AAPC CPC Final Exam Review updated

 Question 7_1 out of 1 points Which of the following is true about the function of the cochlea Selected Answer: d. It transmits sound only. Correct Answer: d. It transmits sound only. Response Feedback: Rationale: As the stapes footplate moves the oval window, and creates waves in the perilymph of the scala vestibuli of the cochlea, the round window membrane moves, which causes movement of the endolymph inside the cochlear duct. This causes the basilar membrane to vibrate, which in turn cause the organ of Corti (inner hair cells) to send electrical impulses along the auditory nerve to the brain.  Question 12_1 out of 1 points Which diagnosis code(s) below reports pain in the left and right ears? Selected Answer: a. H92.03 Correct Answer: a. H92.03 Response Feedback: Rationale: ICD-10-CM allows for the reporting of laterality (right, left, bilateral). For bilateral sites, the final character of the code indicates laterality. ICD-10-CM guideline I.B.13 indicates if no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side. There is a bilateral code provided for pain in the left and right ears H92.03. You would not report two separate codes.  Question 15_1 out of 1 points A 10 month-old comes into the pediatrician’s office for a harsh, bark-like cough. She is diagnosed with croup. The mother also wants the pediatrician to look at a rash that has developed on her leg. The pediatrician prescribes over the counter medication of acetaminophen for the croup and hydrocortisone cream for the rash on the leg. She is to follow up in five days or return earlier if the conditions worsen. What ICD-10-CM code(s) should be reported for this visit? Selected Answer: a. J05.0, R21 Correct Answer: a. J05.0, R21 Response Feedback: Rationale: Signs and symptoms that are associated with a disease process should not be reported, refer to ICD-10-CM guideline I.B.5. For this case the ICD-10-CM code R05 should not be reported because cough is a symptom of the croup. Codes for signs and symptoms that are not routinely associated with a definitive diagnosis should be reported, according to ICD-10-CM guidelines 1.B.4 and I.B.5. For this case the rash is reported because it is not related or associated to the croup. Look for Croup in the ICD-10-CM Alphabetic Index referring you to code J05.0. Look for Rash in the Alphabetic Index referring you to code R21. Verify both codes in the Tabular List.  Question 17_1 out of 1 points A 32 year-old patient with hyperthyroidism has an ultrasound to determine why her neck is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD-10-CM code is reported? Selected Answer: a. E05.10 Correct Answer: a. E05.10 Response Feedback: Rationale: In the ICD-10-CM Alphabetic Index look for Hyperthyroidism/with/goiter/nodular/uninodular which directs you to E05.10. The code can also be found by looking in the Alphabetic Index for Goiter/uninodular/toxic or with hyperthyroidism which guides you to code E05.10. Verify code selection in the Tabular List.  Question 19_1 out of 1 points A patient with type 2 diabetes presents with diabetic macular edema and proliferative diabetic retinopathy in the right eye. What ICD-10-CM code(s) is/are reported? Selected Answer: c. E11.3511 Correct Answer: c. E11.3511 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index Diabetes, diabetic (mellitus) (sugar)/type2/with/retinopathy/proliferative/with macular edema which directs you to E11.351-. There is a checkmark next to the code in the Alphabetic Index reminding the coder to check the Tabular List for the 7th character to show laterality. From the Tabular List, assign 7th character 1 to identify the right eye.  Question 20_1 out of 1 points A patient is coming in for follow up of his essential hypertension and cardiomegaly. Both conditions are stable and he is told to continue with his medications. The two conditions are unrelated. What ICD-10-CM code(s) is/are reported? Selected Answer: d. I10, I51.7 Correct Answer: d. I10, I51.7 Response Feedback: Rationale: According to ICD-10-CM guidelines, I.C.9.a.1, if the documentation does not have a causal relationship between the hypertension and heart disease (eg, Cardiomegaly due to the hypertension) the conditions are coded separately. Look in the ICD-10-CM Alphabetic Index for Hypertension I10. Then look for Cardiomegaly I51.7. Verify code selection in the Tabular List.  Question 21_1 out of 1 points What would be considered an adverse effect? Selected Answer: d. Rash developing when tak