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| Section | Weight | Objectives |
|---|---|---|
| Surgery Coding | 40-50% | - Integumentary System - Cardiovascular System - Musculoskeletal System - Genitourinary System - Nervous System - Respiratory System - Digestive System |
| Medicine | 5-10% | - Specialty Coding |
| HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Radiology | 5-10% | - Diagnostic Imaging |
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
With each passing year, there's a slight change in the format of CPC exam. Test4Engine has put in a lot of effort in bringing to you the latest CPC questions, all by the current exam standards set by the AAPC. All the Certified Professional Coder (CPC) Exam (CPC) questions have been thoroughly checked to check their validity and to make sure we provide our candidates with the updated exam content.
NEW QUESTION # 160
(A patient suffering fromlateral epicondylitisin the left elbow is sent to the operating room tomanipulate the elbow. The patient is placed undergeneral anesthesiaby the anesthesiologist. The physician manipulates the elbow through stretching and rotation to restore motion. What CPT coding is reported for the physician?)
Answer: A
Explanation:
The physician performed anorthopedic manipulation of the elbow under anesthesia, which is reported withCPT 24300(manipulation, elbow, under anesthesia). The anesthesia service is separately reported by theanesthesia provider(the anesthesiologist/CRNA) using an anesthesia CPT code, but the question asks specifically what is reportedfor the physicianperforming the manipulation-not the anesthesiologist.
Therefore, you donotassign the anesthesia code (e.g., 01710) to the manipulating physician. Option A is incorrect because it includes anesthesia coding under the physician. Options B and D include24605, which represents a different service (not the correct manipulation-under-anesthesia code for this vignette). CPC exam strategy: identifywhois billing (surgeon vs anesthesiologist) and select the CPT code that describes the physician's operative service. Here, the physician's work is the manipulation itself, accurately captured by24300alone.
NEW QUESTION # 161
A patient with end-stage renal disease (ESRD) receives hemodialysis 3x weekly in the office for one month. The nephrologist performs a comprehensive exam and supervises dialysis.
What CPT and ICD-10-CM codes are reported?
Answer: A
Explanation:
90960 = ESRD services, 4 or more visits/month
N18.6 = End-stage renal disease
Z99.2 = Dependence on renal dialysis
NEW QUESTION # 162
Eric is buying his first life insurance policy from XYZ Life Insurance Company. The company requires Eric have a physical exam prior to issuance of the policy. Eric sees his primary care provider who completes the required documentation and forms provided by the insurance company.
How does the primary care provider report his services?
Answer: C
Explanation:
CPT code 99450 is used for the examination of a patient for the purpose of establishing medical baseline information or for insurance purposes. Since Eric's primary care provider completed the required physical exam documentation for his life insurance policy, this is appropriately reported with code 99450. Reference: CPT Professional Edition (current year), AMA.
NEW QUESTION # 163
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required # limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition.
There were no complications.
What CPT coding is reported?
Answer: A
Explanation:
The lesion is a benign congenital hairy nevus # benign lesion excision codes (11400-11446) Location: thigh (trunk/arms/legs) Excision size with margins = 4.5 cm # 11406 (4.1-5.0 cm) Closure length = 5 cm, layered closure with limited undermining # intermediate repair
12032 = Intermediate repair, trunk/extremities, 2.6-7.5 cm
Modifier -51 applies to the secondary procedure
NEW QUESTION # 164
A patient underwent a cystourethroscopy with a pyeloscopy using lithotripsy to break up the ureteral calculus.
An indwelling stent was also inserted during the same operative session on the same side. This service was performed in the outpatient hospital surgery center.
What CPT coding reported?
Answer: C
NEW QUESTION # 165
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