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まず、3つの異なるバージョン（PDF、PC、APPオンラインバージョンのCPCトレーニングガイド）を使用して、CPCスタディトレントを最大限に活用できます。各バージョンについて、学習資料をダウンロードする場合、制限とアクセス許可はありません。同時に、人数は制限されていません。 CPC学習教材を購入した後、CPC学習教材がオーダーメイドであることを保証します。最後になりましたが、CPC試験問題の無料試用サービスを提供できます。
質問 # 45
(Which punctuation is used in the ICD-10-CM Tabular List to denotesynonyms, alternative wording, or explanatory phrases?)
正解：D
解説：
In the ICD-10-CM Tabular List,parentheses ( )are used to enclosenonessential modifiers, also described assupplementary words. These are words thatmay be present or absentin the diagnostic statement without affecting code assignment. This is exactly why parentheses are associated with synonyms, alternative wording, or explanatory phrases. If the provider documents the core diagnosis and the parenthetical term is missing, the code can still be correct; if the parenthetical term is present, it still points to the same code. By contrast, acolon (:)is used after an incomplete term that needs one or more additional terms to make it assignable.Brackets [ ]have other specific functions (such as enclosing synonyms in certain contexts and used with instructional content), but the standard CPC-tested definition for "synonyms/alternative wording
/explanatory phrases" in the Tabular List points toparenthesesas nonessential modifiers. Knowing this distinction supports accurate code selection and reduces errors when provider wording varies.
質問 # 46
Patient is admitted in observation care on 12/2/20XX in the morning for acute asthma exacerbation. The ED physician requires the patient to stay overnight. Next day, 12/3/20XX the patient is discharged from observation care in the afternoon. Patient's total stay in observation was 16 hours.
What E/M categories and code ranges are appropriate to report?
正解：A
解説：
1. E/M Code Category Selection:
The patient was placed in observation care on 12/2/20XX for an acute asthma exacerbation and stayed in observation for a total of 16 hours, with discharge occurring on 12/3/20XX.
The appropriate E/M category for patients in observation care for a period that includes both admission and discharge on separate calendar dates is "Hospital Inpatient or Observation Care Services", with specific codes for admission and discharge on different dates.
2. Code Range and Specific Codes:
Code Range 99234-99236 applies to cases where observation care includes both admission and discharge, particularly when they occur on different calendar days and the total duration of care is under 24 hours.
For discharge on the subsequent day, 99238-99239 (Hospital Inpatient or Observation Discharge Services) applies, depending on the time spent on discharge.
3. Rationale for Excluding Other Options:
Option B and Option D include Initial Hospital Inpatient or Observation Care codes (99221-99223), which are typically used for admissions to inpatient care rather than for observation care scenarios as presented here.
Option C incorrectly combines Subsequent Inpatient or Observation Care codes (99231-99233), which are used for follow-up days rather than discharge services.
4. AAPC and CPT Coding Guidelines:
According to CPT guidelines, the 99234-99236 code range is used when observation care requires both admission and discharge on different dates, and 99238-99239 is appropriate for discharge services.
Therefore, the correct answer is A. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-99236) and Hospital Inpatient or Observation Discharge services (99238-99239).
質問 # 47
Dr. Meredith sees Mr. Hollis (new patient) for the first time In the Community Rest Home. She documents a visit with medical decision making of moderate complexity. She spends 20 minutes of additional time discussing physical therapy and going over medications. Dr. Meredith spends a total of 90 minutes on that patient that day.
What CPT coding does Dr. Meredith report?
正解：A
解説：
New patient in community residential facility
Moderate MDM → 99344
Total time = 90 minutes
Base time exceeded → 99417 appropriate
Why others are incorrect:
99345 - High MDM (not documented)
Missing prolonged service code
質問 # 48
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 E/M code is reported for this encounter?
正解：A
解説：
Established patient with moderate MDM
99214 aligns with CPC exam standards
質問 # 49
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care.
What CPT coding is reported for the twin delivery?
正解：C
解説：
* Cesarean Delivery with Antepartum and Postpartum Care: The procedure involved the cesarean section delivery of twins, including antepartum and postpartum care.
* CPT Code 59510: This code is used for routine obstetric care including antepartum care, cesarean delivery, and postpartum care. The code is not reported per fetus but per delivery, even when delivering multiples.
References:
* AMA's CPT Professional Edition (current year)
質問 # 50
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2026年Jpshikenの最新CPC PDFダンプおよびCPC試験エンジンの無料共有：https://drive.google.com/open?id=1G05q7TN2TqQInsS-Y5aymzkO1brhyU3k