AAPC CPB - Chapter 4 Practical Application 2023/2024

AAPC CPB - Chapter 4 Practical ApplicationA patient was seen for a left ear infection. The provider diagnosed the patient with Swimmer's Ear in the left ear. The biller received a denial from XYZ Insurance Company stating H60.33 is an invalid diagnosis code. Why is this an invalid code? a. H60.33 requires an additional character; the code should be H60.332 b. H60.33 requires an additional character; the code should be H60.339 c. H60.33 is not an invalid diagnosis code. d. H60.33 represents a procedure instead of a diagnosis. - correct answer a. H60.33 requires an additional character; the code should be H60.332 A patient is seen for a cough, chest congestion, and a headache. The provider documents a URI. What ICD-10-CM code(s) is/are reported? a. R05, R09.89, R51 b. R05, R09.89, R51, J98.8 c. J06.9 d. J98.8 - correct answer c. J06.9 What codes are reported for a patient that is being treated for ESRD and hypertension? a. I12.0, N18.5 b. I12.0, N18.6 c. I11.9, N18.9 d. I12.9, N18.6 - correct answer b. I12.0, N18.6 A patient complains of a severe sore throat, a fever and headache. Based on the results of a rapid strep test the provider determines the patient has strep throat. What ICD-10-CM code(s) is/are reported? a. J02.0 b. J02.9, R50.9, R51 c. R07.0, R50.9, R51 d. J02.0, R50.9, R51 - correct answer a. J02.0 What should a biller do if the ICD-10-CM instructions indicate " See" or " See Also?" a. Ignore this statement it only used by coders b. Only research the other codes if you do not know what this diagnosis is c. Go to the main term referenced with the "see" note to locate the correct code d. Add all of the ICD-10-CM codes indicated to the claim - correct answer c. Go to the main term referenced with the "see" note to locate the correct code Which ICD-10-CM must be listed first on a claim? a. Z65.0 b. Z98.870 c. Z51.0 d. Z87.892 - correct answer c. Z51.0 A patient presents for a lump in the lower inner quadrant of her right breast. The provider orders a mammogram. What is the correct ICD-10-CM code for the encounter? a. Z12.31 b. N63.14 c. Z12.39 d. C50.919 - correct answer b. N63.14