AAPC CPC Study Guide Exam Questions and answers

AAPC CPC Study Guide Exam Questions and answers Critical care services can be provided at any site. If the patient is critically ill, the services provided can be coded with critical care regardless of where the services take place. A minimum of 30 minutes of critical care must be performed in order to report 99291. If less than 30 minutes, select the appropriate E/M code based on the three key components. Time spent reviewing results and discussing the critically ill patient with medical staff is included in the critical care time. Endotracheal intubation, code 31500, can be reported with critical care services. The subsection guidelines for critical care services in the CPT® codebook does give what services cannot be billed with critical care. A physician providing critical care services must devote full attention to the critically ill patient and cannot provide services to any other patient during the same period of time. When coding for a patient who has had a primary malignancy of the thyroid cartilage that was completely excised a year ago, which one of the following statements is TRUE? A. When the cancer is surgically removed with no further treatment provided and there is no evidence of any existing primary malignancy, code Z85.850. B. When further treatment is provided and there is evidence of an existing metastasis, code first Z85.850 and then C32.9. C. Any mention of extension, invasion, or metastasis to another site is coded as a D49.1, Z85.850. D. When the cancer is surgically removed but the patient is receiving chemotherapy treatment report Z85.850. - Answer-A. When the cancer is surgically removed with no further treatment provided and there is no evidence of any existing primary malignancy, code Z85.850. ICD-10-CM guidelines (Section I.C.2.d.) indicated, when the patient has excised or eradicated the malignancy and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the site of the former malignancy. Look in the ICD-10-CM Alphabetic Index, for History/personal (of)/malignant neoplasm (of)/thyroid. Note: If a malignant cancer is removed but the patient is still receiving further treatment for that site, such as chemotherapy or radiation, you report the malignant neoplasm code not the personal history code. According to the CPT® Appendix L, when performing a selective vascular catheterization, which vessels would you pass through to place the catheter into the right middle cerebral artery? A. Innominate, right common carotid, right exteranl carotid B. Innominate, right subclavian & axillary C. Left common carotid, left internal carotid D. Innominate, the right common, and internal carotid - Answer-D. Innominate, the right common, and internal carotid