AAPC CPC FINAL EXAM QUESTIONS WITH 100% ACCURATE ANSWERS AND RATIONALE

A patient with chronic pneumothoraxes presents for chemo pleurodesis. Under local anesthesia a small incision is made between the ribs. A catheter is inserted into the pleural space between the parietal and pleural viscera. Subsequently, 5g of sterile asbestos free talc was introduced into the pleural space via the catheter. What CPT® and ICD-10-CM codes are reported? a. 32560, J93.81 ️️ b. 32650, 32560, J93.11 c. 32650, J95.811 d. 32601, 32560, J95.811 - Correct Answer-a. 32560, J93.81 Response Feedback: Rationale: Chemo pleurodesis is represented by codes . In the CPT® Index look for Pleurodesis/Instillation of Agent. Code 32560 is appropriate for the described actions taken to instill the talc used to treat recurrent pneumothorax. Look in the ICD-10-CM Alphabetic Index for Pneumothorax NOS/chronic which directs you to code J93.81. Verification in the Tabular List confirms code selection. A 25-year-old male presents with a deviated nasal septum. The patient undergoes a nasal septum repair and submucous resection. Cartilage from the bony septum was detached and the nasoseptum was realigned and removed in a piecemeal fashion. Thereafter, 4-0 chronic was used to approximate mucous membranes. Next, submucous resection of the turbinates was handled in the usual fashion by removing the anterior third of the bony turbinate and lateral mucosa followed by bipolar cauterization. What CPT® codes are reported? a. 30450, 30999-51 b. 30520, 30140-51️️ c. 30420, 30140-51 d. 30620, 30999-51 - Correct Answer-b. 30520, 30140-51 Which main coronary artery bifurcates into two smaller ones? a. Left ️️ b. Right c. Inverted d. Superficial - Correct Answer-a. Left In the cath lab a physician places a catheter in the aortic arch from a right femoral artery puncture to perform an angiography. Fluoroscopic imaging is performed by the physician. What CPT® code(s) is/are reported? a. 36222 b. 36200, 75605-26 c. 36215, 75605-26 d. 36221 ️️- Correct Answer-d. 36211 Rationale: The aorta is the trunk of the system, so this is a non-selective catheterization. Look in CPT Index for Angiography/Cervicocerebral Arch. Only one code is reported for the catheterization and fluoroscopic imaging which is code 36221 Which statement is TRUE regarding codes for hypertension and heart disease in ICD-10-CM? A) Only one code is required to report hypertension and heart failure. B) Hypertension and heart disease have an assumed causal relationship. ️️ C) Hypertension and heart disease without a stated causal relationship must be coded separately. D) Hypertension with heart disease is always coded to heart failure. - Correct Answer-B) Hypertension and heart disease have an assumed causal relationship. Rationale: ICD-10-CM Coding Guidelines I.C.9.a states a causal relationship is presumed between hypertension and heart involvement. Only if the documentation specifically states they are unrelated, are they to be coded separately. ICD-10-CM guideline I.C.9.a.1 indicates two codes are required to report hypertension and heart failure. A patient presents for extremity venous study. Complete noninvasive physiologic studies of both lower extremities were performed. Which CPT® code is reported? - Correct Answer-93970️️ Rationale: Code 93970 reports a complete bilateral noninvasive physiologic study of extremity veins. This study is found in the CPT® Index by looking for Vascular Studies/Venous Studies/Extremity which directs you to . Modifier 50 is not appended because the term bilateral is included in the code description for 93970. When reporting an encounter for screening of malignant neoplasms of the intestinal tract, what does the 5th character indicate? A) History of malignancy in the intestinal tract B) Laterality of the intestinal tract C) Anatomic location being screened in the intestinal tract️️ D) Screening codes for malignant neoplasms of the intestinal tract are only reported with four characters. - Correct Answer-C) Anatomic location being screened in the intestinal tract Bile empties into the duodenum through what structure? A) Pyloric sphincter B) Biliary artery C) Common bile duct️️ D) Common hepatic duct - Correct Answer-C) Common Bile Duct What ICD-10-CM code is reported for non-erosive duodenitis? a. K29.80 ️️ b. K29.90 c. K29.81 d. K29.91 - Correct Answer-a. K29.80