CPC exam prep questions and answers 2023

CPC exam prep questions and answers 2023 What part of Medicare covers prescription drug services - correct answer Part D What is medical coding? - correct answer Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - correct answer Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - correct answer LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? - correct answer when a service is not expected to be covered under medicare The amount on an ABN should be within how much of the cost to a patient? - correct answer $100 or 25% of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? - correct answer Clearinghouse A covered entity does not include: - correct answer patients What is PHI? - correct answer Protected Health Information Intentional billing of services not provided is considered - correct answer fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? - correct answer OIG Work Plan 5 Body cavities - correct answer cranial, spinal, thoracic, abdominal, pelvic 5 types of membranes - correct answer mucous, serous, synovial, meninges, cutaneous 2 layers of the skin - correct answer epidermis and dermis 5 layers of epidermis - correct answer stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale 2 layers of dermis - correct answer papillary and reticular Closed fracture - correct answer broken bone with no open wound compound fracture - correct answer bone breaks through the skin comminuted fracture - correct answer fracture in which the bone is splintered or crushed transverse fracture - correct answer occurs straight across the bone greenstick fracture - correct answer bending and incomplete break of a bone; most often seen in children spiral fracture - correct answer a fracture in which the bone has been twisted apart Colles' fracture - correct answer fracture of the distal radius at the wrist compression fracture - correct answer occurs when the bone is pressed together (compressed) on itself (vertebrae) epiphyseal fracture - correct answer a break at the location of the growth plate, which can affect growth of the bone types of muscle - correct answer skeletal, cardiac, smooth 3 layers of the heart - correct answer epicardium, myocardium, endocardium organs of the lymphatic system - correct answer lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils Central Nervous System (CNS) - correct answer brain and spinal cord Peripheral Nervous System (PNS) - correct answer the sensory and motor neurons that connect the CNS to the rest of the body Components of blood - correct answer plasma, red blood cells, white blood cells, platelets a patient sustaining an injury to her great saphenous vein would have sustained an injury to which anatomical site? - correct answer leg What is a function of the pancreas? - correct answer Supplies digestive enzymes. Sebaceous glands are part of which anatomic system? - correct answer Integumentary What part of the eye refracts light? - correct answer Lens The myocardium is the thickest around which chamber of the heart? - correct answer Left ventricle The tunica vaginalis is part of which system? - correct answer male reproductive Complete the series: Incus, Stapes... - correct answer Malleus Hemiplegia is a disorder caused by a defect i which anatomic system? - correct answer Nervous What is the result of a ureteral blockage? - correct answer Urine will not be able to flow from the kidney to the bladder. What is a term for a renal calculus? - correct answer Nephrolithiasis What year was the AAPC founded? - correct answer 1988 Super fascia is in the - correct answer hypodermis Stratum Lucidum is found - correct answer In areas such as the palms and soles (Thicker skin) Arteries - correct answer carry blood away from the heart veins - correct answer Blood vessels that carry blood back to the heart Capillaries - correct answer Smallest blood vessels; site of oxygen and waste exchange 3 layers of the eye - correct answer sclera, choroid, retina anterior segment of eye - correct answer contains aqueous humor posterior segment of eye - correct answer contains vitreous humor Leukocytosis refers to - correct answer increased amount of white blood cells (WBC) what structure of the ear is considered the inner ear? - correct answer labrynth what type of membrane lines the inner walls of the digestive system? - correct answer mucous what structure is an internal organ of the male genital system? - correct answer Cowper's glands The heart receives DEOXYGENATED blood in the right atrium via which vessel? - correct answer Vena Cavae The heart circulates blood thru the lungs and is sent back to the left atrium of the heart via which vessel? - correct answer left/right pulmonary veins Where are the basal ganglia located - correct answer cerebral cortex What is vesicoureteral reflux? - correct answer retrograde flow of bladder urine into the ureters The posterior vaginal fornix and outer cervical os were prepped... what does os stand for - correct answer ostium (opening) Recession of left inferior rectus muscle... what anatomic location is being operated on? - correct answer eye What anatomic location does kyphosis refer to? - correct answer thoracic spine A patient diagnosed with glaucoma has - correct answer Abnormally high intraocular pressure What is affected by myasthenia gravis? - correct answer neuromuscular junction What is significant about an abdominal aneurysm? - correct answer it is a weakness in a large artery and rupture can be deadly What is a myocardial infarction? - correct answer heart attack; lack of oxygen to the heart tissue resulting in tissue death What is the function of the thyroid gland - correct answer It secretes hormones regulating body metabolism and blood calcium Urine is transported from the kidneys to the urinary bladder via the: - correct answer ureter The loop of Henle is located in what structure - correct answer kidney lacrimal glands are responsible for production of - correct answer tears How many lobes does the right lung have? - correct answer 3 lobes How many lobes does the left lung have? - correct answer 2 lobes What is a sentinel node? - correct answer the first node to receive lymph from an area suspected to be cancerous Excessive potassium in the blood is referred to as: - correct answer hyperkalemia Intrathecal injection is administered into the: - correct answer subarachnoid space Destruction of a nerve or nerve tissue - correct answer neurolysis A procedure for widening a narrowed vessel or obstructed vessel is called - correct answer Angioplasty Term for pain in the ear - correct answer otalgia NEC - correct answer Not elsewhere classifiable - provider documented MORE specific info than there are codes available NOS - correct answer Coder lacks information necessary to a code a more specific diagnosis [ ] Brackets - correct answer enclose synonyms, alternative wording, or explanatory phrases ( ) parenthesis - correct answer supplementary words; do not affect code assignment : colon - correct answer incomplete term, needs modifier Excludes 1 - correct answer not coded here Excludes 2 - correct answer Not included here but may have both separate conditions Inpatient - correct answer ok to code suspected/rule out diagnoses EXCEPT HIV What is the time limit when assigning codes as a sequela? - correct answer There is no time limit on sequela In the ICD-10-CM what is the code next to the main term called? - correct answer Default code The instructions and conventions of the classification take precedence over - correct answer Official coding guidelines BMI codes should be reported as - correct answer secondary code only When it is documented that the patient is both using tobacco and has a dependence on tobacco, how is it reported? - correct answer The dependence is the only code reported When a patient is seen for management of anemia due to malignancy, how it is reported? - correct answer malignancy first then anemia What chapter has sequencing priority over all other chapters? - correct answer Chapter 15 - Pregnancy Category III codes are reported to indicate what type of procedure? - correct answer New and emerging What is the post-operative period included in the surgical global package for a major surgery? - correct answer 90 days What agency maintains and distributes HCPCS Level II codes? - correct answer CMS What publications does the AMA copyright and maintain? - correct answer CPT codebook and CPT assistant How are ambulance modifiers used? - correct answer They identify ambulance place of origin and destination. If a CPT code and a HCPCS Level II code exist for the same service, which should you report for Medicare? - correct answer HCPCS Level II What is true for coding carbuncles and furuncles? - correct answer there are separate codes for carbuncles and furuncles What term best describes a mass of hypertrophic scar tissue? - correct answer keloid What is another term for hives? - correct answer urticaria What type of burn is considered corrosion? - correct answer chemical Hallux rigidus is a condition affecting what part of the body? - correct answer foot What is the major muscle used during respiration? - correct answer diaphragm Can a diagnostic thoracoscopy be billed with a surgical thoracoscopy (VATS) under certain circumstances? - correct answer No, diagnostic is always included in the surgical VATS An indirect endoscopic procedure of the larynx means the larynx was viewed with - correct answer mirrors Where in the respiratory system is the carina located? - correct answer Tracheal bifurcation Most nasal passages have how many turbinates present on the lateral wall of each nasal cavity ? - correct answer 3 What term refers to a rapid heartbeat? - correct answer tachycardia According to ICD-10 guidelines, which condition has a causal relationship with hypertension? - correct answer Chronic kidney disease What is the term for the divider between the heart chamber walls? - correct answer septum The suffix meaning artificial or surgical opening - correct answer -stomy What are the three categories of teeth? - correct answer Incisors, cuspids, molars What are the two processes of digestion - correct answer mechanical and chemical Where is the vermilion border located ? - correct answer upper lip and lower lips Bile empties into the duodenum through what structures? - correct answer Common Bile duct Urine is expelled from the body through the: - correct answer urethra What modifier is appended to report a bilateral procedure - correct answer -50 or RT and LT What are the reproductive glands that produce male hormones? - correct answer testes What is true about reporting calculi in both the kidney and the ureter? - correct answer One code identifies both the calculi the kidney and the ureter What word means a scope procedure to examine the vagina - correct answer colposcopy The uterine adnexa refers to which two structures of the female rproductive system? - correct answer fallopian tubes and ovaries What part of the brain is affected when one has a stroke and is unable to speak or write? - correct answer parietal lobe The nervous system is composed of what two parts? - correct answer Central and Peripheral What is the term for uncontrolled muscle movements? - correct answer dyskinesia What is a parathyroidectomy? - correct answer Removal of glands on the posterior surface of the thyroid What disease is characterized my enlarged skeletal parts? - correct answer acromegaly What are the three ossicles of the middle ear? - correct answer malleus, incus, stapes What does IOL stand for? - correct answer intraocular lens What is the transparent part of the eye? - correct answer cornea When more than one operation is performed during single anesthesia administration how is it coded? - correct answer The anesthesia code for the most complex procedure is coded When is the start of the anesthesia time? - correct answer when the anesthesiologist begins to prepare the patient What intraperitoneal organs are found in the lower abdomen? - correct answer Appendix, cecum, ileum, sigmoid colon What is an oblique position? - correct answer at an angle The path of the x-ray is known as - correct answer the projection An axillary view might be included in an X-ray of what part of the skeleton? - correct answer shoulder Which plane divides the body into anterior and posterior portions? - correct answer coronal/ frontal HCPCS codes specifically for pathology/laboratory services start with what letter? - correct answer P What modifier must always be applied to Medicare claims for tests performed in a site with a CLIA Waived certificate? - correct answer QW In what section of the Pathology chapter of CPT will a coder find the codes for a FISH test? - correct answer Cytopathology A patient is diagnosed with both acute and chronic tonsillitis, how is it coded? - correct answer Acute first then chronic Which anatomic site would you look under in the CPT index to find carinal reconstruction? - correct answer Trachea When the entry point for a catheterization is the aorta, what order would the right brachial artery be considered? - correct answer Third order branch The provider performed a debridement of an open leg wound. Two days later the provider performed a more extensive debridement of the same wound. What modifier would be reported for the second service? - correct answer -58 Planned return When coding for a surgical service, which of the following is NOT included in the global sergical package? - correct answer a) digital block b) general anesthesia c) Talking with family d) E/M encounter on the day immediately prior to a major procedure B--- general anesthesia is reported separately How often does CMS release updates for HCPCS Level II? - correct answer Quarterly When a service having both a technical and professional component is performed in the hospital, which modifier would be used by the physician? - correct answer -26 Physician can bill for the professional component only Melanocytes exist in which layer of the skin? - correct answer stratum basale (stratum germinativum) Describe psoriasis - correct answer A chronic inflammatory disease, characterized by dry patches covered with silvery scales Muscle is attached to bone by what method? - correct answer Tendons, aponeurosis and directly to bone The term pneumomediastinum describes what condition? - correct answer the presence of air in the mediastinum a respiratory disease characterized by over expansion and destruction of the alveoli is called - correct answer emphysema Which vessel does the tip of the central venous catheter terminate in? - correct answer subclavian vein Which chamber of the heart is the most muscular? - correct answer left ventricle The splenic flexure lies in the upper left quadrant between what two portions of the large intestine? - correct answer the transverse and descending colon a surgical procedure that creates an opening into the jejunum is defined as - correct answer jejunostomy the loop of henle is located in which structure - correct answer kidney The term episiotomy is - correct answer an incision made in the perineum to enlarge the passage for the fetus during delivery If a woman has a pap smear done, what part of the female anatomy would that involve - correct answer cervix Which cells produce hormones to regulate blood sugar - correct answer pancreatic islets What are chemicals which relay, amplify, and modulate signals between a neuron and another cell - correct answer neurotransmitters Where is a retrobulber injection delivered - correct answer eye What are cataracts - correct answer opacities or other defects in the lens of the eye An epidural is considered which type of anesthesia - correct answer regional Which part of the following is separately billable and NOT included in anesthesia services? - correct answer a) Preoperative visits b) blood pressure monitoring c) blood transfusion d) introduction of an arterial line Introduction of an arterial line is not included as it is "unusual" What is a radiographic image of the blood vessels using contrast material? - correct answer angiography What position has the side of the subject next to the film and can be performed erect or decubitus - correct answer lateral What is the study of disease changes within cells or cell types - correct answer cytopathology Coding of surgical pathology speciments - correct answer two speciments requiring individual examination and pathologic diagnosis are coded separately Which system is being examined when the provider documants "Range of motion, strength, and stability" are adequate in both legs - correct answer musculoskeletal The patient complains oCPC exam prep questions and answers 2023f epigastric pain. Where is the pain located? - correct answer Upper central region of the abdomen PAD rehabilitative physical exercises are used for what disease/disorder - correct answer