AAPC CPC Final Exam 2022

AAPC CPC Final Exam 2022 A patient sustained a neck strain as a driver in an automobile accident, losing control, hydroplaning and hitting a tree off the highway which caused the car to overturn. He has continued to have neck pain and stiffness. He sees a chiropractor who assesses the patient and manipulates his neck. The diagnosis is neck strain. What CPT® and ICD-10-CM codes are reported for the chiropractor? a. 98940, M95.3, V47.3XXA b. 98943, M54.2, V47.2XXA c. 98941, S16.1XXA, V47.9XXA d. 98940, S16.1XXA, V47.0XXA - CORRECT ANSWER A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome. After extensive research about the condition, she meets with the parents to discuss the features of the disease and the child's prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are reported? a. 96040, Q99.9 b. 96040 x 2, Q99.8 c. 96040 x 2, Q99.2 d. 96040, Q99.2 - CORRECT ANSWER PREOPERATIVE DIAGNOSIS : Heart Block POSTOPERATIVE DIAGNOSIS: Heart Block ANESTHESIA: Local anesthesia NAME OF PROCEDURE: Reimplantation of dual chamber pacemaker DESCRIPTION: The chest was prepped with Betadine and draped in the usual sterile fashion. Local anesthesia was obtained by infiltration of 1% Xylocaine. A subfascial incision was made about 2.5 cm below the clavicle, and the old pulse generator was removed. Using the Seldinger technique, the subclavian vein was cannulated and through this, the old atrial lead was removed, and a new atrial lead (serial # 6662458) was placed in the right atrium and to the atrial septum. Thresholds were obtained as follows: The P-wave was 1.4 millivolts, atrial threshold was 1.6 millivolts with a resultant current of 3.5 mA and resistance of 467 ohms. Using a second subclavian stick in the Seldinger technique, the old ventricular lead was removed and a new ventricular lead (se - CORRECT ANSWER PROCEDURES PERFORMED: 1. Bilateral facet joint injections, L4-L5 2. Bilateral facet joint injections, L5-S1. 3. Fluoroscopy. TECHNIQUE: The AP view was aligned with the proper tilt so that the end plates for the desired levels were perpendicular. The AP image showed the sacrum and the L5 spinous process. Manual palpation located the sacral hiatus. The 6-inch, 20-gauge needle with a slight volar bend was inserted using fluoroscopy into each facet joint under AP image. The bilateral L4-L5, and L5-S1 facet joints were injected in a systematic fashion from caudal to cranial. A sterile dressing was applied. The patient tolerated the procedure well with no complications and was transferred to recovery in good condition. What CPT® codes are reported? a. 64493-50, 64494 x 2 b. 64493-50, 64494 x 2, 77002-26 c. 64493-50, , 77002-26 d. 64493-50 x 2 - CORRECT ANSWER Preoperative Diagnosis: Left orbital cyst, hemangioma versus lymphangioma Postoperative Diagnosis: Left orbital cyst, hemangioma versus lymphangioma Procedures Performed: Aspiration of left orbital cyst with