Exam (elaborations)
AAPC CPC EXAM PRACTICE D, E, F Questions and answers.
- Course
- Institution
AAPC CPC EXAM PRACTICE D, E, F Questions and answers.
[Show more]
Seller
Follow
JayGracey
Content preview
AAPC CPC EXAM PRACTICE D, E, FQuestions and answers.
CPC EXAM D -
\
1. Indication: Patient has a hypertrophic scar on the posterior side of the left leg, at
the level of the knee. This has begun to restrict his mobility. His physical therapy trial
was
unsuccessful. Procedure: After the proper induction of anesthesia, the subcutaneous
tissue of
the patient's left leg beneath the scar was infiltrated with crystalloid solution containing
epinephrine to minimize blood loss. The scar was then excised down to viable dermis.
Hemostasis was obtained with epinephrine soaked pads. Skin was harvested from the
patient's
thigh in a split thickness fashion and was used to cover the 90 sq cm defect created by
the
surgery. The graft was secured with skin staples, and then dressed with fine mesh
gauze
followed by medication-soaked gauze. The donor site was dressed with mesh followed
by
Adaptic™, followed by a dry dressing and an Ace wrap. What are the CPT® codes?
A. 15110-52, 15002
B. 15100, 11406 -
\
2. The physician is called in to perform repairs for a 17 year-old girl involved in a motor
vehicle accident. She sustained an 8.6 cm laceration to her forehead, a 5.5 cm
laceration to her
right cheek, a 4 cm laceration to her left cheek, a 4 cm laceration across her chin, and a
12.5 cm
laceration to her chest. The wound on her chin required a layered closure. All other
wounds
required complex closure. The CPT® codes to report are:
A. 13132, 13133 x 4, 13101, 12052
B. 13132, 13133 x 3, 13133-52, 13101, 13102, 12052
C. 13132, 13133 x 3, 13101, 13102, 12052
D. 13131, 13132, 13133 x 3, 13101, 13102, 12052 -
\
3. A 36 year-old male presents to have multiple lesions destroyed. Three benign
,lesions on his face are destroyed and five actinic keratoses on his left arm are
destroyed. The
CPT® code(s) to report is (are):
A. 17000, 17003
B. 17000, 17003 x 4, 17110
C. 17110
D. 17260 x 5, 17110 x 3 -
\
4. Patient is having ongoing back and hip pain. The physician elects to perform a
sacroiliac injection at an ambulatory surgery center. After sterile prep, the patient is
placed
prone position. A needle is placed under fluoroscopic guidance into the SI joint and a
mixture of
20 mg of Celestone and Marcaine is injected for pain relief. Report the CPT® code(s).
A. 27096, 77003-26
B. 20611
C. 20552
D. 27096 -
\
5. Patient is seen in the hospital's outpatient surgical area with a diagnosis of a
displaced comminuted closed fracture of the lateral condyle, right elbow. An ORIF
procedure
was performed, which included the following techniques: An incision was made in the
area of
the lateral epicondyle. This was carried through subcutaneous tissue, and the fracture
site was
easily exposed. Inspection revealed the fragment to be rotated in two places, about 90
degrees.
It was possible to manually reduce this quite easily, and the manipulation resulted in an
almost
anatomic reduction. This was fixed with two pins driven across the humerus. The pins
were cut
off below skin level. The wound was closed with plain catgut subcutaneously and 5-0
nylon for
the skin. Dressings and a long arm cast were applied. Which is the correct ICD-10-CM
and CPT®
code assignment?
A. 24579-RT, 29065-51-RT, S42.451B
B. 24577-RT, S42.451A
C. 24579-RT, S42 -
\
6. A 35 year-old female patient presents with acute onset of severe pain since
,October. Her workup has revealed evidence of disk herniation with loss of lordosis at
the C5-C6.
Intraoperative findings were consistent with two large fragments of free disk fragments
in the
foramen at C5-C6 on the right side. After general anesthesia, the patient was placed on
the
operative table in the supine position. All pressure points were cushioned and a
transverse skin
incision was fashioned under fluoroscopic guidance over the C5-C6 disc space.
Dissection
through the platysma eventually allowed for exposure of the anterior entrance to the
vertebral
body of C5 and C6 and retractors were inserted to maintain adequate exposure. The
operating
microscope was brought into the field. Caspar posts were placed and slight distraction
allowed
exposure. A complete discectomy was performed at C5-C6 by using endplate curets
pituitary
rongeurs -
\
7. OPERATION: Dual chamber transvenous implantable pacing
cardioverter-defibrillator system implantation with leads. INDICATIONS: A 67 year-old,
white
gentleman has significant underlying ischemic cardiomyopathy with EF of 25 percent,
prior
infarcts, remote history of syncope, and at a high risk for malignant ventricular
arrhythmias. He
has had a recent T wave alternans test which was clearly abnormal. He has had
episodes of
resting bradycardia, also noted. He meets Madit II criteria for insertion of a transvenous
implantable pacing cardioverter-defibrillator (ICD). PROCEDURE: After informed
consent had
been obtained, the patient was brought to the outpatient hospital lab in the fasting state.
The
left anterior chest was prepped and draped in a sterile fashion. Intravenous sedation
and local
anesthetic were given. After local anesthetic, a 5 cm incision was made at the left
deltopectoral
groove. With blunt dissection -
\
8. The patient comes in today to have an arteriovenous fistula created to facilitate
dialysis. The surgeon performs an upper arm basilic vein transposition based on the
patient's
previous arterial duplex scan. Which is the appropriate CPT® code for this procedure?
, A. 36825
B. 36830
C. 36818
D. 36819 -
\
9. A 56 year-old with lung cancer developed an effusion that is suspicious for
malignancy. Needle aspiration is performed to obtain a sample of the fluid for
pathological
examination. A needle is inserted between the ribs and into the pleural space, and the
fluid is
withdrawn. The specimen is sent to pathology. Choose the CPT® code that reports the
procedure described.
A. 32554
B. 32555
C. 32551
D. 32400 -
\
10. A 67 year-old male patient is referred for a flex sigmoidoscopy exam to remove
polyps. The physician found three polyps in the rectosigmoid junction. They were
removed by
hot biopsy forceps. The path report indicated the polyps were benign. What is the CPT®
code to
report for this encounter?
A. 45333
B. 45315
C. 45384
D. 45346 -
\
11. Name of Procedure: Endoscopic retrograde cholangiopancreatography with stent
placement and antral biopsy. Indications: 50 year-old male who underwent liver
transplantation
for end-stage liver disease secondary to chronic hepatitis C and hepatocellular
carcinoma in
01/2007. The patient has cholestatic liver enzymes, requiring ERCP before placement
of a
7-French 12 cm stent and to evaluate the biliary system. Description of Procedure: The
patient
was taken to the fluoroscopy suite in the GI lab where he was found to be alert and
oriented x 3.
After discussing risks and benefits of the procedure, informed consent was obtained.
Patient
was kept in the semi prone position. After adequate conscious sedation, an Olympus
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller JayGracey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75619 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now