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AAPC CPC Prüfungsplan:
| Thema | Einzelheiten |
|---|
| Thema 1 | - 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 2 | - 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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| Thema 3 | - 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 4 | - 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 5 | - 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 6 | - 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 7 | - Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
|
| Thema 8 | - 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 9 | - 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 10 | - 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 11 | - Female Reproductive System and Maternity Care & Delivery: This section of the exam measures the skills of coding specialists and evaluates coding accuracy for gynecological and obstetric procedures. It includes deliveries, antepartum care, cesarean sections, and surgical procedures involving female reproductive anatomy.
|
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AAPC Certified Professional Coder (CPC) Exam CPC Prüfungsfragen mit Lösungen (Q444-Q449):
444. Frage
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test.
He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
- A. 93016, 93017, 93018
- B. 93015, 93016
- C. 93015, 93018
- D. 93016, 93018
Antwort: D
Begründung:
Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
CPT Codes:
93016: This code is for supervision only without provision of the equipment.
93018: This code is for interpretation and report only.
Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and 93018 correctly represent the supervision, interpretation, and report of the test.
AMA CPT Professional Edition (current year)
445. Frage
What does NCCI stand for, and what is its purpose?
- A. National Code Collection Information; it lists CPT codes and specifies which codes are allowed for repeat procedures
- B. National Coding Compliance Index; it lists CPT codes that can be appended with modifier 51 to bypass an edit and what other codes can be used instead
- C. National Correct Coding Initiative; it lists CPT codes that are bundled or not reported separately together, which promotes accurate coding and prevents improper reimbursement
- D. National Coding Compliance Index; it lists CPT codes that must always be billed together, eliminating the need for modifiers
Antwort: C
Begründung:
The National Correct Coding Initiative (NCCI) was developed by CMS to:
Prevent unbundling
Define procedure-to-procedure (PTP) edits
Identify when modifiers (such as -59) may be appropriate
NCCI edits are critical for accurate CPT coding and proper reimbursement.
446. Frage
Which CPT code can append modifier 50?
Antwort: B
Begründung:
Modifier 50 (Bilateral Procedure) is appended when a procedure is performed on both sides during the same session and the CPT code is not inherently bilateral.
77066 is already defined as bilateral mammography
77065 is unilateral
75572 (CT heart) is not a bilateral procedure
73115 (MRI upper extremity joint) may be performed bilaterally and allows modifier 50
447. Frage
Which statement regarding lesion excision is TRUE?
- A. Lesion excision codes are selected by measuring the greatest clinical diameter of a lesion excluding the margins required to complete the excision
- B. Lesion excision codes include removal of a lesion, with margins, and intermediate closure when performed
- C. Lesion excision codes include removal of a lesion with margins, and complex closure when performed
- D. Lesion excision codes include removal of a lesion, with margins, and simple (nonlayered) closure when performed
Antwort: D
448. Frage
A 10-year-old had a cochlear implant in his left ear few weeks ago. Today he sees the audiologist to initialize and program the implant.
What CPTcode is reported?
Antwort: B
Begründung:
1. Procedure and CPTCode Selection:
The patient had a cochlear implant placed in the left ear and is now seeing the audiologist for initialization and programming of the implant.
CPTCode 92603 is specific for initial programming of a cochlear implant for patients younger than 12 years old. This includes the setup and initial adjustments required for the cochlear implant, making it the correct code.
2. Rationale for Excluding Other Options:
Code 92626 is used for evaluating auditory function with the cochlear implant, focusing on assessment rather than programming, and is therefore incorrect for this programming session.
Code 92630 is for aural rehabilitation following cochlear implant, which does not apply to the programming
/initiation stage.
Code 92604 is for subsequent programming sessions after the initial programming and is therefore not applicable for the first-time programming.
3. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, 92603 is the appropriate code for initial programming of a cochlear implant in children under 12 years of age.
Therefore, the correct answer is D. 92603.
449. Frage
......
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