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AAPC CPC Exam Syllabus Topics:

SectionWeightObjectives
E/M (Evaluation and Management)10-15%- Emergency Department
- Office/Outpatient Visits
Laboratory / Pathology5-10%- Organ and Disease Panels
Medicine5-10%- Specialty Coding
Anatomy & Physiology10-15%- Body Systems
- Medical Terminology
Radiology5-10%- Diagnostic Imaging
HCPCS Level II5-10%- Modifiers
- Supplies and Equipment
ICD-10-CM (Diagnosis Coding)10-15%- Conventions and Guidelines
- Code Selection
Surgery Coding40-50%- Genitourinary System
- Nervous System
- Musculoskeletal System
- Integumentary System
- Digestive System
- Respiratory System
- Cardiovascular System

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q30-Q35):

NEW QUESTION # 30
(A 32-year-old visited a provider due to ongoing irritation and watering in his left eye. Suspecting an allergy, the provider carried out a test, introducing an allergenic extract into the mucous membrane inner lining of the eye. The patient's eye is monitored for signs of an allergic reaction, such as redness and itching. What CPT code is reported?)

Answer: D

Explanation:
This scenario describesconjunctival provocation testing: an allergenic extract is placed into theconjunctival mucous membraneof the eye and the patient is observed for a localized allergic response (redness, itching, tearing). CPT95060is the code that representsconjunctival (ophthalmic) allergy testing/provocation. The distractors are other allergy testing codes that do not match the site and method described. For CPC exam logic, the key is identifying theroute/siteof allergen exposure: not intradermal (skin), not percutaneous prick, not inhalation/bronchial challenge-this is specificallyocular mucosal testing. The wording "introduced into the mucous membrane inner lining of the eye" is the classic cue. Also note that the code selection is driven by thetype of test, not the suspected diagnosis alone. Therefore, conjunctival provocation testing is correctly reported with95060, and the other options represent different categories of allergy testing or challenge methods.


NEW QUESTION # 31
(A driver crashes into a guardrail and sustains a fracture of the anterior fossa cranial base with involvement of thesphenoid sinus, withno CSF leak. The patient undergoessurgical nasal sinus endoscopy with sphenoidotomyto evaluate and treat the sinus injury. No CSF leak repair is performed. What is the correct procedure and diagnosis coding combination to report this service?)

Answer: D

Explanation:
Asphenoidotomyperformed vianasal/sinus endoscopyis specifically reported withCPT 31287(endoscopic sinus surgery, sphenoidotomy). A diagnostic nasal endoscopy code (such as 31231) is generallynot separately reportedwhen it is integral to performing the surgical endoscopic sinus procedure, so options including 31231-
59 are incorrect in typical CPT exam logic unless a distinct, separately identifiable diagnostic endoscopy is clearly documented and medically necessary beyond the surgical approach. The diagnosis describes afracture of the skull baseinvolving the sphenoid sinus without CSF leak; among the offered diagnosis codes,S02.
19XAcorrectly represents a skull base fracture category consistent with the scenario's specificity as presented in the answer choices. Code31291represents a different sinus procedure (not sphenoidotomy). CPC key point:
choose the code matching thespecific sinus and surgical action(sphenoidotomy # 31287) and avoid unbundling the diagnostic endoscopy that is part of the operative endoscopic approach.


NEW QUESTION # 32
Refer to the supplemental information when answering this question:
View MR 000281
What anesthesia and diagnosis codes are reported for this case?

Answer: D

Explanation:
CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing This code is reported for anesthesia services provided during a colonoscopy that is diagnostic in nature.
ICD-10-CM Code D62: Acute posthemorrhagic anemia
This is the most accurate postoperative diagnosis. The operative report states "Anemia due to acute blood loss." ICD-10-CM Code N18.6: End stage renal disease This code captures the patient's documented history of ESRD.
ICD-10-CM Code Z99.2: Dependence on renal dialysis
This code is necessary to report the patient's dialysis status, as it affects the overall risk of the procedure.
Why other options are incorrect:
00812: This code is for therapeutic colonoscopies, not diagnostic.
D64.9: This code is for anemia, unspecified. D62 is more specific to the patient's condition.
K62.5: This code is for lower gastrointestinal bleeding, but the anemia is the primary diagnosis in this case.
References:
CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing ICD-10-CM Code D62: Acute posthemorrhagic anemia ICD-10-CM Code N18.6: End stage renal disease ICD-10-CM Code Z99.2: Dependence on renal dialysis AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.


NEW QUESTION # 33
An autopsy is ordered for a deceased patient of unknown cause. The pathologist performs gross and microscopic examination, including the brain and spinal cord.
What CPT coding is reported?

Answer: B

Explanation:
88027 = Autopsy, gross and microscopic, with CNS examination
88016/88020 exclude spinal cord or microscopy


NEW QUESTION # 34
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?

Answer: B


NEW QUESTION # 35
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Practicing with AAPC CPC Exam questions will help you to become an expert, AAPC CPC and acquire the AAPC CPC Certification. AAPC CPC Exam Questions allow you to verify your skills as a professional, prepared by AAPC CPC. You have to pass the Certified Professional Coder (CPC) Exam CPC exam to achieve the AAPC CPC certification on the first attempt, which is organized by AAPC.

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