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| Section | Weight | Objectives |
|---|---|---|
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| Medicine | 5-10% | - Specialty Coding |
| Radiology | 5-10% | - Diagnostic Imaging |
| Surgery Coding | 40-50% | - Genitourinary System - Respiratory System - Digestive System - Integumentary System - Nervous System - Musculoskeletal System - Cardiovascular System |
| HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
>> Valid AAPC CPC Practice Questions <<
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NEW QUESTION # 193
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?
Answer: A
NEW QUESTION # 194
(An 8-day-old newborn, weighing 3 kilograms, is seen for a circumcision. A numbing cream is applied. A circumferential incision is made and the foreskin is excised with a scalpel. What CPT coding is reported?)
Answer: D
Explanation:
Newborn circumcision coding depends primarily on whether the circumcision is performed using aclamp
/device techniqueversus asurgical excision technique. CPT54150is commonly associated with circumcision using a clamp or other device method (often described with a Gomco/Mogen-type approach in many training contexts). In contrast, CPT54160representssurgical circumcisionusing acircumferential incisionwith excision of the foreskin-matching the documentation ("circumferential incision... foreskin excised with a scalpel").
The infant's age (8 days old) supports that this is a newborn service, but the decisive factor in this vignette is thetechnique described. Modifier-52(reduced services) is not supported because the full circumcision service is performed. Modifier-63applies to procedures performed on infants less than 4 kg for certain CPT codes when applicable, but it is not universally appended and is not the best answer here given typical CPC exam expectations for standard newborn circumcision technique identification. Therefore,54160is correct.
NEW QUESTION # 195
Dr. Burns sees newborn baby James at the birthing center on the same day after the cesarean delivery. Dr.
Burns examined baby James, the maternal and newborn history, ordered appropriate blood test tests and hearing screening. He met with the family at the end of the exam.
How would Dr. Bums report his services?
Answer: B
Explanation:
Dr. Burns is providing initial hospital or birthing center care for the evaluation and management of a normal newborn infant. CPT code 99460 is used to report initial hospital or birthing center care, per day, for evaluation and management of a normal newborn infant. This includes a comprehensive history, examination, and medical decision-making. The description of the service provided fits this CPT code accurately.
References: CPT Professional Edition (current year), AMA.
NEW QUESTION # 196
From a left femoral access, the catheter is placed within the proper hepatic artery, dye is injected, and imaging is obtained. A stenosis within this artery is identified. A percutaneous transluminal angioplasty is performed on the proper hepatic (visceral) artery in the outpatient radiology department.
What CPTcoding is reported?
Answer: B
Explanation:
1. Procedure Details and CPTCode Selection:
The patient underwent a catheter placement in the proper hepatic artery (a visceral artery), followed by dye injection and imaging to identify a stenosis, and finally a percutaneous transluminal angioplasty of the artery.
Code 36247 is appropriate for selective catheter placement in the third-order or more selective branch of a visceral artery. Since the proper hepatic artery is a selective branch accessed from the left femoral artery, this code accurately describes the catheter placement.
Code 75736 is for angiography of a selective visceral artery following catheter placement, which matches the imaging procedure performed here.
Code 37248 describes a percutaneous transluminal angioplasty of a visceral artery, which is the therapeutic intervention performed to treat the stenosis in the proper hepatic artery.
2. Modifiers:
Modifier 26 is used with 75736 to denote the professional component of the imaging service.
Modifier 59 indicates that the imaging (75736) is a distinct procedural service, separate from the therapeutic angioplasty (37248).
Modifier 51 is applied to 37248 to indicate it was a secondary procedure in addition to the diagnostic imaging and catheter placement.
3. Exclusion of Other Options:
Code 36253 (in choices A and D) is for selective catheter placement in a different vessel and does not apply to the hepatic artery.
Code 75726 is for non-selective abdominal aortography, which does not match the specific selective imaging of the hepatic artery.
4. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, each step in an angiographic and interventional radiology procedure is coded based on the level of vessel accessed, imaging performed, and therapeutic intervention completed, which is all accurately represented by 36247, 75736-26-59, and 37248-51.
Based on CPTand AAPC coding guidelines, the correct answer is C. 36247, 75736-26-59, 37248-51.
You said:
NEW QUESTION # 197
A patient is diagnosed with diabetic polyneuropathy.
Using ICD-10-CM coding guidelines, what ICD-10-CM coding is reported?
Answer: B
Explanation:
Diabetic polyneuropathy is coded as E11.42, which indicates type 2 diabetes mellitus with diabetic polyneuropathy. The ICD-10-CM guidelines direct that when a patient has both diabetes and polyneuropathy, a single combination code is used to capture both conditions.References: ICD-10-CM (current year), Chapter
4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.4.a.6.
NEW QUESTION # 198
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