AAPC CRC EXAM 10 UPDATED ACTUAL QUESTIONS
WITH CORRECT ANSWERS
Question 1.
CASE 10
CC: HTN
INTERVAL HISTORY: No new complaints.
EXAM: NAD. 130/80, 84, 22. Lungs are clear. Heart RRR,
no MRGs. Abdomen is soft, non-tender. No peripheral
edema.
IMPRESSION: Stable HTN on current meds.
PLAN: No changes needed. RTC in six months with labs.
What diagnosis code(s) are reported?
ANSWER
Question 2.
A patient presents with pigmentary glaucoma bilaterally,
moderate stage on the right, mild stage on the left.
CM code(s) is/are reported?
ANSWER
Question 3.
CASE 2
Dear Dr. Smith,
Mr. Martin was seen in the office for continued
management of his breast cancer.(This indicates the
patient's main reason for the office visit.) He's having
some increasing pain in his breast which is due to the
cancer.(Pain related to the neoplasm.) He is also
complaining of neck pain. It does not seem to be worse
at night; it seems to be worse with activity. He has no
other symptoms. Otherwise his review of systems is
unremarkable. He's had no constitutional symptoms.
On physical exam, he is alert and oriented. Eyes: EOMI,
PERLA, no icterus. The heart had a regular rate and
rhythm; S1, S2 within normal limits. The lungs are clear to
,auscultation and percussion. The abdomen was soft,
without masses or organomegaly. He was tender to
palpation over the left anterior iliac crest. Otherwise he
had no point tenderness over his musculoskeletal system.
Neck: Supple. No tenderness, no enlarged lymph nodes
in the neck.
ASSESSMENT: Adenocarcinoma of the left breast,
positive estrogen receptor status. Neck pain. (This is the
definitive diagnosis that is reported.)
PLAN: The plan is to continue the Tamoxifen at this time.
His laboratory studies were reviewed and were
essentially unremarkable; however we'll obtain a bone
patient.)
Sincerely,
John Smith, M.D.
What diagnosis code(s) are reported?
ANSWER
C50.922, G89.3, M54.2, Z17.0, Z79.810
Question 4.
risk scores
ANSWER
allows CMS to use standardized bids as base payments to plans
Question 5.
A 32 year-old patient with an ophthalmoplegic migraine
is not responding to medication and is admitted to the
ANSWER
Question 6.
staff model
ANSWER
physician are paid employees managed care plan; phyisicans generally provide
services in clinic setting
, Question 7.
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
Question 8.
Patient with coronary arteriosclerosis disease (CAD) sees
his cardiologist to discuss a coronary artery bypass graft
CM code is reported?
ANSWER
125.10
Question 9.
PACE
ANSWER
frail and elderly individuals eligible for nursing home placement based on state
medicaid criteria
Question 10.
interactions
ANSWER
allow for additive factors based on chronic conditions and disabled status to
increase payment accuracy
Question 11.
CASE 5
PREOPERATIVE DIAGNOSIS: Bilateral profound
sensorineural hearing loss.
POSTOPERATIVE DIAGNOSIS: Bilateral profound
sensorineural hearing loss.(Report the postoperative
diagnosis.)
PROCEDURES PERFORMED:
WITH CORRECT ANSWERS
Question 1.
CASE 10
CC: HTN
INTERVAL HISTORY: No new complaints.
EXAM: NAD. 130/80, 84, 22. Lungs are clear. Heart RRR,
no MRGs. Abdomen is soft, non-tender. No peripheral
edema.
IMPRESSION: Stable HTN on current meds.
PLAN: No changes needed. RTC in six months with labs.
What diagnosis code(s) are reported?
ANSWER
Question 2.
A patient presents with pigmentary glaucoma bilaterally,
moderate stage on the right, mild stage on the left.
CM code(s) is/are reported?
ANSWER
Question 3.
CASE 2
Dear Dr. Smith,
Mr. Martin was seen in the office for continued
management of his breast cancer.(This indicates the
patient's main reason for the office visit.) He's having
some increasing pain in his breast which is due to the
cancer.(Pain related to the neoplasm.) He is also
complaining of neck pain. It does not seem to be worse
at night; it seems to be worse with activity. He has no
other symptoms. Otherwise his review of systems is
unremarkable. He's had no constitutional symptoms.
On physical exam, he is alert and oriented. Eyes: EOMI,
PERLA, no icterus. The heart had a regular rate and
rhythm; S1, S2 within normal limits. The lungs are clear to
,auscultation and percussion. The abdomen was soft,
without masses or organomegaly. He was tender to
palpation over the left anterior iliac crest. Otherwise he
had no point tenderness over his musculoskeletal system.
Neck: Supple. No tenderness, no enlarged lymph nodes
in the neck.
ASSESSMENT: Adenocarcinoma of the left breast,
positive estrogen receptor status. Neck pain. (This is the
definitive diagnosis that is reported.)
PLAN: The plan is to continue the Tamoxifen at this time.
His laboratory studies were reviewed and were
essentially unremarkable; however we'll obtain a bone
patient.)
Sincerely,
John Smith, M.D.
What diagnosis code(s) are reported?
ANSWER
C50.922, G89.3, M54.2, Z17.0, Z79.810
Question 4.
risk scores
ANSWER
allows CMS to use standardized bids as base payments to plans
Question 5.
A 32 year-old patient with an ophthalmoplegic migraine
is not responding to medication and is admitted to the
ANSWER
Question 6.
staff model
ANSWER
physician are paid employees managed care plan; phyisicans generally provide
services in clinic setting
, Question 7.
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
Question 8.
Patient with coronary arteriosclerosis disease (CAD) sees
his cardiologist to discuss a coronary artery bypass graft
CM code is reported?
ANSWER
125.10
Question 9.
PACE
ANSWER
frail and elderly individuals eligible for nursing home placement based on state
medicaid criteria
Question 10.
interactions
ANSWER
allow for additive factors based on chronic conditions and disabled status to
increase payment accuracy
Question 11.
CASE 5
PREOPERATIVE DIAGNOSIS: Bilateral profound
sensorineural hearing loss.
POSTOPERATIVE DIAGNOSIS: Bilateral profound
sensorineural hearing loss.(Report the postoperative
diagnosis.)
PROCEDURES PERFORMED:
