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| Section | Objectives |
|---|---|
| ICD-10-CM Diagnosis Coding | - ICD-10-CM guidelines - Diagnosis code selection and sequencing |
| Medical Terminology and Anatomy | - Medical terminology structure - Human anatomy basics |
| Compliance and Regulatory Guidelines | - HIPAA and medical ethics - Fraud and abuse regulations |
| HCPCS Level II Coding | - Durable medical equipment and supplies - Medicare coding procedures |
| CPT Coding | - CPT guidelines and conventions - Surgical, diagnostic, and procedural coding |
ITPassLeader has one of the most comprehensive and top-notch AAPC CPC Exam Questions. We eliminated the filler and simplified the Certified Professional Coder (CPC) Exam exam preparation process so you can ace the AAPC certification exam on your first try. Our AAPC CPC Questions include real-world examples to help you learn the fundamentals of the subject not only for the AAPC exam but also for your future job.
NEW QUESTION # 367
A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.
How does each surgeon report their portion of the surgery?
Answer: B
Explanation:
For this scenario, two surgeons are working together, each as a primary surgeon. Therefore, the correct coding requires the use of the modifier -62, which indicates co-surgeons.
* The transthoracic approach to excise the damaged portion of the vertebral body is coded with 63087.
* The insertion of the bone graft and metal plate is coded with 63088.
* Both codes are appended with modifier -62 to indicate that two surgeons worked together as primary surgeons on this case.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 368
A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT code is reported for this procedure?
Answer: C
Explanation:
* Laparoscopic nephrectomy: A minimally invasive surgical procedure to remove a kidney.
* Part of the ureter: Removal includes part of the ureter.
* 50220: Nephrectomy (open procedure), which doesn't apply since the procedure was laparoscopic.
* 50548: Nephrectomy, partial, laparoscopic, which doesn't match the full nephrectomy performed.
* 50543: Laparoscopy, surgical; nephrectomy with total ureterectomy.
50543 is the correct CPT code for the laparoscopic removal of the kidney along with part of the ureter, fitting the scenario described.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)
NEW QUESTION # 369
Which is a TRUE statement for Place of Service (POS) codes for professional claims?
Answer: A
Explanation:
Place of Service (POS) codes are two-digit numeric codes used on professional claims to identify where a service was performed (e.g., office, inpatient hospital, outpatient hospital).
Reporting an incorrect POS can affect reimbursement and may result in claim denial # POS codes are not alphanumeric They describe many locations, not just ICU POS codes are maintained by CMS, not found in the ICD-10-CM code book
NEW QUESTION # 370
(What doesNCCIstand for, and what is its purpose?)
Answer: A
Explanation:
NCCIstands for theNational Correct Coding Initiative. Its purpose is to promote correct coding by identifying code pairs that shouldnotbe reported together in most circumstances, helping preventunbundlingand improper payment. The NCCI includesProcedure-to-Procedure (PTP) editsand guidance that reflect common clinical coding conventions (for example, when one service is considered integral to another). Importantly, NCCI edits do not "eliminate the need for modifiers"; rather, they clarify when a modifier (such as-59or an appropriate X{EPSU} modifier) may be allowedonly whendocumentation supports that the services were truly distinct (different site, session, lesion, or other qualifying circumstance). Options A and C incorrectly name the initiative and misstate its function, and option B is not the correct expansion or purpose. For CPC exam readiness, understand NCCI as a primary Medicare edit set widely used as a reference by many payers, supporting consistent and accurate reporting and reducing payment errors.
NEW QUESTION # 371
A patient with end-stage renal disease (ESRD) receives hemodialysis 3x weekly in the office for one month.
The nephrologist performs a comprehensive exam and supervises dialysis.
What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
90960 = ESRD services, 4 or more visits/month
N18.6 = End-stage renal disease
Z99.2 = Dependence on renal dialysis
NEW QUESTION # 372
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