CPC Exam 2 i i
Ai72-year-
oldipatientipresentsitoitheiemergencyidepartmenti(ED)iwithiaifeveriofi100.9,iairediswollenileg,iandinause
a.iTheiemergencyiroomi(ER)idoctoridocumentsifinalidiagnosesioficellulitis,isepsis,iandileukocytosisi(WBC
i15.3).iTheipatientiisiadmittediforitreatmentiofitheilefticalficellulitisiandistaysiforifiveidays.iTheiprogressin
oteionidayitwoistatesi"possibleisepsis."iTheiattendingiphysician'sifinalidiagnosesiareilefticalficellulitis,ihy
pokalemia,ihypertension,iandidiabetes.iWhichiICD-10-CMicodesishouldibeireported?i-i
i ✅Queryitheiphysicianiforiclarificationiofisepsis.
Ai59-year-
oldimaleipresentsitoitheiemergencyiroomi(ER)iwithicoughing,ilossiofitasteiandismell,iandigeneralizediwe
akness.iTheiCOVID-
19itestiisipositive.iTheipatient'sivitalisignsiinitheiERiare:iBloodipressurei88/62,iheartiratei102,irespiratoryi
ratei23,itemperaturei99.8iF,iandiSpO2i88ipercentioniroomiair.iHazinessiandiground-
glassiopacitiesiareiseenionitheichestiX-
ray.iAfteritwoilitersiofiintravenousifluids,itheipatient'sibloodipressureiisi91/65.iTheipatientiisistartedioniI
ViLevophediandiantibioticsianditheniadmitteditoitheihospitaliforitreatmentiofisepticishockidueitoiCOVID-
19ipneumoniaiandiacuteirespiratoryifailure.iWhichiICD-10-CMicodesishouldibeireported?i-i
i ✅A41.89,iU07.1,iJ12.82,iR65.21,iJ96.00
Ai78-year-
oldipatientipresentsitoitheiEDiafteribeingicalledibackiforitwoisetsiofiabnormalibloodicultures.iTheipatienti
wasiinitheiEDithreeidaysiprioriforisymptomsiofivertigoiandinauseaiwheniculturesiwereiobtained.iTheiblo
odicultureiwasipositiveiforiEnterococcusifaecalis.iAntibioticsiwereigiveniinitheiED.iTheipatientiwasiadmit
teditoidetermineitheiinfectiousisourceianditoiadministeriIVivancomycin.iTheihistoryiandiphysicaliexamist
atedithatitheipatientiwasiasymptomaticifromitheiEnterococcusifaecalisibacteremia.iTheiCYiscaniofitheia
bdomenianditheitransthoraciciechocardiogramididn'tishowiaisourceiofiinfection.iTheiurineicultureiwasin
egative.iAfterisixidaysiaisecondisetiofibloodiculturesiwasinegative.iTheipatientiwasidischargediwithihomei
antibioticsiforieightimoreidaysitoicompletei14idaysiofitreatment.iWhichiICD-10-
Cmicodesishouldibeireported?i-i
i ✅R78.81,i895.2
Ai48-year-
oldimaleiwithiaihistoryiofialcoholismipresentsitoitheiemergencyidepartmenti(ED)iwithisevereistomachicr
ampsiandifeveriafteriaiweekendibinge.iInitheiED,itheipatientihaditachycardia,iaitemperatureiofi101.1iF,iai
whiteibloodicellicountiofi15.1,iandiailipaseileveliofi485.iAbdominaliCTishowedipancreaticiinflammationia
ndinoigallstonesioricholecystitis.iTheipatientiwasiadmittediforitreatmentiofiacuteialcoholicipancreatitis,i
systemiciinflammatoryiresponseisyndromei(SIRS)iversusisepsis,iandialcoholidependence.iHeiwasitreate
diwithiintravenousifluidsiandipainimedicationiandiwasikeptinothingibyimouthi(NPO).iHeireceivedicounse
1i|iP a g e
, lingiforihisialcoholihabitiwhileiinitheihospital.iTheifinalidiagnosesionitheidischargeisummaryiwereiSIRS,iac
uteialcoholicipancreatitis,iandialcoholiabuse.iWhichicodesishouldibeireported?i-i
i ✅K85.20,iF10.20,iR65.10
BasedionitheinewievaluationiandimanagementiE/Michangesitoidetermineitheileveliofiservice,ibestipracti
ceiisiforiprovidersitoiincludeiwhichiofitheifollowingiinitheiridocumentationiforieveryiencounter?i-i
i ✅TimeiandiMDM
Withistreamlinedilevelsiofiserviceiviewedibyimultipleientities,iorganizationsishouldiprovideiwhichiofithei
following?i-i
i ✅Tipisheets,iCrosswalks,iProvideritrainingiresources
Whatiareitheithreeicommonipaymentitypesiforidrugs?i-i
i ✅ASP(applicationiserviceiprovider)
AWPi(averageiwholesaleiprice)
WACi(WholesaleiAcquisitioniCost)
Initheibelowiexamples,iwhichiisianiNDCiformatithatiCMSiallows?i-i
i ✅50242-0053-06
Aiphysicianiqueryishouldihaveiwhichioneiofitheifollowingiqualities?i-i
i ✅Itimustibeiopeniended.
Theicoder'sijobiisitoiqueryitheiphysicianiwheniwhichiofitheifollowingiisitrue?i-i
i ✅Diagnosticidataidoinotisupportiaidocumentedidiagnosis.
Thereiareiconflictingiopinionsibetweeniprovidersiforiaispecificidiagnosis.
Thereiisidiagnosticidatainoticapturedibyitheiprovider.
AccordingitoiHealthicity'siAnnualiCompliancei&iAuditingiBenchmarkiReport,iwhatipercentageiofiorganiz
ationsiconductieitherimonthlyioriquarterlyireviewsionitheiricoders?i-i
i ✅82%
2i|iP a g e
Ai72-year-
oldipatientipresentsitoitheiemergencyidepartmenti(ED)iwithiaifeveriofi100.9,iairediswollenileg,iandinause
a.iTheiemergencyiroomi(ER)idoctoridocumentsifinalidiagnosesioficellulitis,isepsis,iandileukocytosisi(WBC
i15.3).iTheipatientiisiadmittediforitreatmentiofitheilefticalficellulitisiandistaysiforifiveidays.iTheiprogressin
oteionidayitwoistatesi"possibleisepsis."iTheiattendingiphysician'sifinalidiagnosesiareilefticalficellulitis,ihy
pokalemia,ihypertension,iandidiabetes.iWhichiICD-10-CMicodesishouldibeireported?i-i
i ✅Queryitheiphysicianiforiclarificationiofisepsis.
Ai59-year-
oldimaleipresentsitoitheiemergencyiroomi(ER)iwithicoughing,ilossiofitasteiandismell,iandigeneralizediwe
akness.iTheiCOVID-
19itestiisipositive.iTheipatient'sivitalisignsiinitheiERiare:iBloodipressurei88/62,iheartiratei102,irespiratoryi
ratei23,itemperaturei99.8iF,iandiSpO2i88ipercentioniroomiair.iHazinessiandiground-
glassiopacitiesiareiseenionitheichestiX-
ray.iAfteritwoilitersiofiintravenousifluids,itheipatient'sibloodipressureiisi91/65.iTheipatientiisistartedioniI
ViLevophediandiantibioticsianditheniadmitteditoitheihospitaliforitreatmentiofisepticishockidueitoiCOVID-
19ipneumoniaiandiacuteirespiratoryifailure.iWhichiICD-10-CMicodesishouldibeireported?i-i
i ✅A41.89,iU07.1,iJ12.82,iR65.21,iJ96.00
Ai78-year-
oldipatientipresentsitoitheiEDiafteribeingicalledibackiforitwoisetsiofiabnormalibloodicultures.iTheipatienti
wasiinitheiEDithreeidaysiprioriforisymptomsiofivertigoiandinauseaiwheniculturesiwereiobtained.iTheiblo
odicultureiwasipositiveiforiEnterococcusifaecalis.iAntibioticsiwereigiveniinitheiED.iTheipatientiwasiadmit
teditoidetermineitheiinfectiousisourceianditoiadministeriIVivancomycin.iTheihistoryiandiphysicaliexamist
atedithatitheipatientiwasiasymptomaticifromitheiEnterococcusifaecalisibacteremia.iTheiCYiscaniofitheia
bdomenianditheitransthoraciciechocardiogramididn'tishowiaisourceiofiinfection.iTheiurineicultureiwasin
egative.iAfterisixidaysiaisecondisetiofibloodiculturesiwasinegative.iTheipatientiwasidischargediwithihomei
antibioticsiforieightimoreidaysitoicompletei14idaysiofitreatment.iWhichiICD-10-
Cmicodesishouldibeireported?i-i
i ✅R78.81,i895.2
Ai48-year-
oldimaleiwithiaihistoryiofialcoholismipresentsitoitheiemergencyidepartmenti(ED)iwithisevereistomachicr
ampsiandifeveriafteriaiweekendibinge.iInitheiED,itheipatientihaditachycardia,iaitemperatureiofi101.1iF,iai
whiteibloodicellicountiofi15.1,iandiailipaseileveliofi485.iAbdominaliCTishowedipancreaticiinflammationia
ndinoigallstonesioricholecystitis.iTheipatientiwasiadmittediforitreatmentiofiacuteialcoholicipancreatitis,i
systemiciinflammatoryiresponseisyndromei(SIRS)iversusisepsis,iandialcoholidependence.iHeiwasitreate
diwithiintravenousifluidsiandipainimedicationiandiwasikeptinothingibyimouthi(NPO).iHeireceivedicounse
1i|iP a g e
, lingiforihisialcoholihabitiwhileiinitheihospital.iTheifinalidiagnosesionitheidischargeisummaryiwereiSIRS,iac
uteialcoholicipancreatitis,iandialcoholiabuse.iWhichicodesishouldibeireported?i-i
i ✅K85.20,iF10.20,iR65.10
BasedionitheinewievaluationiandimanagementiE/Michangesitoidetermineitheileveliofiservice,ibestipracti
ceiisiforiprovidersitoiincludeiwhichiofitheifollowingiinitheiridocumentationiforieveryiencounter?i-i
i ✅TimeiandiMDM
Withistreamlinedilevelsiofiserviceiviewedibyimultipleientities,iorganizationsishouldiprovideiwhichiofithei
following?i-i
i ✅Tipisheets,iCrosswalks,iProvideritrainingiresources
Whatiareitheithreeicommonipaymentitypesiforidrugs?i-i
i ✅ASP(applicationiserviceiprovider)
AWPi(averageiwholesaleiprice)
WACi(WholesaleiAcquisitioniCost)
Initheibelowiexamples,iwhichiisianiNDCiformatithatiCMSiallows?i-i
i ✅50242-0053-06
Aiphysicianiqueryishouldihaveiwhichioneiofitheifollowingiqualities?i-i
i ✅Itimustibeiopeniended.
Theicoder'sijobiisitoiqueryitheiphysicianiwheniwhichiofitheifollowingiisitrue?i-i
i ✅Diagnosticidataidoinotisupportiaidocumentedidiagnosis.
Thereiareiconflictingiopinionsibetweeniprovidersiforiaispecificidiagnosis.
Thereiisidiagnosticidatainoticapturedibyitheiprovider.
AccordingitoiHealthicity'siAnnualiCompliancei&iAuditingiBenchmarkiReport,iwhatipercentageiofiorganiz
ationsiconductieitherimonthlyioriquarterlyireviewsionitheiricoders?i-i
i ✅82%
2i|iP a g e
