AWGU 268 AAPC Medical Coding (CPC) Final Exam 2017 (Test #1) QUESTIONS AND ANSWERS AVAILABLE

AWGU 268 AAPC Medical Coding (CPC) Final Exam 2017 (Test #1) QUESTIONS AND ANSWERS AVAILABLE (The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a. Coding from the header without reading the body of the report. b. Reading the body of the report. c. Highlighting unfamiliar words. d. Starting with the procedure listed. 4 When are providers responsible for obtaining an ABN for a service NOT considered medically necessary? a. During a procedure or service. b. After a denial has been received from Medicare. c. After providing a service or item to a beneficiary. d. Prior to providing a service or item to a beneficiary. 5 Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for? c. Abnormal heart beats causing pain, nausea and discomfort d. Overgrowth of muscle tissue, affecting the heart’s ability to pump 7 Which of the following is true about the function of the cochlea? a. It helps with balance only b. It helps with balance and sound transmission c. Its function is to excrete cerumen (wax) to help keep the ear clean d. It transmits sound only 8 Which of the following best describes psoriasis? a. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts, and scales. b. An allergic reaction characterized by wheals and generally accompanied by pruritus. c. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales. d. A contagious infection of skin generally caused by staphylococcus bacterium. 9 A thin membrane lining the chambers of the heart and valves is called the: a. Epicardium b. Endocardium c. Pericardium d. Myocardium 10 The dome-shaped muscle under the lungs flattening during inspiration is the: a. Diaphragm b. Pleura c. Mediastinum d. Bronchus 11 When a patient has a condition that is both acute and chronic and there are separate entries for both, how is it reported? 37 A 49 year-old presents with an abscess of the right thumb. The physician incises the abscess and purulent sanguineous fluid is drained. The wound is packed with iodoform packing. What CPT® code is reported? a. 26011-F5 b. 10061-F5 c. 10060-F5 d. 26010-F5 38 This 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to pathology. What CPT® code is reported? a. 23075-RT b. 23030-RT c. 23066-RT d. 23076-RT 39 Under general anesthesia, a 45-year-old patient was sterilely prepped. The wrist joint was injected with Marcaine and epinephrine. Three arthroscopic portals were created. The articulating surface between the scaphoid and the lunate clearly showed disruption of the ligamentous structures. We could see soft tissue pouching out into the joint; this was debrided. There was abnormal motion noted within the scapholunate articulation. At this point the C-arm was brought in. Arthroscopic instruments were placed in the joint and confirmed the location of the shaver as a probe in the scapholunate ligament. There was a significant gap between the capitate and lunate. K-wire was utilized from the dorsal surface into the lunate, restoring the space. Further examination revealed gross instability between the capitate and lunate. With the wrist in neutral position, a K-wire was passed through the 91 If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness (HPI)? a. Quality b. Modifying Factor c. Timing d. Duration 92 Dr. Howitzer sees Mrs. Jones in Clinic Eight for sudden loss of consciousness while watching the Olympic Torch go by. He is a new provider to the neurology department. Dr. Drake Rinaldi, a prominent member of the neurology faculty at the university saw Mrs. Jones last month. Dr. Howitzer performs a history including 3 HPI elements and 2 ROS, a detailed exam and has medical decision making of high complexity. The final diagnosis given is transient loss of consciousness. The patient makes a follow-up appointment to see Dr. Rinaldi in one week. What is the appropriate diagnosis and E/M code for this visit? a. 99203, R55 b. 99202, R40.1 c. 99214, R55 d. 99215, R40.1 93 After moving across country, Ms. Robbins took her 2 year-old daughter to a new pediatric clinic for an annual physical. The provider completed an age / gender appropriate history, exam, and provided anticipatory guidance. He ordered no additional tests or immunizations. What CPT® code is reported? a. 99392 b. 99391 c. 99381 d. 99382 94 The physician was called to the hospital floor for the medical management of a 56 year- old patient admitted one day ago with aspiration pneumonia and COPD. No chest pain at present, but still SOB and some swelling in his lower extremities. Patient was tachypneic 99 A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome. After extensive research about the condition, she meets with the parents to discuss the features of the disease and the child’s prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are reported? a. 96040, Q99.9 b. 96040, Q99.2 c. 96040 x 2, Q99.2 d. 96040 x 2, Q99.8 100 A patient with bilateral sensory hearing loss is fitted with a digital, binaural, behind the ear hearing aid. What HCPCS Level II and ICD-10-CM codes are reported? a. V5261, Z46.1, H90.3 b. V5261, Z01.110, H90.3 c. V5140, H90.6 d. V5140, H90.3, Z46.1