AAPC - Final Exam
Sixty five year-vintage become admitted within the medical institution two days in the past and is
being examined these days by way of his primary care doctor, who has been seeing him
because he has been admitted. Primary care doctor is checking for any upgrades or if the
circumstance is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF signs and symptoms worsened in view that yesterday.
Now has some resting dyspnea. HTN stays poorly managed with systolic strain strolling inside
the 160s. Also, I'm involved approximately his CKD, which has worsened, maximum likely due
to cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive signs or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory misery at relaxation
VITAL SIGNS: BP 168/eighty four, HR 58, temperature ninety eight.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANS-
A 1 12 months submit-thyroidectomy affected person who had thyroid cancer is coming in for
vicinity imaging of the neck and chest to assess for metastases. What CPT® code(s) is/are
reported for the nuclear remedy examination?
A. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANS-
A 16 12 months-antique girl became hit by means of a car whilst crossing a two-lane toll road.
She became taken to the medical institution by means of ambulance. She become found to
have an open wound of the left decrease thigh, just above the knee and a displaced fracture of
the left femoral neck. She turned into taken to the working room within 4 hours of her harm. She
turned into given standard endotracheal anesthesia and was prepped and draped in sterile
fashion. Debridement inclusive of excision of devitalized skin and muscle turned into done on
the lateral thigh. The area changed into approximately 15 squarecm. After debridement and
thorough copious irrigation, the wound changed into closed with layer sutures and a dressing
,was implemented and then protected with adhesive plastic. The affected person became then
prepped and draped for the fracture and grew to become on her proper aspect. We all
rescrubbed. An eight inch incision was revamped the left hip and the head of the femur changed
into exposed. Multiple fragments from the neck an - ANS-
A 27 yr-old girl has been on the lung transplant listing for months and nowadays she might be
receiving a LT and RT lung from an character concerned in an MVA. This individual became
DOA on the clinic and is an organ donor. The donor pneumonectomy was achieved by
physician A, the backbench work by way of doctor B and the transplant of each lungs into the
prepped and ready patient by using doctor C.
What is the best coding for the removal (doctor A), education (physician B) and insertion (health
practitioner C) of the lungs?
A. 32850, 32855, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANS-
A 32 year-old ETOH established lady is in a partial hospitalization program and has been seeing
an addictive disease professional (psychotherapist) in a chemical dependency program. Her
agency is aware about her trouble. She become noted the institution via their Employee
Assistance Program. As lengthy as she is in compliance they may help her efforts. Recently,
she has arrived past due at the meetings. The provider met with the patient and mentioned the
significance of her remedy, compliance with the program and avoidance of conditions in which
she might also use alcohol. She denies touch with her previous buddies and assures the issuer
she has had no alcohol intake due to the fact that beginning the substance abuse treatment
application. They will hold to enhance her progress and successful sobriety. Time of the session
turned into forty five minutes. What CPT® and ICD-10-CM codes are said?
A. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANS-
A 32 12 months-vintage male turned into seen inside the ASC for elimination of lipomas. One
turned into placed on his back and the opposite become located at the proper forearm. Both
involved subcutaneous tissue. What ICD-10-CM code(s) is/are suggested?
A. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANS-b. D17.21, D17.1
A forty year-old affords with vaginal bleeding for several weeks unrelated to her menstrual cycle.
The gynecologist orders an ultrasound to attain greater information for a prognosis. What
diagnosis code is appropriate for this stumble upon?
A. N92.1
b. N92.4
, c. N92.6
d. N93.Nine - ANS-
A forty two 12 months-antique patient changed into undergoing anesthesia in an ASC and
began having headaches previous to the administration of anesthesia. The general practitioner
without delay discontinued the planned surgical treatment. If the insurance organisation calls for
a suggested modifier, what modifier exceptional describes the extenuating circumstances?
A. 53
b. 23
c. 73
d. Seventy four - ANS-
A 43 yr-vintage female affords to the issuer for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are said?
A. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANS-d. E11.622, L97.319
A 43 yr-antique affected person with a intense systemic ailment is having surgical procedure to
dispose of an integumentary mass from his neck. What CPT® code and modifier are said for the
anesthesia carrier?
A. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANS-
A forty five 12 months-old gives with acute pericarditis. The medical professional makes a small
incision between ribs and enters the thoracic cavity. An endoscope is introduced and the
pericardial sac is tested with the aid of direct visualization. Using an instrument brought through
the endoscope, the general practitioner creates an opening in the pericardial sac for drainage
functions. What CPT® code is mentioned?
A. 32659
b. 32662
c. 32658
d. 32661 - ANS-
A forty five yr-vintage-male patient has evolved an ulcer on his higher lower back. He has had
diabetes for several years and is on insulin. The company determines that the ulcer is because
of his diabetes. What ICD-10-CM codes are mentioned?
A. E11.622, Z79.Four
b. E11.Nine, L98.429, Z79.Four
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANS-c. E11.622, L98.429, Z79.4
Sixty five year-vintage become admitted within the medical institution two days in the past and is
being examined these days by way of his primary care doctor, who has been seeing him
because he has been admitted. Primary care doctor is checking for any upgrades or if the
circumstance is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF signs and symptoms worsened in view that yesterday.
Now has some resting dyspnea. HTN stays poorly managed with systolic strain strolling inside
the 160s. Also, I'm involved approximately his CKD, which has worsened, maximum likely due
to cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive signs or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory misery at relaxation
VITAL SIGNS: BP 168/eighty four, HR 58, temperature ninety eight.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANS-
A 1 12 months submit-thyroidectomy affected person who had thyroid cancer is coming in for
vicinity imaging of the neck and chest to assess for metastases. What CPT® code(s) is/are
reported for the nuclear remedy examination?
A. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANS-
A 16 12 months-antique girl became hit by means of a car whilst crossing a two-lane toll road.
She became taken to the medical institution by means of ambulance. She become found to
have an open wound of the left decrease thigh, just above the knee and a displaced fracture of
the left femoral neck. She turned into taken to the working room within 4 hours of her harm. She
turned into given standard endotracheal anesthesia and was prepped and draped in sterile
fashion. Debridement inclusive of excision of devitalized skin and muscle turned into done on
the lateral thigh. The area changed into approximately 15 squarecm. After debridement and
thorough copious irrigation, the wound changed into closed with layer sutures and a dressing
,was implemented and then protected with adhesive plastic. The affected person became then
prepped and draped for the fracture and grew to become on her proper aspect. We all
rescrubbed. An eight inch incision was revamped the left hip and the head of the femur changed
into exposed. Multiple fragments from the neck an - ANS-
A 27 yr-old girl has been on the lung transplant listing for months and nowadays she might be
receiving a LT and RT lung from an character concerned in an MVA. This individual became
DOA on the clinic and is an organ donor. The donor pneumonectomy was achieved by
physician A, the backbench work by way of doctor B and the transplant of each lungs into the
prepped and ready patient by using doctor C.
What is the best coding for the removal (doctor A), education (physician B) and insertion (health
practitioner C) of the lungs?
A. 32850, 32855, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANS-
A 32 year-old ETOH established lady is in a partial hospitalization program and has been seeing
an addictive disease professional (psychotherapist) in a chemical dependency program. Her
agency is aware about her trouble. She become noted the institution via their Employee
Assistance Program. As lengthy as she is in compliance they may help her efforts. Recently,
she has arrived past due at the meetings. The provider met with the patient and mentioned the
significance of her remedy, compliance with the program and avoidance of conditions in which
she might also use alcohol. She denies touch with her previous buddies and assures the issuer
she has had no alcohol intake due to the fact that beginning the substance abuse treatment
application. They will hold to enhance her progress and successful sobriety. Time of the session
turned into forty five minutes. What CPT® and ICD-10-CM codes are said?
A. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANS-
A 32 12 months-vintage male turned into seen inside the ASC for elimination of lipomas. One
turned into placed on his back and the opposite become located at the proper forearm. Both
involved subcutaneous tissue. What ICD-10-CM code(s) is/are suggested?
A. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANS-b. D17.21, D17.1
A forty year-old affords with vaginal bleeding for several weeks unrelated to her menstrual cycle.
The gynecologist orders an ultrasound to attain greater information for a prognosis. What
diagnosis code is appropriate for this stumble upon?
A. N92.1
b. N92.4
, c. N92.6
d. N93.Nine - ANS-
A forty two 12 months-antique patient changed into undergoing anesthesia in an ASC and
began having headaches previous to the administration of anesthesia. The general practitioner
without delay discontinued the planned surgical treatment. If the insurance organisation calls for
a suggested modifier, what modifier exceptional describes the extenuating circumstances?
A. 53
b. 23
c. 73
d. Seventy four - ANS-
A 43 yr-vintage female affords to the issuer for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are said?
A. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANS-d. E11.622, L97.319
A 43 yr-antique affected person with a intense systemic ailment is having surgical procedure to
dispose of an integumentary mass from his neck. What CPT® code and modifier are said for the
anesthesia carrier?
A. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANS-
A forty five 12 months-old gives with acute pericarditis. The medical professional makes a small
incision between ribs and enters the thoracic cavity. An endoscope is introduced and the
pericardial sac is tested with the aid of direct visualization. Using an instrument brought through
the endoscope, the general practitioner creates an opening in the pericardial sac for drainage
functions. What CPT® code is mentioned?
A. 32659
b. 32662
c. 32658
d. 32661 - ANS-
A forty five yr-vintage-male patient has evolved an ulcer on his higher lower back. He has had
diabetes for several years and is on insulin. The company determines that the ulcer is because
of his diabetes. What ICD-10-CM codes are mentioned?
A. E11.622, Z79.Four
b. E11.Nine, L98.429, Z79.Four
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANS-c. E11.622, L98.429, Z79.4
