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We hope this article has given you a good overview of the AAPC CPC Exam and what you can expect from it. As always, we recommend you start preparing for your exam as early as possible to give yourself the best chance of success. PrepAwayPDF offers a wide range of study materials and resources to help you prepare, including practice questions, dumps, and a study guide.
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NEW QUESTION # 411
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.
What CPT codes are reported?
Answer: D
Explanation:
35875 = Thrombectomy, femoral-popliteal artery
RT = Right side
75710-26 = Angiography, extremity, unilateral, professional component
NEW QUESTION # 412
A 45-year-old male, with no prior history of heart disease, has been diagnosed having atherosclerotic heart disease with unstable angina. He is in the cardiologist's office for a cardiac MRI test to determine the morphology and function of his heart under stress. First images obtained are without contrast and then contrast is administered for the next set of images. Then the physician injects medicine to increase the heart rate and checks the coronary arteries for narrowing or blockage. Physician interprets the test and the results and images are in the medical record.
What radiology CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
1. Procedure and CPT Code Selection:
The patient underwent a cardiac MRI to assess the morphology and function of the heart under stress, involving both non-contrast and contrast-enhanced imaging. Additionally, pharmacological stress testing was performed to evaluate the coronary arteries.
CPT Code 75563 is appropriate for a cardiac MRI with both stress and rest imaging, including morphology and function studies with contrast and pharmacologic stress testing. This code accurately captures the entire scope of the MRI study described in this case.
Modifier 26 is applied to indicate the professional component of the service if the cardiologist is providing only the interpretation and not the technical component.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code I25.118 is used for atherosclerotic heart disease with unstable angina. This code accurately reflects the diagnosis provided in the scenario.
3. Rationale for Excluding Other Options:
Code 75559 (option B) represents a cardiac MRI without stress testing, which does not cover the pharmacologic stress component performed here.
Code 75557 (in option D) is for a limited cardiac MRI that does not include both stress and non-stress imaging, so it is incorrect for this comprehensive test.
ICD-10-CM Code I25.110 (in options C and D) is for atherosclerosis with angina pectoris without unstable angina, making I25.118 more appropriate given the diagnosis of unstable angina.
4. AAPC and CPT Coding Guidelines:
AAPC and CPT guidelines support the use of 75563 for comprehensive cardiac MRI studies with stress testing, both with and without contrast.
Therefore, the correct answer is A. 75563-26, I25.118.
NEW QUESTION # 413
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 # 414
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?
Answer: D
Explanation:
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.
NEW QUESTION # 415
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: B
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 # 416
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