COC (Formerly CPC-H) Practice Questions - AAPC Certified Outpatient Coder Exam

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Case 001 (First-Listed Diagnosis): During a hospital outpatient coding quality review, the team must finalize a same-day claim. The record lists multiple chronic conditions and one acute reason for today's visit. Which diagnosis should be sequenced first on the outpatient facility claim?

Always sequence the most severe chronic condition first regardless of encounter focus. Sequence the condition chiefly responsible for the outpatient encounter after applying ICD-10-CM instructions. Sequence whichever diagnosis has the highest historical reimbursement. Always sequence a symptom code first even when a definitive diagnosis is documented.

Correct Answer:

Sequence the condition chiefly responsible for the outpatient encounter after applying ICD-10-CM instructions.

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