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AAPC FINAL EXAM 2025 REVIEW WITH QUESTIONS AND CORRECT ANSWERS GRADED A+
AAPC FINAL EXAM 2025 REVIEW WITH QUESTIONS AND CORRECT ANSWERS GRADED A+
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AAPC FINAL EXAM 2025 REVIEW WITHQUESTIONS AND CORRECT ANSWERS
GRADED A+
A 20 year-old comes into the ED with symptoms of a severe
headache, vomiting, stiff neck, and fever. The ED physician
suspects meningitis and performs a lumbar puncture. The ED
physician reviews the results and the patient is admitted in the
hospital for meningitis which is suspected to be bacterial. Which
ICD-10-CM code(s) is/are reported by the ED physician? Correct
Answer G03.9
Rationale: The symptoms for this scenario (headache, vomiting,
stiff neck, and fever) are associated with meningitis (definitive
diagnosis). ICD-10-CM guideline I.B.4 states signs and symptoms
that are associated routinely with a disease process should not be
assigned as additional codes. Per ICD-10-CM guidelines IV.D and
II.H do not code a diagnosis documented as probable, suspected,
questionable, rule out, or working diagnosis. Look in the
Alphabetic Index for Meningitis G03.9 Verify code selection in the
Tabular List.
What diagnosis codes should be reported for a patient with
polyneuropathy as a result of vitamin B deficiency? Correct
Answer E53.9, G63
Rationale: In the ICD-10-CM Alphabetic Index look for
Polyneuropathy/in (due to) deficiency (of)/B (-complex) vitamins
guiding you to codes E53.9 [G63]. Code G63 is a manifestation
code. In the Tabular List the description is Polyneuropathy in
other diseases classified elsewhere. There is an instructional note
stating to code first underlying disease such as nutritional
deficiency (E40-E64). Verify code selection in the Tabular List.
,What diagnosis code(s) should be reported for primary
osteoarthritis in both knees? Correct Answer M17.0
Rationale: Look in the ICD-10-CM Alphabetic Index for
Osteoarthritis/primary/knee/bilateral which directs the coder to
M17.0. Verify code selection in the Tabular List.
What is the ICD-10-CM code for an initial encounter for a closed
fracture of the right wrist? Correct Answer S62.101A
Rationale: Look in the ICD-10-CM Alphabetic Index for
Fracture/wrist which directs the coder to S62.10-. In the Tabular
List the 6th character 1 is selected for the right wrist. This code
also indicates a 7th character is required. A is selected for the
initial encounter.
A patient is seen in the ED for severe abdominal pain and urinary
frequency. After examination and urinalysis, the patient is
diagnosed with a urinary tract infection (UTI). What ICD-10-CM
code(s) is/are reported? Correct Answer N39.0
Rationale: Refer to ICD-10-CM guideline I.B.5. The abdominal
pain and urinary frequency are not reported because they are
symptoms of the UTI. Look in the ICD-10-CM Alphabetic Index for
Infection, infected, infective/urinary (tract) which directs the coder
to N39.0. Verification in the Tabular List confirms code selection.
When the type of diabetes mellitus is not documented in the
medical note, what is used as the default type? Correct Answer
Type 2
Rationale: ICD-10-CM guideline I.C.4.a.2 indicates when the type
of diabetes mellitus is not documented the default is E11.-, type 2
diabetes mellitus.
,If a diabetic patient uses insulin, and the type of diabetes is not
documented, what type of diabetes would be coded according to
ICD-10-CM guidelines? Correct Answer Type 2
Rationale: Some patients with type 2 diabetes mellitus are unable
to control their blood sugar through diet and oral medication alone
and do require insulin. If the documentation in a medical record
does not indicate the type of diabetes but does indicate that the
patient uses insulin, the diabetes is reported as type 2. Refer to
ICD-10-CM guidelines I.C.4.a.3.
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?
Correct Answer E05.10
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.
A pediatrician sees an 8 month-old patient for ear pulling and
excessive crying. The infant is diagnosed with bilateral chronic
and acute serous otitis media. What ICD-10-CM code(s) is/are
reported? Correct Answer H65.03, H65.23
Rationale: Per ICD-10-CM guideline I.B.8, when a condition is
diagnosed as acute and chronic and there are different codes for
each, report both codes sequencing the acute code first. In the
ICD-10-CM Alphabetic Index, look for Otitis/media/serous which
directs you to see Otitis media, nonsuppurative.
Otitis/media/nonsuppurative/acute/serous leads you to H65.0-.
, Otitis/media/nonsuppurative/chronic/serous leads you to H65.2-.
The hyphen after both codes indicates you will need additional
character(s). In the Tabular List a 5th character 3 is selected for
both codes to indicate the condition is bilateral.
A patient has been diagnosed with CAD of his bypass graft with
angina. The patient had a CABG one year ago. What diagnosis
codes are reported? Correct Answer I25.709, Z95.1
Rationale: CAD is an abbreviation for Coronary Artery Disease.
CABG is an abbreviation for Coronary Artery Bypass Graft. Look
in the ICD-10-CM Alphabetic Index
forDisease/artery/coronary/with angina pectoris and you are
directed to see Arteriosclerosis, coronary (artery).
Arteriosclerosis, arteriosclerotic/coronary (artery)/bypass
graft/with/angina pectoris which directs the coder to I25.709. The
patient is also status post CABG. Look in the ICD-10-CM
Alphabetic Index for Status/aortocoronary bypass referring you to
Z95.1. Verify code selection in the Tabular List.
The patient has a significant visual impairment (category 2) due to
astigmatism in the left eye. It is corrected with glasses. The right
eye has normal vision. What ICD-10-CM code(s) is/are reported?
Correct Answer H52.202, H54.52A2
Rationale: Look in the ICD-10-CM Alphabetic Index for Impaired,
impairment (function)/vision NEC referring you to H54.7. In the
Tabular List category H54 has a note to see the definition of
visual impairment categories. Category 2 is considered low vision.
Looking through the codes, low vision in the left eye is reported
with H54.52-. A2 is assigned as 6th and 7th character to identify
Category 2. Or, you can look in the Alphabetic Index for
Low/vision/one eye/left (normal vision on right) referring you to
H54.52. It is important to read the instructional notes in the
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