This document offers a set of 45 flashcards designed to help you review and master Chapter 4 of the AAPC CPC Exam, focusing on ICD-10-CM Coding (Chapters 1-11). Each flashcard is crafted to reinforce key concepts, with detailed rationales provided for each answer on the back of the card, ensuring a...
A PATIENT IS ADMITTED TO THE HOSPITAL FOR REPAIR OF AN
OPEN FRACTURE, TYPE I, OF THE HEAD OF THE LEFT FEMUR.
THE PATIENT HAS BEEN PREVIOUSLY DIAGNOSED WITH
SYMPTOMATIC HIV. APPLYING THE CODING CONCEPT FROM
ICD-10-CM GUIDELINES I.C.1.a.2.b, WHAT ICD-10-CM CODE(S)
IS/ARE REPORTED FOR THE ADMISSION?
A. B20
B. S72.052B
C. B20, S72.052B
D. S72.052B, B20
, 01
Answer: D. S72.052B, B20
Rationale: ICD-10-CM guideline I.C.1.a.2.b. states, "If a patient with HIV
disease is admitted for an unrelated condition (such as a traumatic injury),
the code for the unrelated condition (eg, the nature of the injury code)
should be the principal diagnosis. Other diagnoses would be B20 followed by
additional diagnosis codes for all reported HIV-related conditions." The open
fracture of the head of the femur (S72.052B) is reported rst as the reason
for the visit because it is unrelated to HIV. To locate the diagnosis, look in the
ICD-10-CM Alphabetic Index for Fracture, traumatic/femur, femoral/upper
end/head referring you to subcategory code S72.05-. In the Tabular List, 6th
character 2 indicates the left femur. 7th character B indicates the initial
encounter for a type 1 open fracture. HIV is symptomatic so it is reported
secondarily with B20.
, 02
A 22-YEAR-OLD FEMALE IS ADMITTED TO ICU FOR ACUTE
RENAL (KIDNEY) FAILURE DUE TO SEPSIS (CASUAL
ORGANISM UNKNOWN). APPLYING THE CODING
CONCEPT FORM ICD-10-CM GUIDELINE I.C.1.d.1.b WHAT
ICD-10-CM CODES ARE REPORTED (IN THE CORRECT
SEQUENCING)?
A. A41.9, R65.20, N 17.9
B. N17.9, R65.20, A 41.9
C. R65.21, A41.9, N17.9
D. N17.9, R65.21, A41.01
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