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AAPC CPC Exam
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Exam of 52 pages for the course AAPC CPC at AAPC CPC (AAPC CPC Exam ...)
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AAPC CPC Exam 2024-2025Documentation supports stereotactic body radiation therapy, treatment management.
This eliminates choices A and D. Based on ICD-10-CM guidelines in Section I.C.2.e.2: If a
patient admission/encounter is solely for the administration of chemotherapy,
immunotherapy or radiation therapy, assign code Z51.0 (radiation), Z51.11
(chemotherapy), or Z51.12 (immunotherapy) as the first listed or principal diagnosis,
and the diagnosis or problem for which the service is being performed as a secondary
diagnosis. For metastasized or secondary neoplasm in left upper lobe lung, refer to the
Table of Neoplasm for Neoplasm/lung/upper lobe/Malignant Secondary referring you to
code C78.0-. Complete code in the Tabular List, C78.02.
Preoperative Diagnosis: Right hydronephrosis Postoperative Diagnosis: Right
hydronephrosis Procedure: Cystoscopy and right retrograde pyelogram Procedure
Description: The patient was prepped and draped in the dorsolithotomy position. Under
general anesthesia, a 23 French cystoscope was passed into the bladder. No tumors
were visualized. Urine from the bladder was sent for urine cytology. Then a 6 French
access catheter was passed into the right ureteral orifice. Contrast was injected and
there were no filling defects noted. There was no fixed tumor, no stone. There was mild
hydroureteral nephrosis against the bladder. There was a narrowing at the UVJ-no
abnormalities. Renal pelvis barbotaged with saline and renal pelvis urine sent to
pathology for urine cytology. After the retrograde pyelogram was performed the access
catheter was removed. Interpretation and report are in the medical record. What CPT
codes are repo - ANSWER d. 52005-RT, 74420-26
Patent had a retrograde pyelogram eliminating multiple choices B and C. A cystoscope
is passed through the urethra into the bladder. Then a French catheter was passed into
the right ureter (ureteral catheterization) to introduce the contrast for radiologic study
of the renal pelvis and ureter, eliminates code 52000. Note in the code description for
code 52005 that it states: exclusive of radiologic service. This is an indication that
radiology will be coded if performed.
The Medicare program has several parts. Which part provides for provider fees without
private insurer< - ANSWER Medicare Part B
You add what modifier to a CPT code in the event that a commercial insurance company
,requires the patient to obtain a medical consultation from a second physician? -
ANSWER 32
NCCI files carry a Correct Coding Modifier indicator. The meaning of the CCM indicator
0 is -The modifier is not allowed and will not bypass the edits.
Which modifiers are appended to E/M code to report services within the global
package? - ANSWER 24, 25, 57
Which following services included in the surgical global package? - ANSWER
Preoperative visits, intraoperative, postsurgical pain management
How often can the temporary Codes be updated for the HCPCS? -ANSWER quarterly
What set of HCPCS Level II codes are considered temporary codes assigned by CMS
and reviewed by AMA for inclusion in the CPT-ANSWER G codes
What is the modifier you should append for a new wheelchair purchase to this HCPCS
Level II code? -ANSWER NU
What is a default code? See ICD-10-CM guideline I.A.18. - ANSWER The code that
represents the condition most commonly associated with the main term
Who are the parties responsible for providing the ICD-10-CM? - ANSWER NCHS and
CMS
What does ICD-10-CM stand for> - ANSWER International Classification of Diseases,
10th Revision, Clinical Modification
Ischemia - Inadequate blood supply, generally due to conditions in the vessel itself,
leading to tissue injury or malfunction.
,The thin layer of membrane lining the chambers of the heart and covering the valves is
called the: - ANSWER endocardium
Which section of the ICD-10-CM guidelines offers instruction for coding a patient who is
treated in the outpatient setting for diagnostic treatment only? - ANSWER Section IV
What is an example of an eponym? - ANSWER Paget's disease
Rationale: An eponym is a word derived from someone's name. Paget's disease is a
disorder that involves abnormal bone destruction and regrowth which results in
deformity. It was described by surgeon and pathologist Sir James Paget.
What month does the new ICD-10-CM code book take effect each year? - ANSWER
October
What do the guidelines and conventions of the classifications take precedence over? -
ANWER Official Coding guidelines
What is the sequencing order when coding a sequela? - ANWER The residual condition
is coded first and codes for the cause of the late effect are coded secondary.
What do brackets {} in the ICD-10-CM Alphabetic index indicate? - ANSWER Use code in
brackets in addition to the disease or condition to identify an associated manifestation.
When coding for an ambulatory surgical procedure, how is the diagnosis determined? -
ANSWER Code the post operative diagnosis because it is the most definitive
For ambulatory surgery, if the postoperative diagnosis is known to be different from the
preoperative diagnosis is confirmed, select the postoperative diagnosis for coding
because it is the most definitive
, The OIG releases a __________ outlining its priorities for the fiscal year ahead and
beyond.
a. Compliance plan
b. Self-referral law
c. Work Plan
d. CIA yearly review - ANSWER b. work plan
Which of the following terms is NOT listed as an ethical principle of professional conduct
according to the AAPC Code of Ethics?
a. Integrity
b. Responsibility
c. Efficiency
d. Commitment - ANSWER c. efficiency
It shall be the duty of every AAPC member, as a condition of continued membership, to
conduct themselves in all professional activities in a manner consistent with ALL of the
following ethical principles of professional conduct:
+ Integrity
+ Respect
+ Commitment
+ Competence
+ Fairness
+ Responsibility
Which of the following best describes psoriasis?
a. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales
b. A contagious infection of skin generally caused by staphylococcus bacterium
c. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales.
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