality.
Rationale: To accurately code osteoarthritis in ICD-10-CM, the
documentation needs to include whether the arthritis is primary,
secondary, post-traumatic, the site and laterality (right/left).
What is the acromion? - ANSWER-Extension of the scapula
,Rationale: The acromion is an extension of the scapula that meets the
clavicle at the shoulder to form the acromioclavicular joint.
Most of the codes in ICD-10-CM Chapter 13 Diseases of the
Musculoskeletal System and Connective Tissue have site and laterality
designations. According to ICD-10-CM guidelines what is considered
the site? - ANSWER-The site may be the bone, joint or muscle
involved.
Rationale: According to ICD-10-CM guideline I.C.13.a., the site may be
the bone, joint or muscle involved.
A patient has a greenstick fracture of the right radial shaft. It is treated
by surgically placing a bone plate on the distal radial shaft. What ICD-
10-CM code is reported? - ANSWER-S52.311A
Rationale: A greenstick fracture occurs when the bone does not break
completely through, and the bone does not protrude through the skin;
this is a closed fracture. The treatment to fix the fracture is an open
approach to expose the bone to insert the plate across the fracture
site; however, the fracture care treatment is not considered when
coding for the diagnosis. In the ICD-10-CM Alphabetic Index look for
Fracture, traumatic/radius/shaft/greenstick S52.31-. In ICD-10-CM
codes are specific for laterality (left, right) and the episode of care.
Check the Tabular List and seven characters are needed to complete
the code. Right radial shaft is indicated in the question and because
the encounter is being treated surgically, this meets the definition of
, initial encounter or active treatment (See ICD-10-CM guideline
I.C.19.a.). The complete code is S52.311A.
What is segmental instrumentation? - ANSWER-A spinal fixation
device attached at each end of a rod and at additional bony
attachment
Rationale: Segmental instrumentation of the spine is a procedure used
to repair a spinal defect where the fixation device is attached in at
least three places: at each end of the construct (rod) and at least one
additional interposed bony attachment.
A patient presented with a closed, displaced supracondylar fracture of
the left elbow. After conscious sedation, the left upper extremity was
draped and closed reduction was performed, achieving anatomical
reduction of the fracture. The elbow was then prepped and with the
use of fluoroscopic guidance, two K-wires were directed crossing the
fracture site and piercing the medial cortex of the left distal humerus.
Stable reduction was obtained, with full flexion and extension. K-wires
were bent and cut at a 90-degree angle. Telfa padding and splint were
applied. What CPT® code(s) is/are reported? - ANSWER-24538-LT
Rationale: This is a supracondylar fracture of the elbow repaired by
percutaneous fixation. In the CPT® Index look for
Fracture/Humerus/Supracondylar/Percutaneous Fixation and you are
referred to 24538. Modifier LT is appended to indicate the procedure
is performed on the left side. The application of the first cast or splint
is included in the fracture codes. See the guidelines before Application
