AAPC CPC Final Exam 2017 Review

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 po