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AAPC CPC FINAL EXAM AND PRACTICE EXAM
2024 /25 NEWEST 100 QUESTIONS WITH DETAILED
VERIFIED ANSWERS
65 year-old was admitted in the hospital two days ago and is being examined today by his primary care physician, who has been seeing him since he has been admitted. Primary care physician is checking for any improvements or if the condition is worsening. CHIEF COMPLAINT: CHF INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to cardio-renal syndrome. REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank pain, obstructive symptoms or documented exposure to nephrotoxins. PHYSICAL EXAMINATION: GENERAL: Mild respiratory distress at rest VITAL SIGNS: BP 168/84, HR 58, temperature 98.1. LUNGS: Worsening bibasilar crackles CARDIOVASCULAR: RRR, no MRGs. EXTREMITIES: Show worsening lower extremity edema. LABS: BU - ANSWER A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam? a. 78013 b. 78015, 78020 c. 78014 d. 78015 - ANSWER A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her injury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion. Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement and thorough copious
irrigation, the wound was closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the neck an - ANSWER A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B and the transplant of both lungs into the prepped and waiting patient by physician C. What is the correct coding for the removal (physician A), preparation (physician B) and insertion (physician C) of the lungs? a. 32850, 32855, 32851 b. 32850, 32856, 32851 x 2 c. 32850, 32856, 32853 d. 32850, 32855 x 2, 32850 - 50 - ANSWER A 32 year-old ETOH dependent female is in a partial hospitalization program and has been seeing an addictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is aware of her problem. She was referred to the group through their Employee Assistance Program. As long as she is in compliance they will support her efforts. Recently, she has arrived late at the meetings. The provider met with the patient and discussed the importance of her treatment, compliance with the program and avoidance of situations in which she may use alcohol. She denies contact with her previous associates and assures the provider she has had no alcohol intake since beginning the substance abuse treatment program. They will continue to reinforce her progress and successful sobriety. Time of the session was 45 minutes. What CPT® and ICD- 10 - CM codes are reported? a. 90832, F10. b. 90832, F10. c. 90834, F10.20 - ANSWER A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD- 10 - CM code(s) is/are reported? a. D17.1, D17. b. D17.21, D17. c. D17. d. D17.39 - ANSWERb. D17.21, D17.
A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD- 10 - CM codes are reported? a. E11.622, Z79. b. E11.9, L98.429, Z79. c. E11.622, L98.429, Z79. d. E11.622, L98.429 - ANSWERc. E11.622, L98.429, Z79. A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. One surgeon performs the transthoracic approach while another surgeon performs the three vertebral nerve root decompressions necessary. How should each provider involved code their portion of the surgery? a. 63087 - 52, 63088 - 52 x 2 b. 63087 - 80, 63088 - 80 x 2 c. 63085 - 62, 63086 - 62 x 2 d. 63085, 63086 - 82 x 2 - ANSWER A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After induction of anesthesia, the patient's left arm was prepared and draped in the normal sterile fashion. Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A transverse incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released. The tendons were fre - ANSWER A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a family member that had a cat and dog. The mother wants to know if her son is allergic to cats and dogs. The child's skin was scratched with two different allergens. The provider waited 15 minutes to check the results. There was a flare up reaction to the cat allergen, but there was no flare up to the dog allergen. The provider included the test interpretation and report in the record. a. 95004 x 2 b. 95027 x 2 c. 95024 x 2 d. 95018 x 2 - ANSWER
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a history of hypertension. What is the correct ICD- 10 - CM code to report? a. I15. b. I13. c. R03. d. I10 - ANSWERc. R03. A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported? a. 65435 b. 65780 c. 65781 d. 65710 - ANSWER A 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD- 10 - CM codes for the encounter? a. 48548, K85. b. 48548, K86. c. 48520, K86. d. 48520, K85.80 - ANSWER A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted. What CPT® code is reported for this service? a. 53446 b. 53448 c. 53447 d. 53445 - ANSWER A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having the blepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision on the left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skin was excised to the
a. 88331, 88313, N63. b. 88305, 88331, 88311, N60. c. 88307, 88305, 88331, 88313, N60. d. 88307, 88331, R92.0 - ANSWER 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? a. 94664 b. 99201 - 25, 94668 c. 94667 d. 94662 - ANSWER A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s) is/are reported? a. 77066 b. 77067 c. 77059 d. 77062 - ANSWER A patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit potential damage from swelling of the brain. The CSF is sent to pathology for examination and the results show unusual cytological counts, although no specific findings. The patient has had no previous symptoms known to his family members. What is the ICD- 10 - CM code for this examination of CSF? a. A39. b. Z00. c. S06.1X0A d. R83.6 - ANSWER A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the fracture is healing normally. What ICD- 10 - CM code is reported? a. S12.9XXS b. S12.190D c. S12.9XXD d. S12.190A - ANSWERb. S12.190D A patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal washings and assessment of the abdomen for any metastases, including inspection of omentum, diaphragm and multiple biopsies. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. She has previously had a hysterectomy. What are the CPT® and ICD- 10 - CM codes reported for this service?
a. 58943, C56.1, C56. b. 58950, 49255, C79.61, C79. c. 58720, 38770, C56.1, C79. d. 58940, C56.1, C56.2 - ANSWER A patient is brought to the operating suite when she experiences a large output of blood in her chest tubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resutured. a. 35761 - 78 b. 35241 c. 35761 d. 35820 - 78 - ANSWER A patient is diagnosed as having both acute and chronic tonsillitis. How is this reported in ICD- 10 - CM? a. The chronic tonsillitis is reported first; the acute tonsillitis is reported second. b. The acute tonsillitis is reported first; the chronic tonsillitis is reported second. c. Only the chronic tonsillitis is reported. d. Only the acute tonsillitis is reported. - ANSWER A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD- 10 - CM codes are reported? a. L27.0, R11.2, T42.71XA b. R21, R11.2, T42.71XA c. R21, R11.0, T42.75XA d. L27.0, R11.0, T42.75XA - ANSWERd. L27.0, R11.0, T42.75XA A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B? a. Established patient office visit b. Preventive medicine visit c. Office consultation d. New patient office visit - ANSWER A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats the patient for dehydration which is documented in the patient's
A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/are the correct ICD- 10 - CM code(s) for this encounter? a. I11. b. I11. c. I10, I25. d. I11.9, I25.10 - ANSWER A patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her parathyroid glands and part of the fourth parathyroid gland. What CPT® and ICD- 10 - CM codes are reported? a. 60505, E31. b. 60505, E31. c. 60500, E31. d. 60502, E31.22 - ANSWER A provider visits Mr. Smith's home monthly. Today, the provider performs a problem focused history, an expanded problem focused examination and a medical decision making of low complexity. What CPT® code is reported? a. Home visits are no longer reportable. b. 99348 c. 99349 d. 99347 - ANSWER A urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual color comparison test). What CPT® code is reported? a. 84702 b. 81025 c. 81025, 36415 d. 84703 - ANSWER ABN stands for. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - ANSWERd. Advance Beneficiary Notice According to the OIG, internal monitoring and auditing should be performed by what means? a. Focused audits on problems brought to the attention of the compliance officer. b. Baseline audits.
c. Periodic audits. d. Audits on all denied claims. - ANSWERc. Periodic audits. An 18 month-old patient is seen in the ED unable to breathe due to a toy he swallowed which had lodged in his throat. Soon brain death will occur if an airway is not established immediately. The ED provider performs an emergency transtracheal tracheostomy. What CPT® and ICD- 10 - CM codes are reported? a. 31601, 31603, T17.228A b. 31601, J34.9, T17.298A c. 31603, T17.220A d. 31603, T17.290A - ANSWER 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? a. 59300, S31.41XA, T74.21XA b. 57260, N89. c. 57200, S31.41XA, T74.21XA d. 57289, N89.8 - ANSWER An infant is born six weeks premature in rural Arizona and the pediatrician in attendance intubates the child and administers surfactant in the ET tube while waiting in the ER for the air ambulance. During the 45 - minute wait, he continues to bag the critically ill patient on 100 percent oxygen while monitoring VS, ECG, pulse oximetry and temperature. The infant is in a warming unit and an umbilical vein line was placed for fluids and in case of emergent need for medications. How is this coded? a. 99471 - 25, 94610, 36510 b. 99291 c. 99471 d. 99291 - 25, 31500, 36510, 94610 - ANSWER Cytopathology is the study of: a. Tissue b. Cells c. Blood d. Organs - ANSWERb. Cells Due to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator system. The original dual leads are extracted transvenously. The generator pocket is relocated. What CPT® codes are reported?
b. Causes of injury or health condition. c. Chemotherapy treatment of neoplasms. d. Only for the cause of motor vehicle accidents. - ANSWERb. Causes of injury or health condition. Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail permanently removed along with the nail matrix. What CPT® code is reported? a. 11720 b. 11765 c. 11730 d. 11750 - ANSWERd. 11750 Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - ANSWERc. Each regional MAC Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? The same surgeon took her back to the OR as the one who performed the original operation. What CPT® code is reported? a. 49000 - 58 b. 49402 - 77 c. 49000 - 77 d. 49402 - 78 - ANSWER Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week of pregnancy. In the late afternoon she suddenly feels a gush of fluids followed by strong uterine contractions. She is rushed to the hospital but the baby is born before they arrive. In the ED she and the baby are examined and the retained placenta is delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a 2nd degree perineal laceration secondary to precipitous delivery which was repaired by the ED physician. She will return home for her postpartum care. What ICD- 10 - CM and CPT® codes are reported by the ED physician? a. 59409, 59414 - 51, 59300 - 51, O62.3, O70.1, Z3A.26, Z37. b. 59414, 59300 - 51, O73.0, O70.1, Z3A.26, Z37.
c. 59414, 59300 - 51, O62.3, O70.9, Z3A.26, Z37. d. 59409, O80, Z3A.26, Z37.0 - ANSWER Operative Report Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg Open wound, right leg Personal history of squamous cell carcinoma, right leg INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy- proven squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and location. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The anterior of his leg and the thigh - ANSWER Patient comes in today to the provider's office for routine monthly Foley catheter change. A two way Foley catheter is replaced in the usual sterile fashion. An abdominal urinary drainage bag and bedside bag are given to the patient. What is/are the correct code(s)? a. 51702, A4338, A4357, A b. 51100 c. 51102 d. 51701, A4338, A4357, A4358 - ANSWER Patient had an abscess in the external auditory canal which was incised and drained in the office. What CPT® code is reported? a. 69000 b. 69020 c. 69540 d. 69105 - ANSWER Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD- 10 - CM code(s) for this condition? a. I21. b. I22. c. I25. d. Z51.89, I25.9 - ANSWER
c. R53. d. G58.9 - ANSWERb. M62. The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of the cancer performed. He now presents to have a Port-A-Cath (a central venous access device) inserted for postoperative adjuvant therapy. An 18-gauge introducer needle was inserted into the left subclavian vein through which a soft tipped guide wire was inserted into the superior vena cava under fluoroscopy. A subcutaneous pouch in the anterior part of the chest was created for the port. The catheter was then tunneled and measured to length. The dilator and introducer sheath were passed over the wire into the superior vena cava under fluoroscopic guidance. The catheter was passed through the sheath and the port was applied with good venous return. What CPT® codes are reported? a. 36571, 77001 - 26 b. 36560, 77002 - 26 c. 36561, 77001 - 26 d. 36563, 77003 - 26 - ANSWER The patient is a pleasant 51 year-old male with morbid obesity, weighing approximately 560 pounds and BMI being 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found to have erythema, edema and possible areas of eschar on the scrotum. He was transferred to the hospital, evaluated and found to be stable with cellulitis and suspect early Fournier's gangrene. What are the appropriate ICD- 10 - CM codes reported? a. N49.2, E11.9, E66.01, Z68. b. N50.1, E11.9, N49.2, E66.01, Z68. c. N50.1, N49.2, E66.01, Z68. d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSWER This 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to pathology. What CPT® code is reported? a. 23075 - RT b. 23066 - RT c. 23030 - RT d. 23076 - RT - ANSWER Urine is transported from the kidneys to the urinary bladder by which structure? a. Ureter
b. Urethra c. Kidney pelvis d. Urinary vein - ANSWERa. Ureter What are the three classifications of anesthesia? a. General, Regional and Moderate Sedation b. General, Regional and Epidural c. General, Regional and Monitored Anesthesia Care d. General, MAC and Conscious Sedation - ANSWERc. General, Regional and Monitored Anesthesia Care What code represents a secondary rhinoplasty where a small amount of work is performed on the tip of the nose? a. 30430 b. 30420 c. 30435 d. 30400 - ANSWERa. 30430 What codes are voluntarily reported to payers, provide evidence-based performance- measure data? a. CPT® Category I codes b. CPT® Category II codes c. CPT® Category III codes d. HCPCS Level II codes - ANSWERb. CPT Category II codes What CPT® and ICD- 10 - CM codes represent the creation of an opening into the stomach to insert a temporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due to alcohol dependence? A gastric tube was not created. a. 43870, C15.8, F10. b. 43831, D49.0, F10. c. 43830, C15.3, F10. d. 43653, C15.9, F10.20 - ANSWER What CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chain reconstruction in the right ear? a. 69636 - RT b. 69632 - RT c. 69644 - RT d. 69646 - RT - ANSWER
What ICD- 10 - CM codes are reported for postoperative pulmonary edema due to fluid overload from an infusion? a. T80.89XA, J81.1, Y63. b. J95.89, E87.70, Y63. c. J81.0, E87.70, Y63. d. T81.9XXA, J81.1, Y63.0 - ANSWERa. T80.89XA, J81.1, Y63. What is a function of the alveoli in the lungs? a. Oxygen exchange b. Nicotine is destroyed c. Fluid in the lungs absorbed d. Providing an airway to breathe - ANSWERa. Oxygen exchange What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure? a. 59 b. 66 c. 62 d. 80 - ANSWERa. 59 What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction measuring 1 cm? a. 50080 b. 50130 c. 50040 d. 50081 - ANSWER What is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis? a. 52005, 52007 b. 52007 c. 52000, 52007 d. 52005 - ANSWERb. 52007 What is the correct ICD- 10 - CM coding for diverticulosis of the small intestine which has been present since birth? a. K57.90, Q43. b. Q43. c. K57.
d. K57.10 - ANSWER What is the ICD- 10 - CM code for eyestrain? a. H53.10, H53. b. H57. c. H57.8, H57. d. H53.10 - ANSWERd. H53. What is the ICD- 10 - CM code for hay fever? a. J30. b. J30. c. J30. d. J45.909 - ANSWERa. J30. What is the largest single mass of lymphatic tissue? a. Spleen b. Peyer's Patches c. Tonsils d. Thymus - ANSWERa. Spleen What is the meaning of provider in the ICD- 10 - CM guidelines? a. Insurance company b. The hospital c. The physician d. The patient - ANSWERc. The physician What is the time frame defining when pain becomes chronic? a. After the global period b. One year c. The 30th day d. No time frame - ANSWERd. No time frame What modifier must always be applied to Medicare claims for tests performed in a site with a CLIA Waived certificate? a. 91 b. 26 c. 90 d. QW - ANSWER
