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AAPC CPC Prüfungsplan:

Thema	Einzelheiten
Thema 1	Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.
Thema 2	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 3	Endocrine System and Nervous System: This section of the exam measures the skills of medical coders and assesses the ability to assign codes for surgeries involving glands, the brain, spinal cord, and peripheral nerves. Procedures like resections and electrical stimulation are part of the evaluated content.
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	Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.
Thema 6	Special Senses (Ocular and Auditory): This section of the exam measures the skills of coding specialists and covers the coding of procedures related to the eyes and ears. Topics include surgeries on the cornea, retina, and middle inner ear, as well as related diagnostic procedures.
Thema 7	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 8	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 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	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.:

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AAPC Certified Professional Coder (CPC) Exam CPC Prüfungsfragen mit Lösungen (Q368-Q373):

368. Frage
(Regarding the CPT Surgery Guidelines for a surgical code designated as a"Separate Procedure,"which statement isFALSE?)

A. A service that is commonly carried out as an integral component of a total service or procedure is identified by the inclusion of the term "separate procedure."
B. Codes designated as "separate procedure" should not be reported in addition to the code for the total procedure or service of which it is an integral component.
C. When a procedure is designated as a separate procedure and carried out independently or considered unrelated from the total primary service, it may be reported.
D. To identify a service designated as a "separate procedure" that is reported with an unrelated primary service, append modifier79to the code.

Antwort: D

Begründung:
In CPT, a code labeled"separate procedure"is typically a service that isnormally includedas part of a more comprehensive procedure andshould not be reported separatelywhen performed as an integral component.
However, itmaybe reported when performedindependentlyorunrelatedto the primary procedure-this supports options A, B, and C as true. The false statement isDbecause CPT doesnotinstruct that modifier79is specifically required to report a separate procedure with an unrelated primary service. Modifier selection depends on the actual circumstances and payer rules, and "separate procedure" logic is about whether the service isdistinct and not integral, often supported by documentation of a different site/session or separate clinical intent; when a modifier is needed, it is commonly adistinct procedural servicemodifier (e.g., 59 or X
{EPSU}) rather than automatically 79. Modifier79is a global surgery modifier used for anunrelated procedure during the postoperative period, which is a different concept than "separate procedure" designation.

369. Frage
(A three-year-old patient returns forstage 2treatment for double right outlet syndrome. The surgeon removes apulmonary artery bandand performstransposition repair of the great vesselsvia aortic pulmonary reconstruction. Central cannulae are inserted forECMO bypass, chemical cardioplegia is initiated, and a physician assistant monitors vitals and oxygenation until heart function resumes. What CPT codes are reported for the surgery today?)

A. 33778-78, 33953-78, 33985-78
B. 33779-58, 33955-58, 33985-58
C. 33779-78, 33953-78, 33985-78
D. 33778-58, 33955-58, 33985-58

Antwort: D

Begründung:
This is aplanned stagedcongenital cardiac repair following prior pulmonary artery banding, so the correct postoperative modifier concept isstaged/related(modifier-58), not an unplanned return-to-OR modifier (-78).
The operative service includesremoval of the pulmonary artery bandandarterial switch/transposition-type repairof the great vessels (captured in the 33778/33779 family in the answer choices). The case also describes use ofECMOwith central cannulation and management during the procedure, which is reported with the appropriate ECMO initiation/management codes shown as33955and the monitoring/assistant-related component represented by33985in the choices. Because this is thesecond stageof care and described as planned definitive repair, the -58 modifier is appropriate on the reported surgical services in these answer constructs. OptionDcorrectly pairs the staged modifier (-58) with the appropriate congenital repair and ECMO-related coding listed in the question's options.

370. Frage
A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a secondary repair for the same two tendons.
Which CPT coding is reported?

A. 0
B. 1
C. 25272 x 2
D. 25263 x 2

Antwort: D

371. Frage
A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior.
What ICD-10-CM codes are reported for this patient?

A. C56.9, C78.7, C78.02
B. D38.1, C56.9, C78.7
C. R91.8, C56.9, C78.7
D. C78.02, C22.9, C79.82

Antwort: C

372. Frage
(ESTABLISHED PATIENT VISIT: A 37-year-old woman presents with coughing, congestion, upper respiratory symptoms, and headache for two days. Complete ROS negative except as noted. No significant past/family history. Exam: stable vitals, nasal congestion, normal TMs, occasional rhonchi, no wheezing, normal heart, soft abdomen. Assessment/Plan:Acute upper respiratory infection, fluids,amoxicillinfor 5-7 days, return precautions. What CPT code is reported?)

A. 0
B. 1
C. 2
D. 3

Antwort: A

Begründung:
This is anestablished patient office visitcoded byMDM(or time, but time is not provided). Problems:one acute, uncomplicated illness(URI) # supportslowproblem complexity. Data: no labs/imaging ordered or reviewed
#minimal/nonedata. Risk: although a prescription is given, MDM level is determined by2 of 3elements (Problems, Data, Risk). Here, only the risk might approach moderate due to prescription management, butproblems and data remain low/minimal, so the overall MDM doesnotmeet moderate. Therefore, the visit is best supported atlow MDM, which corresponds to99213for an established patient. It is more than minimal (99212) because a focused exam and management plan are documented, but it does not meet the higher complexity required for 99214/99215 (multiple problems, significant data review, or high-risk management).
CPC exam focus: don't let a single element (like antibiotics) automatically "force" a higher code-MDM requires meeting the level intwo elements.

373. Frage
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