AAPC CPC Ch 8 Test with Verified Answers
1. What information is required to accurately
code osteoarthritis in ICD-10-CM?
Whether the osteoarthri-
tis is primary, secondary,
post-traumatic, the site and
laterality.
Rationale: To accurate-
ly code osteoarthritis in
ICD-10-CM, the documen-
t...
AAPC CPC Ch 8 Test with Verified Answers
1. What information is required to accurately Whether the osteoarthri-
code osteoarthritis in ICD-10-CM? tis is primary, secondary,
post-traumatic, the site and
laterality.
Rationale: To accurate-
ly code osteoarthritis in
ICD-10-CM, the documen-
tation needs to include
whether the arthritis is pri-
mary, secondary, post-trau-
matic, the site and laterality
(right/left).
2. What is the acromion? Extension of the scapula
Rationale: The acromion is
an extension of the scapu-
la that meets the clavicle
at the shoulder to form the
acromioclavicular joint.
3. Most of the codes in ICD-10-CM Chapter 13 The site may be the bone,
Diseases of the Musculoskeletal System and joint or muscle involved.
Connective Tissue have site and laterality
designations. According to ICD-10-CM guide- Rationale: According to
lines what is considered the site? ICD-10-CM guideline
I.C.13.a., the site may be
the bone, joint or muscle in-
volved.
4. A patient has a greenstick fracture of the right S52.311A
radial shaft. It is treated by surgically placing
a bone plate on the distal radial shaft. What Rationale: A greenstick
ICD-10-CM code is reported? fracture occurs when the
bone does not break
completely through, and
the bone does not protrude
through the skin; this is a
, AAPC CPC Ch 8 Test with Verified Answers
closed fracture. The
treatment to fix the fracture
is an open approach to
expose the bone to insert
the plate across the
fracture site; however, the
fracture care treatment is
not considered when
coding for the diagnosis. In
the ICD-10-CM Alphabetic
Index look for Fracture,
traumatic/ra-
dius/shaft/greenstick
S52.31-. In ICD-10-CM
codes are specific for
laterality (left, right) and
the episode of care. Check
the Tabular List and seven
characters are needed to
complete the code. Right
radial shaft is indicated in
the question and because
the encounter is being
treated surgically, this
meets the definition of
initial encounter or active
treatment (See
ICD-10-CM guideline
I.C.19.a.). The complete
code is S52.311A.
5. What is segmental instrumentation? A spinal fixation device at-
tached at each end of a rod
and at additional bony at-
tachment
Rationale: Segmental in-
strumentation of the spine
is a procedure used to re-
, AAPC CPC Ch 8 Test with Verified Answers
pair a spinal defect where
the fixation device is at-
tached in at least three
places: at each end of the
construct (rod) and at least
one additional interposed
bony attachment.
6. A patient presented with a closed, displaced 24538-LT
supracondylar fracture of the left elbow. After
conscious sedation, the left upper extremity Rationale: This is a
was draped and closed reduction was per- supracondylar fracture of
formed, achieving anatomical reduction of the the elbow repaired by
fracture. The elbow was then prepped and percutaneous fixation. In
with the use of fluoroscopic guidance, two the CPT Index look for
K-wires were directed crossing the fracture Fracture/Humerus/Supra-
site and piercing the medial cortex of the condylar/Percutaneous
left distal humerus. Stable reduction was ob- Fixation and you are
tained, with full flexion and extension. K-wires referred to 24538. Modifier
were bent and cut at a 90-degree angle. Telfa LT is appended to indicate
padding and splint were applied. What CPT the procedure is performed
code(s) is/are reported? on the left side. The
application of the first cast
or splint is included in the
fracture codes. See the
guidelines before
Application of Casts and
Strapping in your CPT
codebook. Fluoroscopy
guidance 76000, is listed
as a separate procedure;
therefore, is included in the
procedure.
7. A 27 year-old presents with right-sided tho- 20553
racic myofascial pain. A 25-gauge 1.5-inch
needle on a 10 cc controlled syringe with Rationale: In the CPT In-
0.25% bupivacaine was used. After negative dex look for Injection/Trig-
aspiration, 2 cc were injected into each trigger ger Point(s)/Three or More
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