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AAPC CPC Prüfungsplan:

ThemaEinzelheiten
Thema 1
  • Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:
Thema 2
  • Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
Thema 3
  • Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
Thema 4
  • Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.
Thema 5
  • Special Senses (Ocular and Auditory): This section of the exam measures the skills of coding specialists and covers the coding of procedures related to the eyes and ears. Topics include surgeries on the cornea, retina, and middle
  • inner ear, as well as related diagnostic procedures.
Thema 6
  • Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
Thema 7
  • Female Reproductive System and Maternity Care & Delivery: This section of the exam measures the skills of coding specialists and evaluates coding accuracy for gynecological and obstetric procedures. It includes deliveries, antepartum care, cesarean sections, and surgical procedures involving female reproductive anatomy.
Thema 8
  • Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
Thema 9
  • Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
Thema 10
  • Evaluation & Management Services: This section of the exam measures the skills of coding specialists and covers office visits, hospital care, consultations, and other E
  • M services. It tests the understanding of time-based coding, medical decision-making, and history
  • exam components per current CMS guidelines.
Thema 11
  • Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Thema 12
  • Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Thema 13
  • Hemic & Lymphatic Systems, Mediastinum, Diaphragm: This section of the exam measures the skills of medical coders and includes procedures related to the spleen, lymph nodes, bone marrow, as well as surgical interventions in the mediastinum and diaphragm. Coders must differentiate procedures by region and system accurately.

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AAPC Certified Professional Coder (CPC) Exam CPC Prüfungsfragen mit Lösungen (Q31-Q36):

31. Frage
(Day 1: Provider admits patient toobservation carefor type 2 diabetes with hyperglycemia, orders labs, consults endocrinologist, starts IV insulin drip, keeps overnight. Day 2: orders glucose test, dietitian, documents total time 25 minutes. Day 3: glucose normal, documents 15 minutes, discharges patient. What E
/M coding is reported by the physician for the patient in observation care?)

Antwort: A

Begründung:
Observation E/M coding is chosen by thetype of serviceprovided on each calendar date. Day 1 includes initiation of observation with significant work (IV insulin drip, multiple labs, discussion with endocrinologist), supporting an observation initial care code. In this option set,99235represents an observation
"admit and discharge on same date" style service; however, the patient stays multiple days. The question's answer choices are structured around using99235as the initial observation care code offered, then a subsequent observation code for day 2, and a discharge code for day 3. Day 2 includes ongoing management with documented time of 25 minutes, supporting asubsequent observation carecode such as99231(as provided). Day 3 isobservation discharge, which is99238(30 minutes or less) given the documented 15 minutes. While the most current observation framework in CPT has evolved, the CPC-style expected pattern in these choices is99235 (initial), 99231 (subsequent), 99238 (discharge). Therefore, optionBmatches the intended coding sequence across the observation stay dates.


32. Frage
An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?

Antwort: B

Begründung:
Impending myocardial infarction is reported with I21.3 for a myocardial infarction (acute). The shortness of breath, which is a symptom, is coded separately as R06.02. According to ICD-10-CM guidelines, when a definitive diagnosis is established, the diagnosis code is sequenced first followed by symptom codes.
References: ICD-10-CM (current year), Chapter 9: Diseases of the Circulatory System (I00-I99), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.9.e.4.


33. Frage
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?

Antwort: C


34. Frage
The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.
What CPT and ICD-10CM codes are reported?

Antwort: D


35. Frage
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?

Antwort: B

Begründung:
Procedure Coding (CPT):
59821 - Induced abortion, by vaginal suppository, amniotic fluid injection, or other medical means Used for fetal demise at ≥14 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


36. Frage
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