AAPC CPC Practice Exam D Questions
With 100% Verified Answers
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to
perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin
lesion during the same encounter
C. Failing to append modifier 26 on an X-ray that is performed and
interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not
included in the lab panel -
correct answer ✅B. Reporting a biopsy and excision performed on
the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would
result in a fraudulent claim. According to National Correct Coding
Initiative (NCCI) and CPT® coding guidelines, a biopsy performed on
the same lesion as an excision during the same encounter is an
incidental service and is not reported separately. If ultrasound
guidance is performed for a liver biopsy, it is billable. X-rays
performed in a physician's office do not require modifier 26,
because the physician owns the equipment and performs the
interpretation, he bills the global service. Lab panels can be
reported with additional lab tests that are not listed in a lab panel.
, AAPC CPC Practice Exam D Questions
With 100% Verified Answers
Which place of service code is reported for fracture care performed
by an orthopedic physician in the ED?
A. 11
B. 20
C. 22
D. 23 -
correct answer ✅D. 23
Place of service codes are reported on the claim form to identify
the site of the service provided. In this case, the services are
rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
What is the full CPT® code description for 61535?
A. Craniotomy with elevation of bone flap; for subdural
implantation of an electrode array, for long-term seizure
monitoring; for removal of epidural or subdural electrode array,
without excision of cerebral tissue (separate procedure)
With 100% Verified Answers
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to
perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin
lesion during the same encounter
C. Failing to append modifier 26 on an X-ray that is performed and
interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not
included in the lab panel -
correct answer ✅B. Reporting a biopsy and excision performed on
the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would
result in a fraudulent claim. According to National Correct Coding
Initiative (NCCI) and CPT® coding guidelines, a biopsy performed on
the same lesion as an excision during the same encounter is an
incidental service and is not reported separately. If ultrasound
guidance is performed for a liver biopsy, it is billable. X-rays
performed in a physician's office do not require modifier 26,
because the physician owns the equipment and performs the
interpretation, he bills the global service. Lab panels can be
reported with additional lab tests that are not listed in a lab panel.
, AAPC CPC Practice Exam D Questions
With 100% Verified Answers
Which place of service code is reported for fracture care performed
by an orthopedic physician in the ED?
A. 11
B. 20
C. 22
D. 23 -
correct answer ✅D. 23
Place of service codes are reported on the claim form to identify
the site of the service provided. In this case, the services are
rendered in the ED which is reported with place of service (POS) 23.
The place of service codes can be found in the CPT® codebook.
What is the full CPT® code description for 61535?
A. Craniotomy with elevation of bone flap; for subdural
implantation of an electrode array, for long-term seizure
monitoring; for removal of epidural or subdural electrode array,
without excision of cerebral tissue (separate procedure)
