AAPC Final Exam Prep (Part 1)

AAPC Final Exam Prep (Part 1) When coding an operative report what action would NOT be recommended? ANS: Coding from the header without reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? ANS: Medicare administrative contractor (MAC) How many components should be included in an effective compliance plan? ANS: 7 A patient is diagnosed with inflammation of the testes and epididymis. The medical term for this condition is: ANS: Orchiepididymitis A condition where the thyroid is overactive is called: ANS: Thyrotoxicosis What is the value of a remittance advice? ANS: It states what will be paid and why any changes to charges were made. The Medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer? ANS: Part B Which coding manuals do outpatient coders focus on learning? ANS: CPT®, HCPCS Level II and ICD-10-CM The minimum necessary rule applies to ANS: Covered entities taking reasonable steps to limit use or disclosure of PHI What will the scope of a compliance program depend on? ANS: The size and resources of the provider's practice. Which structure is an internal organ of the male genital system? ANS: Cowper's glands What is an example of a long bone? ANS: Metacarpals What causes cyanosis? ANS: Oxygen deficiency Which gland has two separate structures called the medulla and the cortex? ANS: Adrenal glands Which layer is NOT considered part of the skin? ANS: Hypodermis A gonioscopy is an examination of what part of the eye: ANS: Anterior chamber of the eye When coding for an ambulatory surgical procedure, how is the diagnosis determined? ANS: Code the postoperative diagnosis because it is the most definitive. Referencing ICD-10-CM guideline I.C.6.b.1.a., when should a code from category G89 be reported as a first-listed diagnosis? ANS: When the pain control or pain management is the purpose of the encounter Which of the following does NOT require documentation for a cause-and-effect relationship to be coded? (Reference guideline I.C.9.a.2 and I.C.9.a.3) ANS: Hypertension and chronic kidney disease What is the time frame defining when pain becomes chronic? ANS: . No time frame What is the sequencing order when coding a sequela (late effect)? ANS: The residual condition is coded first, in the code(s) for the cause of the late effect are coded as secondary What three components are considered when relative value units are established? ANS: Physician work, practice expense, malpractice insurance If the findings on examination of a pap smear are normal and described as "negative for intraepithelial lesion or malignancy" this is an example of what type of results reporting? ANS: Bethesda In which CPT appendix would additions, deletions, and revisions be found? ANS: Appendix B In which CPT appendix would modifiers be found? ANS: Appendix A Who requires a special report with the use of unlisted codes? ANS: Third-party payers Which of the following represents three of the six elements that a special report must contain? ANS: nature, extent, need What is the largest single mass of lymphatic tissue? ANS: Spleen Which main coronary artery bifurcates into two smaller ones? ANS: Left What is the term for the divider between the heart chamber walls? ANS: Septum