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AAPC CPC Exam Syllabus Topics:
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NEW QUESTION # 45
A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The procedure was performed using stereotactic imaging.
What CPT codes will be reported?
- A. 0
- B. 19100, 76098
- C. 19101, 19283
- D. 19081, 19283
Answer: D
NEW QUESTION # 46
A 5-year-old who has an allergy history experienced a possible reaction to peanuts. A quantitative, high-sensitive fluorescent enzyme immunoassay was used to measure specific IgE for recombinant peanut components. Results showed there was no reaction indicating the child has a peanut allergy.
What lab test is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
NEW QUESTION # 47
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?
- A. 90471, 90746, Z23, B19.10, N18.6, Z99.2
- B. G0010, 90740, Z23, N18.6, Z99.2
- C. 90471, 90746, Z23, N18.6, Z99.2
- D. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2
Answer: B
NEW QUESTION # 48
The surgeon performs Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract on a 45-year-old patient.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
NEW QUESTION # 49
A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine.
Which codes are used for reporting the testing and confirmation?
- A. 80306, 80375
- B. 80305, 80353
- C. 80305 x 2, 80353
- D. 80306 x 2, 80353
Answer: B
NEW QUESTION # 50
A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior.
What ICD-10-CM codes are reported for this patient?
- A. D38.1, C56.9, C78.7
- B. R91.8, C56.9, C78.7
- C. C56.9, C78.7, C78.02
- D. C78.02, C22.9, C79.82
Answer: B
NEW QUESTION # 51
A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a secondary repair for the same two tendons.
Which CPT coding is reported?
- A. 25272 x 2
- B. 0
- C. 1
- D. 25263 x 2
Answer: D
NEW QUESTION # 52
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care.
What CPT coding is reported for the twin delivery?
- A. 59510, 59515
- B. 0
- C. 59510 x 2
- D. 59510, 59514, 59515
Answer: D
NEW QUESTION # 53
The outermost protective layer of skin is called the:
- A. Hypodermis
- B. Dermis
- C. Epidermis
- D. Subcutaneous tissue
Answer: C
NEW QUESTION # 54
The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.
What CPT and ICD-10CM codes are reported?
- A. 46250, 46945, K64.0, K64.4
- B. 46250, K64.0, K64.9
- C. 46255, K64.0, K64.4
- D. 46320, 46945, K64.0, K64.9
Answer: B
NEW QUESTION # 55
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?
- A. Z86.010, K63.5
- B. K63.5
- C. Z09, K63.5
- D. Z09, Z86.010
Answer: C
NEW QUESTION # 56
A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.
What CPT code does the vascular surgeon use to report the procedure?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
NEW QUESTION # 57
An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist who conducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?
- A. 92083, G43.019
- B. 92082, G43.019
- C. 92081, G43.009
- D. 92082, G43.009
Answer: D
NEW QUESTION # 58
A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
- A. 44204, C18.2
- B. 44160, C18.2
- C. 44205, C18.9
- D. 44140, C18.9
Answer: C
NEW QUESTION # 59
In rhinoplasty:
- A. The brow is reconstructed
- B. The chin is reconstructed
- C. The nose is reconstructed
- D. The lips are reconstructed
Answer: C
NEW QUESTION # 60
View MR 006399
MR 006399
Operative Report
Preoperative Diagnosis: Chronic otitis media in the right ear
Postoperative Diagnosis: Chronic otitis media in the right ear
Procedure: Eustachian tube inflation
Anesthesia: General
Blood Loss: Minimal
Findings: Serous mucoid fluid
Complications: None
Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.
Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask, and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.
What CPT coding is reported for this case?
- A. 69421-RT
- B. 69420-RT
- C. 69436-RT
- D. 69433-RT
Answer: A
NEW QUESTION # 61
A 20-year-old female is being seen for the first time by a primary care physician to have a yearly physical. During the examination for the physical, the provider discovers non-inflammed lesions on her legs and arms. The physician performs a complete physical and additional separate documentation for the treatment of the lesions on the bilateral upper and lower extremities. The provider has the patient buy an over-the-counter ointment and will continue to watch them.
What CPT coding is reported for this visit?
- A. 0
- B. 99385-25, 99203
- C. 99385, 99203-25
- D. 1
Answer: B
NEW QUESTION # 62
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?
- A. A0429-QN-SH
- B. A0426-QN-SH
- C. A0427-QM-HS
- D. A0428-QM-HS
Answer: A
NEW QUESTION # 63
A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and was returned to recovery in good condition. What CPT coding is reported for this procedure?
- A. 22857, 22860
- B. 0
- C. 1
- D. 22857 x 2
Answer: A
NEW QUESTION # 64
A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.
How does each surgeon report their portion of the surgery?
- A. 63085-62, 63086-62
- B. 63087-62, 63088-62
- C. 63090-80, 63091-80
- D. 63090-66, 63091-66
Answer: A
NEW QUESTION # 65
A patient with Parkinson's has sialorrhea. The physician administers an injection of atropine bilaterally into a total of four submandibular salivary glands.
What CPT coding is reported?
- A. 0
- B. 64611 x 4
- C. 64611-50
- D. 64611-52
Answer: A
NEW QUESTION # 66
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