AAPC CPC Chapter 4 EXAM NEW
VERSION LATEST UPDATE 2024-2025
WITH ACCURATE ANSWERS
GUARANTEED PASS
C – ANSWER
An HIV positive patient was admitted with skin lesions on the chest and back. Biopsies
were taken, and the pathologic diagnosis was Kaposi's sarcoma. Leukoplakia of the lips
and splenomegaly were also noted on physical examination. Discharge diagnoses: (1)
HIV infection, (2) Kaposi's sarcoma, back and chest, (3) leukoplakia (4) splenomegaly.
What ICD-10-CM codes should be reported?
A) Z21, C46.0, K13.21, R16.1
B) R16.1, C46.0, R16.1, Z21
C) B20, C46.0, K13.21, R16.1
D) B20, C46.0, K13.21, R16.1, Z21
D - ANSWER
What ICD-10-CM codes are reported for uncontrolled hypertension with stage 3 chronic
kidney disease?
A) I12.9, N18.9
B) N18.9, I12.3
C) N18.3, I12.9
D) I12.9, N18.3
D - ANSWER
A provider performed an aspiration via thoracentesis on a patient in observation status
in the hospital. The patient has advanced right lung cancer that has metastasized to the
pleura with malignant pleural effusion. Later the same day, due to continued
accumulation of fluid, the patient was returned to the procedure room and the same
provider performed a repeat thoracentesis. What ICD-10-CM codes are reported?
A) C34.91, C78.2, J91.0
B) C78.2, C34.91
C) J91.0
D) C78.2, C34.91, J91.0
B – ANSWER
A 65 year-old female patient returns to her primary care provider for follow up of an
upper respiratory infection diagnosed the previous week. Her condition has not
improved and her cough has increased. She has a long history of smoking. She
currently smokes one pack a day and is dependent on the cigarettes. She uses a
,bronchodilator for her COPD. The provider changes her antibiotics to treat her acute
bronchitis with COPD. What ICD-10-CM codes are reported for this visit?
A) J44.0, Z72.0
B) J44.0, J20.9, F17.210
C) J44.0, J21.9, F17.210
D) J44.9, J20.9, Z72.0
D – ANSWER
A young female, was brought to the clinic by her sister. She has had periods of severe
depression for many years and is on Lithium. Her provider also manages her manic-
depressive psychosis, hypothyroidism, and migraine headaches. Additional medications
are Synthroid and Midrin. During the past week, she became manic, running all her
credit cards to the limit, getting inappropriately involved in a friend's suicide attempt,
quitting her job, and trying to take over the pulpit at church. On the day of the clinic visit,
she threatened to strike the telephone repairman with a lead pipe. She was admitted for
Lithium adjustment. Diagnoses are: moderate manic-depressive bipolar with circular
current manic state, hypothyroidism, and migraine. What ICD-10-CM codes are
reported?
A) F31.32, E03.9, G43.909
B) F31.89, G43.911, E03.8
C) F31.62, E03.9, G43.911
D) F31.12, E03.9, G43.909
A - ANSWER
Four years post hepatic transplant, the patient is diagnosed with combined
hepatocellular carcinoma and cholangiocarcinoma of the liver. What ICD-10-CM codes
are reported?
A) T86.49, C80.2, C22.0
B) C80.2, C22.0
C) C80.2, C22.0, C22.1, Z94.4
D) T86.49, C80.2, C22.0, C22.1, Z94.4
B – ANSWER
The patient was given thrombolytic therapy for an acute myocardial infarction (STEMI)
of the anterolateral wall which converted to a NSTEMI. What ICD-10-CM code is
reported?
A) I22.8
B) I21.09
C) I21.29
D) I22.0
B – ANSWER
, The patient has a history of unstable angina, hypertension, and chronic systolic heart
failure. He is seen in the ED after prolonged chest pain that was not relieved by
medication. Cardiac enzymes are elevated, and EKG shows anterior infarct. A decision
was made to perform a cardiac catheterization and coronary angiography. Left heart
catheterization was performed in order to perform a left ventriculogram. He tolerated the
procedure well and will be discharged. His final diagnosis is chronic systolic heart failure
and hypertension. The two conditions are unrelated. What ICD-10-CM code(s) is/are
reported?
A) I11.0
B) I50.22, I10
C) I11.0, I10
D) I11.0, I50.22
C - ANSWER
A patient is brought in by the ambulance with seizures. After examination and workup is
complete, it is determined the seizures were due to alcohol abuse with intoxication.
What ICD-10-CM code(s) is/are reported?
A) F10.129
B) G40.509, F10.120
C) R56.9, F10.129 (This was a seizure brought on by the intake of alcohol. Look in the
ICD-10-CM Alphabetic Index for Seizure(s) directing you to code R56.9. Documentation
states alcohol abuse not alcoholism with intoxication. Look in the Alphabetic Index for
Abuse/alcohol/with/intoxication directing you to F10.129.)
D) G40.501, R56.9, F10.129
C - ANSWER
A lab screening shows congenital iodine-deficiency hypothyroidism for an infant with
identified intellectual disability. What ICD-10-CM code(s) is/are reported?
A) F79, E00.9
B) E00.9
C) E00.9, F79
D) E03.8, F79
B - ANSWER
A 22 year-old patient status post-surgery developed a postoperative infection. The
patient quickly deteriorated and became septic, developed gas gangrene (gas bacillus
infection) and went into postprocedural septic shock. With aggressive intravenous
antibiotic management, the patient improved. What ICD-10-CM codes are reported?
A) T81.12XA, R65.21, A48.0
B) T81.4XXA, A48.0, T81.12XA C) R65.21, A48.0, T81.12XA
D) A48.0, R65.21, T81.4XXA
B – ANSWER
