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| Certification Vendor: | AAPC (American Academy of Professional Coders) |
|---|---|
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Number: | CPC |
| Exam Price: | $425 (1 attempt), $499 (2 attempts) |
| Related Certifications: | CPCO CRC CPC-P CPMA |
| Exam Format: | Open-book, Scenario-based, Multiple-choice |
| Real Exam Qty: | 100 |
| Available Languages: | English |
| Exam Duration: | 240 minutes |
| Passing Score: | 70% |
| Certificate Validity Period: | 3 years |
| Recommended Training: | AAPC CPC Training Courses |
| Exam Registration: | AAPC Official Registration |
| Sample Questions: | AAPC CPC Sample Questions |
| Exam Way: | Online proctored or in-person at authorized testing centers |
| Pre Condition: | No mandatory prerequisites; recommended knowledge of medical terminology, anatomy, coding systems; AAPC membership required to register |
| Official Syllabus URL: | https://www.aapc.com/certifications/cpc |
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問題 #339
(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?)
答案：C
解題說明：
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.
問題 #340
An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?
答案：B
解題說明：
Impending myocardial infarction is reported with I21.3 for a myocardial infarction (acute). The shortness of breath, which is a symptom, is coded separately as R06.02. According to ICD-10-CM guidelines, when a definitive diagnosis is established, the diagnosis code is sequenced first followed by symptom codes.
ICD-10-CM (current year), Chapter 9: Diseases of the Circulatory System (I00-I99), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.9.e.4.
問題 #341
An 8-year-old undergoes tonsillectomy with adenoidectomy for chronic tonsillitis and adenoiditis with hypertrophy.
What CPT and ICD-10-CM codes are reported?
答案：A
解題說明：
42820 = Tonsillectomy and adenoidectomy, under age 12
J35.03 already includes chronic tonsillitis and adenoiditis
Hypertrophy is included and not separately coded
問題 #342
A physician performs excisional debridement on multiple wounds:
Lower back: 12 cm, involving fascia
Left shoulder: 8 cm, involving subcutaneous tissue
Left lower leg: 16 cm, involving subcutaneous tissue
What CPT codes are reported?
答案：D
解題說明：
Fascia debridement → 11043 (first 20 sq cm)
Subcutaneous debridement → 11042
Multiple anatomical sites → Modifier -59
Add-on code 11045 for additional subcutaneous surface area
問題 #343
The pulmonologist performs a bronchoscopy with fluoroscopic guidance. The scope is introduced into the right nostril and advanced to the vocal cords and into the trachea. The scope is advanced to the right upper lobe and a lung nodule is noted. An endobronchial biopsy is performed.
What CPT code is reported for the procedure?
答案：A
解題說明：
The CPT code 31625 is used for bronchoscopy with a transbronchial lung biopsy. This includes the use of fluoroscopic guidance, as described in the scenario.
Reference:
AMA's CPT Professional Edition (current year)
問題 #344
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