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| Section | Weight | Objectives |
|---|
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines
|
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels
|
| Radiology | 5-10% | - Diagnostic Imaging
|
| Surgery Coding | 40-50% | - Musculoskeletal System - Digestive System - Nervous System - Integumentary System - Respiratory System - Genitourinary System - Cardiovascular System
|
| Medicine | 5-10% | - Specialty Coding
|
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems
|
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers
|
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits
|
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q409-Q414):
NEW QUESTION # 409
A suppression study includes five glucose tests and five growth hormone tests.
What CPT coding is reported?
- A. 80430, 82947 ×5, 83003 ×5
- B. 80430, 82947 ×2, 83003
- C. 82947 ×5, 83003 ×5
- D. 80430, 82947, 83003
Answer: A
Explanation:
80430 = Growth hormone suppression panel
Individual tests are reported with units
MEDICINE & CARDIOLOGY
NEW QUESTION # 410
Where is a Warthin's tumor found?
- A. Ovary
- B. Back of eye
- C. Bone
- D. Salivary gland
Answer: D
Explanation:
Warthin's tumor, also known as papillary cystadenoma lymphomatosum, is a benign tumor of the salivary glands, most commonly affecting the parotid gland. It typically presents as a painless, slow-growing mass near the angle of the jaw.References: ICD-10-CM, medical dictionaries, and oncology textbooks
NEW QUESTION # 411
A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4. The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.
- A. 63017, 63048, 22612, 22808, 22842 x 3
- B. 63047, 63048, 22612, 22614 x 3, 22842
- C. 63005 x 2, 22612, 22614 x 3, 22842
- D. 63042, 63043, 22808, 22841 x 3
Answer: B
NEW QUESTION # 412
A child returns for stage 2 surgical repair of double outlet right ventricle, including removal of pulmonary artery band, arterial switch repair, and ECMO cannulation.
What CPT codes are reported?
- A. 33778-78, 33953-78, 33985-78
- B. 33779-58, 33955-58, 33985-58
- C. 33779-78, 33953-78, 33985-78
- D. 33778-58, 33955-58, 33985-58
Answer: B
Explanation:
33779 = Arterial switch operation (definitive repair)
33955 = Open central cannulation for ECMO
33985 = ECMO management
Modifier -58 = staged/related procedure
NEW QUESTION # 413
(A 58-year-old patient undergoes diagnostic facet joint injections. The physician performsbilateral paravertebral facet joint injectionsat theT2-T3, T3-T4, and T4-T5levels, usingfluoroscopic guidanceat each site. What CPT coding is reported for this encounter?)
- A. 64490-50, 64491 × 2, 64492 × 2
- B. 64493-50, 64494-50, 64495-50, 76000
- C. 64490-50, 64491-50, 64492-50
- D. 64493, 64494
Answer: C
Explanation:
Facet joint injections (medial branch blocks/intra-articular depending on code family) are coded byspinal regionandnumber of levels. Thoracic facet injections use64490for thefirst level,64491for thesecond level, and64492for thethird and each additional level(within the thoracic region). This case includesthree thoracic levels: T2-T3 (1st), T3-T4 (2nd), and T4-T5 (3rd). Because the injections arebilateral, you applymodifier -50 to each of the level codes per the answer set's style. Fluoroscopic guidance isbuilt intothese injection codes under current CPT rules, so you donotseparately report a fluoroscopy code (such as 76000). Options B and C are forlumbar/sacralfacet injection families, not thoracic. Option A incorrectly doubles units rather than using the correct third-level add-on coding structure. Therefore,64490-50, 64491-50, 64492-50is correct.
NEW QUESTION # 414
......
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