AAPC CPC Coding Guidelines Exam
Questions With 100% Verified Answers
Finding main dx term--try reading dx right to left -
correct answer ✅EX: COPD (chronic obstructive pulmonary
disease) can be found under "disease" as well as "obstruction"
Ex2: URI (upper respiratory infection) can be found under
"infection"
Always code to the highest degree of specificity. -
correct answer ✅Ex: aged related Osteoporosis with current
fracture of left shoulder, follow up visit;
M80.012D:
M80 (osteoporosis with current fracture) +
M80.0 (age related) +
M80.012 (age related w/current fracture of left shoulder +
M80.012D (subsequent visit)
Outpatient visits--SUSPECTED Dx NEVER coded.
If a definitive Dx has not been reported then code:
1--Signs
2--Sx
3--Abnormal Test results -
correct answer ✅Terms of suspected Dx:
, AAPC CPC Coding Guidelines Exam
Questions With 100% Verified Answers
Probable
Suspected
Questionable
Rule Out
Differential
Working
Inpatient Visits--SUSPECTED Dx MAY BE CODED, with exception to
HIV.
HIV Dx must be confirmed before coding. -
Sx that are an INTEGRAL part of a disease do NOT need to be
coded. -
correct answer ✅Ex: Pt presents w/severe AB pain, nausea,
vomiting. Diagnosed w/acute appendicitis. Code only acute
appendicitis K35.80.
Sx that are NOT INTEGRAL part to a disease DO NEED TO BE CODED.
-
correct answer ✅Ex: Patient presents with runny nose & cough as
well as Rt shoulder pain. Physician diagoses URI. Code URI as well
as Sx of Rt Shoulder pain.
Questions With 100% Verified Answers
Finding main dx term--try reading dx right to left -
correct answer ✅EX: COPD (chronic obstructive pulmonary
disease) can be found under "disease" as well as "obstruction"
Ex2: URI (upper respiratory infection) can be found under
"infection"
Always code to the highest degree of specificity. -
correct answer ✅Ex: aged related Osteoporosis with current
fracture of left shoulder, follow up visit;
M80.012D:
M80 (osteoporosis with current fracture) +
M80.0 (age related) +
M80.012 (age related w/current fracture of left shoulder +
M80.012D (subsequent visit)
Outpatient visits--SUSPECTED Dx NEVER coded.
If a definitive Dx has not been reported then code:
1--Signs
2--Sx
3--Abnormal Test results -
correct answer ✅Terms of suspected Dx:
, AAPC CPC Coding Guidelines Exam
Questions With 100% Verified Answers
Probable
Suspected
Questionable
Rule Out
Differential
Working
Inpatient Visits--SUSPECTED Dx MAY BE CODED, with exception to
HIV.
HIV Dx must be confirmed before coding. -
Sx that are an INTEGRAL part of a disease do NOT need to be
coded. -
correct answer ✅Ex: Pt presents w/severe AB pain, nausea,
vomiting. Diagnosed w/acute appendicitis. Code only acute
appendicitis K35.80.
Sx that are NOT INTEGRAL part to a disease DO NEED TO BE CODED.
-
correct answer ✅Ex: Patient presents with runny nose & cough as
well as Rt shoulder pain. Physician diagoses URI. Code URI as well
as Sx of Rt Shoulder pain.