AAPC CPC FINAL EXAM LATEST 140 QUESTIONS
AND 100% Verified ANSWERS
When tissue glue is used to close a wound involving the epidermis layer how is it reported?
a. As a 99211
b. It is not billable
c. As though it was a complex closure
d. As though it was a simple closure - answer>>d. As though it was a simple closure
A 45-year-old established, female patient is seen today at her provider's office. She is complaining of
severe dizziness and feels like the room is spinning. She has had palpitations on and off for the past 12
months. For the ROS, she reports chest tightness and dyspnea but denies nausea, edema, or arm pain.
She drinks two cups of coffee per day. Her sister has WPW (Wolff-Parkinson-White) syndrome. An
extended exam was performed. An EKG is ordered. Metabolic panel and complete blood count labs are
ordered and drawn. Final diagnosis is suspected WPW syndrome. To purchase over the counter
Dramamine for the dizziness. What CPT® code is reported for this visit?
a. 99215
b. 99214
c. 99204
d. 99203 - answer>>b. 99214
A 15-year-old underwent placement of a cochlear implant 1 year ago. It now needs to be
reprogrammed. What CPT® code is reported for the reprogramming?
a. 92602
b. 92604
c. 92603
d. 92601 - answer>>b. 92604
,Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of the ear. The
use of a cochlear implant involves relearning how to hear and react to sounds. In the CPT® Index look
for Cochlear Device/Programming which directs you to codes 92602, 92604. The code selection is
based on the age of the patient and whether it is the initial programming or subsequent
reprogramming. Code 92604 describes subsequent reprogramming for a patient age 7 or older.
A baby was born with a ventricular septal defect (VSD). The provider performed a right heart
catheterization and transcatheter closure with implant by percutaneous approach. What CPT® and
ICD-10-CM codes are reported?
a. 93581, Q21.0
b. 93593, 93581-59, Q21.0
c. 93593, Q20.4
d. 93593, 93581-59, Q21.9 - answer>>a. 93581, Q21.0
A patient with chronic respiratory failure is visited at home by a certified respiratory therapist to
manage his home oxygen therapy. What CPT® and ICD-10-CM codes are reported?
a. 99510, 99507-59, J96.10
b. 99504, J95.821
c. 99504, J98.4
d. 99503, J96.10 - answer>>d. 99503, J96.10
A 50-year-old male is coming in for an eye examination for iritis. His last visit to the office was two
years ago. The ophthalmologist performs a review of history, external ocular and adnexal examination,
routine ophthalmoscopy and a biomicroscopy. Iritis is not found. The eye examination is completely
normal. What CPT® and ICD-10-CM codes are reported?
a. 92012, 92201, Z01.01
b. 92012, Z01.00
,c. 92002, Z01.110
d. 92014, 92201, Z01.00 - answer>>b. 92012, Z01.00
Patient with an avulsed anterior cruciate ligament with a complete horizontal cleavage tear of the
posterior of the medial meniscus.
Arthroscopic portals were created, and the knee was systematically examined and probed. Best option
was to proceed with a limited partial meniscectomy. A series of straight-angled and curved basket
punches was used to perform a saucerization of the damaged portion of the meniscus, leaving the
intact portion of the medial meniscus in place. Approximately 50% remained. Next, our attention was
turned to the ACL repair. Through a 5 cm longitudinal anterior incision, a central one-third tendon
bone was harvested. A 10 mm graft was taken and bone plug sculpted. The graft was tightened in
extension about 2.5 mm and actually lengthened in flexion, and this was considered acceptable. What
CPT codes?
a.29888-RT, 29880-51-RT
b.29889-RT, 29880-51-RT
c.29888-RT, 29882-51-RT
d.29888-RT, 29881-51-RT - answer>>d. 29888-RT, 29881-51-RT
Procedure: Colectomy with a take-down of splenic flexure.
This incision was carried down to the rectus muscles, which were separated in the midline. The
malignant intra-abdominal tumor was resected from the hepatic flexure into the mid transverse colon.
The mass could not be resected without removal of bowel, attention was directed to mobilization of
the splenic flexure. The ligamentous and peritoneal attachments were taken down around the splenic
flexure of the colon until the entire left colon was mobilized medially. Similar steps were done on the
right side. Attention was then directed towards re-anastomosis of the colon. Pathology report showed
intra-abdominal cancer, transverse colon and hepatic flexure cancer. The origin of the cancer could not
be determined from the specimen given. What CPT and ICD-10-CM?
a. 44160, C18.8
b. 44140, C79.89, C78.5
c. 44140, 44139, C76.2, C18.8
, d. 44147, 44139, C76.2, C18.8 - answer>>c. 44140, 44139, C76.2, C18.8
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled for a diagnostic VATS
(Video-assisted thoracoscopic surgery). Under general anesthesia he was placed in left lateral
decubitus position and a thoracoscope was inserted through a port site. The VATS exploration
immediately revealed a mass of the right upper lobe. A biopsy was performed and sent to pathology.
Results from pathology revealed small cell carcinoma. The decision was made to perform VATS and
remove the upper lobe of the right lung. What CPT® code(s) is (are) reported?
a. 32480
b. 32663
c. 32663, 32607-51
d. 32671, 32609-51 - answer>>b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined today by his primary
care physician, who has been seeing him since he has been admitted. Primary care physician is
checking for any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled. Also, I'm concerned about his CKD,
which has worsened, most likely due to cardio-renal syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
AND 100% Verified ANSWERS
When tissue glue is used to close a wound involving the epidermis layer how is it reported?
a. As a 99211
b. It is not billable
c. As though it was a complex closure
d. As though it was a simple closure - answer>>d. As though it was a simple closure
A 45-year-old established, female patient is seen today at her provider's office. She is complaining of
severe dizziness and feels like the room is spinning. She has had palpitations on and off for the past 12
months. For the ROS, she reports chest tightness and dyspnea but denies nausea, edema, or arm pain.
She drinks two cups of coffee per day. Her sister has WPW (Wolff-Parkinson-White) syndrome. An
extended exam was performed. An EKG is ordered. Metabolic panel and complete blood count labs are
ordered and drawn. Final diagnosis is suspected WPW syndrome. To purchase over the counter
Dramamine for the dizziness. What CPT® code is reported for this visit?
a. 99215
b. 99214
c. 99204
d. 99203 - answer>>b. 99214
A 15-year-old underwent placement of a cochlear implant 1 year ago. It now needs to be
reprogrammed. What CPT® code is reported for the reprogramming?
a. 92602
b. 92604
c. 92603
d. 92601 - answer>>b. 92604
,Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of the ear. The
use of a cochlear implant involves relearning how to hear and react to sounds. In the CPT® Index look
for Cochlear Device/Programming which directs you to codes 92602, 92604. The code selection is
based on the age of the patient and whether it is the initial programming or subsequent
reprogramming. Code 92604 describes subsequent reprogramming for a patient age 7 or older.
A baby was born with a ventricular septal defect (VSD). The provider performed a right heart
catheterization and transcatheter closure with implant by percutaneous approach. What CPT® and
ICD-10-CM codes are reported?
a. 93581, Q21.0
b. 93593, 93581-59, Q21.0
c. 93593, Q20.4
d. 93593, 93581-59, Q21.9 - answer>>a. 93581, Q21.0
A patient with chronic respiratory failure is visited at home by a certified respiratory therapist to
manage his home oxygen therapy. What CPT® and ICD-10-CM codes are reported?
a. 99510, 99507-59, J96.10
b. 99504, J95.821
c. 99504, J98.4
d. 99503, J96.10 - answer>>d. 99503, J96.10
A 50-year-old male is coming in for an eye examination for iritis. His last visit to the office was two
years ago. The ophthalmologist performs a review of history, external ocular and adnexal examination,
routine ophthalmoscopy and a biomicroscopy. Iritis is not found. The eye examination is completely
normal. What CPT® and ICD-10-CM codes are reported?
a. 92012, 92201, Z01.01
b. 92012, Z01.00
,c. 92002, Z01.110
d. 92014, 92201, Z01.00 - answer>>b. 92012, Z01.00
Patient with an avulsed anterior cruciate ligament with a complete horizontal cleavage tear of the
posterior of the medial meniscus.
Arthroscopic portals were created, and the knee was systematically examined and probed. Best option
was to proceed with a limited partial meniscectomy. A series of straight-angled and curved basket
punches was used to perform a saucerization of the damaged portion of the meniscus, leaving the
intact portion of the medial meniscus in place. Approximately 50% remained. Next, our attention was
turned to the ACL repair. Through a 5 cm longitudinal anterior incision, a central one-third tendon
bone was harvested. A 10 mm graft was taken and bone plug sculpted. The graft was tightened in
extension about 2.5 mm and actually lengthened in flexion, and this was considered acceptable. What
CPT codes?
a.29888-RT, 29880-51-RT
b.29889-RT, 29880-51-RT
c.29888-RT, 29882-51-RT
d.29888-RT, 29881-51-RT - answer>>d. 29888-RT, 29881-51-RT
Procedure: Colectomy with a take-down of splenic flexure.
This incision was carried down to the rectus muscles, which were separated in the midline. The
malignant intra-abdominal tumor was resected from the hepatic flexure into the mid transverse colon.
The mass could not be resected without removal of bowel, attention was directed to mobilization of
the splenic flexure. The ligamentous and peritoneal attachments were taken down around the splenic
flexure of the colon until the entire left colon was mobilized medially. Similar steps were done on the
right side. Attention was then directed towards re-anastomosis of the colon. Pathology report showed
intra-abdominal cancer, transverse colon and hepatic flexure cancer. The origin of the cancer could not
be determined from the specimen given. What CPT and ICD-10-CM?
a. 44160, C18.8
b. 44140, C79.89, C78.5
c. 44140, 44139, C76.2, C18.8
, d. 44147, 44139, C76.2, C18.8 - answer>>c. 44140, 44139, C76.2, C18.8
A 65-year-old patient is complaining of difficulty breathing. Patient is scheduled for a diagnostic VATS
(Video-assisted thoracoscopic surgery). Under general anesthesia he was placed in left lateral
decubitus position and a thoracoscope was inserted through a port site. The VATS exploration
immediately revealed a mass of the right upper lobe. A biopsy was performed and sent to pathology.
Results from pathology revealed small cell carcinoma. The decision was made to perform VATS and
remove the upper lobe of the right lung. What CPT® code(s) is (are) reported?
a. 32480
b. 32663
c. 32663, 32607-51
d. 32671, 32609-51 - answer>>b. 32663
A 65-year-old was admitted in the hospital two days ago and is being examined today by his primary
care physician, who has been seeing him since he has been admitted. Primary care physician is
checking for any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled. Also, I'm concerned about his CKD,
which has worsened, most likely due to cardio-renal syndrome.
IMPRESSION:
1. Severe exacerbation of CHF
2. Poorly controlled HTN
3. Worsening ARF due to cardio-renal syndrome
PLAN:
1. Increase BUMEX to 2 mg IV Q6.
