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| Certification Vendor: | AAPC (American Academy of Professional Coders) |
|---|---|
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Number: | CPC |
| Passing Score: | 70% |
| Exam Format: | Open-book, Scenario-based, Multiple-choice |
| Real Exam Qty: | 100 |
| Exam Duration: | 240 minutes |
| Related Certifications: | CPC-P CRC CPMA CPCO |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Exam Price: | $425 (1 attempt), $499 (2 attempts) |
| 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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NEW QUESTION # 287
A 65-year-old gentleman presents for refill of medications and follow-up for his chronic conditions. The patient indicates good medicine compliance. No new symptoms or complaints.
Appropriate history and exam are obtained. Labs that were ordered from previous visit were reviewed and discussed with patient. The following are the diagnoses and treatment:
Hypokalemia - stable. Refill Potassium 20 MEQ
Hypertension - blood pressure remaining stable. Patient states home readings have been in line with goals. Refill prescription Lisinopril.
Esophageal Reflux - Patient denies any new symptoms. Stable condition. Continue taking over the counter Prevacid oral capsules, 1 every day.
Patient is instructed to follow up in 3 months. Labs will be obtained prior to visit.
What CPT code is reported?
Answer: C
NEW QUESTION # 288
A patient with a history of chronic venous embolism in the inferior vena cava has a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the inferior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician.
What codes are reported for this procedure?
Answer: D
Explanation:
For the procedure involving access to the subclavian vein and advancing a catheter to the inferior vena cava for injection and imaging, the following codes are used:
* 36010 for the catheter placement.
* 75825-26 for the supervision and interpretation of the imaging.
Modifier -26 indicates the professional component of the radiological supervision and interpretation.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)
NEW QUESTION # 289
The human shoulder is made of which three bones?
Answer: B
Explanation:
The human shoulder is composed of three main bones: the clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone). These bones form the shoulder joint, which is one of the most flexible and mobile joints in the human body, allowing for a wide range of motion.References: AMA's CPT Professional Edition (current year), Musculoskeletal System section.
NEW QUESTION # 290
Patient has a 5 cm tumor in the left lower quadrant abdominal wall. A horizontal skin incision is made directly over the tumor in the patient's left lower quadrant and dissection was carried down through the dermis and subcutaneous tissue. The tumor is located and completely excised using electrocautery. The specimen is sent immediately to pathology to rule out cancer. What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
1. Procedure and CPT Code Selection:
The scenario describes the excision of a 5 cm tumor located in the left lower quadrant of the abdominal wall. The tumor was excised down to the dermis and subcutaneous layers and removed using electrocautery.
Code 22903 is appropriate for the excision of a soft tissue tumor in the abdominal wall greater than 5 cm, making it the correct CPT code.
Code 22901 applies to the excision of a soft tissue tumor in the abdominal wall but only for tumors 5 cm or less. Given that the tumor in this case is exactly 5 cm, it meets the threshold for 22903, which is more appropriate here.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code D49.2 is used for a neoplasm of unspecified behavior in the abdominal area, reflecting the fact that the pathology report is pending to determine if the tumor is malignant.
Code C76.2 would be incorrect because it is for malignant neoplasms of unspecified abdominal areas, which we cannot confirm based on the initial excision. Similarly, R19.04 (indicating a mass in the abdominal region) is a symptom code and is not appropriate for a definitive diagnosis when a neoplasm code (D49.2) exists.
3. AAPC and CPT Coding Guidelines:
Per AAPC coding guidelines, the size of the tumor is critical in selecting the correct excision code for abdominal wall neoplasms. Additionally, if the tumor's pathology is not confirmed as malignant, it is coded as a neoplasm of unspecified behavior until further details are known.
Therefore, based on CPT and ICD-10-CM coding guidelines, the verified answer is B. 22903, D49.2.
NEW QUESTION # 291
(Chief Complaint: Palpable lump in the left breast. Adiagnostic mammogram (unilateral)was performed on theleft breastusingdigital imaging with CAD, with standard and additional views. What CPT codes are reported for the radiological services?)
Answer: A
Explanation:
This is adiagnosticmammogram (not screening) performed onone breast (left). CPT distinguishes screening from diagnostic:77067is screening mammography and is not appropriate because there is a symptom (palpable lump) and the service is diagnostic. CPT also distinguishes unilateral vs bilateral diagnostic:
77065isdiagnostic mammography, unilateral, and77066is diagnostic mammography, bilateral-so the correct selection is77065. The vignette mentions CAD, but current mammography CPT coding incorporates digital and CAD elements into the diagnostic mammography code structure in typical CPC-style testing, and the question asks which code(s) are reported, offering only single-code answers.77061is not the primary diagnostic mammography code; it relates to breast tomosynthesis add-on concepts in many coding frameworks, but the stem describes diagnostic mammography with additional views, not explicit tomosynthesis reporting. Therefore, for unilateral diagnostic mammography of the left breast, the correct code is77065.
NEW QUESTION # 292
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