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| Section | Weight | Objectives |
|---|
| Topic 1: Radiology | 5-10% | - Diagnostic Imaging
|
| Topic 2: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department
|
| Topic 3: HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers
|
| Topic 4: ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines
|
| Topic 5: Laboratory / Pathology | 5-10% | - Organ and Disease Panels
|
| Topic 6: Medicine | 5-10% | - Specialty Coding
|
| Topic 7: Surgery Coding | 40-50% | - Respiratory System - Nervous System - Musculoskeletal System - Digestive System - Genitourinary System - Cardiovascular System - Integumentary System
|
| Topic 8: Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems
|
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q376-Q381):
NEW QUESTION # 376
An interventional radiologist performs an abdominal paracentesis in his office utilizing ultrasonic imaging guidance to remove excess fluid. What CPT coding is reported?
- A. 0
- B. 49082, 76942-26
- C. 49082, 76942
- D. 49083, 76942-26
Answer: A
Explanation:
CPT code 49083 describes an abdominal paracentesis with imaging guidance, such as ultrasound. This code includes the imaging guidance as part of the procedure, so it is not necessary to separately report the ultrasonic guidance.
References:
* AMA's CPT Professional Edition (current year), Code 49083
NEW QUESTION # 377
The CPT code book provides full descriptions of medical procedures, although some descriptions require the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT code 69644?
- A. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction
- B. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
- C. Without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
- D. With intact or reconstructed canal wall with ossicular chain reconstruction
Answer: A
Explanation:
CPT code 69644 refers to a tympanoplasty with mastoidectomy, which includes canalplasty, middle ear surgery, and tympanic membrane repair. The specific procedure described by this code is performed with an intact or reconstructed canal wall and includes ossicular chain reconstruction. The use of a semicolon in the CPT description helps distinguish between different variations of the procedure.References: AMA's CPT Professional Edition, specific code descriptions and guidelines.
NEW QUESTION # 378
A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT code is reported for this procedure?
Answer: A
NEW QUESTION # 379
An inpatient, suffering from hypertension and chronic kidney disease, is administered continuous venovenous hemofiltration. The on-duty nephrologist performs a series repeated low-level evaluation and management services to monitor the patient's status.
What is the CPT and ICD-10-CM coding'
- A. 90935,112.9. N18.9
- B. 90947,112 9, N18.9
- C. 90945.110, N18.9
- D. 90937,110, N18.9
Answer: C
Explanation:
Procedure Code:
90945 - Continuous renal replacement therapy (CRRT), daily
Includes repeated low-level E/M monitoring
Correct for CVVH
Diagnosis Codes:
I10 - Essential hypertension
N18.9 - Chronic kidney disease, unspecified
Why others are incorrect:
90935 / 90937 - Intermittent hemodialysis
90947 - Pediatric CRRT
ICD-9 codes (112.9, 110) are invalid
NEW QUESTION # 380
A 56-year-old female patient with a history of degenerative disc disease at levels T2-T3 and T4-T5 underwent a surgical repair procedure. Two surgeons will be working together as primary surgeons Surgeon X: Carried out the anterior exposure of the spine and mobilized the great vessels, assisted Dr. Z. and performed the closure.
Surgeon Z: Performed a minimal anterior discectomy and fusion at T2-T3 and T4-T5 levels using an anterior interbody technique and solely performed utilizing a structural allograft.
What is the CPT coding for the two surgeons?
- A. Surgeon X: 22556-62, 22585-62-51Surgeon Z: 22556-62, 22585-62-51, 20931-62-51
- B. Surgeon X: 22556-62, 22585-62-51, 20931-62-51Surgeon Z: 22556-62, 22585-62-51, 20931-62-51
- C. Surgeon X: 22556-62, 22585-62Surgeon Z: 22556-62, 22585-62, 20931
- D. Surgeon X: 22556-62, 22585-62, 20931Surgeon Z: 22556-62, 22585-62, 20931
Answer: C
Explanation:
The case describes two primary surgeons working together, which supports modifier 62 (co-surgeons) on the spine fusion/discectomy codes.
22556 = primary level anterior thoracic discectomy and fusion (T2-T3)
22585 = each additional thoracic level (T4-T5)
20931 = structural allograft (reported by the surgeon who solely performed/placed the structural allograft, per the statement-Surgeon Z) Why D fits best:
Surgeon X performed the approach/exposure and closure and assisted the primary surgeon # reports the co- surgeon spine procedure codes (22556-62, 22585-62).
Surgeon Z performed the discectomy/fusion and solely performed utilizing a structural allograft # reports
22556-62, 22585-62, plus 20931.
Options with -51 are not correct here (and add-on/related reporting logic in CPT does not support the way -51 is applied in those options).
NEW QUESTION # 381
......
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