AAPC CPC Chapter 20 Test Review spring 2023

Chapter 20 Test Review  Question 1_4 out of 4 points A patient with cardiac arrhythmia has a pacemaker system with electrodes in the atrium and ventricle. The patient visits his cardiologist for evaluation of the battery, leads, capture and sensing function, heart rhythm and programmed parameters of the system. What CPT® code is reported? Selected Answer: d. 93288 Correct Answer: d. 93288 Response Feedback: Rationale: In the CPT® Index look for Pacemaker, Heart/Evaluation and Programming/In Person and you are directed to 93261, , 93286, 93288, 93289. 93288 describes evaluation, analysis and report for single or dual chamber or multiple lead pacemakers. This patient has a dual chamber system with leads in both the atrium and ventricle.  Question 2_4 out of 4 points A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending and in the first diagonal of the LD. What CPT® code(s) is/are reported? Selected Answer: d. 92920-LD, 92921-LD Correct Answer: d. 92920-LD, 92921-LD Response Feedback: Rationale: PTCA stands for percutaneous transluminal coronary angioplasty. In the CPT® Index look for PTCA and you are directed to see Percutaneous Transluminal Angioplasty. Under Percutaneous Transluminal Angioplasty/Artery/Coronary you are directed to code range 92920- 92921. Code 92920 is used for the main coronary artery which is the left anterior descending. The add-on code 92921 is used to report the PTCA to a branch off of the left anterior descending – the first diagonal.  Question 3_4 out of 4 points A new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibration and cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for this service? Selected Answer: b. 94667 Correct Answer: b. 94667 Response Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest Wall or Feedback: Chest Wall/Manipulation which directs you to . 94667 is the correct code since it includes the patient’s first time, and it includes the evaluation.  Question 4_4 out of 4 points A patient was brought to th