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| Certification Vendor: | AAPC |
|---|---|
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Number: | CPC |
| Available Languages: | English |
| Exam Format: | Multiple Choice |
| Related Certifications: | CPC-A |
| Passing Score: | 70% |
| Certificate Validity Period: | 2 Years (requires continuing education to maintain) |
| Exam Price: | USD 499 |
| Exam Duration: | 240 minutes |
| Real Exam Qty: | 100 |
| Sample Questions: | AAPC CPC Sample Questions |
| Exam Way: | Online (Online Proctored or In-Person at Testing Centers) |
| Pre Condition: | None required for exam (though AAPC recommends medical terminology/anatomy training) |
| Official Syllabus URL: | https://www.aapc.com/certification/cpc |
Our CPC PDF format is user-friendly and accessible on any smart device, allowing applicants to study from anywhere at any time. We have included actual and updated AAPC CPC Questions in this CPC Dumps PDF file. Our Certified Professional Coder (CPC) Exam exam dumps PDF format is designed to help individuals acquire the knowledge necessary to succeed in the test.
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NEW QUESTION # 333
The procedure is performed at an outpatient radiology department. From a left femoral access, the catheter is placed in the abdominal aorta and is then selectively placed in the celiac trunk and manipulated up into the common hepatic artery for an abdominal angiography. Dye is injected, and imaging is obtained. The provider performs the supervision and interpretation.
What CPT codes are reported?
Answer: B
Explanation:
Procedure: Abdominal aorta catheterization and selective placement in the celiac trunk for angiography.
CPT Codes:
36246: This code is for the catheter placement in the abdominal aorta.
75726-26: This code represents the abdominal angiography with supervision and interpretation, with the -26 modifier indicating the professional component.
Code Selection Justification: The procedure involves the catheterization of the abdominal aorta and the specific imaging performed with supervision and interpretation.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
NEW QUESTION # 334
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 and ICD-10-CM codes are reported?
Answer: D
Explanation:
27380 = Repair, quadriceps muscle
S76.311A = Strain of muscle, fascia, tendon of right thigh, initial encounter Code selection is based on specific muscle group and laterality
NEW QUESTION # 335
A three-year-old patient is in the operative suite for stage 2 of treatment for double right outlet syndrome. The patient previously had the pulmonary artery banded and is returning for removal of the pulmonary band and transposition repair of the great vessels via aortic pulmonary reconstruction.
The surgeon performs a time-out and pre-incision review of respiration and BP then the previous sternal incision site is inspected and lightly painted with povidone. Next, reopens the sternal cavity and inserts central cannulae in the IVC, SVC and ascending aorta for extra corporeal membrane oxygenation (ECMO) bypass, chemical cardioplegia is initiated, stopping the heart and ECMO is initiated. A physician assistant monitors vitals and oxygenation until heart function resumes. The surgeon carefully incised and removes the Dacron band encircling the pulmonary artery, with nominal need for dilation. A section of coronary ostia is removed and sutured to the root of the pulmonary trunk. The pulmonary trunk and aortic root are then transected and transposed to allow for ideal cardiac circulation. Once structural integrity is visually confirmed, the physician assistant is permitted to administer the cardioplegia reversal solution and the surgeon removes the central cannulae after heart function safely resumes. The sternotomy is closed and the patient is transported to the NICU.
What CPTcodes are reported for the surgery today?
Answer: C
Explanation:
1. Procedure Details and CPTCode Selection:
The patient is undergoing stage 2 treatment for double outlet right ventricle (DORV) with a removal of the pulmonary artery band and transposition repair of the great vessels.
Code 33779 is specific for correction of a double outlet right ventricle, with transposition of the great arteries.
This code accurately reflects the procedure performed, including the complex repair involving the transposition of the pulmonary trunk and aortic root.
Code 33953 is used to report the initiation of extracorporeal membrane oxygenation (ECMO), which was used to maintain oxygenation during the procedure.
Code 33985 is for the termination of ECMO following the surgical repair once heart function has resumed.
Both 33953 and 33985 accurately document the initiation and termination of ECMO during this complex heart repair.
2. Modifier Selection:
Modifier 78 (unplanned return to the operating room for a related procedure during the postoperative period) is appropriate here. This is a subsequent stage in the treatment plan, but due to the complexity and specific surgical intervention required, it is treated as a return to the OR for related procedure coding.
Modifier 58 (staged or related procedure during the postoperative period) would not be as suitable here because the procedure involves a new return to the OR.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines support the use of specific modifiers (78 for unplanned return) and appropriate ECMO codes (33953 and 33985) in complex cardiac cases requiring bypass and staged treatment.
Thus, the correct CPTcodes based on CPTand AAPC coding standards are C. 33779-78, 33953-78,
33985-78.
NEW QUESTION # 336
Refer to the supplemental information when answering this question:
View MR 874276
What E/M code is reported?
Answer: C
Explanation:
To accurately code this emergency department visit, we need to assess the three key components: history, examination, and medical decision making (MDM).
History:
The documentation supports an expanded problem-focused history. This includes a chief complaint, a brief history of present illness (HPI), a review of systems (ROS) with pertinent positives and negatives, and a past medical history.
Examination:
The examination is also expanded problem-focused. The physician focused on the relevant systems (constitutional, HENT, respiratory) and documented specific findings related to the chief complaint (appears tired).
Medical Decision Making:
The MDM complexity is low. The physician is assessing a new problem (shortness of breath and weakness) with a low level of risk. No further testing or treatment is documented in this encounter.
Based on these components, 99283 is the most appropriate code.
Why other options are incorrect:
99282: Requires a problem-focused history and examination, which is less comprehensive than what was documented.
99284 and 99285: Require a higher level of MDM (moderate or high complexity) and/or a more detailed examination. The documentation doesn't support this level of service.
Reference:
CPT Codes 99281-99285: Emergency department visits
1995 and 1997 Documentation Guidelines for Evaluation and Management Services: These guidelines provide detailed criteria for selecting the appropriate E/M code based on history, examination, and MDM.
AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 337
(What ICD-10-CM coding is reported forType 1 diabeteswithdiabetic chronic kidney disease?)
Answer: A
Explanation:
For diabetes coding, you must first select the diabetes category that matches the type:Type 1 diabetesisE10.- (not E11, which is Type 2). "Diabetic chronic kidney disease" maps toE10.22(Type 1 diabetes mellitus with diabetic chronic kidney disease). ICD-10-CM guidelines then require anadditional codeto identify thestage of CKDfromN18.-. Because the question does not specify the CKD stage, you assignN18.9(chronic kidney disease, unspecified). That makesE10.22, N18.9correct (Option B). Option D would only be correct if the stage were specifically documented asCKD stage 1 (N18.1). Option C (E10.21) is diabetes with diabetic nephropathy, which is not the same as "diabetic CKD" in this question. CPC exam tip:E10.22 always needs an N18.- stage codewhen stage is known; if not known, useN18.9.
NEW QUESTION # 338
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