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AAPC CPC Coding Guidelines| Practice Exam Q&A 2025| Reviewed
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AAPC CPC Coding Guidelines| Practice Exam Q&A 2025| Reviewed Finding the main diagnosis term: When searching for a diagnosis, try reading it from right to left. For example: COPD (chronic obstructive pulmonary disease) can be found under "disease" and "obstruction." URI (upper respira...

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  • November 17, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • aapc cpc coding guidelines practice exam qa 202

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  • AAPC CPC
  • AAPC CPC

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AAPC CPC Coding Guidelines| Practice
Exam Q&A 2025| Reviewed
Finding the main diagnosis term:

When searching for a diagnosis, try reading it from right to left.

For example:

COPD (chronic obstructive pulmonary disease) can be found under "disease" and

"obstruction."

URI (upper respiratory infection) is listed under "infection."



Always code to the highest specificity:

For example, for age-related osteoporosis with a current fracture of the left shoulder on a follow-

up visit:

M80.012D:

- M80 (osteoporosis with a current fracture)

- M80.0 (age-related)

- M80.012 (age-related with a current fracture of the left shoulder)

- M80.012D (subsequent visit)



Outpatient visits:

Suspected diagnoses should **never** be coded.

If a definitive diagnosis is not available, code:

1. Signs

1

, 2. Symptoms

3. Abnormal test results

Terms related to suspected diagnoses include:

Probable

Suspected

Questionable

Rule Out

Differential

Working



Inpatient visits:

Suspected diagnoses **may** be coded, except for HIV.

HIV must be confirmed before it is coded.



Symptoms that are integral to a disease:

Symptoms that are inherent to a disease **do not** need to be coded separately.

For example: A patient with severe abdominal pain, nausea, and vomiting diagnosed with acute

appendicitis should only have acute appendicitis (K35.80) coded.



Symptoms that are not integral to a disease:

Symptoms that are not part of the disease **must** be coded separately.




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