AAPC CPC Practice Exam A&D&F EXAM NEW VERSION LATEST UPDATE WITH ACCURATE ANSWERS GUARANTEED PASS
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Module
AAPC CPC
Institution
AAPC CPC
What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care B. One related Evaluation and Management service on the same date of the procedure C. Returning to the operating room the next day for a complication resulting from the initial procedure D. Evaluating the patie...
AAPC CPC Practice Exam A&D&F EXAM
NEW VERSION LATEST UPDATE 2024-
2025 WITH ACCURATE ANSWERS
GUARANTEED PASS
What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the
initial procedure
D. Evaluating the patient in the post-anesthesia recovery area
- ANSWER C. Returning to the operating room the next day for a complication resulting
from the initial procedure
The CPT® surgical package definition is in the Surgery Guidelines found in the CPT®
code book (right after the Anesthesia section of codes). Multiple choice C is the correct
answer, because modifier 78 is reported on a procedure code to indicate a patient's
return to the OR for a complication (unplanned return) that has occurred during the
postoperative period of the initial procedure.
What is PHI?
A. Physician-health care interchange
B. Private health insurance
C. Protected health information
D. Provider identified incident-to
- ANSWER C. Protected health information
Protected health information under the Health Information Portability and Accountability
Act (HIPAA) is any information, whether oral or recorded, in any form or medium that is
created or received by a health care provider, health plan, public health authority,
employer, life insurer, school or university, or health care clearinghouse relating to the
past, present, or future physical or mental health or condition of an individual, the
provision of health services to that individual, or payment around those services. Only
health information at the individual level is covered; health information of groups is not.
Which statement is TRUE when reporting pregnancy codes (O00-O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
,D. The seventh character assigned to these codes only indicate a complication during
the pregnancy.
- ANSWER B. These codes have sequencing priority over codes from other chapters.
According to ICD-10-CM guidelines (Section I.C.15.a.1): Chapter 15 codes have
sequencing priority over codes from other chapters. Additional codes from other
chapters may be used in conjunction with chapter 15 codes to further specify conditions.
When a patient is having a tenotomy performed on the abductor hallucis muscle, where
is this muscle located?
A. Foot
B. Upper Arm
C. Upper Leg
D. Hand
- ANSWER A. Foot
The abductor hallucis is a muscle of the foot that abducts the big toe. In the CPT® Index
look for Tenotomy. There are many anatomical areas to choose from, but you will find
this muscle located in the description of code 28240. All the codes in that section deal
with the foot.
Fracturing the acetabulum involves what area?
A. Skull
B. Shoulder
C. Pelvis
D. Leg
- ANSWER C. Pelvis
The acetabulum is the cup-shaped socket of the hip joint which is part of the pelvis. You
can locate this answer in the ICD-10-CM codebook. In the ICD-10-CM Alphabetic Index
look for Fracture, traumatic/pelvis and you will see acetabulum listed under pelvis.
Ventral, umbilical, spigelian and incisional are types of:
A. Surgical approaches
B. Hernias
C. Organs found in the digestive system
D. Cardiac catheterizations
- ANSWER B. Hernias
These are types of hernias. CPT® codes 49491-49657 are categorized by the type of
hernias to be repaired.
, An arteriovenous anastomosis is used to increase blood flow in hemodialysis. Which
one of the following describes a direct arteriovenous anastomosis?
A. Insertion of a cannula
B. A section of artery and a neighboring vein are joined
C. A donor's vein is used to connect an artery and a vein
D. Radical hysterectomy not otherwise specified
- ANSWER B. A section of artery and a neighboring vein are joined
CPT® Professional code book, an illustration given under code 36821, "In a direct
arteriovenous anastomosis, a section of artery and a neighboring vein are joined,
allowing blood flow down the artery and into the vein for the purpose of increasing blood
flow, usually in hemodialysis."
What is the difference between entropion and ectropion?
A. Entropion is the inward turning of the eyelid and ectropion is the outward turning of
the eyelid.
B. Entropion is facial droop and ectropion is a facial spasm.
C. Entropion is the outward turning of the hands and ectropion is the inward turning of
the hands.
D. Entropion inward turning of the feet and ectropion is the outward turning of the feet
due to muscle disorder.
- ANSWER A. Entropion is the inward turning of the eyelid and ectropion is the outward
turning of the eyelid.
Multiple choice A is the correct answer. In the ICD-10-CM Alphabetic Index look for
Entropion (eyelid), H02.009. Ectropion is H02.109. In the Tabular List category H02 is
for Other disorders of the eyelid.
Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same
encounter
C. Failing to append modifier 26 on an X-ray that is performed and interpreted in the
physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel -
ANSWER B. Reporting a biopsy and excision performed on the same skin lesion during
the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent
claim. According to National Correct Coding Initiative (NCCI) and CPT® coding
guidelines, a biopsy performed on the same lesion as an excision during the same
encounter is an incidental service and is not reported separately. If ultrasound guidance
is performed for a liver biopsy, it is billable. X-rays performed in a physician's office do
not require modifier 26, because the physician owns the equipment and performs the
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