Dec-2023 Pass AAPC CPC Exam in First Attempt Easily [Q37-Q56]

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Dec-2023 Pass AAPC CPC Exam in First Attempt Easily

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NEW QUESTION # 37
A Medicare patient is scheduled for a screening colonoscopy.
What code is reported for Medicare?

  • A. G0121
  • B. 0
  • C. G0106
  • D. G0105

Answer: D


NEW QUESTION # 38
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?

  • A. K63.5
  • B. Z09, Z86.010
  • C. Z09, K63.5
  • D. Z86.010, K63.5

Answer: C


NEW QUESTION # 39
A catheter was placed into the abdominal aorta via the right common femoral artery access. An abdominal aortography was performed. The right and left renal artery were adequately visualized. The catheter was used to selectively catheterize the right and left renal artery. Selective right and left renal angiography were then performed, demonstrating a widely patent right and left renal artery.
What CPT coding is reported?

  • A. 0
  • B. 36253, 75625-26
  • C. 1
  • D. 36252, 75625-26

Answer: A


NEW QUESTION # 40
Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.
What CPT codes are reported for this surgery?

  • A. 67316, 67335
  • B. 67312, 67335
  • C. 67311, 67334
  • D. 67314, 67334

Answer: B


NEW QUESTION # 41
A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles.
How are these injections reported according to the CPT guidelines?

  • A. 64644, 64647 x 7
  • B. 64642 x 3, 64642 x 3, 64647 x 7
  • C. 64642, 64643, 64647
  • D. 64642-50, 64643-50, 64647

Answer: C


NEW QUESTION # 42
Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?

  • A. Office of Inspector General (OIG)
  • B. Office for Civil Rights (OCR)
  • C. American Medical Association (AMA)
  • D. Centers for Medicare & Medicaid Services (CMS)

Answer: A


NEW QUESTION # 43
A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction thrombectomy, followed by atherectomy and a stent to the artery. A CRNA provides MAC for this patient, who is status P5.
What code/modifier combination would you report for the services of the CRNA?

  • A. 00520-QZ-P5
  • B. 01925-QZ-QS-P5
  • C. 01925-QZ-P5
  • D. 00520-QX-QS-P5

Answer: B


NEW QUESTION # 44
Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved.
What CPT coding is reported?

  • A. 63050-50
  • B. 63045, 63048
  • C. 63040-50, 63043, 63043
  • D. 0

Answer: B


NEW QUESTION # 45
View MR 006399
MR 006399
Operative Report
Preoperative Diagnosis: Chronic otitis media in the right ear
Postoperative Diagnosis: Chronic otitis media in the right ear
Procedure: Eustachian tube inflation
Anesthesia: General
Blood Loss: Minimal
Findings: Serous mucoid fluid
Complications: None
Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.
Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask, and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.
What CPT coding is reported for this case?

  • A. 69420-RT
  • B. 69433-RT
  • C. 69421-RT
  • D. 69436-RT

Answer: C


NEW QUESTION # 46
Which statement regarding lesion excision is TRUE?

  • A. Lesion excision codes include removal of a lesion with margins, and complex closure when performed
  • B. Lesion excision codes are selected by measuring the greatest clinical diameter of a lesion excluding the margins required to complete the excision
  • C. Lesion excision codes include removal of a lesion, with margins, and intermediate closure when performed
  • D. Lesion excision codes include removal of a lesion, with margins, and simple (nonlayered) closure when performed

Answer: D


NEW QUESTION # 47
A surgeon performs midface LeFort I reconstruction on a patient's facial bones to correct a congenital deformity. The reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the maxilla of the mid face.
What CPT code is reported?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: B


NEW QUESTION # 48
A patient with empyema requires a Schede thoracoplasty.
What CPT code is reported for this procedure?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: D


NEW QUESTION # 49
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?

  • A. If the patient is being treated for type 2 diabetes
  • B. If the patient has hyperglycemia that Is not responding to medication
  • C. If the patient has an underdose of insulin due to an insulin pump malfunction
  • D. If the patient is being treated for secondary diabetes

Answer: C


NEW QUESTION # 50
A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.
What CPT code should be reported for the surgical procedure?

  • A. 20610-LT, 76942
  • B. 20611-LT
  • C. 20611-LT, 76942
  • D. 20610-LT

Answer: B


NEW QUESTION # 51
A patient complains of tarry, black stool, and epigastric tightness. An esophagogastroduodenoscopy is recommended to evaluate the source of the bleeding. The endoscope is inserted orally. The esophagus appears normal on scope insertion. No evidence of bleeding in the stomach. The scope is then passed into the duodenum, where a polyp is found and removed with hot biopsy forceps. No evidence of bleeding post procedure.
What CPT code is reported?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: B


NEW QUESTION # 52
A 65-year-old gentleman presents for refill of medications and follow-up for his chronic conditions. The patient indicates good medicine compliance. No new symptoms or complaints.
Appropriate history and exam are obtained. Labs that were ordered from previous visit were reviewed and discussed with patient. The following are the diagnoses and treatment:
Hypokalemia - stable. Refill Potassium 20 MEQ
Hypertension - blood pressure remaining stable. Patient states home readings have been in line with goals. Refill prescription Lisinopril.
Esophageal Reflux - Patient denies any new symptoms. Stable condition. Continue taking over the counter Prevacid oral capsules, 1 every day.
Patient is instructed to follow up in 3 months. Labs will be obtained prior to visit.
What CPT code is reported?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: C


NEW QUESTION # 53
In rhinoplasty:

  • A. The chin is reconstructed
  • B. The lips are reconstructed
  • C. The brow is reconstructed
  • D. The nose is reconstructed

Answer: D


NEW QUESTION # 54
View MR 002395
MR 002395
Operative Report
Pre-operative Diagnosis: Acute rotator cuff tear
Post-operative Diagnosis: Acute rotator cuff tear, synovitis
Procedures:
1) Rotator cuff repair
2) Biceps Tenodesis
3) Claviculectomy
4) Coracoacromial ligament release
Indication: Rotator cuff injury of a 32-year-old male, sustained while playing soccer.
Findings: Complete tear of the right rotator cuff, synovitis, impingement.
Procedure: The patient was prepared for surgery and placed in left lateral decubitus position. Standard posterior arthroscopy portals were made followed by an anterior-superior portal. Diagnostic arthroscopy was performed. Significant synovitis was carefully debrided. There was a full-thickness upper 3rd subscapularis tear, which was repaired. The lesser tuberosity was debrided back to bleeding healthy bone and a Mitek 4.5 mm helix anchor was placed in the lesser tuberosity. Sutures were passed through the subcapulans in a combination of horizontal mattress and simple interrupted fashion and then tied. There was a partial-thickness tearing of the long head of the biceps. The biceps were released and then anchored in the intertubercular groove with a screw. There was a large anterior acromial spur with subacromial impingement. A CA ligament was released and acromioplasty was performed. Attention was then directed to the supraspinatus tendon tear. The tear was V-shaped and measured approximately 2.5 cm from anterior to posterior. Two Smith & Nephew PEEK anchors were used for the medial row utilizing Healicoil anchors. Side-to-side stitches were placed. One set of suture tape from each of the medial anchors was then placed through a laterally placed Mitek helix PEEK knotless anchor which was fully inserted after tensioning the tapes. A solid repair was obtained. Next there were severe degenerative changes at the AC joint of approximately 8 to 10 mm. The distal clavicle was resected taking care to preserve the superior AC joint capsule. The shoulder was thoroughly lavaged. The instruments were removed and the incisions were closed in routine fashion. Sterile dressing was applied. The patient was transferred to recovery in stable condition.
What CPT coding is reported for this case?

  • A. 29827, 29828-51, 29824-51, 29826
  • B. 29827, 29828-51, 29824-51, 29826, 29805-59
  • C. 29827, 29824-51, 29826-51, 29805-59
  • D. 29827, 29824-51, 29826-51

Answer: A


NEW QUESTION # 55
A mother brings her 2-year-old son to the pediatrician's office because he stuck a bead up his left nostril. The pediatrician uses a nasal decongestant to open the blocked nostril and removes the bead with nasal forceps.
What CPT coding is reported?

  • A. 0
  • B. 30300-50
  • C. 1
  • D. 30210-50

Answer: C


NEW QUESTION # 56
......


AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • Provide practical application of coding operative reports and evaluation and management services
  • Understand and apply the official ICD-10-CM coding guidelines
Topic 2
  • Apply coding conventions when assigning diagnoses and procedure codes
  • Identify the purpose of the CPT®, ICD-10-CM, and HCPCS Level II code books
Topic 3
  • Identify the information in appendices of the CPT® code book
  • List the major features of HCPCS Level II codes
Topic 4
  • Code a wide variety of patient services using CPT®, ICD-10-CM, and HCPCS Level II codes
  • Explain the determination of the levels of E
  • M services

 

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