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| Topic | Details |
|---|
| 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.
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| Topic 2 | - 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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| 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.
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| Topic 4 | - Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
|
| Topic 5 | - 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.
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| Topic 6 | - 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.
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| Topic 7 | - The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.
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| Topic 8 | - Special Senses (Ocular and Auditory): This section of the exam measures the skills of coding specialists and covers the coding of procedures related to the eyes and ears. Topics include surgeries on the cornea, retina, and middle
- inner ear, as well as related diagnostic procedures.
|
| Topic 9 | - 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 10 | - Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
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| Topic 11 | - Female Reproductive System and Maternity Care & Delivery: This section of the exam measures the skills of coding specialists and evaluates coding accuracy for gynecological and obstetric procedures. It includes deliveries, antepartum care, cesarean sections, and surgical procedures involving female reproductive anatomy.
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| Topic 12 | - 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.
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| Topic 13 | - Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
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| Topic 14 | - 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.:
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| Topic 15 | - 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.
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q410-Q415):
NEW QUESTION # 410
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPTand ICD-10-CM coding is used for the six month-evaluation?
- A. 80157, G40.909
- B. 80156, R56.9
- C. 80157, R56.9
- D. 80156, G40.909
Answer: D
Explanation:
The correct CPTcode for a therapeutic drug test to monitor the total level of carbamazepine is 80156. The ICD-10-CM code G40.909 is used for epileptic seizures, not otherwise specified, which aligns with the patient
' s condition being treated for seizures.
References:
AMA ' s CPTProfessional Edition (current year)
ICD-10-CM (current year)
NEW QUESTION # 411
The procedure is performed at an outpatient radiology department. From a left femoral access, the catheter is placed in the abdominal aorta and is then selectively placed in the celiac trunk and manipulated up into the common hepatic artery for an abdominal angiography. Dye is injected, and imaging is obtained. The provider performs the supervision and interpretation.
What CPT codes are reported?
- A. 36246, 75726-26
- B. 36246, 75716-26
- C. 36246, 75635-26
- D. 36246, 75741-26
Answer: A
Explanation:
* Procedure: Abdominal aorta catheterization and selective placement in the celiac trunk for angiography.
* CPT Codes:
* 36246: This code is for the catheter placement in the abdominal aorta.
* 75726-26: This code represents the abdominal angiography with supervision and interpretation, with the -26 modifier indicating the professional component.
* Code Selection Justification: The procedure involves the catheterization of the abdominal aorta and the specific imaging performed with supervision and interpretation.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 412
A patient complains of tarry, black stool, and epigastric tightness. An esophagogastroduodenoscopy is recommended to evaluate the source of the bleeding. The endoscope is inserted orally. The esophagus appears normal on scope insertion. No evidence of bleeding in the stomach. The scope is then passed into the duodenum, where a polyp is found and removed with hot biopsy forceps. No evidence of bleeding post procedure.
What CPT code is reported?
Answer: D
Explanation:
An esophagogastroduodenoscopy (EGD) was performed with the removal of a polyp using hot biopsy forceps.
* Procedure Description:
* An EGD was performed.
* A polyp was found in the duodenum and removed with hot biopsy forceps.
* CPT Coding:
* 43250: Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on endoscopic procedures.
NEW QUESTION # 413
(A provider orders a liquid chromatography mass spectrometry (LC-MS) definitive drug test for a patient suspected ofacetaminophen (analgesic) overdose. What CPT code is reported for the test?)
Answer: D
Explanation:
Acetaminophen is a specific drug with a dedicated quantitative laboratory code. Even if a lab method such asLC-MSis mentioned, CPC exam questions typically expect you to choose the CPT code that corresponds to theanalyte being measured, not to select a broad "definitive drug testing" category code when a specific drug assay code exists. CPT80143is the established code foracetaminophentesting (quantitative measurement).
Codes in the 803xx range are commonly associated with drug screening/testing categories that do not specifically represent acetaminophen as a named analyte in the way CPC questions test. Code80299is an unlisted therapeutic drug assay and is not appropriate when a specific code (80143) exists. Therefore, the correct answer is80143. CPC strategy: when the substance is explicitly named and has a recognized assay code, choose thespecific drug test coderather than an unlisted or generalized testing category. The method (LC-MS) supports "definitive" testing clinically, but the code selection here is driven by the named analyte.
NEW QUESTION # 414
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?
- A. 77065-LT, 77065-RT
- B. 0
- C. 77067-50
- D. 77066-50
Answer: B
NEW QUESTION # 415
......
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