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AAPC CPC Exam with correct answers
2024/2025 Grade A+
What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? - correct answer - Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare - correct answer - National Coverage Determinations LCD's only have jurisdiction in their ____ area. - correct answer - Regional ABN stands for - correct answer - Advance Beneficiary Notice HIPPA was made into law in what year? - correct answer - 1996 What will the scope is a compliance program depend on? - correct answer - Size and resources of the physician's practice According to the OIG, internal monitoring and auditing should be performed by what means? - correct answer - Periodic audits AAPC has what to determine current year's coder salaries? - correct answer - Salary survey The ASPC offers over 440 local chapters across the country and in the Bahamas for the purpose of - correct answer - Networking An abdominal aortic aneurysm is significant because - correct answer - It is a weakness in a large artery and rupture could be deadly What distinguishes a "sentinel" node from the lymph nodes? - correct answer - A sentinel node is the first lymph node in a group of nodes to be reached by metastasizing cancer cells
The mediastinum contains all of the following except - correct answer - Lungs The term "pneumomediastinum" describes what condition? - correct answer - The presence of air in the mediastinum The structure of the male anatomy carrying sperm out of the epididymis is called: - correct answer - Vas deferens The term "episiotomy" best describes a procedure of what type? - correct answer - An incision made in the perineum to enlarge the passage for the fetus during delivery Which gland is located on the superior surface of the kidney? - correct answer - Adrenal gland What is the function of the thyroid gland? - correct answer - It secretes hormones regulating body metabolism and blood calcium Which of the following is true about the tympanic membrane? - correct answer - It separates the external ear from the middle ear Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow collected from a close relative is: - correct answer - Allogenic Removal of waste products from the blood is: - correct answer - Hemodialysis A condition where the thyroid is overactive is called: - correct answer - Thyrotoxicosis Who are the parties responsible for overseeing changes and modifications to ICD - 9? - correct answer - NCHS and CMS What is the meaning of "provider "in the ICD - nine guidelines refer to? - correct answer - The physician
According to AAPC's code of ethics, a member shall use only ____ and ____ means in all professional dealings. - correct answer - Legal and ethical The minimum necessary rule applies to - correct answer - Covered entities taking responsible steps The mediastinum contains all of the following except: - correct answer - Lungs Which chamber of the heart is considered the one working the hardest? - correct answer - Left ventricle An ectopic pregnancy is a complication in which a fertilized ovum is implanted in any tissue other than the ____. - correct answer - You uterine wall The term for pain in the ear is: - correct answer - Otalgia Pronation is turning the hand have the palm face: - correct answer - Downward What does ICD - 9 - CM stand for? - correct answer - International classification of diseases - 9th revision
- clinical modification What are two sense organs included in chapter 6: diseases of nervous system and sense organs? - correct answer - Eyes and ears How are new additions and revisions indicated in CPT code but each year? - correct answer - Green print If a CPT code and HCPCS Level II code exist for the same service, which should you report? - correct answer - It depends on the payer How often is HCPCS level two permanent national codes updated? - correct answer - Annually What term best describes a mass of hyperplastic scar tissue? - correct answer - Keloid
Repair of a coronary vessel is called: - correct answer - Angioplasty What is the term that describes the removal of a portion or all of the stomach? - correct answer - Gastrectomy What are the reproductive glands that produce male hormones? - correct answer - Testes I surgeon performed a cataract surgery with an interocular lens implant on the right eye of a Medicare patient. What modifiers would be reported? - correct answer - RT What are the services in the reproductive medicine procedure section of the pathology and laboratory chapter of the CPT report? - correct answer - Services related to in vitro fertilization The collection of sweat by Iontophoresis can be found in what section the path ologies chapter of CPT? - correct answer - Other procedures A virus is identified by observing growth patterns on a culture media. What is the type of identification called? - correct answer - Presumptive Which elements of the HPI are met in the statement? Patient complains of headache and blurry vision for the past three days. - correct answer - Location, quality and duration Medicare program is made up of several parts. Which part is affected by the centers for Medicare and Medicaid services - hierarchal condition categories CMS - HCC? - correct answer - Part C How many components should be included in an effective compliance plan? - correct answer - 7 Medicare part D is what type of insurance? - correct answer - Prescription drug coverage available to all Medicare beneficiaries Which option below is not a covered entity under HIPPA? - correct answer - Worker's Compensation
The root for pertaining to pancreatic islet cells is: - correct answer - Insul/o Sialography is an x-ray of: - correct answer - Salivary glands When can you use the code for HIV (042)? - correct answer - The test result is confirmed by the physician's diagnostic statement What are some examples of fracture aftercare? - correct answer - Cast change; medication adjustment Instructions and conventions of the classification take precedence over - correct answer - Official coding guidelines What does MRSA stand for? - correct answer - Methicillin resistant staphylococcus aureus What chapter contains codes for diseases and disorders of the nails? - correct answer - Chapter 12: diseases of the skin and subcutaneous tissue What three components are considered when relative value units are established? - correct answer - Physician work, practice expense, malpractice insurance CPT category III codes are reimbursable at what level of reimbursement? - correct answer - Reimbursement, if any, is determined by the payer HCPCS level II include code ranges which consist of what type of codes? - correct answer - Permanent national codes, miscellaneous codes, dental codes, and temporary national codes What is commonly known as a boil of the skin? - correct answer - Furuncle What is the acromion? - correct answer - Extension of the scapula
In ICD-9, what do you look for in the alphabetic index, to code a tear of the surpraspinatus muscles of the shoulder? - correct answer - Tear, rotator cuff What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart? - correct answer - Heart valves Which main coronary artery bifurcates into two smaller ones? - correct answer - Left What is included in all vascular injection procedures? - correct answer - Necessary local anesthesia, introduction of needles are catheters, injection of contrast media with or without automatic power injection, and or necessary pre-and post injection care specifically related to the injection procedure. What is the root word for vagina? - correct answer - Colp/o Vulvar cancer in situ can also be documented as: - correct answer - VIN III What does the abbreviation IVF mean? - correct answer - In vitro fertilization A pregnant patient presents with the baby in a breech position. During the delivery the doctor attempts to turn the baby while it is still in the uterus. The baby turns but then immediately resumes his previous position. Can the service be billed? If so, what is the code? - correct answer - Yes, since the doctor did the work, even though the outcome was unsuccessful. Report this procedure with code 59412 What are the four lobes of the brain? - correct answer - Frontal, parietal, temporal, occipital What disease is characterized by and large skeletal parts? - correct answer - Acromegaly What is the term for paralysis affecting one side of the body? - correct answer - Hemiplegia What does IOL stand for? - correct answer - Intraocular lens
A patient is having pyeloplasty performed to treat a uretero-pelvic junction obstruction. What is being performed? - correct answer - Surgical repair of the renal pelvis Which statement is true about V codes: - correct answer - V codes may be used as primary or secondary code Which of the following is an example of electronic data? - correct answer - A digital x-ray Guidelines from which of the following code sets are included as part of the code set requirements under HIPPA? - correct answer - ICD- 9 Which of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first? - correct answer - If the patient has an underside of insulin due to an insulin pump malfunction Glomerulonephritis is an inflammation affecting which system? - correct answer - Urinary Is a ST elevation myocardial infarction (STEMI) converts to a non STEMI (NSTEMI) due to theombolytic therapy, how is reported, according to ICD-9 guidelines? - correct answer - As STEMI When a patient has fractured the proximal en of his humerus, where is the fracture located? - correct answer - Upper end of the arm What is another term for when a physician performs a reduction on a displaced fracture? - correct answer - Manipulation What does oligospermia mean? - correct answer - Deficiency is sperm in semen Thoracentesis is removing fluid or air from the: - correct answer - Chest cavity An angiogram is a study to look inside: - correct answer - Blood vessels
When a person has labyrinthitis what has the inflammation? - correct answer - Inner ear
