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| Section | Weight | Objectives |
|---|
| HCPCS Level II Coding | 5-7% | |
| Reimbursement & Revenue Cycle | 5-7% | |
| Modifiers | 5-7% | |
| Medical Terminology & Anatomy | 8-10% | |
| ICD-10-CM Coding | 15-17% | - Diagnosis coding guidelines - Code selection & sequencing
|
| Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules
|
| CPTยฎ Coding | 45-50% | - Surgery (10000โ69999) - Radiology, Pathology/Laboratory, Medicine - Evaluation & Management (E/M)
|
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q258-Q263):
NEW QUESTION # 258
In medical terminology, suffixes indicate the procedure, condition, disorder, or disease.
Which term contains a suffix?
- A. malaise
- B. ambidextrous
- C. hypotension
- D. neuralgia
Answer: D
Explanation:
The suffix in medical terminology provides information about a condition, procedure, disorder, or disease. The term "neuralgia" contains the suffix "-algia," which refers to pain, indicating a painful condition of the nerves. In contrast:
A . malaise has no identifiable suffix related to a specific medical condition or disease.
B . ambidextrous has no suffix indicating a disease, condition, or procedure.
D . hypotension includes the prefix "hypo-" (indicating low), but the core term "tension" refers to pressure without an additional suffix specific to condition.
Thus, "neuralgia" is the correct answer as it directly includes a suffix ("-algia") that denotes a pain-related condition in medical terms.
NEW QUESTION # 259
A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a secondary repair for the same two tendons.
Which CPT coding is reported?
- A. 25263 x 2
- B. 0
- C. 1
- D. 25272 x 2
Answer: C
Explanation:
The scenario involves a secondary repair of two flexor tendons in the forearm. CPT code 25272 describes the repair of a secondary flexor tendon injury, including a graft, in the forearm and/or wrist, which fits the description provided. This code should be reported once, as the procedure encompasses the repair of multiple tendons.
References:
* AMA's CPT Professional Edition (current year), Code 25272
NEW QUESTION # 260
A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPT codes are reported?
- A. 47000, 77002-26
- B. 47100, 77012-26
- C. 47000, 10005
- D. 47000, 76942-26
Answer: D
NEW QUESTION # 261
A Medicare patient is scheduled for a screening colonoscopy.
What code is reported for Medicare?
- A. G0105
- B. G0121
- C. G0106
- D. 0
Answer: A
NEW QUESTION # 262
A 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.
What CPT code is reported?
Answer: A
Explanation:
Procedure: Gross and microscopic examination of a newborn autopsy.
CPT Code:
88028: This code is for the autopsy, gross and microscopic examination of a stillborn or newborn.
Code Selection Justification: The procedure described matches the comprehensive postmortem examination of a newborn.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
NEW QUESTION # 263
......
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