AAPC - Chapter 13 Review Exam,
Chapter 13 CPC Study Guide Questions
& Answers
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her
menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a
diagnosis. What diagnosis code is appropriate for this encounter? - ANSWERSN93.9
If a woman is hospitalized with severe pre-eclampsia in the 30th week of her pregnancy
what is the diagnosis code for her daily visits? - ANSWERSO14.13, Z3A.30
Mrs. Jones, G1P0, is diagnosed with polyhydramnios and is scheduled for
amniocentesis to aspirate some of the excessive fluid from the amniotic sac. The
amniocentesis is performed under ultrasound guidance. What is/are the code(s) for the
procedure performed? - ANSWERS59001
Patient with genital warts has cryotherapy of an extensive number of lesions on her
mons pubis, labia and perineum. How is this procedure coded? - ANSWERS56515
A pregnant patient presents to the ED with bleeding, cramping, and concerns of loss of
tissue and material per vagina. On examination, the physician discovers an open
cervical os with no products of conception seen. He tells the patient she has had an
abortion. What type of abortion has she had? - ANSWERSSpontaneous
Patient presents with no menses and positive pregnancy test but ultrasound finds no
uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported for
this procedure? Do not code the ultrasound. - ANSWERS59151, O00.202
A 23 year-old woman presents with sudden LLQ (left lower quadrant) pain which does
not resolve. The decision is made to perform exploratory laparoscopy revealing a cyst
on the left ovary. The cyst is removed along with a partial oophorectomy. What is/are
the CPT® code(s) reported for this procedure? - ANSWERS58661
, What ICD-10-CM code is reported for an incomplete uterine prolapse? -
ANSWERSN81.2
A pregnant patient presents to the hospital in active labor. The obstetrician providing her
prenatal care is contacted to perform the delivery. The provider delivers twins vaginally.
The obstetrician will also provide the postnatal care. What CPT® code(s) describe this
procedure? - ANSWERS59400, 59409-51
An ED physician treats a 30 year-old patient who was a victim of a rape. She has
bruises and other trauma as well as a laceration of the vaginal wall, which is repaired
with sutures (colporrhaphy) by the ED physician. What are the CPT® and ICD-10-CM
codes reported for this procedure? - ANSWERS57200, S31.41XA, T74.21XA
Patient wishes permanent sterilization and elects laparoscopic tubal ligation with Falope
ring. What is the CPT® code reported for this service? - ANSWERS58671
What ICD-10-CM category is used to report the weeks of gestation of pregnancy? -
ANSWERSZ3A
Vulvar cancer in situ can also be documented as: - ANSWERSVIN III
Patient has a LEEP conization for CIN II. What are the CPT® and ICD-10-CM codes
reported for this procedure? - ANSWERS57522, N87.1
A patient with a long history of endometriosis has an exploratory laparotomy for an
enlarged right ovary seen on ultrasound with other possible masses on the uterus and
in the peritoneum. Exploration reveals these masses to be endometriosis including a
chocolate cyst (endometrioma) of the right ovary, right fallopian tube and peritoneum.
The endometriomas are all small, less than 5 cm, and laser is used to ablate them,
except the ovarian cyst, which is excised. During the procedure the patient also has a
tubal ligation. What are the CPT® and ICD-10-CM codes reported for this service? -
ANSWERS49203, 58611, N80.1, N80.2, N80.3, Z30.2
A 62 year-old woman with a history of urinary incontinence and incomplete bladder
emptying presents for sling urethropexy and repair of a cystocele. The sling urethropexy
is performed using a prosthetic mesh. The anterior repair is also performed without
difficulty and both repairs are performed vaginally. What are the CPT® codes reported
for this service? - ANSWERS57288, 57240-51
A patient with a previous low transverse incision cesarean delivery is attempting VBAC
(vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with
her second child. During labor her uterus ruptured. She had an emergency cesarean
section followed immediately by hysterectomy to remove her ruptured uterus. Mother
and baby survived. The same obstetrician provided her antepartum and postpartum
Chapter 13 CPC Study Guide Questions
& Answers
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her
menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a
diagnosis. What diagnosis code is appropriate for this encounter? - ANSWERSN93.9
If a woman is hospitalized with severe pre-eclampsia in the 30th week of her pregnancy
what is the diagnosis code for her daily visits? - ANSWERSO14.13, Z3A.30
Mrs. Jones, G1P0, is diagnosed with polyhydramnios and is scheduled for
amniocentesis to aspirate some of the excessive fluid from the amniotic sac. The
amniocentesis is performed under ultrasound guidance. What is/are the code(s) for the
procedure performed? - ANSWERS59001
Patient with genital warts has cryotherapy of an extensive number of lesions on her
mons pubis, labia and perineum. How is this procedure coded? - ANSWERS56515
A pregnant patient presents to the ED with bleeding, cramping, and concerns of loss of
tissue and material per vagina. On examination, the physician discovers an open
cervical os with no products of conception seen. He tells the patient she has had an
abortion. What type of abortion has she had? - ANSWERSSpontaneous
Patient presents with no menses and positive pregnancy test but ultrasound finds no
uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported for
this procedure? Do not code the ultrasound. - ANSWERS59151, O00.202
A 23 year-old woman presents with sudden LLQ (left lower quadrant) pain which does
not resolve. The decision is made to perform exploratory laparoscopy revealing a cyst
on the left ovary. The cyst is removed along with a partial oophorectomy. What is/are
the CPT® code(s) reported for this procedure? - ANSWERS58661
, What ICD-10-CM code is reported for an incomplete uterine prolapse? -
ANSWERSN81.2
A pregnant patient presents to the hospital in active labor. The obstetrician providing her
prenatal care is contacted to perform the delivery. The provider delivers twins vaginally.
The obstetrician will also provide the postnatal care. What CPT® code(s) describe this
procedure? - ANSWERS59400, 59409-51
An ED physician treats a 30 year-old patient who was a victim of a rape. She has
bruises and other trauma as well as a laceration of the vaginal wall, which is repaired
with sutures (colporrhaphy) by the ED physician. What are the CPT® and ICD-10-CM
codes reported for this procedure? - ANSWERS57200, S31.41XA, T74.21XA
Patient wishes permanent sterilization and elects laparoscopic tubal ligation with Falope
ring. What is the CPT® code reported for this service? - ANSWERS58671
What ICD-10-CM category is used to report the weeks of gestation of pregnancy? -
ANSWERSZ3A
Vulvar cancer in situ can also be documented as: - ANSWERSVIN III
Patient has a LEEP conization for CIN II. What are the CPT® and ICD-10-CM codes
reported for this procedure? - ANSWERS57522, N87.1
A patient with a long history of endometriosis has an exploratory laparotomy for an
enlarged right ovary seen on ultrasound with other possible masses on the uterus and
in the peritoneum. Exploration reveals these masses to be endometriosis including a
chocolate cyst (endometrioma) of the right ovary, right fallopian tube and peritoneum.
The endometriomas are all small, less than 5 cm, and laser is used to ablate them,
except the ovarian cyst, which is excised. During the procedure the patient also has a
tubal ligation. What are the CPT® and ICD-10-CM codes reported for this service? -
ANSWERS49203, 58611, N80.1, N80.2, N80.3, Z30.2
A 62 year-old woman with a history of urinary incontinence and incomplete bladder
emptying presents for sling urethropexy and repair of a cystocele. The sling urethropexy
is performed using a prosthetic mesh. The anterior repair is also performed without
difficulty and both repairs are performed vaginally. What are the CPT® codes reported
for this service? - ANSWERS57288, 57240-51
A patient with a previous low transverse incision cesarean delivery is attempting VBAC
(vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with
her second child. During labor her uterus ruptured. She had an emergency cesarean
section followed immediately by hysterectomy to remove her ruptured uterus. Mother
and baby survived. The same obstetrician provided her antepartum and postpartum
