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| Certification Vendor: | AAPC |
|---|---|
| Exam Name: | AAPC Certified Professional Coder (CPC) Certification Exam |
| Exam Number: | CPC |
| Certificate Validity Period: | 2 years (renewal via Continuing Education Units - CEUs) |
| Exam Duration: | 340 minutes |
| Real Exam Qty: | 150 multiple-choice questions |
| Available Languages: | English |
| Exam Format: | Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions |
| Exam Price: | $399–$499 USD (varies by membership and region) |
| Related Certifications: | Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) Certified Coding Specialist (CCS) |
| Passing Score: | Approximately 70% |
| Recommended Training: | AAPC CPC Practice Exams AAPC CPC Training Course |
| 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/ |
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NEW QUESTION # 307
According to the Repair (Closure) CPT guidelines, what type of repair is reported when a single layer closure includes copious irrigation and extensive cleaning to remove particulate matter?
Answer: B
Explanation:
According to the CPT guidelines for Repair (Closure), an intermediate repair includes the closure of a wound with one or more layers of subcutaneous tissue and superficial fascia in addition to the skin (epidermal and dermal) closure. It also involves extensive cleaning of the wound, which includes copious irrigation and the removal of particulate matter. This description fits the scenario provided in the question.References:
AMA's CPT Professional Edition, Repair (Closure) guidelines.
NEW QUESTION # 308
A 53-year-old male arrived at the ER due to severe ocular trauma to the right eye. He was at work on a metal drilling machine and a metallic item penetrates his right eyeball. A foreign body is in the posterior segment of the eye and corneal laceration with multiple posterior perforated sites were noted. He is brought back to the surgical suite. The surgeon removes the metallic foreign body using large retinal forceps. The laceration of the cornea is sutured and the provider also performs a pars plana lensectomy.
What is the CPTand ICD-10-CM codes are reported?
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The patient required surgical intervention for severe ocular trauma involving removal of a foreign body from the posterior segment of the eye, suturing of the corneal laceration, and a pars plana lensectomy.
CPTCode 65265 is for removal of a foreign body from the posterior segment of the eye without the use of a magnet. This code is appropriate for the removal of the metallic foreign body using retinal forceps.
CPTCode 66852 covers the pars plana lensectomy, which was performed as part of the surgical treatment.
CPTCode 65280 is used for repairing a corneal laceration with multiple perforations, which applies to the corneal suturing.
2. Modifiers:
Modifier RT is used to indicate that the procedures were performed on the right eye.
Modifier 51 is added to indicate multiple procedures performed during the same surgical session.
3. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code S05.51XA is appropriate for penetrating wound of the right eyeball with a foreign body in the posterior segment.
ICD-10-CM Code W31.1XXA is used to indicate that the injury was caused by contact with a metalworking and woodworking machine.
4. Rationale for Excluding Other Options:
Codes 65235 and 65275 in options B, C, and D refer to foreign body removal from the anterior chamber and the anterior segment, respectively, which are not appropriate since the foreign body was located in the posterior segment.
Codes S05.31XA and W31.0XXA in options C and D represent different eye injuries and types of machines, which do not match the scenario described.
5. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, codes should be selected based on the specific location (posterior segment) and the type of foreign body removal. Each procedure, including the corneal repair, should be coded to capture the full extent of the treatment.
Therefore, the correct answer is A. 65265-RT, 66852-51-RT, 65280-51-RT, S05.51XA, W31.1XXA.
NEW QUESTION # 309
A couple presents to the freestanding fertility clinic to start in vitro fertilization. Under radiologic guidance, an aspiration needle is inserted (by aid of a superimposed guiding-line) puncturing the ovary and preovulatory follicle and withdrawing fluid from the follicle containing the egg.
What is the correct CPT code for this procedure?
Answer: C
Explanation:
The procedure involves the aspiration of fluid from an ovarian follicle to retrieve the egg under radiologic guidance.
* Procedure Description:
* Aspiration needle insertion.
* Puncture of the ovary and preovulatory follicle.
* Withdrawal of fluid containing the egg.
* Radiologic guidance was used.
* CPT Coding:
* 58976: Aspiration of ovarian follicle(s) with ultrasound guidance.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on reproductive procedures.
NEW QUESTION # 310
(A 42-year-old female is in the operative room to repair azone 2 flexor digitorum profundus (FDP) tendonlaceration involving her index finger with an associatedradial digital nerveinjury. The dorsal side of the FDP tendon was sutured. Next, themicroscopewas brought into place and the radial digital nerve was repaired using epineural sutures. What CPT codes are reported?)
Answer: A
Explanation:
Zone 2 flexor tendon repairs ("no man's land") are coded with thezone 2 flexor tendon repair
/advancementcode family. Because the case specifieszone 2 FDP tendon repairof the index finger, the correct tendon repair code is26356(zone 2 flexor tendon repair/advancement; primary, without free graft, each tendon). The associateddigital nerve repairis separately reported with64831(suture of digital nerve; one nerve). Since both procedures are performed in the same operative session, the secondary procedure commonly carriesmodifier -51for multiple procedures when required by payer/claim conventions (as reflected in the answer choices). The operative note specifically states use of anoperating microscopefor microsurgical nerve repair, which supports add-on code69990(microsurgical techniques requiring operating microscope), reportedonce per sessionandnotwith modifier 51. Therefore, the only fully correct option including tendon, nerve repair, and microscope reporting isA.
NEW QUESTION # 311
Refer to the exhibit.
Refer to the supplemental information when answering this question:
View MR 065174
What E/M code is reported for this encounter?
Answer: D
Explanation:
To determine the correct E/M code, we need to consider the three key components: history, examination, and medical decision making (MDM).
History:
The documentation indicates an expanded problem-focused history. This is supported by the detailed history of present illness, including the patient's description of symptoms, family history, and review of systems with pertinent positives and negatives.
Examination:
The examination is also expanded problem-focused. The physician focused on the relevant systems (head, neck, throat) and documented specific findings related to the chief complaint (thyromegaly).
Medical Decision Making:
The MDM is straightforward. The physician is evaluating a new problem (bilateral thyroid nodules) with a low level of risk. Although further workup is planned, this alone doesn't automatically increase the MDM complexity.
Based on these components, 99213 is the most appropriate code.
Why other options are incorrect:
99212: Requires a problem-focused history and examination, which is less comprehensive than what was documented.
99214 and 99215: Require a higher level of MDM (low or moderate complexity) and/or a more detailed examination. The documentation doesn't support this level of service.
Reference:
CPT Codes 99211-99215: Office or other outpatient visit for the evaluation and management of an established patient
1995 and 1997 Documentation Guidelines for Evaluation and Management Services: These guidelines provide detailed criteria for selecting the appropriate E/M code based on history, examination, and MDM.
AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 312
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