AAPC CPC Chapter 4 Exam
with Verified Answers
1. A patient with chronic back and neck pain developed a drug dependency on oxycodone
(opioid). After being taken off the drug, he was seen in the clinic for withdrawal symptoms.
What ICD-10-CM codes are reported?
A) F11.23, T40.2X5S
B) F11.24, T40.2X5D
C) F11.23, T40.2X5A
D) F11.10, F11.23, T40.2X5A
ANS: C
2. 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?
A) G30.0, F02.80, F29, R41.3
B) F02.80, G30.0
C) G30.0, F02.80
D) F02.80, G30.0, F29, R41.3
ANS: C
3. 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 and admitted, with possible septic urinary tract infection
and concern for his elevated blood pressure. He was noted to have hematuria. 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. He was noted to have
hematuria. As the IV fluids were decreased, he resumed a benign hypertensive state. On the
next hospital day, the urine was clear and he was discharged on oral antibiotics, with
septicemia ruled out. What ICD-10-CM codes should be reported?
A) I10, B95.6, R31.9, N39.0
B) B96.5, N39.0, I10, R31.9
C) N39.0, B96.5, I10
D) B95.6, A41.52, N39.0, I10
ANS: C
4. A 33 year-old patient visits his primary care provider to discuss lap band procedure for his
morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is
currently 45. What ICD-10-CM code(s) is/are reported?
A) E66.01
B) E66.01, Z68.42
C) E66.01, Z68.45
D) E66.3, Z68.45
,ANS: B
5. A young male, was brought to the clinic by his mom. He has had periods of major
depression for many years and is on Lithium. His provider also manages his migraine
headaches and epilepsy. During the past week, he became psychotic, hearing voices to kill
himself and intense feelings of worthlessness. On the day of the clinic visit, he had an
epileptic seizure that could not be controlled by medication. He was admitted for Lithium
adjustment. Final diagnoses are: Severe depression with psychotic behavior and epileptic
seizure poorly controlled with medication. What ICD-10-CM codes should be reported?
A) F33.3, G43.909, G40.909
B) F33.2, G40.909
C) F33.3, G40.919
D) F33.1, G43.919, G40.919C
ANS: C
6. 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?
A) F03.90
B) F03.90, F03.91
C) F03.91
D) F03.91, F03.91
ANS: C
7. A pediatrician sees an 8-month-old patient for ear pulling and excessive crying. The infant is
diagnosed with bilateral chronic and acute serous otitis media. What ICD-10-CM code(s) is/are
reported?
A) H65.03, H65.23 (sequence acute code first, but also include chronic) B) H65.20
C) H65.21, H65.22
D) H65.93
ANS: A
8. 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?
A) G43.119
B) G43.B1
C) G43.B0
D) G43.101
ANS: B
9. What diagnosis code is reported for secondary neoplasm of the descending colon?
A) C19
B) D01.0
C) C78.5
D) C18.6
ANS: C
, 10. 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.
A) E05.01
B) E05.00, R00.2, R63.4, H57.8, R45.0
C) R00.2, R63.4, H57.8, R45.0, E05.01
D) E05.00
ANS: D
11. A 50-year-old patient has a mass removed from his chest. The surgeon sends it to
pathology. The pathology report indicates the mass is a benign tumor.
What ICD-10-CM code is reported?
A) D36.7
B) D49.2
C) C79.89
D) C49.3
ANS: A
12. A patient is having surgery to repair a recurrent left inguinal hernia without obstruction.
What ICD-10-CM code is reported?
A) K40.91
B) K40.90
C) K40.21
D) K40.20
ANS: A
13. 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?
A) G89.21, M54.5
B) G89.11, M54.5
C) M54.5 (Pain is not described as acute or chronic, so no g89 code is reported)
D) M54.5, G89.11
ANS: C
14. When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code reported based on the hierar-chy in the ICD-
10-CM guidelines.
B) The use of tobacco and the dependence on tobacco are both reported.
C) The use of tobacco is reported with a code for history of tobacco use to report the
dependence on tobacco.
D) The use of tobacco is the only code reported because it is considered acute
ANS: A
with Verified Answers
1. A patient with chronic back and neck pain developed a drug dependency on oxycodone
(opioid). After being taken off the drug, he was seen in the clinic for withdrawal symptoms.
What ICD-10-CM codes are reported?
A) F11.23, T40.2X5S
B) F11.24, T40.2X5D
C) F11.23, T40.2X5A
D) F11.10, F11.23, T40.2X5A
ANS: C
2. 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?
A) G30.0, F02.80, F29, R41.3
B) F02.80, G30.0
C) G30.0, F02.80
D) F02.80, G30.0, F29, R41.3
ANS: C
3. 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 and admitted, with possible septic urinary tract infection
and concern for his elevated blood pressure. He was noted to have hematuria. 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. He was noted to have
hematuria. As the IV fluids were decreased, he resumed a benign hypertensive state. On the
next hospital day, the urine was clear and he was discharged on oral antibiotics, with
septicemia ruled out. What ICD-10-CM codes should be reported?
A) I10, B95.6, R31.9, N39.0
B) B96.5, N39.0, I10, R31.9
C) N39.0, B96.5, I10
D) B95.6, A41.52, N39.0, I10
ANS: C
4. A 33 year-old patient visits his primary care provider to discuss lap band procedure for his
morbid obesity. His caloric intake is in excess of 4,000 calories per day and his BMI is
currently 45. What ICD-10-CM code(s) is/are reported?
A) E66.01
B) E66.01, Z68.42
C) E66.01, Z68.45
D) E66.3, Z68.45
,ANS: B
5. A young male, was brought to the clinic by his mom. He has had periods of major
depression for many years and is on Lithium. His provider also manages his migraine
headaches and epilepsy. During the past week, he became psychotic, hearing voices to kill
himself and intense feelings of worthlessness. On the day of the clinic visit, he had an
epileptic seizure that could not be controlled by medication. He was admitted for Lithium
adjustment. Final diagnoses are: Severe depression with psychotic behavior and epileptic
seizure poorly controlled with medication. What ICD-10-CM codes should be reported?
A) F33.3, G43.909, G40.909
B) F33.2, G40.909
C) F33.3, G40.919
D) F33.1, G43.919, G40.919C
ANS: C
6. 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?
A) F03.90
B) F03.90, F03.91
C) F03.91
D) F03.91, F03.91
ANS: C
7. A pediatrician sees an 8-month-old patient for ear pulling and excessive crying. The infant is
diagnosed with bilateral chronic and acute serous otitis media. What ICD-10-CM code(s) is/are
reported?
A) H65.03, H65.23 (sequence acute code first, but also include chronic) B) H65.20
C) H65.21, H65.22
D) H65.93
ANS: A
8. 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?
A) G43.119
B) G43.B1
C) G43.B0
D) G43.101
ANS: B
9. What diagnosis code is reported for secondary neoplasm of the descending colon?
A) C19
B) D01.0
C) C78.5
D) C18.6
ANS: C
, 10. 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.
A) E05.01
B) E05.00, R00.2, R63.4, H57.8, R45.0
C) R00.2, R63.4, H57.8, R45.0, E05.01
D) E05.00
ANS: D
11. A 50-year-old patient has a mass removed from his chest. The surgeon sends it to
pathology. The pathology report indicates the mass is a benign tumor.
What ICD-10-CM code is reported?
A) D36.7
B) D49.2
C) C79.89
D) C49.3
ANS: A
12. A patient is having surgery to repair a recurrent left inguinal hernia without obstruction.
What ICD-10-CM code is reported?
A) K40.91
B) K40.90
C) K40.21
D) K40.20
ANS: A
13. 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?
A) G89.21, M54.5
B) G89.11, M54.5
C) M54.5 (Pain is not described as acute or chronic, so no g89 code is reported)
D) M54.5, G89.11
ANS: C
14. When it is documented that the patient is both using tobacco and has a dependence on
tobacco, how is this reported in ICD-10-CM?
A) The dependence on tobacco is the only code reported based on the hierar-chy in the ICD-
10-CM guidelines.
B) The use of tobacco and the dependence on tobacco are both reported.
C) The use of tobacco is reported with a code for history of tobacco use to report the
dependence on tobacco.
D) The use of tobacco is the only code reported because it is considered acute
ANS: A
