AAPC – CPB – CHAPTER 4 PRACTICAL APPLICATION – FULL QUESTIONS AND
ANSWERS – QUESTIONS 1 TO 10
QUESTION# 1
A patient was seen for a left ear infection. The provider diagnosed the
patient with Swimmer’s Ear in the left ear. The biller received a denial from
XYZ Insurance Company stating H60.33 is an invalid diagnosis code. Why is
this an invalid code?
A. H60.33 represents a procedure instead of a diagnosis
B. H60.33 requires an additional character; the code should be H60.339
C. Correct: H60.33 requires an additional character; the code should be
H60.332
D. H60.33 is not an invalid diagnosis code
Feedback: H60.33 is a subcategory code that requires an additional
character to be complete. The ear affected is the left ear. Look in the ICD-10-
CM Tabular List and find that H60.332 represents Swimmer’s ear in the left
ear.
QUESTION# 2
A patient is seen for a cough, chest congestion, and a headache. The
provider documents a URI. What ICD-10-CM coding is reported?
A. Correct: J06.9
B. J98.8
C. R05.9, R09.89, R51.9
D. R05.9, R09.89, R51.9, J98.8
Feedback: Signs and symptoms are not reported when a definitive diagnosis
is given (ICD-10-CM guideline I.B.4.). Look in the ICD-10-CM Alphabetic Index
for Infection/respiratory (tract)/upper (acute) J06.9. Verify code selection in
the Tabular List.
QUESTION# 3
What codes are reported for a patient that is being treated for ESRD and
hypertension?
ANSWERS – QUESTIONS 1 TO 10
QUESTION# 1
A patient was seen for a left ear infection. The provider diagnosed the
patient with Swimmer’s Ear in the left ear. The biller received a denial from
XYZ Insurance Company stating H60.33 is an invalid diagnosis code. Why is
this an invalid code?
A. H60.33 represents a procedure instead of a diagnosis
B. H60.33 requires an additional character; the code should be H60.339
C. Correct: H60.33 requires an additional character; the code should be
H60.332
D. H60.33 is not an invalid diagnosis code
Feedback: H60.33 is a subcategory code that requires an additional
character to be complete. The ear affected is the left ear. Look in the ICD-10-
CM Tabular List and find that H60.332 represents Swimmer’s ear in the left
ear.
QUESTION# 2
A patient is seen for a cough, chest congestion, and a headache. The
provider documents a URI. What ICD-10-CM coding is reported?
A. Correct: J06.9
B. J98.8
C. R05.9, R09.89, R51.9
D. R05.9, R09.89, R51.9, J98.8
Feedback: Signs and symptoms are not reported when a definitive diagnosis
is given (ICD-10-CM guideline I.B.4.). Look in the ICD-10-CM Alphabetic Index
for Infection/respiratory (tract)/upper (acute) J06.9. Verify code selection in
the Tabular List.
QUESTION# 3
What codes are reported for a patient that is being treated for ESRD and
hypertension?