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| Certification Vendor: | AAPC (American Academy of Professional Coders) |
|---|---|
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Number: | CPC |
| Real Exam Qty: | 100 |
| Exam Format: | Open-book, Scenario-based, Multiple-choice |
| Exam Price: | $425 (1 attempt), $499 (2 attempts) |
| Passing Score: | 70% |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Related Certifications: | CPC-P CPCO CPMA CRC |
| Exam Duration: | 240 minutes |
| Recommended Training: | AAPC CPC Training Courses |
| Exam Registration: | AAPC Official Registration |
| Sample Questions: | AAPC CPC Sample Questions |
| Exam Way: | Online proctored or in-person at authorized testing centers |
| Pre Condition: | No mandatory prerequisites; recommended knowledge of medical terminology, anatomy, coding systems; AAPC membership required to register |
| Official Syllabus URL: | https://www.aapc.com/certifications/cpc |
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NEW QUESTION # 360
View MR 099407
MR 099407
Emergency Department Visit
Chief Complaint: VOMITING.
This started just prior to arrival and is still present. He has had nausea and vomiting. No diarrhea, black stools, bloody stools or abdominal pain. Pt is diabetic and has been having elevated blood sugars (320 mg/dL).
REVIEW OF SYSTEMS: Unobtainable due to patient's altered mental status.
PAST HISTORY: Poorly controlled diabetes mellitus, with history of poor compliance.
Medications: See Nurses Notes.
Allergies: PCN.
SOCIAL HISTORY: Nonsmoker. No alcohol use or drug use.
ADDITIONAL NOTES: The nursing notes have been reviewed.
PHYSICAL EXAM
Appearance: Lethargic. Patient in mild distress.
Vital Signs: Have been reviewed-tachycardic.
Eyes: Pupils equal, round and reactive to light.
ENT: Dry mucous membranes present.
Neck: Normal inspection. Neck supple.
CVS: Tachycardia. Heart sounds normal. Pulses normal.
E D. Course: Insulin IV drip per protocol, at 10 units/hr.
Zofran 8 mg 01:33 Jul 13 2008 IVP.
Phenergan 25 mg IVP. 07:52. Discussed case with physician. Dr. X. Reviewed test results. Agreed upon treatment plan. Physician will see patient in hospital.
Total critical care time: 45 min.
Disposition: Admitted to Intensive Care Unit. Condition: stable.
Admit decision based on need for monitoring and IV hydration and medications.
CLINICAL IMPRESSION: Vomiting, diabetic ketoacidosis, probable diabetes insipidus.
What E/M code is reported for this encounter?
Answer: A
Explanation:
99291: This code is used for the first 30-74 minutes of critical care, evaluation, and management of the critically ill or critically injured patient.
99292: This code is used for each additional 30 minutes of critical care service beyond the first 74 minutes.
The documentation indicates that the patient received a total of 45 minutes of critical care, which involves continuous IV insulin for diabetic ketoacidosis, administration of antiemetics, and admission to the ICU. The critical care time documented justifies the use of 99291 for the first 30-74 minutes and 99292 for each additional 30 minutes.
CPT Professional Edition, AMA
NEW QUESTION # 361
Miranda is in her provider's office for follow up of her diabetes. Her blood sugars remain at goal with continuing her prescribed medications.
When referring to the MDM Table in the CPTcode book for number and complexity of problems addressed at the encounter, what type of problem is this considered?
Answer: A
Explanation:
1. Problem Type Selection:
Miranda is following up on her diabetes, which is a chronic condition. Her blood sugars are controlled, indicating that the condition is stable with her current medication regimen.
Stable, chronic illness is defined in the CPTMDM (Medical Decision Making) Table as a chronic condition that is under control and not currently worsening, even if ongoing management is required. This aligns with the patient's diabetes being well-managed with her prescribed medications.
2. Rationale for Excluding Other Options:
A: Acute, uncomplicated illness or injury is not applicable as diabetes is a chronic condition, not an acute issue.
B: Minimal problem refers to conditions that are minor or self-limited and typically require little to no treatment, which does not apply to chronic conditions like diabetes.
D: Stable, acute illness would refer to an acute condition that has stabilized, whereas diabetes is a chronic condition, not acute.
3. AAPC and CPTCoding Guidelines:
According to the CPTMDM Table, a "Stable, chronic illness" is the correct classification for a follow-up encounter on a controlled chronic condition like diabetes.
Therefore, the correct answer is C. Stable, chronic illness.
NEW QUESTION # 362
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: B
Explanation:
1. Procedure and CPTCode 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.
CPTCode 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 CPTCoding 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 CPTand ICD-10-CM guidelines, is D. 44160, C18.2.
NEW QUESTION # 363
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?
Answer: B
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 # 364
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?
Answer: C
NEW QUESTION # 365
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2026 Latest BraindumpsPass CPC PDF Dumps and CPC Exam Engine Free Share: https://drive.google.com/open?id=1WLl6Gnc12m_jszpJeGQo5_VmtWe0Z-a7