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| Section | Objectives |
|---|---|
| Topic 1: CPT Coding | - Surgical, diagnostic, and procedural coding - CPT guidelines and conventions |
| Topic 2: Medical Terminology and Anatomy | - Human anatomy basics - Medical terminology structure |
| Topic 3: ICD-10-CM Diagnosis Coding | - ICD-10-CM guidelines - Diagnosis code selection and sequencing |
| Topic 4: HCPCS Level II Coding | - Durable medical equipment and supplies - Medicare coding procedures |
| Topic 5: Compliance and Regulatory Guidelines | - Fraud and abuse regulations - HIPAA and medical ethics |
This pdf covers all of the CPC Exam Questions from the previous exams as well as those that will appear in the upcoming AAPC CPC exam. The CPC PDF exam questions are compiled according to the latest exam syllabus to ensure your success. The AAPC CPC PDF exam questions are also printable to make handy notes.
NEW QUESTION # 326
A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPTcodes are reported?
Answer: B
Explanation:
* Procedure: The physician performed a liver biopsy using ultrasonic guidance.
* CPTCodes:
* 47000: This code is for the liver biopsy.
* 76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
* Code Selection Justification: The CPTcode 47000 specifically captures the liver biopsy, and 76942-
26 accurately represents the ultrasonic guidance utilized during the procedure.
References:
* AMA CPTProfessional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 327
(Full Case:Preoperative diagnosis:Recurrent dysphagia.Postoperative diagnosis:Hiatal hernia with obstruction.
Procedure:EGD with dilation.Consent:PAR conference; informed consent signed; premedication given.
Position/monitoring:left lateral decubitus; monitored with BP cuff and pulse oximeter throughout.Topical:
Hurricaine spray to posterior pharynx.Scope passage:flexible endoscope passed under direct visualization through cricopharyngeus into esophagus; advanced with identification of EG junction into stomach; rugal folds visualized; advanced to antrum/pylorus; pylorus cannulated; duodenal bulb and second portion visualized; retroflexed views of cardia/fundus/lesser curvature.Dilation technique:guidewire placed in antrum; scope removed; wire positioned by markings;#14 French dilatorpassed into stomach area;esophageal dilation performed over guidewire.Findings:tortuous/shortened esophagus; large sliding hiatal hernia; EG junction
~30 cm; stomach abnormal with very large sliding hiatal hernia; duodenum normal.Question:What CPT coding is reported?)
Answer: C
Explanation:
The documented service is an upper GI endoscopy (EGD) withesophageal dilationperformed using aguidewireand a passed dilator ("dilation performed over the guidewire"). In CPT, when a therapeutic endoscopic service is performed, you report thetherapeutic EGD code, not the separate diagnostic EGD code, because diagnostic visualization is inherent in performing the therapeutic procedure. Therefore,43235 (diagnostic EGD) is not additionally reported. The key distinction between the dilation codes offered is the method:43248describes EGD withesophageal dilation using a guidewire technique(bougie/dilator passed over a guidewire), which matches the narrative: guidewire placed in the antrum, scope removed, and a dilator passedover the guidewireinto the stomach area. Code43249generally reflects balloon dilation of the esophagus performed endoscopically; the note does not describe balloon inflation, diameter, or balloon equipment. The hiatal hernia findings and dysphagia indication support medical necessity but do not change code selection. Thus, the correct CPT code is43248alone.
NEW QUESTION # 328
A 7-year-old boy is brought to the pediatric clinic by his mother. She reported that her son is complaining of discomfort in both ears and loss of hearing in the left ear for the past two days. The pediatrician diagnosis is impacted cerumen. Pediatrician with the mother's consent removes impacted cerumen using water irrigation In the right ear. For the left ear the cerumen impaction is removed using instrumentation.
What CPT coding is reported'
Answer: D
Explanation:
69209-RT - Removal of impacted cerumen using irrigation
69210-LT - Removal of impacted cerumen using instrumentation
Coding Rules Applied:
Different techniques โ different CPT codes
Different ears โ RT/LT modifiers, not modifier -50
Why Other Options Are Incorrect:
A - Modifiers reversed
B / D - Modifier -50 inappropriate when different CPT codes are used
NEW QUESTION # 329
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?
Answer: A
NEW QUESTION # 330
A patient with a history of a right-hand mass presents for outpatient surgical excision. The surgeon excises the 1.5 cm mass with margins using a scalpel with dissection extending through the dermis into the subcutaneous tissue. Hemostasis is achieved with electrocautery, and the wound is closed. Final pathology confirms the mass is a subcutaneous arteriovenous hemangioma.
Which CPT and ICD-10-CM codes are reported?
Answer: A
Explanation:
CPT: The documentation supports excision of a subcutaneous soft tissue tumor of the hand, size 1.5 cm.
26111 = Excision of tumor/soft tissue of hand or finger, subcutaneous, 1.5 cm or less
26115 would be for a larger size range (not supported by "1.5 cm" in the question).
ICD-10-CM: Pathology confirms subcutaneous hemangioma (benign vascular tumor).
D18.01 = Hemangioma of skin and subcutaneous tissueCodes D21.01/D21.11 are benign neoplasm of connective/soft tissue categories, but the most accurate match here (and the one reflected in the answer choices) is D18.01 for hemangioma of skin/subcutaneous tissue.
Typing correction applied: the options showed "018.01"; the correct ICD-10-CM format is D18.01.
NEW QUESTION # 331
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