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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Topic 2: HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Topic 3: Surgery Coding | 40-50% | - Genitourinary System - Cardiovascular System - Musculoskeletal System - Integumentary System - Nervous System - Respiratory System - Digestive System |
| Topic 4: Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Topic 5: Medicine | 5-10% | - Specialty Coding |
| Topic 6: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Topic 7: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Topic 8: Radiology | 5-10% | - Diagnostic Imaging |
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NEW QUESTION # 170
(Full Case:Preoperative diagnosis:Low back pain; possible spinal stenosis L3-4.Postoperative diagnosis:No evidence of discogenic pathology or spinal stenosis at L3-4; normal discography L3-4.Procedure:Awake discography and injection, L3-4.Anesthesia:IV narcotic with reversal and local; propofol given transiently, then patient alert/responsive for pain response during injection.Technique:Patient to OR; right decubitus; sterile prep/drape; C-arm used to mark entry; local ethyl chloride + 1% Xylocaine; docking needle placed posterolateral at L3-4 under AP/lateral; inner needle advanced to disc nucleus center; contrast injected while monitoring patient response; normal bilocular pattern; 1.5 cc volume; no pain with pressurization.
Documentation:No videotape; plain films available; post-discography CT planned/reviewed for other causes.
Question:What CPT and ICD-10-CM coding is reported?)
Answer: A
Explanation:
This service is alumbar discographyat a single level (L3-L4) withinjection of contrastinto the intervertebral disc underfluoroscopic (C-arm) guidancewhile the patient is awake/able to report symptoms, which is exactly what CPT62290describes for diagnostic discography at a lumbar level. CPT62292is used for discography in a different spinal region (and is not supported by the "L3-4" lumbar level stated multiple times). The post- discography CT scan is referenced as planned/reviewed but is not clearly documented as performed
/interpreted as part of this same physician service in the stem, and it is not part of the answer choices. For ICD-
10-CM, the confirmed postoperative finding is "normal discography," but the reason for the study remains the patient'slow back painand suspected stenosis; in outpatient/procedural settings you code thereason for the testwhen the definitive suspected condition is not confirmed. Here, the stenosis was ruled out ("no evidence"), so donotcode spinal stenosis; reportM54.50for low back pain. Therefore,62290 with M54.50is correct.
NEW QUESTION # 171 
Refer to the supplemental information when answering this question:
View MR 004813
What CPTand ICD-10-CM codes are reported?
Answer: D
Explanation:
* CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy)
* This code describes the attempted PEG tube placement.
* Modifier -52: Reduced services. This modifier is appended because the procedure was aborted and the PEG tube was not successfully placed.
* ICD-10-CM Code K94.29: Other specified disorders of digestive system
* This code captures the patient's chronic feeding requirement, which is the reason for the attempted PEG tube placement.
* ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene
* This code reports the small hiatal hernia that was found during the procedure.
References:
* CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy)
* Modifier 52: Reduced services
* ICD-10-CM Code K94.29: Other specified disorders of digestive system
* ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 172
A diagnostic mammogram is performed on the left and right breasts. Computer-aided detection is also used to further analyze the image for possible lesions.
What CPT coding is reported for this radiology service?
Answer: C
Explanation:
A diagnostic mammogram performed on both breasts with computer-aided detection (CAD) is reported with CPT code 77066. This code is used when CAD is utilized to further analyze the images for possible lesions, and it covers both breasts.
Reference:
AMA's CPT Professional Edition (current year)
NEW QUESTION # 173
An incision is made in the scalp, a craniectomy is performed to access the area where electrodes are present. The electrodes are removed. The surgical wound is closed.
What procedure code is reported?
Answer: D
NEW QUESTION # 174
Which government office is responsible for overseeing and investigating cases of healthcare fraud and abuse?
Answer: C
Explanation:
The Office of Inspector General (OIG) operates under the Department of Health and Human Services (HHS) and is specifically responsible for detecting, investigating, and preventing fraud, waste, and abuse in federal healthcare programs such as Medicare and Medicaid.
This is a key compliance and regulatory topic on the CPC exam.
NEW QUESTION # 175
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