AAPC CPC FINAL EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

AAPC CPC FINAL EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ Which statement is TRUE regarding coding COPD with asthma in ICD-10-CM? - CORRECT ANSWER The type of asthma is reported along with the COPD. A patient is seen in the endoscopy suite for a diagnostic maxillary sinusotomy. During the sinusotomy, the provider observes some diseased tissue which needs to be removed. The provider decides to perform a maxillary antrostomy with tissue removal. Bleeding is controlled. The patient tolerated the procedure well. What CPT® code(s) is/are reported? - CORRECT ANSWER 31267 An ICU diabetic patient who has been in a coma for weeks as the result of a head injury becomes conscious and begins to improve. The physician performs a tracheostomy closure and since the scar tissue is minimal, the plastic surgeon is not needed. What CPT® and ICD-10-CM codes are reported for this procedure? 31820, Z43.0, S06.9X9D, E11.9:Rationale: In the CPT® Index look for Tracheostomy/Surgical Closure/without Plastic Repair. This directs you to code 31820.In the ICD-10-CM Alphabetic Index look for Attention (to)/tracheostomy which directs you to Z43.0. It is reported as a primary code because the closure of the tracheostomy is the reason for the procedure performed. Diabetic coma (E11.641) is not reported because the coma resulted from a head injury not diabetes. Coma would not be reported because it is resolved and the patient no longer has it. In the Alphabetic Index look for Injury/head directing you to S09. - CORRECT ANSWER A surgeon performs a high thoracotomy with resection of a single lung segment on a 57-year-old who is currently a heavy smoker who had presented with a six-month history of right shoulder pain that radiates to the chest. An apical lung biopsy had confirmed lung cancer. What CPT® and ICD-10-CM codes are reported? 32484, C34.10, F17.210:Rationale: A segment of the lung is removed. In the CPT® Index look for Removal/Lung/Single Segment. This directs you to code 32484.We have a confirmed diagnosis of apical lung cancer, a cancer in an upper lobe, which is code C34.10 (no indication of right or left lung). The term apical means the tip of a pyramidal or rounded structure, so apical lung cancer means the tumor/cancer is located at the top or upper lobe of the lung. We find this by looking in the Table of Neoplasms for Neoplasm, neoplastic/lung/upper lobe and select from the Primary Malignant column which directs you to c - CORRECT ANSWER Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-10-CM code(s) for this condition? - CORRECT ANSWER Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-10-CM code(s) for this condition? Z51.89, I25.9Rationale: Because it is past four weeks since the myocardial infarction and the patient is still symptomatic, ICD-10- CM guideline, I.C.9.e.1, indicates that the appropriate aftercare code is assigned rather than a code from category I21. Look in the ICD-10-CM Alphabetic Index for Aftercare which directs the coder to Z51.89. Verify code selection in the Tabular List. The instructional note under category Z51 indicates to code also condition requiring care. Look in the Alphabetic Index for Disease/heart/ischemic (chronic or with a stated duration of over 4 weeks) directing you to I25.9. Verify in the Tabular List. - CORRECT ANSWER a patient presented to the ED and was found to have a ruptured abdominal aortic aneurysm. he was taken to emergency surgery, a physician performed a direct repair. the physician documented the aneurysm involved the common iliac 35103 - CORRECT ANSWER In the cath lab, from a right femoral artery access, the following procedures are performed: Catheter placed in the left renal, accessory renal superior to the left renal and one main right renal artery. Radiologic supervision and imaging is performed in all locations. What CPT® code(s) is/are reported? 36252Rationale: Look in the CPT® Index for Angiography/Renal Artery and you are directed to . This is a bilateral procedure, with an accessory left renal artery. Code 36252 includes bilateral and accessory renal angiography, and radiologic supervision and imaging. - CORRECT ANSWER What is included in all vascular injection procedures? - CORRECT ANSWER Necessary local anesthesia, introduction of needles or catheters, injection of contrast media with or without automatic power injection and/or necessary pre-and post-injection care specifically related to the injection procedure. MAZE procedure is performed on a patient with atrial fibrillation. The physician isolates and ablates the electric paths of the pulmonary veins in the left atrium, the right atrium and the atrioventricular annulus while on cardiopulmonary bypas