AAPC CPC Exam With Confidence Using Practice Dumps

The correct ICD-10-CM coding for this patient is B20, M54.50. The first code, B20, is used for HIV disease, which is a confirmed diagnosis of HIV infection. It’s important to note that this code can be used regardless of whether the patient is symptomatic or asymptomatic, as long as the patient has been diagnosed with HIV.

The second code, M54.50, refers to low back pain, which would be used to report the loin pain described by the patient. " Loin pain " typically refers to pain in the lower back area, and this code specifically covers the general category of low back pain not otherwise specified.

The other options are not as accurate:

A (B20, M54.9) includes a nonspecific code for back pain (M54.9), which does not fully specify the pain’s location.

B (M54.51, B20) incorrectly includes a code for thoracic or lumbar radiculopathy (M54.51), which is not indicated here.

D (M54.50, B20) is similar to the correct answer, but it incorrectly lists the codes in reverse order. It is important to list the HIV diagnosis first in ICD-10-CM.

Reference topics: ICD-10-CM Coding for HIV Disease; Pain Coding

The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.

OIG Compliance Program Guidance, AMA ' s CPT® Professional Edition, and healthcare compliance resources.

For a patient with a mass in the left lower lung suspected to be cancer that is currently documented as a tumor of uncertain behavior, with existing ovarian cancer with metastases to the liver, the ICD-10-CM codes are:

D38.1: Neoplasm of uncertain behavior of bronchus and lung.

C56.9: Malignant neoplasm of unspecified ovary.

C78.7: Secondary malignant neoplasm of liver and intrahepatic bile duct.

D38.1 is used because the behavior of the lung tumor is uncertain, and C56.9 and C78.7 are used to document the known primary and metastatic cancers.

ICD-10-CM guidelines

AMA ' s CPT® Professional Edition (current year)