Download AAPC CPC FINAL EXAM 2023-2024 REAL EXAM 100 QUESTIONS AND CORRECT ANSWERS(VERIFIED) GRADED and more Exams Chemistry in PDF only on Docsity!
AAPC CPC FINAL EXAM 2023 - 2024 REAL EXAM
100 QUESTIONS AND CORRECT
ANSWERS(VERIFIED) GRADED A+
(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-^04 c. CMS-^1500 d. Provider^ reimbursement^ form 2 AAPC credentialed coders have proven mastery of what information? a. Code^ sets b. Evaluation^ and^ management^ principles c. Documentation^ guidelines d. All^ of^ the^ above 3 When coding an operative report, what action would NOT be recommended? a. Coding^ from^ the^ header^ without^ reading^ the^ body^ of^ the^ report. b. Reading^ the^ body^ of^ the^ report. c. Highlighting^ unfamiliar^ words. d. Starting with the procedure listed. 4 When are providers responsible for obtaining an ABN for a service NOT consideredmedically necessary? a. During^ a^ procedure^ or^ service. b. After^ a^ denial^ has^ been^ received^ from^ Medicare. c. After^ providing^ a^ service^ or^ item^ to^ a^ beneficiary. d. Prior^ to^ providing^ a^ service^ or^ item^ to^ a^ beneficiary. 5 Evaluation and management services are often provided in a standard format such asSOAP notes. What does the acronym SOAP stand for? a. Subjective,^ Objective,^ Assessment,^ Plan b. Standard,^ Objective, Activity,^ Period
c. Source,^ Opinion,^ Advice,^ Provider d. Scope,^ Observation,^ Action,^ Plan 6 What is a myocardial infarction? a. Malfunction^ in^ one^ of^ the^ valves^ in^ the^ heart,^ disrupting^ blood^ flow b. Lack^ of^ oxygen^ to^ the^ heart^ tissue,^ resulting^ in^ tissue^ death
c. H93.8X d. H92.01,^ H92. 13 What is the ICD- 10 - CM code for nausea? a. T75.3XXA b. R11. c. R11. d. R11. 14 A patient presents to the Emergency Department with nausea and vomiting, abdominal pain and fever. The provider suspects appendicitis. The test results are pending. What ICD- 10 - CM code(s) is/are reported? a. R11.2, R10.9,^ R50.9,^ K b. R11.2,^ R10.9,^ R50. c. K d. R11.0,^ R11.10,^ R10.9,^ R50. 15 A 10 month-old comes into the pediatrician’s office for a harsh, bark-like cough. She isdiagnosed with croup. The mother also wants the pediatrician to look at a rash that has developed on her leg. The pediatrician prescribes over the counter medication of acetaminophen for the croup and hydrocortisone cream for the rash on the leg. She is to follow up in five days or return earlier if the conditions worsen. What ICD- 10 - CM code(s) should be reported for this visit? a. J05.0,^ R b. J05. c. J05.0,^ R05,^ R d. R 16 What does MRSA stand for? a. Methicillin^ Resistant^ Streptococcus^ Aureus b. Moderate^ Resistance Susceptible^ Aureus c. Methicillin^ Resistant^ Staphylococcus^ Aureus d. Mild^ Resistance^ Streptococcus^ Aureus 17 A 32 year-old patient with hyperthyroidism has an ultrasound to determine why her neck is enlarged. The results of the ultrasound reveal a uninodular goiter. What ICD- 10 - CM code isreported? a. E04. b. E05.
c. c. E05. d. E05. 18 A 45 year-old patient is scheduled to have an INFUSAID pump installed. He has primary liver cancer and the pump is being inserted for continuous administration of 5 - FU. A pocket is created just under the skin and the pump is placed in the pocket. A catheter is attached tothe pump and to the subclavian vein. The pump is filled with a chemotherapy agent provided by the hospital and the patient is observed for adverse reaction and discharged to home. What ICD- 10 - CM codes are reported? a. Z51.11,^ C22. b. C22.9, Z51. Z51.11, C22. d. C22.8,^ Z51. 19 A patient with type 2 diabetes presents with diabetic macular edema and proliferative diabetic retinopathy in the right eye. What ICD- 10 - CM code(s) is/are reported? a. E11. b. E11.311,^ E11. c. E11. d. E11.9,^ E11.311,^ E11. 20 A patient is coming in for follow up of his essential hypertension and cardiomegaly. Both conditions are stable and he is told to continue with his medications. The two conditions areunrelated. What ICD- 10 - CM code(s) is/are reported? a. I11.0, I51. b. I51. c. I11.9,^ I51. d. I10,^ I51. 21 What would be considered an adverse effect? a. Rash^ developing^ when^ taking^ penicillin. b. Hemorrhaging^ after^ a^ vaginal^ delivery. c. Shortness^ of^ breath^ when^ running. d. Wound infection after surgery. 22 An X-ray is performed for pain in the left little finger. This is the initial encounter for this visit. The X-ray report shows a fractured distal phalanx that is dislocated. What ICD- 10 - CM code(s) is/are reported?
b. S62.637B,^ S63.257B c. S62.637A d. S62.635A 23 A 6 month-old patient is seen at the clinic for a routine well-child visit and vaccinations. During the examination the provider finds that the child has a fever and a diagnosis of acuteotitis media in the right ear is documented. Vaccinations are not given at this time. What ICD- 10 - CM code(s) is/are reported? a. H66.90,^ Z00. b. Z00. c. Z00.121,^ H66.91,^ Z28. d. Z00.121,^ H66.90,^ Z 24 A 14 year-old male patient was injured while skateboarding. The injuries included a displaced transverse fracture of the right femur shaft with multiple significant abrasions ofthe right thigh. What ICD- 10 - CM codes are reported? a. S72.321A,^ V00.138A,^ Y93. b. S72.321A,^ S70.311A,^ V00.138A,^ Y93. c. S72.91XA,^ S70.311A,^ V00.138A d. S72.91XA,^ S70.311A,^ Y93. 25 The patient is admitted for radiation therapy for metastatic bone cancer, unknown primary. She developed severe vomiting secondary to the radiation. What ICD- 10 - CM code(s)is/are reported? a. Z51.0,^ C79.51,^ C80.1,^ R11. b. C79.51,^ C80. c. R11. d. C79.51,^ C80.1,^ R11.10,^ Z51. 26 CPT® Category III codes reimburse at what level? a. Reimbursement,^ if^ any,^ is^ determined^ by^ the^ payer b. 10 percent c. 85 percent d. 100 percent 27 When procedures are “mandated” by third party payers, what modifier would you use? a. 52 b. 32
c. 76 d. 26 28 What is the correct code for the application of a short arm cast? a. 29075 b. 29065 c. 29280 d. 29125 29 What codes are voluntarily reported to payers, provide evidence-based performance- measure data? a. CPT®^ Category^ III^ codes b. CPT®^ Category^ I^ codes c. CPT®^ Category^ II^ codes d. HCPCS^ Level^ II^ codes 30 What chapter in the HCPCS Level II codebook lists the code for Wheelchairs? a. Durable^ Medical^ Equipment^ (E0100-E8002) b. Orthotic^ Procedures^ and^ Services (L0112-L4631) c. Prosthetic Procedures^ (L5000-L9900) d. Transportation^ Services^ including^ Ambulance^ (A0021-A0999) 31 Which statement is TRUE regarding the Table of Neoplasms in ICD- 10 - CM? a. The^ Table^ of^ Neoplasms^ is^ found^ by^ looking^ for^ Neoplasm^ in the^ ICD-^10 - CM AlphabeticIndex. b. c. The^ Table^ of^ Neoplasms^ is^ found^ in^ the^ Tabular^ List. d. There is not a^ Table^ of^ Neoplasms^ in^ ICD-^10 - CM. 32 The patient is here to see us about some skin tags on her neck and both underarms. Shehas had these lesions for some time; they are irritated by her clothing, itch, and at times have a burning sensation to them. We discussed treatment options along with risks. Informed consent was obtained and we proceeded. We removed 16 skin tags from the right axilla, 16 skin tags from the left axilla, 10 from the right side of the neck and 17 from the leftside of the neck. What CPT® and ICD- 10 - CM codes are reported? a. 11200,^11201 x^ 4,^11201 - 52,^ L91. b. 11200,^11201 x^ 5,^ L91. c. 11057,^ D23.5,^ D23. d. 11200,^11201 -^51 x^ 5,^ D23.5,^ D23. There are six columns in the Table of Neoplasms; Malignant Primary, Malignant Secondary, Ca in situ, Benign, Uncertain Behavior and Unspecified Behavior.
breast was de-epithelialized using the scalpel. I amputated the inferior portion of the breast from the right side. Again, meticulous hemostasis was achieved using the Bovie cautery. There were also large feeder vessels divided and ligated using either a medium Ligaclip or 3 - 0 silk tie sutures. I then moved to the left and again amputated the
inferior portion of the breast. Meticulous hemostasis was achieved using the Bovie cautery. Each of these wounds were temporarily closed using the skin stapler. The patient was then sat up. I felt we had achieved a very symmetrical result. The new positions for the nipple - areolar complexes were marked with a 42 - mm areolar marker and methylene blue. The patient was then placed in the supine position and the new positions for the nipple-areolar complexes were de-epithelialized using the scalpel. Meticulous hemostasis was then achieved again using the Bovie cautery. The free-nipple grafts were then retrieved from the back table. They were each defatted using scissors and were placed in an on-lay fashion on the appropriate side, and each was inset using 5 - 0 plain sutures. Vents were made in the skin graft to allow for the egress of fluid on each side. A vertical mattress suture was used, tied over a piece of Xeroform in critical areas of each of the nipple-areolar complexes. A Xeroform bolster wrapped over a mineral oil-moistened sponge was affixed to each of the nipple-areolar complexes using 5 - 0 nylon suture. The vertical and transverse incisions were closed using 3 - 0 Monocryl, both interrupted and running suture, and 5 - 0 Prolene. The patienttolerated the procedure well. Again, meticulous hemostasis was achieved using the Bovie cautery. She was given another 1 g of Ancef at the 2 - hour mark by our anesthesiologist, and was taken to the recovery room in good condition. What CPT® code is reported? a. 19325 -^50 b. 19324 -^50 c. 19318 -^50 d. 19366 -^50 35 The patient is coming in for removal of fatty tissue of the posterior iliac crest, abdomen,and the medial and lateral thighs. Suction-assisted lipectomy was undertaken in the left posterior iliac crest area and was continued on the right and the lateral trochanteric and posterior aspect of the medial thighs. The medial right and left thighs were suctioned followed by the abdomen. The total amount infused was 2300 cc and the total amount removed was 2400 cc. The incisions were closed and a compression garment was applied. What CPT® codes are reported? a. 15830,^15832 -^50 -^51 b. 15877,^15878 -^50 -^51 c. 15877,^15879 -^50 -^51 d. 15830,^15839 -^50 - 51,^15847 36 Hallux rigidus is a condition affecting what part of the body? a. Foot b. Knee c. Spine d. Ankle
40 A 45 year-old presents to the operating room with a right index trigger finger and left shoulder bursitis. The left shoulder was injected with 1 cc of Xylocaine, 1 cc of Celestone and 1 cc of Marcaine. An approximately 1 - inch incision was made over the A1 pulley in the distal transverse palmar crease. This incision was taken through skin and subcutaneous tissue. The A1 pulley was identified and released in its entirety. The wound was irrigated with antibiotic saline solution. The subcutaneous tissue was injected with Marcaine without epinephrine. The skin was closed with 4 - 0 Ethilon suture. Clean dressing was applied. WhatCPT® codes are reported? a. 20552 - F6,^20605 -^52 - LT b. 20553 - F6,^20610 -^51 - LT c. 26055 - F6,^20610 -^51 - LT d. 26055 - F6,^20610 -^76 - LT 41 What CPT® code is reported for open decortication and parietal pleurectomy? a. 32652 b. 32320 c. 32220 d. 32225 42 Which statement is TRUE regarding coding COPD with asthma in ICD- 10 - CM? a. Only^ the^ COPD^ is^ reported. b. The^ type^ of^ asthma^ is^ reported^ along^ with^ the^ COPD. c. Only^ the^ asthma^ is^ reported. d. COPD^ with^ bronchitis^ is^ reported^ for^ COPD^ with^ asthma. 43 What ICD- 10 - CM code is reported for pyopneumothorax with fistula? a. J86. b. J86. c. J93. d. J95. 44 The pulmonologist in a multispecialty group refers a patient to the otolaryngologist because he thinks that the shortness of breath that the patient is experiencing may be due to sinusitis and laryngopharyngeal reflux (LPR). The otolaryngologist decides to perform a rigid bilateral nasal endoscopy to get a better look at what is going on in the sinuses and a flexible laryngoscopy to determine if (LPR) is contributing to the problems because he couldnot get adequate visualization on manual exam. First the bilateral nasal endoscopy is performed and the otolaryngologist diagnosis chronic pansinusitis. Next a flexible fiberoptic laryngoscope is introduced nasally and the larynx and trachea are inspected. The diagnosis is chronic laryngitis/tracheitis and LPR. He
prescribes Singulair and Nexium and proposes endoscopic surgery will be considered in the future if the current treatment does not fully
occlusion of the
diagonal artery at its takeoff from the left anterior descending artery. PROCEDURE: With informed consent obtained, the patient was prepped and draped in the usual sterile fashion. With the right groin area infiltrated with 2% Xylocaine, the patient was given 2 mg of Versed and 50 mcg Fentanyl intravenously for conscious sedation and paincontrol. The right femoral artery was cannulated with a modified Seldinger technique and a 6 French catheter sheath placed. A 6 French JL3.5 catheter with no side holes was utilized as a guiding catheter. After the initial guiding picture had been obtained, the patient was givenAngiomax per protocol, and a short Cross-it 100 wire was advanced to the LAD and then intothe diagonal vessel. A 2.0. 15-mm-long Maverick balloon was used for dilatation of the diagonal artery ostium with inflation pressure up to 8 atmospheres applied. Final angiographic documentation was carried out after the patient received 200 mcg of intracoronary nitroglycerine. The guiding catheter was then pulled, the sheath secured in place. The patient is now being transferred to telemetry for post coronary intervention observation and care. RESULTS: The initial guiding picture of the left coronary system demonstrates the high-gradeostial stenosis of the diagonal artery taking off within the LAD. Following the coronary intervention with balloon angioplasty there is complete resolution of the stenosis with less than 10 percent residual narrowing observed, no evidence for intimal disruption, no intraluminal filling defect, and good antegrade TIMI III flow preserved. CONCLUSION: Successful coronary intervention with balloon angioplasty to the ostial/proximal segment of the second diagonal vessel. a. 92937 - LD b. 92921 - LD c. 92924 - LD d. 92920 - LD 50 In the cardiac suite, an electrophysiologist performs an EP study. With programmed electrical stimulation, the heart is stimulated to induce arrhythmia. Observed is right atrialand ventricular pacing, recording of the bundle of His, right atrial and ventricular recordingand left atrial and ventricular pacing and recording from the left atrium. a. 93620,^ 93618,^93621 b. 93600,^ 93602,^ 93603,^ 93610,^ 93612,^ 93618,^ 93621,^93622 c. 93620,^ 93621,^93622 d. 93619,^93621 51 What ICD- 10 - CM code is reported for internal hemorrhoids? a. K64. b. K64.
d. K64. 52 What is the correct ICD- 10 - CM code for a patient with IBS? a. K58. b. K59. c. K59. d. K58. 53 A 45 year-old woman underwent a cholecystectomy performed laparoscopically. The procedure was performed for recurrent bouts of acute cholecystitis. What CPT® and ICD- 10 - CM codes are reported? a. 47600,^ K81. b. 47562, K81. c. 47605,^ K81. d. 47570,^ K81. 54 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 thatremained 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. 49402 -^78 b. 49000 -^58 c. 49000 -^77 d. 49402 -^77 55 Operative Report Indications: This is a third follow-up EGD dilation on this 40 year-old patient for a pyloric channel ulcer which has been slow to heal with resulting pyloric stricture. This is a repeatevaluation and dilation. Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray. Procedure: With the patient in the left lateral decubitus position, the Olympus GIFXQ was inserted into the proximal esophagus and advanced to the Z-line. The esophageal mucosa was unremarkable. Stomach was entered revealing normal gastric mucosa. Mild erythema was seen in the antrum. The pyloric channel was again widened. The ulcer, as previously seen, was well healed with a scar. The pyloric stricture was still present. With some probing,the 11 mm endoscope could be introduced into the second portion of the duodenum, revealing normal mucosa. Marked deformity and scarring was seen in the proximal bulb. Following the diagnostic exam, a 15 mm balloon was placed across the stricture,
dilated tomaximum pressure, and withdrawn. There was minimal bleeding post-op. Much easier
