AAPC CPC 2025 MEDICAL CODING EXAM
TRAINING FULL QUESTIONS AND SOLUTIONS
VERIFIED
◉ Always code to the highest degree of specificity. 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 Answer: Terms of suspected Dx:
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. Answer:
◉ Sx that are an INTEGRAL part of a disease do NOT need to be
coded. 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. 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.
URI--J06.9
Rt Shldr Pn--M25.511
◉ MULTIPLE CODING FOR A SINGLE CONDITION--
Some Diseases require multiple Dx codes and will indicate
ETIOLOGY & MANIFESTATION. It will appear in the alphabetic index
as one code followed by another code in brackets. Answer: Ex:
Amyloid Heart Disease E85.4 [I43]
TRAINING FULL QUESTIONS AND SOLUTIONS
VERIFIED
◉ Always code to the highest degree of specificity. 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 Answer: Terms of suspected Dx:
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. Answer:
◉ Sx that are an INTEGRAL part of a disease do NOT need to be
coded. 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. 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.
URI--J06.9
Rt Shldr Pn--M25.511
◉ MULTIPLE CODING FOR A SINGLE CONDITION--
Some Diseases require multiple Dx codes and will indicate
ETIOLOGY & MANIFESTATION. It will appear in the alphabetic index
as one code followed by another code in brackets. Answer: Ex:
Amyloid Heart Disease E85.4 [I43]
