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| Certification Vendor: | AAPC |
|---|---|
| Exam Name: | AAPC Certified Professional Coder (CPC) Certification Exam |
| Exam Number: | CPC |
| Available Languages: | English |
| Exam Format: | Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions |
| Certificate Validity Period: | 2 years (renewal via Continuing Education Units - CEUs) |
| Exam Duration: | 340 minutes |
| Passing Score: | Approximately 70% |
| Related Certifications: | Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) |
| Exam Price: | $399–$499 USD (varies by membership and region) |
| Real Exam Qty: | 150 multiple-choice questions |
| Recommended Training: | AAPC CPC Training Course AAPC CPC Practice Exams |
| Exam Registration: | AAPC CPC Certification Page AAPC Exam Registration Portal |
| Sample Questions: | AAPC CPC Sample Questions |
| Exam Way: | Available via online proctored exam or authorized testing centers (in-person). |
| Pre Condition: | No formal prerequisite required. Recommended: 1–2 years of medical coding experience or completion of AAPC CPC training. |
| Official Syllabus URL: | https://www.aapc.com/certification/cpc/ |
>> CPC Latest Practice Questions <<
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NEW QUESTION # 350
A three-year-old patient is in the operative suite for stage 2 of treatment for double right outlet syndrome. The patient previously had the pulmonary artery banded and is returning for removal of the pulmonary band and transposition repair of the great vessels via aortic pulmonary reconstruction.
The surgeon performs a time-out and pre-incision review of respiration and BP then the previous sternal incision site is inspected and lightly painted with povidone. Next, reopens the sternal cavity and inserts central cannulae in the IVC, SVC and ascending aorta for extra corporeal membrane oxygenation (ECMO) bypass, chemical cardioplegia is initiated, stopping the heart and ECMO is initiated. A physician assistant monitors vitals and oxygenation until heart function resumes. The surgeon carefully incised and removes the Dacron band encircling the pulmonary artery, with nominal need for dilation. A section of coronary ostia is removed and sutured to the root of the pulmonary trunk. The pulmonary trunk and aortic root are then transected and transposed to allow for ideal cardiac circulation. Once structural integrity is visually confirmed, the physician assistant is permitted to administer the cardioplegia reversal solution and the surgeon removes the central cannulae after heart function safely resumes. The sternotomy is closed and the patient is transported to the NICU.
What CPT codes are reported for the surgery today?
Answer: D
Explanation:
1. Procedure Details and CPT Code Selection:
The patient is undergoing stage 2 treatment for double outlet right ventricle (DORV) with a removal of the pulmonary artery band and transposition repair of the great vessels.
Code 33779 is specific for correction of a double outlet right ventricle, with transposition of the great arteries. This code accurately reflects the procedure performed, including the complex repair involving the transposition of the pulmonary trunk and aortic root.
Code 33953 is used to report the initiation of extracorporeal membrane oxygenation (ECMO), which was used to maintain oxygenation during the procedure.
Code 33985 is for the termination of ECMO following the surgical repair once heart function has resumed. Both 33953 and 33985 accurately document the initiation and termination of ECMO during this complex heart repair.
2. Modifier Selection:
Modifier 78 (unplanned return to the operating room for a related procedure during the postoperative period) is appropriate here. This is a subsequent stage in the treatment plan, but due to the complexity and specific surgical intervention required, it is treated as a return to the OR for related procedure coding.
Modifier 58 (staged or related procedure during the postoperative period) would not be as suitable here because the procedure involves a new return to the OR.
3. AAPC and CPT Coding Guidelines:
AAPC guidelines support the use of specific modifiers (78 for unplanned return) and appropriate ECMO codes (33953 and 33985) in complex cardiac cases requiring bypass and staged treatment.
Thus, the correct CPT codes based on CPT and AAPC coding standards are C. 33779-78, 33953-78, 33985-78.
NEW QUESTION # 351
A patient has five biopsies performed on the duodenum.
What CPT coding is reported?
Answer: A
Explanation:
44010 = Biopsy of small intestine, single or multiple
Reported once only, regardless of number
NEW QUESTION # 352
(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 # 353
An 87-year-old male with a history of atrioventricular block and prior dual-chamber pacemaker implantation presents to the cardiology clinic for an in-person device evaluation. The physician performs a full electronic analysis of the pacemaker system, assessing atrial and ventricular lead function, battery status, sensing thresholds, and pacing thresholds. After the assessment, the pacemaker settings are adjusted to optimize heart rate response. The patient tolerates the procedure well and is advised to return for routine follow-up.
What CPT code is reported?
Answer: C
Explanation:
80324 - Drug test(s), definitive, qualitative or quantitative, LC/MS; acetaminophen LC-MS = definitive testing Acetaminophen is specifically identified by 80324 Why others are incorrect:
60143 / 80299 - Therapeutic drug assays (obsolete or nonspecific)
B0329 - HCPCS code (not appropriate here)
NEW QUESTION # 354
(A 40-year-old woman with progressive sensorineural hearing loss in the right ear has acochlear implantplaced for the right ear. Anesthesia is provided by aCRNAwithmedical directionby an anesthesiologist who is concurrently directing 5 CRNAs. Physical status is3. What anesthesia CPT and ICD-10-CM codes are reported by theanesthesiologist?)
Answer: C
Explanation:
Cochlear implant surgery is anearprocedure and maps to anesthesia code00120in this question's option framework. The anesthesiologist ismedically directingCRNAs and is concurrently directing5CRNAs. Under anesthesia modifier rules, when an anesthesiologist is directingmore than fourconcurrent anesthesia procedures, the correct modifier isAD(medical supervision by a physician: more than four concurrent anesthesia procedures). Physical status is given asP3(severe systemic disease), so append-P3. The diagnosis is progressive sensorineural hearing loss in the right ear; in the options,H90.41represents unilateral sensorineural hearing loss (right ear) as provided. Options usingAAwould indicate the anesthesiologist personally performed anesthesia (not true here), andQY/QXrepresent medical direction structures but do not match the
"more than four" concurrency described (which specifically triggersADin these exam-style choices).
Therefore, the correct reporting by the anesthesiologist is00120-AD-P3, H90.41.
NEW QUESTION # 355
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