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| Section | Weight | Objectives |
|---|---|---|
| CPT® Coding | 45-50% | - Surgery (10000–69999) - Evaluation & Management (E/M) - Radiology, Pathology/Laboratory, Medicine |
| Reimbursement & Revenue Cycle | 5-7% | |
| Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules |
| Modifiers | 5-7% | |
| ICD-10-CM Coding | 15-17% | - Code selection & sequencing - Diagnosis coding guidelines |
| Medical Terminology & Anatomy | 8-10% | |
| HCPCS Level II Coding | 5-7% |
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NEW QUESTION # 260
A patient with coronary artery disease due to lipid-rich plaque undergoes coronary artery bypass grafting. The surgeon performs a left internal mammary artery graft to the left anterior descending artery. Then performs saphenous vein grafts to the obtuse marginal artery, ramus intermedius, and posterior descending artery. An endoscopic saphenous vein harvest is performed.
What CPT coding is reported for the surgical procedure?
Answer: C
Explanation:
Procedure Coding (CPT):
33533 - CABG, arterial graft; single arterial graft (LIMA to LAD)
Correct for left internal mammary artery → LAD
33519 - CABG, venous grafts; three coronary venous grafts
Saphenous vein grafts placed to:
Obtuse marginal
Ramus intermedius
Posterior descending artery
Total = 3 venous grafts
33508 - Endoscopic harvest of saphenous vein
Separately reportable only when endoscopic
Add-on code (no modifier required)
Why Other Options Are Incorrect:
A / C - Incorrect arterial graft code (33536 = multiple arterial grafts) B - Incorrect venous graft count (33512 = two grafts) CPT Guideline Reference:
CABG codes are selected based on:
Type of conduit (arterial vs venous)
Number of distal anastomoses
Endoscopic harvest is add-on and separately reportable
NEW QUESTION # 261
An MRI guided cisternal puncture with diagnostic contrast injection is performed at the C2 level for cervical discography, with imaging supervision and interpretation.
What CPT coding is reported?
Answer: B
Explanation:
Procedure Coding:
62291 - Injection procedure for myelography and/or CT, cervical
Cisternal puncture at C2 level
72285 - Radiologic supervision and interpretation, cervical discography
77021 - MRI guidance for needle placement
Why Other Options Are Incorrect:
62290 - Lumbar injection
77012 - CT guidance, not MRI
72295 - Lumbar discography imaging
AAPC Coding Principle:
Use modality-specific guidance codes and match spinal level precisely.
NEW QUESTION # 262
(When a provider's documentation refers touse, abuse, and dependenceof the same substance (e.g., alcohol), which statement is correct?)
Answer: D
Explanation:
ICD-10-CM has a clear hierarchy when the same substance is documented with multiple levels of severity.
Dependencerepresents a higher severity classification thanabuse, andabuseis higher thanuse. When two or more of these are documented for the same substance, you generally assignonly one code, selecting thehighest level of severitysupported: dependence over abuse, and abuse over use. Therefore, if bothuse and dependenceare documented, you assigndependence only(Option D). Option A is incorrect because you do not code both use and abuse for the same substance; you choose the higher severity (abuse). Option B is incorrect because if abuse and dependence are both documented, you would codedependence, not abuse. Option C is incorrect because ICD-10-CM does not support reporting all three separately for the same substance; doing so would be duplicative and noncompliant. CPC exam tip: remember the mnemonicD-A-U#Dependence > Abuse > Use(pick the highest).
NEW QUESTION # 263
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: B
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.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 264
A patient undergoes an MRI of the lumbar spine without and with contrast for left-sided low back pain with sciatica.
What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
72158 = MRI lumbar spine without and with contrast
M54.42 = Low back pain with sciatica, left side
Separate pain codes are not reported redundantly
NEW QUESTION # 265
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