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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • Overview of ICD-10-CM: This section of the exam measures the skills of medical coders and introduces the structure, format, and usage of the ICD-10-CM coding system. It reviews the purpose of ICD-10-CM in diagnosis reporting and prepares candidates to interpret chapters, code ranges, and conventions embedded in the system.
Topic 2
  • Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
Topic 3
  • Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.
Topic 4
  • Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.
Topic 5
  • Evaluation & Management Services: This section of the exam measures the skills of coding specialists and covers office visits, hospital care, consultations, and other E
  • M services. It tests the understanding of time-based coding, medical decision-making, and history
  • exam components per current CMS guidelines.
Topic 6
  • Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Topic 7
  • Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
Topic 8
  • Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.
Topic 9
  • Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:
Topic 10
  • Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q412-Q417):

NEW QUESTION # 412
A Medicare patient is scheduled for a screening colonoscopy.
What code is reported for Medicare?

Answer: D

Explanation:
* Medicare provides specific codes for screening colonoscopy based on the patient's risk factors. For a Medicare patient scheduled for a screening colonoscopy who is at high risk (such as those with a history of intestinal polyps), the appropriate code is G0105.
* G0105 is used for colorectal cancer screening; colonoscopy on individuals at high risk.
References:
* HCPCS Level II, current year
* Medicare Guidelines for Colorectal Cancer Screening


NEW QUESTION # 413
An interventional radiologist performs an abdominal paracentesis using fluoroscopic guidance to remove excess fluid. The procedure is performed in the hospital. What CPT coding is reported?

Answer: B

Explanation:
49083 - Abdominal paracentesis, diagnostic or therapeutic; with imaging guidance This code includes imaging guidance (ultrasound or fluoroscopy).
Per CPT guidelines, do not separately report fluoroscopy or ultrasound guidance with 49083.
The procedure was performed in the hospital, but CPT coding does not change based on site of service.
Why Other Options Are Incorrect:
A (49082) - Used without imaging guidance
B / D - Imaging guidance codes (77001, 77002) are bundled into 49083 per CPT and NCCI edits Official CPT Guidance:
When a paracentesis is performed with imaging guidance, report 49083 only.


NEW QUESTION # 414
Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?

Answer: A

Explanation:
The place of service code 22 is used for services performed in an outpatient hospital setting, including outpatient surgical floors. This code indicates that the procedure was done in a hospital but not requiring an inpatient admission.
AMA's CPT Professional Edition (current year), Place of Service Codes.


NEW QUESTION # 415
What is the HCPCS Level II code for a standard wheelchair?

Answer: A

Explanation:
K0001 = Standard wheelchair
Other K000 codes represent specialized wheelchairs


NEW QUESTION # 416

Refer to the supplemental information when answering this question:
View MR 354859
What CPT and ICD-10-CM coding is reported?

Answer: A


NEW QUESTION # 417
......

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