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最近、AAPC CPC試験に合格するのは重要な課題になっています。同時に、CPC資格認証を受け入れるのは傾向になります。CPC試験に参加したい、我々ShikenPASSのCPC練習問題を参考しましょう。弊社は1年間の無料更新サービスを提供いたします。あなたがご使用になっているとき、何か質問がありましたらご遠慮なく弊社とご連絡ください。
| Section | Objectives |
|---|---|
| Topic 1: CPT Coding | - CPT guidelines and conventions - Surgical, diagnostic, and procedural coding |
| Topic 2: HCPCS Level II Coding | - Durable medical equipment and supplies - Medicare coding procedures |
| Topic 3: ICD-10-CM Diagnosis Coding | - ICD-10-CM guidelines - Diagnosis code selection and sequencing |
| Topic 4: Compliance and Regulatory Guidelines | - Fraud and abuse regulations - HIPAA and medical ethics |
| Topic 5: Medical Terminology and Anatomy | - Human anatomy basics - Medical terminology structure |
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質問 # 375
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?
正解：B
解説：
The provider documents history of COVID-19, not active COVID-19.
Z86.16 = Personal history of COVID-19
J18.9 = Pneumonia, unspecified organism
Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here. Therefore, A is correct.
質問 # 376
(A patient has aliver massand presents for apercutaneous needle biopsy of the liver with CT guidance. Four core specimens are taken to rule out benign hepatic adenoma. What CPT and ICD-10-CM codes are reported?)
正解：A
解説：
The procedure is apercutaneous needle biopsy of the liver, which is reported withCPT 47000(needle biopsy of liver; percutaneous). Because the biopsy is performed withCT guidance, you also report the appropriate imaging guidance code77012(CT guidance for needle placement). The number of core specimens (four) doesnotchange the CPT reporting here; you code the biopsy service, not each specimen. For diagnosis, the biopsy is performed to evaluate aliver mass, which supports reporting the sign/symptom/abnormal finding code provided in the options (R16.0) rather than a definitive benign neoplasm code, because "rule out benign hepatic adenoma" is not a confirmed diagnosis. Options A-C incorrectly assignD13.4(benign neoplasm of liver) despite the condition being unconfirmed in the question stem, and/or include unrelated codes.
Therefore, the correct coding combination is47000, 77012, R16.0.
質問 # 377
(A male patient passes out while jogging in the park. Upon examination at the hospital, he is found to have a wide complex tachycardia and undergoes anelectrophysiologic study and radiofrequency ablation. For this procedure he is placed undergeneral anesthesia. What is the anesthesia coding for this otherwise healthy 35- year-old?)
正解：D
解説：
Anesthesia coding is based on thesurgical/procedural serviceand the anatomic/physiologic region involved, not the underlying symptom alone. An electrophysiologic (EP) study with radiofrequency ablation is acardiac electrophysiologyprocedure, typically mapped to anesthesia codes in the0053xrange (cardiovascular procedures, often involving intracardiac catheter-based interventions). In this option set,00537is the anesthesia code that corresponds to EP/cardiac ablation-type procedures. Physical status modifier selection then reflects the patient's systemic health. The question specifies an "otherwise healthy 35-year-old," which corresponds toASA Physical Status P1(a normal healthy patient). Therefore, the correct combination is00537- P1. The distractors include anesthesia codes from different procedure categories (e.g., radiology/anesthesia for imaging or other cardiac procedures) and/or the wrong physical status (P2 implies mild systemic disease).
CPC exam tip: first match theprocedure family(EP/ablation # cardiovascular anesthesia category), then assign the appropriateASA physical statusbased on the patient's baseline health.
質問 # 378
According to the Application of Cast and Strapping CPT guidelines, what is reported when an orthopedic provider performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the patient will be returning for subsequent fracture care?
正解：D
質問 # 379
Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?
正解：D
解説：
The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.
References: OIG Compliance Program Guidance, AMA's CPTProfessional Edition, and healthcare compliance resources.
質問 # 380
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