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NEW QUESTION # 77
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?
Answer: A
Explanation:
For a follow-up examination after the removal of polyps with no new polyps found, the appropriate diagnosis codes are:
Z09: Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm.
Z86.010: Personal history of colonic polyps.
Using Z09 indicates that the follow-up exam is to check the patient after treatment, and Z86.010 indicates a history of colonic polyps, which is relevant to the patient's medical history.
ICD-10-CM guidelines
AMA's CPT Professional Edition (current year)
NEW QUESTION # 78
(When a provider's documentation refers touse, abuse, and dependenceof the same substance (e.g., alcohol), which statement is correct?)
Answer: A
Explanation:
ICD-10-CM has a clear hierarchy when the same substance is documented with multiple levels of severity.
Dependencerepresents a higher severity classification thanabuse, andabuseis higher thanuse. When two or more of these are documented for the same substance, you generally assignonly one code, selecting thehighest level of severitysupported: dependence over abuse, and abuse over use. Therefore, if bothuse and dependenceare documented, you assigndependence only(Option D). Option A is incorrect because you do not code both use and abuse for the same substance; you choose the higher severity (abuse). Option B is incorrect because if abuse and dependence are both documented, you would codedependence, not abuse. Option C is incorrect because ICD-10-CM does not support reporting all three separately for the same substance; doing so would be duplicative and noncompliant. CPC exam tip: remember the mnemonicD-A-U#Dependence > Abuse > Use(pick the highest).
NEW QUESTION # 79
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?
Answer: C
Explanation:
The provider documents history of COVID-19, not active COVID-19.
Z86.16 = Personal history of COVID-19
J18.9 = Pneumonia, unspecified organism
Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here.
Therefore, A is correct.
NEW QUESTION # 80
A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital. What HCPCS Level II coding is reported for the ambulance's service?
Answer: A
NEW QUESTION # 81
What does the prefix "sub-" signify in medical terminology?
Answer: A
Explanation:
The prefix "sub-" means below or under.
Common examples include subcutaneous (below the skin) and sublingual (under the tongue).
This is a core concept tested under medical terminology on the CPC exam.
NEW QUESTION # 82
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