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AAPC CPC Exam - Topic 2 Question 19 Discussion

Actual exam question for AAPC's CPC exam
Question #: 19
Topic #: 2
[All CPC Questions]

A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.

What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?

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Suggested Answer: B

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Dahlia
3 months ago
I’m surprised they use a three-dose schedule for Hep B in this case.
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Diego
3 months ago
Z23 is the right code for vaccination, no doubt!
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Joanna
3 months ago
Wait, why is B19.10 included? That seems off.
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Thora
4 months ago
I disagree, I believe it's option A.
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Adela
4 months ago
I think it's definitely G0010 for the dialysis patient.
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Daniela
4 months ago
I’m leaning towards option B because it seems to fit the scenario, but I’m a bit uncertain about the specific vaccine code.
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Fabiola
4 months ago
I feel like I saw a similar question where G0010 was used, but I’m confused about the other codes in the options.
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Winifred
4 months ago
I think Z23 is definitely the right diagnosis code since it's for vaccination status, but I can't recall if 90471 applies here.
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Joseph
5 months ago
I remember practicing with vaccine coding, but I'm not sure if G0010 is the right code for the Hep B vaccine in this case.
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Kenda
5 months ago
This is a tricky one. There are a lot of factors to consider, like the patient's condition, the type of vaccine, and the setting. I'm going to carefully review the coding rules and make sure I select the most accurate combination of codes.
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Nida
5 months ago
Okay, let me think this through step-by-step. The patient is on dialysis for ESRD, so I'll need to include the code for that. And since it's a Hep B vaccine, I'll need the appropriate vaccine administration codes. I think I've got a good handle on this.
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Sharee
5 months ago
Hmm, I'm a bit unsure about this one. There are a lot of different code options, and I want to make sure I get the right combination for this specific scenario. I'll need to double-check the coding guidelines.
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Mee
5 months ago
This seems like a straightforward question about coding for a Hep B vaccine administration for a dialysis patient. I'll need to carefully review the details to make sure I select the correct codes.
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Hyman
5 months ago
Okay, let's see. Device manufacturer and OS can definitely impact location accuracy, as can the number of antennas. I'm leaning towards those two, but I want to double-check my reasoning.
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Yoko
5 months ago
This question seems to be asking about the benefits of stateless or state-efficient network functions. I think I'll need to focus on understanding the key differences between stateful and stateless network functions and how that impacts scalability, resiliency, and database integrity.
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Markus
5 months ago
Oh, this looks like a key interview ethics question. Separate interviews are usually best to prevent coordinating stories.
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France
5 months ago
I think this question relates to how insurers assess their financial health, but I'm not completely sure which term fits best.
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Kallie
5 months ago
I think the key here is understanding how EPGs are extended outside the ACI fabric. Option B seems like the most logical choice - creating an external routed network assigned to an EPG.
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Edna
2 years ago
I think B19.10 is the appropriate diagnosis code for Hepatitis B.
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Stefany
2 years ago
Why do you think C is the correct answer?
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Edna
2 years ago
I disagree, I believe the correct answer is C.
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Silvana
2 years ago
Because 90471 and 90746 are for the vaccine injection, and Z23 is for the encounter for immunization.
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Stefany
2 years ago
Why do you think that?
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Silvana
2 years ago
I think the answer is A.
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Marylou
2 years ago
Candidate 3: I see, thanks for clarifying. Sounds good to me!
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Aja
2 years ago
Candidate 2: Yeah, I think sticking with option A is the safest bet.
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Tracey
2 years ago
Candidate 1: That code is for viral hepatitis, not necessary for this scenario.
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Alpha
2 years ago
Candidate 3: But what about option C with additional diagnosis code B19.10?
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Adolph
2 years ago
Candidate 2: I agree, because 90471 is for the vaccination administration and 90746 is for the vaccine itself.
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Leah
2 years ago
Candidate 1: I think the correct answer is A) 90471, 90746, Z23, N18.6, Z99.2
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