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| Certification Vendor: | AAPC (American Academy of Professional Coders) |
|---|---|
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Number: | CPC |
| Certificate Validity Period: | 3 years |
| Exam Price: | $425 (1 attempt), $499 (2 attempts) |
| Passing Score: | 70% |
| Exam Format: | Scenario-based, Multiple-choice, Open-book |
| Real Exam Qty: | 100 |
| Exam Duration: | 240 minutes |
| Related Certifications: | CPC-P CPCO CRC CPMA |
| Available Languages: | English |
| 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 # 176
(What is the medical term for the study of the kidney?)
Answer: B
Explanation:
"Nephr/o" is the combining form meaningkidney, and "-logy" meansstudy of. Therefore,nephrologyis the medical specialty focused on the kidneys-normal kidney function, kidney diseases, and their medical management. In CPC-style terminology questions, look for the body-system root first (nephr = kidney) and then confirm the suffix. This differs fromurology, which is a surgical specialty addressing the urinary tract and male reproductive system. Endocrinology relates to hormones and glands, neurology relates to the nervous system, and cardiology relates to the heart. A quick word-building check helps avoid distractors:
nephrology = kidney; cardiology = heart; neurology = nerves/brain; endocrinology = endocrine glands. On the CPC exam, recognizing common combining forms (nephr/o, ren/o) and suffix patterns (-logy, -itis, -ectomy) is a frequent testing strategy, so anchoring on "nephr" reliably identifies the correct specialty.
NEW QUESTION # 177
A woman who is 19 weeks pregnant is taken to the hospital from her doctor's office due to the detection of no fetal heartbeat and the death of the fetus. Due to the stage of pregnancy, labor is initiated, and the fetus is delivered.
What CPT and ICD-10-CM codes are reported for the delivery of the fetus on the maternal record?
Answer: A
Explanation:
Procedure Coding (CPT):
59821 - Induced abortion, by vaginal suppository, amniotic fluid injection, or other medical means Used for fetal demise at โฅ14 weeks gestation Labor was medically induced and fetus delivered Diagnosis Coding (ICD-10-CM):
O36.4XX0 - Maternal care for intrauterine death, not applicable or unspecified Correct maternal record diagnosis Z3A.19 - 19 weeks gestation Required per ICD-10-CM guidelines for obstetric encounters Why Other Options Are Incorrect:
A / D - ICD-9 code (002.1) is invalid
C - Missing required gestational age code
NEW QUESTION # 178
View MR 004397
MR 004397
Operative Report
Preoperative Diagnosis: Calculi of the gallbladder
Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis Procedure: Cholecystectomy Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.
Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.
What CPT coding is reported for this case?
Answer: C
NEW QUESTION # 179
(Full Case:Patient:V. Bowen.Physician:C.S., MD.Reason for admission:Abdominal pain.HPI:admitted this morning; sudden onset RUQ pain began ~4:00 p.m. yesterday; started while eating; 8/10; chills/sweating
/nausea; no vomiting/diarrhea; last BM 2:00 p.m. yesterday; unable to pass stool or gas since; abdominal distention; poor sleep; prior similar episodes relieved by gas tablets but not this time; no discolored stool/urine.
PMH:HTN (losartan; missed dose).PSH:bunion surgery right foot.FH:HTN.SH:no smoking/alcohol.Meds:
losartan daily.Allergies:NKDA.ROS:nausea, no emesis; no flatus/stool since yesterday; no weight change; no SOB/chest pain; no jaundice; no urinary frequency/urgency.PE:alert/oriented x3; obvious abdominal discomfort. Vitals 139/100, pulse 100, RR 16, temp 36.4. HEENT normal; CV regular; lungs clear. Abdomen:
+BS, soft but very tender; worst RUQ;Murphy's sign; guarding and rebound (worse with palpation).
Extremities trace edema.Labs ordered/reviewed:CMP with abnormal LFT/bili; CBC WBC 9.9; etc.Final assessment:RUQ abdominal pain,rule out cholecystitis.Plan:NPO; morphine IV (controlled substance); IV NS
150 cc/hr; abdominal ultrasound and HIDA ordered; consider surgical consult based on results.Question:What CPT and ICD-10-CM codes are reported?)
Answer: B
Explanation:
This is aninitial hospital service(admitted this morning; "reason for admission"), so the correct E/M family isinitial hospital inpatient/observation carerather than subsequent hospital care (99232/99233). The encounter includes a detailed history, comprehensive exam elements focused on abdominal pathology, and meaningful initial management: NPO, IV fluids,IV morphine, ordering and reviewing lab panels, and ordering imaging (ultrasound and HIDA) with possible surgical consultation-supporting at leastmoderate MDM, consistent with99222in typical CPC exam mapping. Diagnosis coding: "rule out cholecystitis" is not a confirmed inpatient discharge diagnosis in the provided note; at this stage the physician's final assessment isRUQ abdominal pain, rule out cholecystitis. Therefore, you report thesign/symptomcodeR10.11 (right upper quadrant pain)rather thanK81.9(cholecystitis, unspecified), because cholecystitis is not established as definitive in the note. Option A correctly pairs an initial hospital E/M code with the symptom diagnosis supported by documentation.
NEW QUESTION # 180
A 78-year-old patient experiencing intermittent asthma with exacerbation is in her pulmonologist's office for a pulmonary function test. The pulmonologist tests for spirometry, vital capacity, breathing capacity, and flow volume capturing the measurements before and after administering a bronchodilator.
What CPTand ICD-10-CM codes are reported?
Answer: B
Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a pulmonary function test that included spirometry, vital capacity, breathing capacity, and flow volume measurements before and after bronchodilator administration.
CPTCode 94060 is for spirometry, including the bronchodilator responsiveness testing, which involves capturing pre- and post-bronchodilator measurements. This code accurately reflects the testing performed.
CPTCode 94010 is for spirometry testing without bronchodilator, which might be considered redundant in this case since 94060 encompasses spirometry testing with and without bronchodilator. However, some practices may code both, but generally, 94060 alone should suffice.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code J45.901 is used for unspecified asthma with acute exacerbation. This code is appropriate given that the diagnosis indicates intermittent asthma with exacerbation.
J45.21 represents mild intermittent asthma without the specification of exacerbation, making it less accurate than J45.901 in this context.
3. Rationale for Excluding Other Options:
Code 94070 (options B and C) is for bronchospasm provocation testing, which does not apply to standard pulmonary function testing with bronchodilator responsiveness.
Option D includes J45.21, which does not capture the exacerbation aspect and is therefore incorrect.
4. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, 94060 should be used when pre- and post-bronchodilator spirometry is performed, and J45.901 is appropriate for asthma with exacerbation.
Therefore, the correct answer is A. 94060, 94010, J45.901.
NEW QUESTION # 181
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