AAPC CPC FINAL EXAM QUESTIONS WITH ANSWERS 2024

AAPC CPC FINAL EXAM QUESTIONS WITH ANSWERS 2024 When coding in operative report what action would NOT be recommended? TANS - Coding from the header with out reading the body of the report CORREC If an NCD doesn't exist for a particular service/procedure performed on a Medicare patientwho determines coverage? CORRECT ANS - Medicare administrative contractor (MAC) MAC stands for what!? CORRECT ANS - Medicare administrative contractor What is the definition of coding? CORRECT ANS - Translating documentation into numerical/alphabetical codes used to obtain reimbursement. How many components should be included in an effective compliance plan? TANS - 7 CORREC Which of the following is NOT a function of the skin? CORRECT ANS - Acts as a gland bysynthesizing vitamin A. What is affected by myasthenia gravis? CORRECT ANS - Neuromuscular junction The term "episiotomy" Best describes a procedure of what type? CORRECT ANS - Anincision made into the perineum to enlarge the passage for the fetus during delivery A patient is diagnosed with inflammation of the testes and epididymis. The medical termfor this condition is: CORRECT ANS - Orchiepididymitis A condition where the thyroid is overactive is called: CORRECT ANS - Thyrotoxicosis What does ICD 10 CM stand for? CORRECT ANS - International classification of diseases - 10th revised - clinical modification What is the sequencing order when coding a sequela (late effect)? CORRECT ANS - The residual condition is coded first, in the code(s) for the cause of the late effect are coded as secondary What is the ICD 10 CM code for hives? CORRECT ANS - L50.9 20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and performs a lumberpuncture. The ED physician reviews the results in the patient is admitted in the hospital formeningitis. The ED physician suspects that the meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician? CORRECT ANS - G03.9 45 year old female with malignant Mullerian duct cancer is receiving her first treatment of chemotherapy. What diagnosis codes are reported? CORRECT ANS - Z51.11, C57.7 The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps muscle biopsy. What diagnosis code is reported? CORRECT ANS - M62.81 The provider orders the following serum blood tests as part of a pre-employment physical exam. The patient goes to the local hospital for the following tests: CBC automated and automated differential WBC count (85025), comprehensive metabolic panel (80053), and athyroid stimulating hormone assay (84443), all part of the general health panel. A drug screen for multiple drug classes was also collected (80100). What diagnosis code is reported? CORRECT ANS - Z02.1 What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis?CORRECT ANS - F12.10 What codes, according to ICD 10 CM sequencing guidelines, describe a patient that has heart disease due to malignant hypertension with left heart failure? CORRECT ANS -I11.0, 150.1 A 45-year-old male patient has developed in ulcer on his upper back. He has had diabetesfor many years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM code are reported? CORRECT ANS - E11.622, L98.429, Z79.4 What does the root word cool/o stand for? CORRECT ANS - Vagina What does the abbreviation CKD stand for? CORRECT ANS - Chronic kidney disease The patient is in for in initial replacement of a leaking dialysis catheter. What ICD 10 CM code is reported? CORRECT ANS - T82.43XA What is/are the external cause code(s) for a passenger involved in a MVA that lost controlon the highway and hit a guardrail? CORRECT ANS - Y92.411 A patient was admitted three weeks following a normal vaginal delivery with a postpartumbreast abscess. What ICD 10 code should be reported? CORRECT ANS - O91.12 A 28-year-old male was rushed to the ED after being found unconscious. Information from family members indicated that the patient had left a suicide note and taking a large amountof LSD (a hallucinogenic). What ICD 10 CM codes are reported? CORRECT ANS - T40.8X2A, R40.20 A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now presents with a non-union of the scaphoid bone. What ICD 10 CM code isreported? CORRECT ANS - S62.001K What three components are considered when relative value units are established?CORRECT ANS - Physician work, practice expense, malpractice insurance What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-molded? CORRECT ANS - L3050 What is another term for hives? CORRECT ANS - Urticaria The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? CORRECT ANS - 12051, 11441-51, D23.39 44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameter deformity parameters and initial strut settings are inserted into the computer prior to Jim's dischargeand a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT code should reported? CORRECT ANS - 20697 A young female patient was taken to the operative suite, and was placed under appropriate anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in noted to be normal. The undersurface of the rotator cuff was clearly visualized and also noted to be normal. There was a large anterior spur formation. The blur was introduced through a lateral portal and the anterior lip of the acromion was resected. The undersurface of the clavicle was noted to be quite prominent and part of the impinging process. There was intense bursitis and a bursectomy was performed, allowing for acromial decompression and release. Spurs were removed from the distal clavicle. All instruments were removed skin incisions were closed and a dress was applied. The patientwas placed in a sling and returned to the recovery room. What CPT code is reported? CORRECT ANS - 23415-RT What modifier must always be applied to medicare claims for test performed in a site withCLIA Waived certificate? CORRECT ANS - QW What does "in vivo" mean? CORRECT ANS - in the living body what is the code for gross and microscopic examination (surgical pathology) of the breasttissue from a simple mastectomy? CORRECT ANS - 88307 A patient presents with worries she is at risk for cancer. She asks for tests to verify whethershe has cancer. The test comes back normal. What type of service is this considered? CORRECT ANS - screening services If the findings on examination of a pap smear are normal and described as "negative for intraepithelial lesion or malignancy" this is a example of what type of results reporting? CORRECT ANS - Bethesda What ICD-10-CM code is reported for elevated blood sugar? CORRECT ANS - R73.09 What ICD-10-CM code is reported for an abnormal cervical pap smear? CORRECT ANS -R87.619 A lab test reveals an excessive level of alcohol in the blood. What ICD-10-CM code is reported? CORRECT ANS - R78.0 What do the services in the Reproductive Medicine Procedures section of the Pathologyand Laboratory chapter of CPT report? CORRECT ANS - Services related to in vitro fertilization What is usually found in the blood if a person has or used to have an infecting virus?CORRECT ANS - Antibody A patient with AIDS presents for follow up care. The total T-cell count is ordered to evaluate any progression of the disease. What CPT code is reported? CORRECT ANS - 86359- Code 86359 is for total T-cell count. If other studies were performed and they werenot ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index, look for T Cells/Count. A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is ordered. What CPT code is/are reported? CORRECT ANS - 86357- Although there are a number of cells that attack viruses and other infectious organisms, NK cells are specifically identified by code 86357. In the CPT Index, see Natural Killer (NK) Cells. A virus is identified by observing growth patterns on cultured media. What is this type of identification is called? CORRECT ANS - Presumptive- Presumptive identification identifies microorganisms like by viruses by observing growth patterns and other characteristics. CPT stands for: CORRECT ANS - Current Procedure Terminology Which term reflects the technologic advances made in medicine that are incorporated intothe CPT manual? CORRECT ANS - special reports How man sections is the CPT manual divided into? CORRECT ANS - 6 Where is specific coding information about each section located? CORRECT ANS -Guidelines In which CPT appendix would modifiers be found? CORRECT ANS - Appendix A In which CPT appendix would additions, deletions, and revisions be found? TANS - Appendix B CORREC A list of the unlisted procedures for use in a specific section of the CPT manual is containedin: CORRECT ANS - Guidelines Who requires a special report with the use of unlisted codes? CORRECT ANS - Third-party payers Which of the following represents three of the six elements that a special report must contain? CORRECT ANS - nature, extent, need Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available? CORRECT ANS - hypen Which punctuation mark between codes in the index of the CPT manual indicates two codes are available? CORRECT ANS - comma The words that follow a code number in the CPT manual are called: CORRECT ANS -procedure/ service descriptor A code that has all the words that describe the code following it is called what type of code? CORRECT ANS - stand alone According to surgery guidelines, is surgical destruction part of a surgical procedure?CORRECT ANS - yes First division in the CPT CORRECT ANS - SECTION Second division in the CPT CORRECT ANS - SUBSECTIONThird division in the CPT CORRECT ANS - SUBHEADING Fourth division in the CPT CORRECT ANS - CATEGORY What is the largest single mass of lymphatic tissue? CORRECT ANS - Spleen Which main coronary artery bifurcates into two smaller ones? CORRECT ANS - Left What is the term for the divider between the heart chamber walls? CORRECT ANS -Septum is a term standing for enlargement of the heart CORRECT ANS - Cardiomegalycardio= heart megaly= enlargement repair of coronary vessel is called: CORRECT ANS - Angioplastyangio= vessel plasty= repair Where is the hypertension table located in ICD-10-CM? CORRECT ANS - there is nohypertension table in ICD-10-CM Which statement is true regarding codes for hypertension and heart disease in ICD-10-CM? CORRECT ANS - Hypertension and heart disease without a stated casual relationship must be coded separately. What information is needed in order to accurately code hypertension retinopathy in ICD-10- CM? CORRECT ANS - The affected eye(s) What is the default code for coronary artery atherosclerosis? CORRECT ANS - 1125.10How many layers of tissue does an artery have? CORRECT ANS - 3 The conduction system contains pacemaker cells, nodes, the , and the _. CORRECT ANS - Purkinje fibers and Bundle of His What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart? CORRECT ANS - Heart valves What information is required to accurately code PVD due to diabetes in ICD-10-CM? CORRECT ANS - Whether the patient has gangrene Bile empties into the duodenum through what structure? CORRECT ANS - Common bileduct Which of the following is not a function on the skin? CORRECT ANS - Acts as a gland bysynthesizing vitamin A. What ICD-10-CM code is reported for spontaneous pneumothorax? CORRECT ANS -J93.83 When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned? CORRECT ANS - R75 What does MRSA stand for? CORRECT ANS - Methicillin resistant Staphylococcus Aureus When do you code acute respiratory failure as a secondary diagnosis? CORRECT ANS -When it occurs after admission When the type of diabetes mellitus is not documented in the medical note, what is used asthe default type? CORRECT ANS - Type 2 If a patient uses insulin, what type of diabetic does it mean the patient is? CORRECT ANS - The use of insulin doesn't specify the patient is a certain type of diabetic According to ICD-10-CM Guidelines, when a patient is seen for management of anemia dueto malignancy, how is it reported? CORRECT ANS - The malignancy is reported first, followed by the code for the anemia. First episode of an acute myocardial infraction CORRECT ANS - I21.3secondary neoplasm of the descending colon CORRECT ANS - C78.5 In which circumstances would an external cause code be reported? CORRECT ANS -causes of injury or health condition adverse effect CORRECT ANS - rash developing when taking oenicillin colp/o CORRECT ANS - vagina CKD stand for: CORRECT ANS - Chronic Kidney Disease Which statement is TRUE for reporting burn codes? CORRECT ANS - The highest degree of burn is reported as primary code codes for diseases and disorders of the nails CORRECT ANS - chapter 12 Skin What does the 7th character A indicate in Chapter 19? CORRECT ANS - initial encounter What codes are reported voluntarily to payers to provide evidence-based performancemeasure data? CORRECT ANS - CPT Category II codes CPT Category III codes are reimbursable at what level of reimbursement? CORRECT ANS - Reimbursement, if any, is determined by the payer HCPCS stands for: CORRECT ANS - Healthcare Common Procedures Coding System How many days does it take for CMS to implement HCPCS Level II Temporary Codes that have been reported as added, changed, or deleted? CORRECT ANS - 90 OPPS CORRECT ANS - C codes Which statement is TRUE regarding the Instruction for use of the CPT codebook? CORRECT ANS - select the name of the procedure or service that accurately identifies theservice performed.