AAPC PRACTICODE ACTUAL EXAM QUESTIONS BANK | 603
QUESTIONS WITH EXPERT SOLUTIONS
7173
83 year old
DIAGNOSIS: Right hip joint primary osteoarthritis.
PROCEDURE: Right hip cortisone injection
M16.11
20610-RT
77002-26
7343
Operative report
37 years old
Postoperative diagnosis abdominal wall endometrioma
Procedure performed excision of the abdominal wall endometrioma
22900
N80.C11
7211
Emergency department visit
73-year-old patient
Abdominal pain
The patient is a female who stays she has had left, sided a domino pain developing over the last
six hours and with nausea. Patient states that it's somewhat call Aki in nature, but getting
worse. She states that she has history of constipation, diarrhea, Mélena,hematochezia. No
vomiting, no pleuritic nature of the pain or pulmonary symptoms. Patient states nothing seems
to make the pain worse or better, certainly not positional. States that she is concerned because
she has had a prior Whipple procedure for pancreatic cancer that was felt not to have spread,
about 11 years ago. Patient states she has had an upper endoscopy just a few months ago that
was right out as normal, although she had a history of a stricture in her esophagus/gastric area.
It was all improved by the time the endoscopy was performed, she states. She denies any
history of peptic
99284
Diagnosis codes
,R10.9
R11.0
Z90.411
Z85.07
6968
PATIENT : AGE : 69 Y SEX : FEMALE PREOPERATIVE DIAGNOSIS : SYMPTOMATIC RIGHT CAROTID
STENOSIS . PROCEDURES : RIGHT EXTERNAL CAROTID ARTERY ENDARTERECTOMY LIGATION OF
INTERNAL CAROTID ARTERY . POSTOPERATIVE DIAGNOSIS : SYMPTOMATIC RIGHT CAROTID
STENOSIS , RIGHT ICA OCCLUSION .
35301-RT
37605-RT
I63.231
7052
Emergency department visit
71-year-old female
History of present illness chief complaint injury to face location of injuries knows them out the
injury car just prior to arrival
Fell walking across street after lunch and tripped on street fell hit face on street. Neighbor saw
her on the ground and rushed out to help, called EMS and notified brother, occurred on the
street.
99285-25
93010
S02.2XXA
S01.81XA
S00.511A
R93.0
W01.198A
Y93.01
Y92.414
7098
Global services
Stress, echocardiogram
,75 year old male
Indication coronary atherosclerosis of native vessels
99214/25
93350
93325
I25.10
E78.5
I51.7
Z79.02
7020
SEX : Male Age 68 This is a Commercial Payer ( Follow Medicare rules . External causes are NOT
required ) PREOPERATIVE DIAGNOSIS : Previous spinal fusion at the L5 - S1 level with stenosis at
L4 - L5 with claudication . POSTOPERATIVE DIAGNOSIS : Previous spinal fusion at the L5 - S1 level
with stenosis at L4 - L5 with claudication NAME OF PROCEDURE : Repeat spinal surgery . Lumbar
laminotomy L4-5 with foraminotomy .
63042
M48.062
Z98.1
7473
Office visit established patient
Maria Smith
54 years old
The patient returns for her right shoulder, impingement syndrome and possible rotator cuff tear
that was diagnosed by ultrasound by another physician .
99213
M75.41
M19.011
7262
Emergency department visit
97 year old, female
Chief complaint, low blood pressure per Skyler staff
, This is a female who was brought here from skyler, because she was thought to have a low
blood pressure and hypo thermia. She herself has had no complaints. She is declining in health,
having been moved from her home to Skyler three weeks ago. She has had physical and mental
deterioration Over the past month or so. She is in the process of being moved into the enhance
care unit at Skyler, and there was discussion about having hospice begin providing care for her.
The patient's son came to provide more information as the patient is not able to answer
questions and reliability.
99284
R53.1
E86.0
E87.1
6939
Operative note
20-year-old male
Postoperative diagnosis left proximal humerus, two-part fracture, growth plate fracture, Salter -
Harris type 2
Closed reduction with percutaneous pinning of the left proximal humerus fracture
23605 22-LT
S49.022A
Modifier 22 is reported for the extra time
7140
The diagnosis is gangrene of the left great toe. The patient has type two diabetes
The procedure performed is left toe partial amputation through the proximal interphalangeal
joint with primary closure
Alphabetic index for diabetes/type 2/with/gangrene E11.52
Look in the CPT index for amputation/toe. This procedure was on the left side the correct coding
for this case is 28825/TA
7308
Office established patient
Female 71 years old
She is here for her echo cardio gram results
QUESTIONS WITH EXPERT SOLUTIONS
7173
83 year old
DIAGNOSIS: Right hip joint primary osteoarthritis.
PROCEDURE: Right hip cortisone injection
M16.11
20610-RT
77002-26
7343
Operative report
37 years old
Postoperative diagnosis abdominal wall endometrioma
Procedure performed excision of the abdominal wall endometrioma
22900
N80.C11
7211
Emergency department visit
73-year-old patient
Abdominal pain
The patient is a female who stays she has had left, sided a domino pain developing over the last
six hours and with nausea. Patient states that it's somewhat call Aki in nature, but getting
worse. She states that she has history of constipation, diarrhea, Mélena,hematochezia. No
vomiting, no pleuritic nature of the pain or pulmonary symptoms. Patient states nothing seems
to make the pain worse or better, certainly not positional. States that she is concerned because
she has had a prior Whipple procedure for pancreatic cancer that was felt not to have spread,
about 11 years ago. Patient states she has had an upper endoscopy just a few months ago that
was right out as normal, although she had a history of a stricture in her esophagus/gastric area.
It was all improved by the time the endoscopy was performed, she states. She denies any
history of peptic
99284
Diagnosis codes
,R10.9
R11.0
Z90.411
Z85.07
6968
PATIENT : AGE : 69 Y SEX : FEMALE PREOPERATIVE DIAGNOSIS : SYMPTOMATIC RIGHT CAROTID
STENOSIS . PROCEDURES : RIGHT EXTERNAL CAROTID ARTERY ENDARTERECTOMY LIGATION OF
INTERNAL CAROTID ARTERY . POSTOPERATIVE DIAGNOSIS : SYMPTOMATIC RIGHT CAROTID
STENOSIS , RIGHT ICA OCCLUSION .
35301-RT
37605-RT
I63.231
7052
Emergency department visit
71-year-old female
History of present illness chief complaint injury to face location of injuries knows them out the
injury car just prior to arrival
Fell walking across street after lunch and tripped on street fell hit face on street. Neighbor saw
her on the ground and rushed out to help, called EMS and notified brother, occurred on the
street.
99285-25
93010
S02.2XXA
S01.81XA
S00.511A
R93.0
W01.198A
Y93.01
Y92.414
7098
Global services
Stress, echocardiogram
,75 year old male
Indication coronary atherosclerosis of native vessels
99214/25
93350
93325
I25.10
E78.5
I51.7
Z79.02
7020
SEX : Male Age 68 This is a Commercial Payer ( Follow Medicare rules . External causes are NOT
required ) PREOPERATIVE DIAGNOSIS : Previous spinal fusion at the L5 - S1 level with stenosis at
L4 - L5 with claudication . POSTOPERATIVE DIAGNOSIS : Previous spinal fusion at the L5 - S1 level
with stenosis at L4 - L5 with claudication NAME OF PROCEDURE : Repeat spinal surgery . Lumbar
laminotomy L4-5 with foraminotomy .
63042
M48.062
Z98.1
7473
Office visit established patient
Maria Smith
54 years old
The patient returns for her right shoulder, impingement syndrome and possible rotator cuff tear
that was diagnosed by ultrasound by another physician .
99213
M75.41
M19.011
7262
Emergency department visit
97 year old, female
Chief complaint, low blood pressure per Skyler staff
, This is a female who was brought here from skyler, because she was thought to have a low
blood pressure and hypo thermia. She herself has had no complaints. She is declining in health,
having been moved from her home to Skyler three weeks ago. She has had physical and mental
deterioration Over the past month or so. She is in the process of being moved into the enhance
care unit at Skyler, and there was discussion about having hospice begin providing care for her.
The patient's son came to provide more information as the patient is not able to answer
questions and reliability.
99284
R53.1
E86.0
E87.1
6939
Operative note
20-year-old male
Postoperative diagnosis left proximal humerus, two-part fracture, growth plate fracture, Salter -
Harris type 2
Closed reduction with percutaneous pinning of the left proximal humerus fracture
23605 22-LT
S49.022A
Modifier 22 is reported for the extra time
7140
The diagnosis is gangrene of the left great toe. The patient has type two diabetes
The procedure performed is left toe partial amputation through the proximal interphalangeal
joint with primary closure
Alphabetic index for diabetes/type 2/with/gangrene E11.52
Look in the CPT index for amputation/toe. This procedure was on the left side the correct coding
for this case is 28825/TA
7308
Office established patient
Female 71 years old
She is here for her echo cardio gram results
