1
AAPC CPC EXAM REVIEW QUESTIONS WITH
VERIFIED ANSWERS
What anatomical or compartment contains all the thoracic viscera except the
lungs? - correct-answer -Mediastinum
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. M54.50
b. G89.11, M54.50
c. M54.50, G89.11
d. G89.21, M54.50 - correct-answer -a. M54.50
Per ICD-10-CM guideline I.C.6.b.1 if the pain is not specified as acute or chronic,
do no assign codes from category G89, except for post thoracotomy pain, post
operative pain, neoplasm related pain, or central pain syndrome.
What codes, according to ICD-10-CM guidelines, describe a patient that has
hypertension with left heart failure?
a. I10, I50.1
b. I11.0, I50.1
c. I11.9, I50.1
, 2
d. I50.1, I11.0 - correct-answer -b. I11.0, I50.1
According to ICD-10-CMS guideline I.C.9.a. there is a presumed causal relationship
between hypertension and heart involvement. IN this case, the patient has
hypertension and LEFT heart failure. In the ICD-10-CM Alphabetic Index look for
hypertension, hypertensive/heart/with heart failure I11.0. Verify the code in the
tabular list. There is an instructional note under core I11.0 that tells us to use an
additional code to identify the type of heart failure. The additional code is
sequenced second. The patient has LEFT heart failure. Look in the ICD-10-CMS
alphabetic index for failure/heart/left (ventricular) and you are directed to see
failure, ventricular, left which directs you to code I50.1. Verify the code in the
tabular list. Under code selection I50 there is an instructional note telling us to
code heart failure due to hypertension. This confirms our sequencing.
The patient has a significant visual impairment (category 2) due to astigmatism in
the left eye. It is corrected with glasses. The right eye has normal vision. What
ICD-10-CM code(s) is/are reported?
a. H54.7, H52.202
b. H52.202, H54.52A2
c. H54.7
d. H52.212 - correct-answer -b. H52.202, H54.52A2
Look in the ICD-10-CM Alphabetic Index for Impaired (function)/vision NEC
referring you to H54.7. In the Tabular list category H54 has a note to see the
definition of visual impairment categories. Category 2 is considered low vision.
Looking through codes, low vision in the LEFT eye is reported with H54.52 A2 is
assigned as 6th and 7th character to identify Category 2. Or, you can look in the
Alphabetic Index for Low/vision/one eye/LEFT (normal vision on RIGHT) referring
you to H54.52. It is important to read the instructional notes in the Tabular List
that are associated with categories before selecting your code.
, 3
Category H54 also has a note to code first any cause of the blindness. In this care
the low vision is due to the astigmatism. Look in the Alphabetic Index for
Astigmatism referring you to H52.20. In the Tabular List, H52.202 is reported for
the LEFT eye
A patient is being treated for ketoacidosis and diabetic coma due to malignant
neoplasm of the pancreatic body. The patient uses insulin routinely. What ICD-10-
CM codes are reported?
a. E13.11, C25.1
b. E10.11, C25.2, Z79.4
c. C25.1, E08.11, Z79.4
d. C25.9, E08.11 - correct-answer -c. C25.1, E08.11, Z79.4
The patient's diabetes is due to the pancreatic cancer as an underlying condition.
In the ICD-10-CM Alphabetic index look for diabetes, diabetic (mellitus) (sugar)/
due to underlying condition/with ketoacidosis/with coma E08.11. In the tabular
list under category code E08 an instructional note indicated to code the
underlying condition first. In the table of neoplasms look for neoplasm,
neoplastic/pancreas/body and select the code guidance under category code E08
to use additional code for patients who routinely use insulin. Report code Z79.4
which is found in the alphabetic index under long term (current) (prophylactic)
drug therapy (use of) insulin directing you to code Z79.4. Verify code selection in
the tabular list.
The patient has a mass on his forehead; he says it is from a piece of sheet metal
from an injury to his forehead months ago. He has an X-ray showing a foreign
, 4
body is in the mass. After obtaining consent, the metal fragment foreign body is
removed from the subcutaneous tissue. What ICD-10-CM code(s) is/are
reported?m
a. S01.82XA
b. L92.3
c. M79.5, S01.82XS, Z18.10
d. Z18.10, S01.82XA - correct-answer -c. M79.5, S01.82XS, Z18.10
ICD-10-CM Coding guidelines I.B.10 indicated: a sequela is the residual effect
(condition produced) after the acute phase of an illness or injury has been
terminated. Coding sequela generally requires two codes sequenced in the
following order: the condition or nature of the sequela is sequenced first. The
sequela code is sequenced second. IN the ICD-10-CM alphabetic index look for
foreign body/in/soft tissue (residual) referring you to M79.5. Look for
laceration/forehead/foreign body referring you to S01.82- The 6th character is X
and the 7th character is S for sequela. Next, report the type of foreign body. Look
for foreign body/retained (old) (nonmagnetic) (in)/fragments and you are directed
to see Retained, foreign body fragments (type of). In the alphabetic index look for
retained/foreign body fragments (type of)/metal directing you to Z18.10. Verify
code selection in the tabular list. There is no mention of whether the metal is
magnetic or not. The patient did not have an acute laceration with a foreign body
in an open wound; therefore code S01.82XA is not reported.
When procedures are "mandated" by third party payers, what modifier would you
use? - correct-answer -32
AAPC CPC EXAM REVIEW QUESTIONS WITH
VERIFIED ANSWERS
What anatomical or compartment contains all the thoracic viscera except the
lungs? - correct-answer -Mediastinum
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. M54.50
b. G89.11, M54.50
c. M54.50, G89.11
d. G89.21, M54.50 - correct-answer -a. M54.50
Per ICD-10-CM guideline I.C.6.b.1 if the pain is not specified as acute or chronic,
do no assign codes from category G89, except for post thoracotomy pain, post
operative pain, neoplasm related pain, or central pain syndrome.
What codes, according to ICD-10-CM guidelines, describe a patient that has
hypertension with left heart failure?
a. I10, I50.1
b. I11.0, I50.1
c. I11.9, I50.1
, 2
d. I50.1, I11.0 - correct-answer -b. I11.0, I50.1
According to ICD-10-CMS guideline I.C.9.a. there is a presumed causal relationship
between hypertension and heart involvement. IN this case, the patient has
hypertension and LEFT heart failure. In the ICD-10-CM Alphabetic Index look for
hypertension, hypertensive/heart/with heart failure I11.0. Verify the code in the
tabular list. There is an instructional note under core I11.0 that tells us to use an
additional code to identify the type of heart failure. The additional code is
sequenced second. The patient has LEFT heart failure. Look in the ICD-10-CMS
alphabetic index for failure/heart/left (ventricular) and you are directed to see
failure, ventricular, left which directs you to code I50.1. Verify the code in the
tabular list. Under code selection I50 there is an instructional note telling us to
code heart failure due to hypertension. This confirms our sequencing.
The patient has a significant visual impairment (category 2) due to astigmatism in
the left eye. It is corrected with glasses. The right eye has normal vision. What
ICD-10-CM code(s) is/are reported?
a. H54.7, H52.202
b. H52.202, H54.52A2
c. H54.7
d. H52.212 - correct-answer -b. H52.202, H54.52A2
Look in the ICD-10-CM Alphabetic Index for Impaired (function)/vision NEC
referring you to H54.7. In the Tabular list category H54 has a note to see the
definition of visual impairment categories. Category 2 is considered low vision.
Looking through codes, low vision in the LEFT eye is reported with H54.52 A2 is
assigned as 6th and 7th character to identify Category 2. Or, you can look in the
Alphabetic Index for Low/vision/one eye/LEFT (normal vision on RIGHT) referring
you to H54.52. It is important to read the instructional notes in the Tabular List
that are associated with categories before selecting your code.
, 3
Category H54 also has a note to code first any cause of the blindness. In this care
the low vision is due to the astigmatism. Look in the Alphabetic Index for
Astigmatism referring you to H52.20. In the Tabular List, H52.202 is reported for
the LEFT eye
A patient is being treated for ketoacidosis and diabetic coma due to malignant
neoplasm of the pancreatic body. The patient uses insulin routinely. What ICD-10-
CM codes are reported?
a. E13.11, C25.1
b. E10.11, C25.2, Z79.4
c. C25.1, E08.11, Z79.4
d. C25.9, E08.11 - correct-answer -c. C25.1, E08.11, Z79.4
The patient's diabetes is due to the pancreatic cancer as an underlying condition.
In the ICD-10-CM Alphabetic index look for diabetes, diabetic (mellitus) (sugar)/
due to underlying condition/with ketoacidosis/with coma E08.11. In the tabular
list under category code E08 an instructional note indicated to code the
underlying condition first. In the table of neoplasms look for neoplasm,
neoplastic/pancreas/body and select the code guidance under category code E08
to use additional code for patients who routinely use insulin. Report code Z79.4
which is found in the alphabetic index under long term (current) (prophylactic)
drug therapy (use of) insulin directing you to code Z79.4. Verify code selection in
the tabular list.
The patient has a mass on his forehead; he says it is from a piece of sheet metal
from an injury to his forehead months ago. He has an X-ray showing a foreign
, 4
body is in the mass. After obtaining consent, the metal fragment foreign body is
removed from the subcutaneous tissue. What ICD-10-CM code(s) is/are
reported?m
a. S01.82XA
b. L92.3
c. M79.5, S01.82XS, Z18.10
d. Z18.10, S01.82XA - correct-answer -c. M79.5, S01.82XS, Z18.10
ICD-10-CM Coding guidelines I.B.10 indicated: a sequela is the residual effect
(condition produced) after the acute phase of an illness or injury has been
terminated. Coding sequela generally requires two codes sequenced in the
following order: the condition or nature of the sequela is sequenced first. The
sequela code is sequenced second. IN the ICD-10-CM alphabetic index look for
foreign body/in/soft tissue (residual) referring you to M79.5. Look for
laceration/forehead/foreign body referring you to S01.82- The 6th character is X
and the 7th character is S for sequela. Next, report the type of foreign body. Look
for foreign body/retained (old) (nonmagnetic) (in)/fragments and you are directed
to see Retained, foreign body fragments (type of). In the alphabetic index look for
retained/foreign body fragments (type of)/metal directing you to Z18.10. Verify
code selection in the tabular list. There is no mention of whether the metal is
magnetic or not. The patient did not have an acute laceration with a foreign body
in an open wound; therefore code S01.82XA is not reported.
When procedures are "mandated" by third party payers, what modifier would you
use? - correct-answer -32
