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| Section | Weight | Objectives |
|---|---|---|
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Medicine | 5-10% | - Specialty Coding |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Surgery Coding | 40-50% | - Respiratory System - Musculoskeletal System - Integumentary System - Cardiovascular System - Digestive System - Genitourinary System - Nervous System |
| Radiology | 5-10% | - Diagnostic Imaging |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
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NEW QUESTION # 373
An interventional radiologist performs an abdominal paracentesis using fluoroscopic guidance to remove excess fluid. The procedure is performed in the hospital. What CPT coding is reported?
Answer: B
Explanation:
49083 - Abdominal paracentesis, diagnostic or therapeutic; with imaging guidance This code includes imaging guidance (ultrasound or fluoroscopy).
Per CPT guidelines, do not separately report fluoroscopy or ultrasound guidance with 49083.
The procedure was performed in the hospital, but CPT coding does not change based on site of service.
Why Other Options Are Incorrect:
A (49082) - Used without imaging guidance
B / D - Imaging guidance codes (77001, 77002) are bundled into 49083 per CPT and NCCI edits Official CPT Guidance:
When a paracentesis is performed with imaging guidance, report 49083 only.
NEW QUESTION # 374
What does the prefix "sub-" signify in medical terminology?
Answer: C
Explanation:
The prefix "sub-" means below or under.
Common examples include subcutaneous (below the skin) and sublingual (under the tongue).
This is a core concept tested under medical terminology on the CPC exam.
NEW QUESTION # 375
(A female patient underwent a mastectomy on herleft breastlast year due to breast cancer. The surgery was successful in eliminating the cancer and no further treatment was required. However, a recent diagnosis now includes cancer thatmetastasized to her liver. What ICD-10-CM coding is reported?)
Answer: D
Explanation:
When a prior malignancy has been eradicated and the patient is no longer receiving treatment for the primary site, ICD-10-CM directs you to use apersonal history of malignant neoplasmcode rather than an active primary cancer code. Here, the breast cancer was treated successfully last year and no further therapy was required, so the breast cancer ishistory, not active. The new current condition ismetastatic cancer to the liver, which is coded as asecondary malignant neoplasm of liver and intrahepatic bile duct (C78.7). Because the primary breast cancer is not documented as active or under current treatment, you donotcode an active breast malignancy (C50.-). Instead, you addZ85.3 (personal history of malignant neoplasm of breast)to show the prior cancer history relevant to the current metastatic disease. Option A incorrectly codes a primary liver cancer. Option C incorrectly codes active breast cancer. Option D codes metastasis to the adrenal gland, not the liver.
NEW QUESTION # 376
An incision is made in the scalp, a craniectomy is performed to access the area where electrodes are present.
The electrodes are removed. The surgical wound is closed.
What procedure code is reported?
Answer: D
Explanation:
The procedure described involves the removal of electrodes from the cranial area after making an incision in the scalp and performing a craniectomy.
Procedure Description:
Incision in the scalp.
Craniectomy to access the area with electrodes.
Removal of electrodes.
Closure of the surgical wound.
CPT Coding:
61860: Removal of intracranial neurostimulator electrodes, including burr hole(s) or craniectomy.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on neurostimulator procedures.
NEW QUESTION # 377
(Patient presents to the office for the removal of15 actinic keratoseslesions. The provider destroys these lesions withlaser surgery. What CPT coding is reported for this visit?)
Answer: A
Explanation:
Actinic keratoses (AKs) are coded using thepremalignant lesion destructionCPT family17000-17004, regardless of the destruction method (e.g., laser, cryotherapy, electrosurgery), as long as the intent is destruction. Coding is based on thenumber of lesions treated in that session:17000covers thefirstlesion,
17003is an add-on code for2-14 additional lesions, and17004is used when treating15 or more lesions.
Because the encounter documents destruction of15 AK lesions, CPT requires reporting17004only (not 17000
+ multiple units of 17003). Codes17110/17111are for destruction ofbenignlesions (e.g., warts, molluscum), which is the wrong lesion category. On CPC exams, the key is matchingpremalignant vs benignand then selecting the correct code bylesion count threshold-here the threshold is met for17004.
NEW QUESTION # 378
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