CPC Exam Questions - CPC Guide Torrent & Certified Professional Coder (CPC) Exam Test Guide

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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.
Topic 2
  • Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Topic 3
  • 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.
Topic 4
  • 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.
Topic 5
  • 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 6
  • 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 7
  • Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Topic 8
  • 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.
Topic 9
  • 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.
Topic 10
  • 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.
Topic 11
  • 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.
Topic 12
  • 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.:
Topic 13
  • Endocrine System and Nervous System: This section of the exam measures the skills of medical coders and assesses the ability to assign codes for surgeries involving glands, the brain, spinal cord, and peripheral nerves. Procedures like resections and electrical stimulation are part of the evaluated content.
Topic 14
  • 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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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q427-Q432):

NEW QUESTION # 427
A patient who has colon adenocarcinoma undergoes an open partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?

Answer: A

Explanation:
1. Procedure and CPT Code Selection:
The patient underwent an open partial colectomy involving the removal of the proximal colon and terminal ileum with reconnection of the distal ileum to the remaining colon.
CPT Code 44160 is specific for an open partial colectomy with removal of a portion of the colon and the terminal ileum with an ileocolostomy (reconnection of the ileum to the colon). This accurately describes the procedure performed.
Code 44140 is for a partial colectomy without removal of the terminal ileum, making it inappropriate in this case.
Codes 44205 and 44204 involve laparoscopic approaches for colectomy procedures, but since this procedure was open, these codes are not suitable.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code C18.2 is for a malignant neoplasm of the ascending colon, which is specified in this case as colon adenocarcinoma.
Code C18.9 represents an unspecified malignant neoplasm of the colon, which is less specific than C18.2. Therefore, C18.2 is the most accurate choice based on the location of the adenocarcinoma.
3. AAPC and CPT Coding Guidelines:
Per AAPC guidelines, selecting the correct colectomy code involves identifying the specific approach (open vs. laparoscopic) and anatomical structures resected, both of which align with 44160 for this open ileocolic resection.
Thus, the correct answer, based on CPT and ICD-10-CM guidelines, is D. 44160, C18.2.


NEW QUESTION # 428
The outermost protective layer of skin is called the:

Answer: A

Explanation:
The outermost protective layer of the skin is called the epidermis. It serves as a barrier to protect the body against environmental elements, pathogens, and helps to retain moisture. The epidermis itself is composed of several sub-layers, with the stratum corneum being the outermost layer.References: ICD-10-CM (current year), Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99).


NEW QUESTION # 429
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers.
The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?

Answer: D

Explanation:
* The anesthesia code for an axillary block for procedures on the upper arm and elbow, which includes the monitoring by the anesthesiologist throughout the procedure, is 01830. This code is appropriate for anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.
References:
* CPT Professional Edition, AMA
* Anesthesia Coding Guidelines


NEW QUESTION # 430
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: D

Explanation:
Laparoscopic nephrectomy: A minimally invasive surgical procedure to remove a kidney.
Part of the ureter: Removal includes part of the ureter.
50220: Nephrectomy (open procedure), which doesn't apply since the procedure was laparoscopic.
50548: Nephrectomy, partial, laparoscopic, which doesn't match the full nephrectomy performed.
50543: Laparoscopy, surgical; nephrectomy with total ureterectomy.
50543 is the correct CPT code for the laparoscopic removal of the kidney along with part of the ureter, fitting the scenario described.
Reference:
AMA's CPT Professional Edition (current year)
ICD-10-CM (current year), HCPCS Level II (current year)


NEW QUESTION # 431
A 19-year-old is seen by his, primary care physician for an annual exam. His last exam with the primary care physician was four years ago. He has no complaints.
What CPT code is reported?

Answer: A

Explanation:
1. E/M Code Category Selection:
The patient is a 19-year-old seen by his primary care physician for an annual preventive exam. His last exam was four years ago, and he has no complaints, indicating a preventive rather than problem-focused visit.
CPTCode 99385 is for a new patient preventive visit for ages 18-39. Since the patient's last visit was four years ago, this qualifies him as a new patient by CPTstandards (a patient is considered new if they have not received any professional services from the physician within the past three years).
2. Rationale for Excluding Other Options:
Code 99395 is for an established patient preventive visit for ages 18-39, which does not apply here since the patient is considered new after four years.
Code 99394 is for a preventive visit for an established patient aged 12-17, which does not match the patient's age.
Code 99384 is for a new patient preventive visit for ages 12-17, which also does not apply given the patient's age of 19.
3. AAPC and CPTCoding Guidelines:
According to CPTguidelines, 99385 is appropriate for a new patient in the 18-39 age range for a preventive visit, especially when they have not seen the provider in over three years.
Therefore, the correct answer is A. 99385.


NEW QUESTION # 432
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