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| Certification Vendor: | AAPC |
|---|---|
| Exam Name: | AAPC Certified Professional Coder (CPC) Certification Exam |
| Exam Number: | CPC |
| Available Languages: | English |
| Passing Score: | Approximately 70% |
| Exam Format: | Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions |
| Exam Duration: | 340 minutes |
| Exam Price: | $399–$499 USD (varies by membership and region) |
| Related Certifications: | Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) Certified Coding Specialist (CCS) |
| Certificate Validity Period: | 2 years (renewal via Continuing Education Units - CEUs) |
| Real Exam Qty: | 150 multiple-choice questions |
| Recommended Training: | AAPC CPC Training Course AAPC CPC Practice Exams |
| Exam Registration: | AAPC CPC Certification Page AAPC Exam Registration Portal |
| 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/ |
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NEW QUESTION # 286
A patient has five biopsies performed on the duodenum.
What CPT coding is reported?
Answer: D
Explanation:
44010 = Biopsy of small intestine, single or multiple
Reported once only, regardless of number
NEW QUESTION # 287
A patient presents to the ER from a nursing home after the patient was found to have foul smelling, large sacral pressure ulcer during daily nursing rounds. The ER provider swabbed the wound for culture (which measured at 7cm in largest diameter); then cleaned the site before painting with povidone around the entire sacrum to reduce cutaneous bacterial load. The provider made an elliptical excision with 3mm margins around the outer edge of the ulcer and removed the lesion in its entirety. Further examination revealed deep tissue damage, prompting muscle and segmental bone removal. The wound was then closed using a layered skin flap closure.
What CPT coding and ICD-10-CM coding is reported?
Answer: C
Explanation:
In this scenario, the procedure involved the excision of a large sacral pressure ulcer with deep tissue damage that required muscle and bone removal and was followed by a layered flap closure. The coding reflects both the extent of the ulcer and the procedure performed:
1. CPT Code 15937: This code describes excision of a pressure ulcer with muscle and bone removal followed by flap closure, which matches the detailed procedure performed on the sacral ulcer.
2. ICD-10-CM Code L89.156: This code is used for a stage 4 sacral pressure ulcer, indicating the presence of deep tissue damage down to muscle and possibly bone, which aligns with the clinical findings.
Explanation of other options:
A . 15933, L89.153 and B. 15931, L89.153: These codes do not adequately describe the excision with muscle and bone removal nor the stage 4 severity of the ulcer.
C . 15935, L89.156: Although L89.156 is correct for a stage 4 ulcer, 15935 does not account for both muscle and bone excision with flap closure.
Therefore, the correct answer is D. 15937, L89.156, accurately capturing the procedure performed and the severity of the ulcer.
NEW QUESTION # 288
A patient is diagnosed with diabetic polyneuropathy.
Using ICD-10-CM coding guidelines, what ICD-10-CM coding is reported?
Answer: C
NEW QUESTION # 289
Eric is buying his first life insurance policy from XYZ Life Insurance Company. The company requires Eric have a physical exam prior to issuance of the policy. Eric sees his primary care provider who completes the required documentation and forms provided by the insurance company.
How does the primary care provider report his services?
Answer: D
Explanation:
CPT code 99450 is used for the examination of a patient for the purpose of establishing medical baseline information or for insurance purposes. Since Eric's primary care provider completed the required physical exam documentation for his life insurance policy, this is appropriately reported with code 99450. References:
CPT Professional Edition (current year), AMA.
NEW QUESTION # 290
A patient with empyema requires a Schede thoracoplasty.
What CPT code is reported for this procedure?
Answer: A
Explanation:
The Schede thoracoplasty for empyema is accurately described by CPT code 32905, which covers the radical procedure involving the resection of multiple ribs and often the obliteration of the pleural cavity to treat chronic empyema.
Reference:
AMA's CPT Professional Edition (current year)
NEW QUESTION # 291
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