AAPC
CRC
LATEST READINESS EXAM
Q&S
©2024/2025
,1. Which of the following sources must be documented to
assign a diagnosis code for risk adjustment purposes?
- A) Office visit notes
- B) Laboratory results
- C) Patient's billing record
- D) Physician's documentation in the medical record
- Correct Answer: D
- Rationale: Risk adjustment coding relies on accurate
and thorough documentation in the medical record,
specifically the physician’s documentation, as this is
considered the definitive source.
2. When applying the ICD-10-CM code for diabetes with
complications, which of the following documentation
elements is essential?
- A) Type of diabetes
- B) Duration of diabetes
- C) Whether it's treated with insulin
- D) All of the above
- Correct Answer: A
- Rationale: Accurate risk adjustment coding for diabetes
with complications requires clear identification of the
diabetes type for proper classification.
3. Which of the following codes identifies morbid obesity
with alveolar hypoventilation?
- A) E66.09
- B) E66.8
- C) E66.01
©2024/2025
, - D) E66.2
- Correct Answer: C
- Rationale: E66.01 is the ICD-10-CM code specifically
designated for morbid obesity with alveolar hypoventilation.
4. A patient has CAD documented within an inpatient
progress note. To accurately code for risk adjustment, what
additional information is required?
- A) History of CABG
- B) Presence of angina
- C) Current medications
- D) Family history of cardiac disease
- Correct Answer: B
- Rationale: The presence of angina, or lack thereof, can
change the coding and affects the risk adjustment score.
5. How should chronic conditions be documented for
acceptable coding in a risk adjustment environment?
- A) At least once a year
- B) Every visit, if treated or managed
- C) Only when changes in the condition occur
- D) Only if the patient queries about it
- Correct Answer: B
- Rationale: Chronic conditions must be assessed,
documented, and coded at each visit where they are
managed or affect patient care.
6. In risk adjustment, which scenario would warrant the
use of multiple ICD-10-CM codes?
- A) A single cause leading to multiple manifestations
- B) A single manifestation caused by multiple diseases
- C) Both A and B
- D) None of the above
©2024/2025
CRC
LATEST READINESS EXAM
Q&S
©2024/2025
,1. Which of the following sources must be documented to
assign a diagnosis code for risk adjustment purposes?
- A) Office visit notes
- B) Laboratory results
- C) Patient's billing record
- D) Physician's documentation in the medical record
- Correct Answer: D
- Rationale: Risk adjustment coding relies on accurate
and thorough documentation in the medical record,
specifically the physician’s documentation, as this is
considered the definitive source.
2. When applying the ICD-10-CM code for diabetes with
complications, which of the following documentation
elements is essential?
- A) Type of diabetes
- B) Duration of diabetes
- C) Whether it's treated with insulin
- D) All of the above
- Correct Answer: A
- Rationale: Accurate risk adjustment coding for diabetes
with complications requires clear identification of the
diabetes type for proper classification.
3. Which of the following codes identifies morbid obesity
with alveolar hypoventilation?
- A) E66.09
- B) E66.8
- C) E66.01
©2024/2025
, - D) E66.2
- Correct Answer: C
- Rationale: E66.01 is the ICD-10-CM code specifically
designated for morbid obesity with alveolar hypoventilation.
4. A patient has CAD documented within an inpatient
progress note. To accurately code for risk adjustment, what
additional information is required?
- A) History of CABG
- B) Presence of angina
- C) Current medications
- D) Family history of cardiac disease
- Correct Answer: B
- Rationale: The presence of angina, or lack thereof, can
change the coding and affects the risk adjustment score.
5. How should chronic conditions be documented for
acceptable coding in a risk adjustment environment?
- A) At least once a year
- B) Every visit, if treated or managed
- C) Only when changes in the condition occur
- D) Only if the patient queries about it
- Correct Answer: B
- Rationale: Chronic conditions must be assessed,
documented, and coded at each visit where they are
managed or affect patient care.
6. In risk adjustment, which scenario would warrant the
use of multiple ICD-10-CM codes?
- A) A single cause leading to multiple manifestations
- B) A single manifestation caused by multiple diseases
- C) Both A and B
- D) None of the above
©2024/2025