2025 update |AAPC CPC Chapter 4 | |COMPLETE MOST TESTED QUESTIONS
AND VERIFIED ANSWERS |(100% correct solutions)| GET IT A+ RIGHT!!
A 58 year-old patient sees the provider for confusion and loss of memory. The
provider diagnoses the patient with early onset stages of Alzheimer's disease with
dementia. What ICD-10-CM codes are reported? - ANSWER-G30.0, F02.80
Response Feedback:
Rationale: In the ICD-10-CM Alphabetic Index, look for Alzheimer's diseases or
sclerosis and you are directed to see Disease, Alzheimer's. Look for Disease,
diseased/Alzheimer's/early onset which directs you to G30.0 [F02.80]. The code
in brackets indicates a manifestation code. When we verify the G30.0 code in the
Tabular List there is an instructional note under code section G30 that confirms
that we should code also the dementia. F02.80 is the correct code because the
provider does not mention any behavioral disturbances. Sequencing rules tell us
that the manifestation code always follows the etiology code. Codes F29 Psychosis
and R41.3 Memory loss are not reported because these are signs and symptoms
of Alzheimer's. See ICD-10-CM guideline I.B.4.
the ICD - 10 - CM alphabetical index brackets indicate the code within the brackets
is sequence after the code preceding the bracket. It is important to pay close
attention to the conversions or proper diagnostic code selection in sequencing . -
ANSWER-Practical coding note
,It is recommended to hold claims for surgical procedures until the pathology
report is returned. The pathology report will confirm the morphology of the
specimen and allow the most accurate code selection. Until the pathology report
is received, the only code option us from the specified column in the table of
neoplasms. - ANSWER-Practical coding note
Pay close attention to the EXCLUDES1 note to remind you that ise abuse, and
dependence codes cannot be reported together. DFore example, under
subcategory code F12.2 Cannabis dependence there is an EXCLUDES1 note that
indicates not to report code F12.1- Cannabis abuse or F12.9 Cannabis use,
unspecified with this code. - ANSWER-Practical coding note
A 39-year old patient underwent a left femoral hernia report. The postoperative
diagnosis was recurrent left femoral hernia. What is the diagnosis code for this
encounter? - ANSWER-K41.91 Unilateral femoral hernia, without obstruction or
gangrene, recurrent
A patient presents with abdominal pain. The physician performs an abdominal
ultrasound and discovers the patient has gallstone and inflammation of the
gallbladder. Select the diagnosis code(s). - ANSWER-K80.10 Calculus of gallbladder
with chronic cholecystitis without obstruction
,When selecting the code for anemia, review the documentation to see if the
provider documented the cause. When the cause is not documented, the code for
unspecified anemia (D64.9) is the only option. - ANSWER-Practical coding note
A patient is admitted to the hospital with pneumonia. Testing indicates the
patient's pneumonia is due to Staphylococcus aureaus and is methicillin resistant
(MRSA). Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-
10-CM code(s) are reported? - ANSWER-J15.212
Response Feedback:
Rationale: Look in the ICD-10-CM Alphabetic Index for Pneumonia/in (due
to)/staphylococcus/aureus/methicillin resistant (MRSA) J15.212. According to
ICD-10-CM guideline 1.C.1.e.1.(a), when a combination code exists for MRSA and the
infection, only the combination code should be reported. Pneumonia due to
Methicillin-resistant Staphylococcus aureus is reported with J15.212.
Patient is admitted to the hospital with streptococcal group B severe sepsis which
has caused pneumonia. What codes are assigned? - ANSWER-A40.1, J15.3, R65.20
, Response Feedback:
Rationale: Per ICD-10-CM guideline I.C.1.d.4 if the reason for admission is both
sepsis or severe sepsis and a localized infection, such as pneumonia or cellulitis,
a code for the systemic infection is assigned first, followed by the code for the
localized infection. To find the codes in the ICD-10-CM Alphabetic Index, look for
Sepsis/Streptococcus, streptococcal/group/ B which directs the coder to A40.1
for the Systemic infection. To locate the code for sepsis, look for Sepsis/severe
which directs the coder to R65.20. Pneumonia can be found in the Alphabetic
Index by looking for Pneumonia/in (due to)/Streptococcus/group B which directs
the coder to J15.3. Verify all codes in the Tabular List. Pay careful attention to the
instructional notes in the Tabular List to help with sequencing.
Dear Dr. Smith,
Mr. Martin was seen in the office for continued management of his breast
cancer.(This indicates the patient's main reason for the office visit.) He's having
some increasing pain in his breast which is due to the cancer.(Pain related to the
neoplasm.) He is also complaining of neck pain. It does not seem to be worse at
night; it seems to be worse with activity. He has no other symptoms. Otherwise his
review of systems is unremarkable. He's had no constitutional symptoms.
AND VERIFIED ANSWERS |(100% correct solutions)| GET IT A+ RIGHT!!
A 58 year-old patient sees the provider for confusion and loss of memory. The
provider diagnoses the patient with early onset stages of Alzheimer's disease with
dementia. What ICD-10-CM codes are reported? - ANSWER-G30.0, F02.80
Response Feedback:
Rationale: In the ICD-10-CM Alphabetic Index, look for Alzheimer's diseases or
sclerosis and you are directed to see Disease, Alzheimer's. Look for Disease,
diseased/Alzheimer's/early onset which directs you to G30.0 [F02.80]. The code
in brackets indicates a manifestation code. When we verify the G30.0 code in the
Tabular List there is an instructional note under code section G30 that confirms
that we should code also the dementia. F02.80 is the correct code because the
provider does not mention any behavioral disturbances. Sequencing rules tell us
that the manifestation code always follows the etiology code. Codes F29 Psychosis
and R41.3 Memory loss are not reported because these are signs and symptoms
of Alzheimer's. See ICD-10-CM guideline I.B.4.
the ICD - 10 - CM alphabetical index brackets indicate the code within the brackets
is sequence after the code preceding the bracket. It is important to pay close
attention to the conversions or proper diagnostic code selection in sequencing . -
ANSWER-Practical coding note
,It is recommended to hold claims for surgical procedures until the pathology
report is returned. The pathology report will confirm the morphology of the
specimen and allow the most accurate code selection. Until the pathology report
is received, the only code option us from the specified column in the table of
neoplasms. - ANSWER-Practical coding note
Pay close attention to the EXCLUDES1 note to remind you that ise abuse, and
dependence codes cannot be reported together. DFore example, under
subcategory code F12.2 Cannabis dependence there is an EXCLUDES1 note that
indicates not to report code F12.1- Cannabis abuse or F12.9 Cannabis use,
unspecified with this code. - ANSWER-Practical coding note
A 39-year old patient underwent a left femoral hernia report. The postoperative
diagnosis was recurrent left femoral hernia. What is the diagnosis code for this
encounter? - ANSWER-K41.91 Unilateral femoral hernia, without obstruction or
gangrene, recurrent
A patient presents with abdominal pain. The physician performs an abdominal
ultrasound and discovers the patient has gallstone and inflammation of the
gallbladder. Select the diagnosis code(s). - ANSWER-K80.10 Calculus of gallbladder
with chronic cholecystitis without obstruction
,When selecting the code for anemia, review the documentation to see if the
provider documented the cause. When the cause is not documented, the code for
unspecified anemia (D64.9) is the only option. - ANSWER-Practical coding note
A patient is admitted to the hospital with pneumonia. Testing indicates the
patient's pneumonia is due to Staphylococcus aureaus and is methicillin resistant
(MRSA). Applying the coding concept from ICD-10-CM guideline I.C.1.e.1.a, what ICD-
10-CM code(s) are reported? - ANSWER-J15.212
Response Feedback:
Rationale: Look in the ICD-10-CM Alphabetic Index for Pneumonia/in (due
to)/staphylococcus/aureus/methicillin resistant (MRSA) J15.212. According to
ICD-10-CM guideline 1.C.1.e.1.(a), when a combination code exists for MRSA and the
infection, only the combination code should be reported. Pneumonia due to
Methicillin-resistant Staphylococcus aureus is reported with J15.212.
Patient is admitted to the hospital with streptococcal group B severe sepsis which
has caused pneumonia. What codes are assigned? - ANSWER-A40.1, J15.3, R65.20
, Response Feedback:
Rationale: Per ICD-10-CM guideline I.C.1.d.4 if the reason for admission is both
sepsis or severe sepsis and a localized infection, such as pneumonia or cellulitis,
a code for the systemic infection is assigned first, followed by the code for the
localized infection. To find the codes in the ICD-10-CM Alphabetic Index, look for
Sepsis/Streptococcus, streptococcal/group/ B which directs the coder to A40.1
for the Systemic infection. To locate the code for sepsis, look for Sepsis/severe
which directs the coder to R65.20. Pneumonia can be found in the Alphabetic
Index by looking for Pneumonia/in (due to)/Streptococcus/group B which directs
the coder to J15.3. Verify all codes in the Tabular List. Pay careful attention to the
instructional notes in the Tabular List to help with sequencing.
Dear Dr. Smith,
Mr. Martin was seen in the office for continued management of his breast
cancer.(This indicates the patient's main reason for the office visit.) He's having
some increasing pain in his breast which is due to the cancer.(Pain related to the
neoplasm.) He is also complaining of neck pain. It does not seem to be worse at
night; it seems to be worse with activity. He has no other symptoms. Otherwise his
review of systems is unremarkable. He's had no constitutional symptoms.
