AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Just like the digestive and urinary system, the respiratory system
has an entire section for an organ transplantation. Which organ is
this? - Explanation Details
correct answer : Lung
Organ transplantation has many different steps and types. The
digestive, urinary, and respiratory are the organ systems that have a
section solely devoted to organ transplantation. For the digestive
system, it is the liver. For the urinary system, it is the kidneys. And
finally, for the respiratory system, it is the lungs. Knowing the steps
and components of organ transplantation is key to coding
transplantation.
The accessory sinuses, trachea, and nose, while they can be
transplanted, do not happen often enough to warrant their own
subsection within the Respiratory System section.
AMA. 2020 CPT Professional Edition. Pg 207-208.
,AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient undergoes an unattended sleep study before being
cleared for a gastric bypass procedure. The following were
measured during the study: heart rate, oxygen saturation,
respiratory airflow, and respiratory effort. How would this be billed?
- Explanation Details
correct answer : 95806
In the index of the CPT book, you would look up sleep study. This
gives you the codes 95800, 95801, 95806, and 95807, which you
will look up in the Medicine section. When you look up these
codes, you will see that these studies differ by what is monitored
during the study. In the question, four things were measured: heart
rate, oxygen saturation, respiratory airflow, and respiratory effort.
The code that matches this perfectly is 95806, which is the
correct answer to the question.
Code 95800 is for an unattended sleep study as well; however, this
study measures sleep time. This is not what the question is asking
for, so this is an in
correct answer . Code 95803 is for actigraphy testing, recording,
analysis, interpretation, and report. This is not what the question is
,AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
asking for either, so this is an in
correct answer . Code 95250 is for ambulatory continuous glucose
monitoring of interstitial tissue fluid via a subcutaneous sensor for a
minimum of 72 hours. Again, this is not what the question is asking
for, so this is incorrect as well.
AMA. CPT Professional. Pg 705.
After a colonoscopy has been performed on a patient with a history
of rectal cancer in his family, the performing physician has found a
small, non-invasive tumor directly inside the rectum. Since the
patient has a family history of cancer, the physician wanted this
tumor removed before it becomes larger and more of a problem.
Because it is not that big, tumor destruction with a laser will be
performed using the transanal approach. How would the tumor
removal be coded?
45108
45160
45171
45190 - Explanation Details
, AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
correct answer : 45190
The patient had a tumor destruction procedure done after said
tumor was found during a colonoscopy. Going to the CPT index, you
would look for destruction, tumor, rectum, which gives you two
codes: 45190 and 45320. 45320 is for tumor destruction during a
proctosigmoidoscopy. Since the question does not mention that a
proctosigmoidoscopy was done, we can eliminate this code. Code
45190 is for the destruction of a rectal tumor, using a laser,
transanal approach. This closely matches the procedure that was
done, so this would be your
correct answer .
Code 45171 is for the excision of a rectal tumor, transanal
approach. Technically, an excision was not done, a tumor
destruction was done. Therefore, this is not the
correct answer . Code 45108 is for an anorectal myomectomy. This
does not match what was done at all, so this also is not the
correct answer . Code 45160 is for the excision of a rectal tumor by
proctotomy, transsacral or transcoccygeal approach. This code does
not mention the correct approach and also does not mention
tumor destruction, so this also is not the
correct answer .
AMA. 2020 CPT Professional Edition. Pg 334.
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Just like the digestive and urinary system, the respiratory system
has an entire section for an organ transplantation. Which organ is
this? - Explanation Details
correct answer : Lung
Organ transplantation has many different steps and types. The
digestive, urinary, and respiratory are the organ systems that have a
section solely devoted to organ transplantation. For the digestive
system, it is the liver. For the urinary system, it is the kidneys. And
finally, for the respiratory system, it is the lungs. Knowing the steps
and components of organ transplantation is key to coding
transplantation.
The accessory sinuses, trachea, and nose, while they can be
transplanted, do not happen often enough to warrant their own
subsection within the Respiratory System section.
AMA. 2020 CPT Professional Edition. Pg 207-208.
,AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient undergoes an unattended sleep study before being
cleared for a gastric bypass procedure. The following were
measured during the study: heart rate, oxygen saturation,
respiratory airflow, and respiratory effort. How would this be billed?
- Explanation Details
correct answer : 95806
In the index of the CPT book, you would look up sleep study. This
gives you the codes 95800, 95801, 95806, and 95807, which you
will look up in the Medicine section. When you look up these
codes, you will see that these studies differ by what is monitored
during the study. In the question, four things were measured: heart
rate, oxygen saturation, respiratory airflow, and respiratory effort.
The code that matches this perfectly is 95806, which is the
correct answer to the question.
Code 95800 is for an unattended sleep study as well; however, this
study measures sleep time. This is not what the question is asking
for, so this is an in
correct answer . Code 95803 is for actigraphy testing, recording,
analysis, interpretation, and report. This is not what the question is
,AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
asking for either, so this is an in
correct answer . Code 95250 is for ambulatory continuous glucose
monitoring of interstitial tissue fluid via a subcutaneous sensor for a
minimum of 72 hours. Again, this is not what the question is asking
for, so this is incorrect as well.
AMA. CPT Professional. Pg 705.
After a colonoscopy has been performed on a patient with a history
of rectal cancer in his family, the performing physician has found a
small, non-invasive tumor directly inside the rectum. Since the
patient has a family history of cancer, the physician wanted this
tumor removed before it becomes larger and more of a problem.
Because it is not that big, tumor destruction with a laser will be
performed using the transanal approach. How would the tumor
removal be coded?
45108
45160
45171
45190 - Explanation Details
, AAPC CPC POCKET PREP ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
correct answer : 45190
The patient had a tumor destruction procedure done after said
tumor was found during a colonoscopy. Going to the CPT index, you
would look for destruction, tumor, rectum, which gives you two
codes: 45190 and 45320. 45320 is for tumor destruction during a
proctosigmoidoscopy. Since the question does not mention that a
proctosigmoidoscopy was done, we can eliminate this code. Code
45190 is for the destruction of a rectal tumor, using a laser,
transanal approach. This closely matches the procedure that was
done, so this would be your
correct answer .
Code 45171 is for the excision of a rectal tumor, transanal
approach. Technically, an excision was not done, a tumor
destruction was done. Therefore, this is not the
correct answer . Code 45108 is for an anorectal myomectomy. This
does not match what was done at all, so this also is not the
correct answer . Code 45160 is for the excision of a rectal tumor by
proctotomy, transsacral or transcoccygeal approach. This code does
not mention the correct approach and also does not mention
tumor destruction, so this also is not the
correct answer .
AMA. 2020 CPT Professional Edition. Pg 334.
