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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:AAPC Certified Professional Coder (CPC) Certification Exam
Exam Number:CPC
Exam Duration:340 minutes
Exam Price:$399–$499 USD (varies by membership and region)
Passing Score:Approximately 70%
Real Exam Qty:150 multiple-choice questions
Related Certifications:Certified Inpatient Coder (CIC)
Certified Outpatient Coder (COC)
Certified Coding Specialist (CCS)
Available Languages:English
Exam Format:Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions
Certificate Validity Period:2 years (renewal via Continuing Education Units - CEUs)
Recommended Training:AAPC CPC Training Course
AAPC CPC Practice Exams
Exam Registration:AAPC Exam Registration Portal
AAPC CPC Certification Page
Sample Questions:AAPC CPC Sample Questions
Exam Way:Available via online proctored exam or authorized testing centers (in-person).
Pre Condition:No formal prerequisite required. Recommended: 1–2 years of medical coding experience or completion of AAPC CPC training.
Official Syllabus URL:https://www.aapc.com/certification/cpc/

>> CPC Prüfungsvorbereitung <<

AAPC CPC Fragen&Antworten - CPC Prüfungsfragen

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AAPC CPC Prüfungsplan:

ThemaEinzelheiten
Thema 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 6
  • The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.
Thema 7
  • 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 8
  • Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Thema 9
  • 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 10
  • Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
Thema 11
  • Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.
Thema 12
  • 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.

AAPC Certified Professional Coder (CPC) Exam CPC Prüfungsfragen mit Lösungen (Q379-Q384):

379. Frage
A patient presents to the office with dysuria and lower abdominal pain. The physician suspects she has a UTI. A non-automated urinalysis is done in the office and is negative. UTI is ruled out for the final diagnosis.
What CPT and ICD-10-CM codes are reported?

Antwort: A

Begründung:
1. Procedure and CPT Code Selection:
The urinalysis performed was non-automated and without microscopy.
CPT Code 81002 is appropriate for a non-automated urinalysis without microscopy. This code accurately reflects the test performed in the office.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code R30.0 is used for dysuria, which was one of the patient's presenting symptoms.
ICD-10-CM Code R10.30 is used for lower abdominal pain, another presenting symptom.
Since the urinalysis ruled out a urinary tract infection, N39.0 (UTI) is not appropriate as a final diagnosis.
3. Rationale for Excluding Other Options:
Code 81000 (in options A and B) is for a urinalysis with microscopy, which was not performed here.
N39.0 is used when a UTI is confirmed, which is incorrect for this case since the urinalysis was negative, ruling out UTI.
4. AAPC and CPT Coding Guidelines:
AAPC guidelines recommend coding based on the symptoms when a specific diagnosis (such as UTI) is ruled out. Therefore, R30.0 and R10.30 are appropriate symptom codes for this encounter.
Thus, the correct answer is C. 81002, R30.0, R10.30.


380. Frage
Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?

Antwort: D

Begründung:
The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.References: OIG Compliance Program Guidance, AMA's CPT Professional Edition, and healthcare compliance resources.


381. Frage
A patient with Parkinson's has sialorrhea. The physician administers an injection of atropine bilaterally into a total of four submandibular salivary glands.
What CPT coding is reported?

Antwort: D

Begründung:
* Injection of atropine: Atropine is administered to reduce sialorrhea.
* Bilateral submandibular salivary glands: The physician administers the injections into the salivary glands.
* Total of four glands: Indicates that multiple glands are treated in the same session.
CPT code 64611 accurately represents chemodenervation of the salivary glands, bilateral. The use of -50, -52, or x4 modifiers is not appropriate since CPT guidelines include bilateral procedures in this code without needing additional modifiers or codes.
References: AMA's CPT Professional Edition (current year)


382. Frage
A surgeon removes the right and left fallopian tubes and the left ovary via an abdominal incision. How is this reported?

Antwort: C


383. Frage
An air bag deployed when a driver lost control of the car and crashed into a guardrail on the side of the highway. The driver suffers partial impact resulting in a skull fracture of the anterior cranial base. The fracture is diagnosed using the MRI scanner and cerebrospinal fluid is noted dripping via the sphenoid sinus into the right nasal passage. The patient requires a surgical nasal sinus endoscopy to assess and repair the injury.
What is the correct procedure and diagnosis coding combination to report this service?

Antwort: B

Begründung:
1. Procedure and CPT Code Selection:
The patient requires a surgical nasal sinus endoscopy to repair a cerebrospinal fluid (CSF) leak caused by a skull fracture that resulted in CSF draining into the nasal passage.
Code 31291 is the correct CPT code for an endoscopic repair of a cerebrospinal fluid leak in the sphenoid sinus. This procedure code is appropriate because it specifically addresses surgical endoscopy for CSF leak repair in the sinus region.
Other codes provided, such as 31287 (nasal/sinus endoscopy with balloon dilation) and 31235 (nasal endoscopy with biopsy), do not match the description for surgical repair of a CSF leak and are therefore inappropriate for this case.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code S02.19XA is used to describe a fracture of the anterior cranial base, which fits the described injury of the skull with cerebrospinal fluid leakage.
External cause code V47.5XXA is used for motor vehicle accidents involving a car hitting a stationary object.
Y92.411 is the appropriate code to describe the location of the accident as a highway.
3. Exclusion of Additional Procedure Codes:
There is no need for a second endoscopy code or a modifier, as 31291 fully describes the endoscopic repair procedure for the CSF leak.
4. AAPC and CPT Coding Guidelines:
Per AAPC guidelines, procedure codes for sinus endoscopy are chosen based on the specific type of intervention (e.g., CSF leak repair). The guidelines for ICD-10-CM stress including external cause codes and location codes for trauma cases related to motor vehicle accidents.
Thus, the correct answer based on CPT and ICD-10-CM coding standards is B. 31291, S02.19XA, V47.5XXA, Y92.411.


384. Frage
......

CPC Fragen&Antworten: https://www.deutschpruefung.com/CPC-deutsch-pruefungsfragen.html

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