AAPC CPC Coding Guidelines Questions And Answers

AAPC CPC Coding Guidelines
Questions And Answers
ACUTEd&dCHRONICdCONDITIONSdDOCUMENTEDdATdTHEdSAMEdTIME--
whendbothdareddocumented,dcodedacutedfirstdthendchronicd-dCORRECTddANSWER-
EX:dAcutedanddchronicdcystitis
N30.00dAcutedcystitisdw/odhematuria
N30.20dOtherdChronicdcystitisdw/odhematuria

Alwaysdcodedtodthedhighestddegreedofdspecificity.d-dCORRECTddANSWER-
Ex:dageddrelateddOsteoporosisdwithdcurrentdfracturedofdleftdshoulder,dfollowdupdvisit;d
M80.012D:d
M80d(osteoporosisdwithdcurrentdfracture)d+
M80.0d(agedrelated)d+d
M80.012d(agedrelateddw/currentdfracturedofdleftdshoulderd+d
M80.012Dd(subsequentdvisit)

Alzheimer'sdDiseased-dG30d-dCORRECTddANSWER-
Mostdcommondformdofddementia;difddocumenteddwithddementiadalwaysdcodedwithd2nddcode
dfromdF-codesd(neurologicalddisorders)




CentraldPaindSyndromed(G89.0)d&dChronicdPaindSyndromed(G89.4)daredNOTdthedsamedasd
chronicdpain.d-dCORRECTddANSWER-

CHRONICdCONDITIONS--
candbedcodeddasdmanydtimedasdapplicabledtodtreatment,dbutdafterdresolutiondwilldappeardasd
z-codesdifdhistorydofdconditiondaffectsdCURRENTdreasondfordcare.d-
dCORRECTddANSWER-EX:dcolondcancer

(lookdunderd"history,dpersonaldof"--notd"cancer")
Ptdw/dpersonaldhxdofdcolondcancerdpresentsdfordcolonoscopy.dZ85.038

DiabetesdMellitusd(DM)d-dCORRECTddANSWER-*Codeddasdcombodcodesdthatdinclude:
-typedofdDM
-bodydsystemdaffected

, -complicationsdaffectingdbodydsystem

**5dcategories
E08d-d/tdunderlyingdconditionsd(E08dcodedd2nd)
E09d-drug/chemicaldinducedd(E09dcodedd2nd)
E10d-
Typed1d(andautoimmuneddisease)d(insulinduseddoesdnotdneeddtodbedindicateddasdalldtyped1sd
needdinsulin)
E11d-Typed2d(Z79.4dinsulindusedordZ79.84doraldmeddusedwilldbedcodeddindaddition)
E13d-otherdspecifieddDM

***Typed2dwilldalwaysdbedassumeddifditdisdnotdindicateddwhichdtype.

DMdindpregnancydwilldbedcodeddBEFOREdDmdcodes.d-dCORRECTddANSWER-EX:d
O24.012dPre-existdDMdindpregd2nddtrimester
E10.9dTyped1dDMdw/odcomplications
Z3A.18d18dweeksdgestation

Epilepsyd-dSeizureddisorderd-dCORRECTddANSWER-
A)dCodedselectiondbaseddondtypedofdseizure:
-Focaldseizure
d--simple

d--complex

-Generalizeddseizure
d--absence/petitdmal

d--tonicd(stiffening)

d--clonicd(jerking)

d--tonicdclonic/granddmal

d--myoclonicd(upperdbody,dordarms,dordlegs)

d--atonicd(lossdofdmuscledtone)




B)dCodedselectiondbaseddondifdseizuresdresponddtodtreatment
--tractabled(responsivedtodtreatment)
--INtractabled(notdresponsivedtodtx;dharddtodcontrol;dpharmacoresistent;drefractory)

C)dCodedselectiondbaseddondseverity
--StatusdEpilepticusd(seizuredlastingdlongerdthand5+min)

Findingdmainddxdterm--trydreadingddxdrightdtodleftd-dCORRECTddANSWER-
EX:dCOPDd(chronicdobstructivedpulmonaryddisease)dcandbedfounddunderd"disease"dasdwell
dasd"obstruction"

Ex2:dURId(upperdrespiratorydinfection)dcandbedfounddunderd"infection"

ImpendingdordThreateneddConditionsd-dCORRECTddANSWER---
Candbedfounddunderdmaindtermdthendsubtermd"impending."