AAPC CPC Chapter 9 Exam Questions and Answers 100% Guaranteed Success

AAPC CPC Chapter 9 Exam Questions and Answers 100% Guaranteed Success B - Answers What is the term for removal of part of the lymph system? A) Lymphoma B) Lymphadenectomy C) Lymphadenitis D) Lymphedema D - Answers Which of the following is not one of the four organs of the lymph system? A )Spleen B) Thymus gland C) Tonsils D) Bone Marrow B - Answers What is the ICD-10-CM code for acquired lymphedema? A) I88.1 B) I89.0 C) Q82.0 D) I88.8 A - Answers A 4-month-old infant presents to the physician with cold-like symptoms, coughing, and wheezing. The infant is diagnosed with bronchiolitis due to RSV. How is this condition coded? A) J21.0 B) J21.8 C) J21.0, B97.4 D) R05, B97.4 D - Answers A patient presents to the physician with persistent stuffiness and facial pain. The physician documents a diagnosis of nasal polyps. What ICD-10-CM code is reported? A) J33.0 B) J33.8 C) J33.1 D) J33.9 B - Answers A patient with adenocarcinoma of the larynx has developed cervical adenopathy is undergoing an excisional biopsy of the right cervical node. An incision is made above the clavicle and dissection taken down into the muscle. Blunt dissection was used to work the way down to the node, which was firm and white. The entire node was taken and the wound was closed. What CPT® code is reported? A) 38500 B) 38510 C) 38520 D) 38542 D - Answers Which CPT® code(s) describes VATS therapeutic wedge resection of the left upper lobe followed by left upper lobectomy? A) 32480 B) 32505, 32480 C) 32663, 32666 D) 32663 B - Answers Which CPT® code describes a pneumonectomy? A) 32442 B) 32440 C) 32440-50 D) 32445 C - Answers Patient is a mouth-breather. He is diagnosed with inflamed inferior turbinates and a superficial ablation is performed. What CPT® code is reported? A) 30802 B) 30140 C) 30801 D) 30802-52 B - Answers A thoracotomy procedure was performed for repair of hemorrhage and lung tear. What CPT® code is reported? A) 32100 B) 32110 C) 32120 D) 32420 B - Answers What is the major muscle used during respiration? A) Intercostal muscles of the ribs B) Diaphragm C) Abdominal muscles D) Chest wall or pectoral muscles A - Answers What portion of the thoracic cavity lies between the lungs and contains the heart? A) Mediastinum B) Diaphragm C) Lymphatic channels D) Bone marrow D - Answers What is the ICD-10-CM code selection for a patient with COPD presenting with an acute bronchitis? A) J44.0 B) J21.8 C) J44.9 D) J44.0, J20.9 B - Answers Which CPT® code describes a pneumonectomy? A) 32442 B) 32440 C) 32440-50 D) 32445 D - Answers A patient has a mass in her left axilla that is a suspected recurrence of lymphoma. She has a left axillary node excisional biopsy. The lymph node biopsied is under the pectoralis minor. What CPT® code is reported? A) 38500 B) 38562 C) 38745 D) 38525 B - Answers Can bronchoscopy codes be coded together by a physician, and if yes, how? Are multiple procedures reported with modifier 51? A) No B) Yes: Report multiple procedures with modifier 51 (if required by the payer) C) Yes: Report distinct procedures with modifier 59 D) Yes: Report multiple bronchoscopy codes together because no modifier is required CPT code: 32650-RT ICD-10-CM codes: J90, C34.91 - Answers CASE 1 Preoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer. Postoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.(Report this diagnosis if no further findings are found in the notes.) Procedure Performed: Video-assisted thoracoscopy,(Indication the procedure is being performed by Video Assisted Thoracic Surgery (VATS).) lysis of adhesions, talc pleurodesis Procedure: Patient was brought to the operating room and placed in supine position. IV sedation and general anesthesia were administered, per the anesthesia department. A double-lumen endotracheal tube was placed, per anesthesia. The position was confirmed by bronchoscopy. The patient was placed in the decubitus position with the right side up. The chest was prepped in the standard fashion with ChloraPrep, sterile towels, sheets, and drapes. A small incision is made between two ribs and a standard port placement was utilized to gain access to the tho-racic cavity. The endoscope is inserted into the chest cavity. We had excellent isolation of the lung; however, we had poor exposure because there were a number of fibrous adhesions, a few were actually very dense. We immediately evacuated approximately 700 ml of fluid;(Indicating of pleural effusion(fluid around the lung, in the pleural space).) however, once we entered the chest we encountered a number of loculated areas. We did not break down the adhesions. We gained enough exposure to do a complete talc pleurodesis. After lysing of adhesions,(Removal of the adhesions to get to the thoracic cavity was necessary to perform the pleurodesis, it is not reported separately.) we were confident that we had access to the entire thoracic cavity. Eight grams of talc were introduced into the right thoracic cavity and strategically placed under direct vision.(Pleurodesis.) The CPT® code: 31600 ICD-10-CM code: C32.0 - Answers CASE 2 Preoperative diagnosis: malignant neoplasm glottis Postoperative diagnosis: malignant neoplasm glottis(Diagnosis to report for the procedure.) Procedure: An incision is made low in the neck. The trachea is identified in the middle and an opening is created to allow for the new breathing passage. A tracheostomy(This is the performed procedure.) tube is inserted and secured with sutures. The patient tolerated the procedure well and was sent to recovery without complications.