AAPC CPC Exam - Topic 1 Question 37 Discussion

Actual exam question for AAPC's CPC exam

Question #: 37
Topic #: 1

An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.

According to ICD-10-CM guidelines, how is this reported?

AI20.0

BR06.02

CI20.0, R06.02

DI21.3, R06.02

Show Suggested Answer

Suggested Answer: A

For a comatose patient who has overdosed on tricyclic antidepressant drugs (doxepin, amoxapine, and clomipramine), the correct CPT code is 80366. This code covers drug testing for tricyclic antidepressants, which includes the specific drugs mentioned in the scenario.

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by Art at Sep 13, 2024, 05:51 AM

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Horace

6 months ago

Not sure about that, I thought it was I20.0 too.

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Annabelle

6 months ago

I20.0 is for angina, not MI.

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Jani

6 months ago

Wait, isn't R06.02 just for shortness of breath?

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Joni

7 months ago

Totally agree, I21.3 is the right code!

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Audry

7 months ago

I think it's I21.3 for impending MI.

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Eun

7 months ago

I believe the correct answer is D, I21.3 and R06.02, but I’m not entirely confident about the combination.

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Thurman

7 months ago

I’m a bit confused about the R06.02 code for shortness of breath. Do we need to include that with the main diagnosis?

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German

7 months ago

I feel like we practiced a question similar to this, and I think it involved using I21.3 for the myocardial infarction.

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Eleni

8 months ago

I think I remember that I20.0 is for angina, but I'm not sure if that's the right choice for impending myocardial infarction.

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Tran

8 months ago

I'm a little confused here. Is the shortness of breath considered the main diagnosis, or is it just a symptom of the impending myocardial infarction? I'm not sure if both codes are needed or if just the I20.0 is sufficient.

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Shanice

8 months ago

Okay, let me think this through step-by-step. The final diagnosis was impending myocardial infarction, which is I20.0. And the patient presented with shortness of breath, so I think the correct answer is C, I20.0 and R06.02.

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Evan

8 months ago

I'm pretty confident I know the right answer here. The key is to look at the final diagnosis of impending myocardial infarction, which would be coded as I20.0.

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Lavonda

8 months ago

Hmm, I'm a bit unsure on this one. The patient had shortness of breath, so I'm wondering if R06.02 for shortness of breath might also be needed.

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Elina

8 months ago

The combination of checking files and logging in sounds like it covers all bases, but option D feels a bit too comprehensive for the preparation phase, doesn't it?

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Carol

1 year ago

Definitely D. I21.3, R06.02. The guidelines are clear on coding both the underlying condition and the presenting symptom in a case like this. Easy peasy!

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Hoa

11 months ago

Thanks for clarifying. I'll remember that for next time.

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Devon

1 year ago

Actually, it's D) I21.3, R06.02. You need to code both the underlying condition and the presenting symptom.

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Yen

1 year ago

I always make sure to follow the guidelines closely when coding for cases like this.

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Lea

1 year ago

I think it's A) I20.0

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Raymon

1 year ago

Yes, that's correct. It helps provide a more accurate picture of the patient's condition.

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Frankie

1 year ago

I agree, it's important to code both the underlying condition and the presenting symptom.

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Stephania

1 year ago

Ha! I bet the exam writers are trying to trick us with these multiple-choice options. I'm going with D, but only because I'm feeling lucky today.

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Felicitas

1 year ago

Hmm, I'm not sure. I was thinking B. R06.02 since that's the code for shortness of breath, but the guidelines are tricky. Guess I'll have to review those ICD-10 rules again.

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Marylyn

1 year ago

C) I20.0, R06.02

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Makeda

1 year ago

A) I20.0

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Kattie

1 year ago

I see your point, but I think D) makes more sense because of the impending myocardial infarction diagnosis.

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Vallie

1 year ago

I think the correct answer is D. I21.3, R06.02 since the final diagnosis was impending myocardial infarction, and the symptom of shortness of breath should also be coded.

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Whitney

1 year ago

A: Hmm, I see your point. Maybe I should reconsider my answer.

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Paris

1 year ago

C: I agree with B. It makes sense to report both the diagnosis and symptom in this case.

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Aretha

1 year ago

B: I'm not sure about that. I think it might be C) I20.0, R06.02 because both the diagnosis and symptom are important to report.

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Hoa

1 year ago

A: I think the correct answer is D. I21.3, R06.02 since the final diagnosis was impending myocardial infarction, and the symptom of shortness of breath should also be coded.

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Lawrence

1 year ago

I disagree, I believe it should be A) I20.0.

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Kattie

1 year ago

I think the correct code is D) I21.3, R06.02.

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