AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
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 with systolic pressure
running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely
due to cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive symptoms or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of
the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the
nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just
recently visited a family member that had a cat and dog. The mother wants to know if her
son is allergic to cats and dogs. The child's skin was scratched with two different allergens.
The provider waited 15 minutes to check the results. There was a flare up reaction to the
cat allergen, but there was no flare up to the dog allergen. The provider included the test
interpretation and report in the record.
a. 95004 x 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to
the hospital by ambulance. She was found to have an open wound of the left lower thigh,
just above the knee and a displaced fracture of the left femoral neck. She was taken to the
operating room within four hours of her injury. She was given general endotracheal
anesthesia and was prepped and draped in sterile fashion. Debridement including excision
of devitalized skin and muscle was performed on the lateral thigh. The area was
approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive
plastic. The patient was then prepped and draped for the fracture and turned on her right
side. We all rescrubbed. An 8 inch
,AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
incision was made over the left hip and the head of the femur was exposed. Multiple
fragments from the neck an - ANSS
A 27 year-old girl has been on the lung transplant list for months and today she will be
receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at
the hospital and is an organ donor. The donor pneumonectomy was performed by physician
A, the backbench work by physician B and the transplant of both lungs into the prepped and
waiting patient by physician C.
What is the correct coding for the removal (physician A), preparation (physician B) and
insertion (physician 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 - ANSS
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been
seeing an addictive disease specialist (psychotherapist) in a chemical dependency program.
Her employer is aware of her problem. She was referred to the group through their
Employee Assistance Program. As long as she is in compliance they will support her efforts.
Recently, she has arrived late at the meetings. The provider met with the patient and
discussed the importance of her treatment, compliance with the program and avoidance of
situations in which she may use alcohol. She denies contact with her previous associates
and assures the provider she has had no alcohol intake since beginning the substance
abuse treatment program. They will continue to reinforce her progress and successful
sobriety. Time of the session was 45 minutes. What CPT® and ICD-10-CM codes are
reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANSS
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his
back and the other was located on the right forearm. Both involved subcutaneous tissue.
What ICD-10-CM code(s) is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANSSb. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her
menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a
diagnosis. What diagnosis code is appropriate for this encounter?
a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANSS
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications
prior to the administration of anesthesia. The surgeon immediately discontinued the
planned surgery. If the insurance company requires a reported modifier, what modifier best
describes the extenuating circumstances?
,AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
a. 53
b. 23
c. 73
d. 74 - ANSS
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANSSd. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an
integumentary mass from his neck. What CPT® code and modifier are reported for the
anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANSS
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between
two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is
examined by direct visualization. Using an instrument introduced through the endoscope,
the surgeon creates an opening in the pericardial sac for drainage purposes. What CPT®
code is reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANSS
A 45 year-old-male patient has developed an ulcer on his upper back. He has had
diabetes for several years and is on insulin. The provider determines that the ulcer is due
to his diabetes. What ICD-10-CM codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.4
A 47 year-old female presents to the OR for a partial corpectomy to three thoracic
vertebrae. One surgeon performs the transthoracic approach while another surgeon
performs the three vertebral nerve root decompressions necessary. How should each
provider involved code their portion of the surgery?
a. 63087-52, 63088-52 x 2
b. 63087-80, 63088-80 x 2
c. 63085-62, 63086-62 x 2
d. 63085, 63086-82 x 2 - ANSS
, AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive
to physical therapy, bracing or cortisone injection. She has opted for more definitive
treatment. After induction of anesthesia, the patient's left arm was prepared and draped in
the normal sterile fashion. Local anesthetic was injected using a combination 2% lidocaine
and 0.25% Marcaine. A transverse incision was made over the central area of the first
dorsal compartment. The subcutaneous tissues were gently spread to protect the neural
and venous structures. The retractors were placed. The fascial sheath of the first dorsal
compartment was then incised and opened carefully. The underlying thumb abductor and
extensor tendons were identified. The tissues were dissected and the extensor retinaculum
of the first extensor compartment was incised. The fibrotic tissue was incised and the
tendons gently released. The tendons were fre - ANSS
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does
not have a history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 - ANSSc. R03.0
A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a
high risk of perforation and underwent reconstruction of the ocular surface. The eye is
incised and an operating microscope is used with sponges and forceps to debride necrotic
corneal epithelium. Preserved human amniotic membrane is first removed from the storage
medium and transplanted by trimming the membrane to fit the thinning area of the cornea
then sutured. This process was repeated three times until the area of thinning is flush with
surrounding normal thickness cornea. All of the knots are buried and a bandage contact
lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?
a. 65435
b. 65780
c. 65781
d. 65710 - ANSS
A 57 year-old patient with chronic pancreatitis presents to the operating room for a
pancreatic duct- jejunum anastomosis by the Puestow-type operation. What are the correct
CPT® and ICD-10-CM codes for the encounter?
a. 48548, K85.90
b. 48548, K86.1
c. 48520, K86.1
d. 48520, K85.80 - ANSS
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for
urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary
sphincter was inserted. What CPT® code is reported for this service?
a. 53446
b. 53448
c. 53447
d. 53445 - ANSS
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
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 with systolic pressure
running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely
due to cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive symptoms or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of
the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the
nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just
recently visited a family member that had a cat and dog. The mother wants to know if her
son is allergic to cats and dogs. The child's skin was scratched with two different allergens.
The provider waited 15 minutes to check the results. There was a flare up reaction to the
cat allergen, but there was no flare up to the dog allergen. The provider included the test
interpretation and report in the record.
a. 95004 x 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to
the hospital by ambulance. She was found to have an open wound of the left lower thigh,
just above the knee and a displaced fracture of the left femoral neck. She was taken to the
operating room within four hours of her injury. She was given general endotracheal
anesthesia and was prepped and draped in sterile fashion. Debridement including excision
of devitalized skin and muscle was performed on the lateral thigh. The area was
approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive
plastic. The patient was then prepped and draped for the fracture and turned on her right
side. We all rescrubbed. An 8 inch
,AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
incision was made over the left hip and the head of the femur was exposed. Multiple
fragments from the neck an - ANSS
A 27 year-old girl has been on the lung transplant list for months and today she will be
receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at
the hospital and is an organ donor. The donor pneumonectomy was performed by physician
A, the backbench work by physician B and the transplant of both lungs into the prepped and
waiting patient by physician C.
What is the correct coding for the removal (physician A), preparation (physician B) and
insertion (physician 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 - ANSS
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been
seeing an addictive disease specialist (psychotherapist) in a chemical dependency program.
Her employer is aware of her problem. She was referred to the group through their
Employee Assistance Program. As long as she is in compliance they will support her efforts.
Recently, she has arrived late at the meetings. The provider met with the patient and
discussed the importance of her treatment, compliance with the program and avoidance of
situations in which she may use alcohol. She denies contact with her previous associates
and assures the provider she has had no alcohol intake since beginning the substance
abuse treatment program. They will continue to reinforce her progress and successful
sobriety. Time of the session was 45 minutes. What CPT® and ICD-10-CM codes are
reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANSS
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his
back and the other was located on the right forearm. Both involved subcutaneous tissue.
What ICD-10-CM code(s) is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANSSb. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her
menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a
diagnosis. What diagnosis code is appropriate for this encounter?
a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANSS
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications
prior to the administration of anesthesia. The surgeon immediately discontinued the
planned surgery. If the insurance company requires a reported modifier, what modifier best
describes the extenuating circumstances?
,AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
a. 53
b. 23
c. 73
d. 74 - ANSS
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What
ICD-10-CM codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANSSd. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an
integumentary mass from his neck. What CPT® code and modifier are reported for the
anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANSS
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between
two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is
examined by direct visualization. Using an instrument introduced through the endoscope,
the surgeon creates an opening in the pericardial sac for drainage purposes. What CPT®
code is reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANSS
A 45 year-old-male patient has developed an ulcer on his upper back. He has had
diabetes for several years and is on insulin. The provider determines that the ulcer is due
to his diabetes. What ICD-10-CM codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.4
A 47 year-old female presents to the OR for a partial corpectomy to three thoracic
vertebrae. One surgeon performs the transthoracic approach while another surgeon
performs the three vertebral nerve root decompressions necessary. How should each
provider involved code their portion of the surgery?
a. 63087-52, 63088-52 x 2
b. 63087-80, 63088-80 x 2
c. 63085-62, 63086-62 x 2
d. 63085, 63086-82 x 2 - ANSS
, AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive
to physical therapy, bracing or cortisone injection. She has opted for more definitive
treatment. After induction of anesthesia, the patient's left arm was prepared and draped in
the normal sterile fashion. Local anesthetic was injected using a combination 2% lidocaine
and 0.25% Marcaine. A transverse incision was made over the central area of the first
dorsal compartment. The subcutaneous tissues were gently spread to protect the neural
and venous structures. The retractors were placed. The fascial sheath of the first dorsal
compartment was then incised and opened carefully. The underlying thumb abductor and
extensor tendons were identified. The tissues were dissected and the extensor retinaculum
of the first extensor compartment was incised. The fibrotic tissue was incised and the
tendons gently released. The tendons were fre - ANSS
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does
not have a history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 - ANSSc. R03.0
A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a
high risk of perforation and underwent reconstruction of the ocular surface. The eye is
incised and an operating microscope is used with sponges and forceps to debride necrotic
corneal epithelium. Preserved human amniotic membrane is first removed from the storage
medium and transplanted by trimming the membrane to fit the thinning area of the cornea
then sutured. This process was repeated three times until the area of thinning is flush with
surrounding normal thickness cornea. All of the knots are buried and a bandage contact
lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?
a. 65435
b. 65780
c. 65781
d. 65710 - ANSS
A 57 year-old patient with chronic pancreatitis presents to the operating room for a
pancreatic duct- jejunum anastomosis by the Puestow-type operation. What are the correct
CPT® and ICD-10-CM codes for the encounter?
a. 48548, K85.90
b. 48548, K86.1
c. 48520, K86.1
d. 48520, K85.80 - ANSS
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for
urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary
sphincter was inserted. What CPT® code is reported for this service?
a. 53446
b. 53448
c. 53447
d. 53445 - ANSS
