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AAPC CPC Practice Questions & answers
AAPC CPC Practice Questions & answers
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AAPC CPC Practice Questions___________________ is an example of a disease interaction.
A. Hypertension and osteoporosis
B. PVD and CHF
C. Diabetes with macular degeneration
D. Diabetes and respirator dependence - ANS-C. Diabetes with macular degeneration
5 year-old female has a history of post void dribbling. She was found to have extensive labial
adhesions, which have been unresponsive to topical medical management. She is brought to
the operating suite in a supine position. Under general anesthesia the labia majora is retracted
and the granulating chronic adhesions were incised midline both anteriorly and posteriorly. The
adherent granulation tissue was excised on either side. What code should be used for this
procedure?
A. 58660
B. 58740
C. 57061
D. 56441 - ANS-D. 56441
55 year-old patient was admitted with massive gastric dilation. The endoscope was inserted with
a catheter placement. The endoscope is passed through the cricopharyngeal muscle area
without difficulty. Esophagus is normal, some chronic reflux changes at the esophagogastric
junction noted. Stomach significant distention with what appears to be multiple encapsulated
tablets in the stomach at least 20 to 30 of these are noted. Some of these are partially
dissolved. Endoscope could not be engaged due to high grade narrowing in the pyloric channel,
the duodenum was not examined. It seems to be a high grade outlet obstruction with a
superimposed volvulus. A repeat examination is not planned at this time. What code should be
used for this procedure?
A. 43246-52
B. 43241-52
C. 43235
D. 43191 - ANS-B. 43241-52
56-year-old female is having a bilateral mammogram with computer aid detection conducted as
a screening because the patient has a family history of breast cancer. She does not presently
have signs or symptoms of breast disease. What radiological services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 - ANS-C. 77067
,67-year-old female fractured a port-a-cath surgically placed a year ago. Under sonographic
guidance a needle was passed into the right common femoral vein. The loop snare was
positioned in the right atrium where a portion of the fractured catheter was situated. The
catheter crossed the atrioventricular valve with the remaining aspect of the catheter in the
ventricle. A pigtail catheter was then utilized to loop the catheter and pull the catheter tip into the
inferior vena cava. The catheter was then snared and pulled through the right groin removed in
its entirety. What CPT® and ICD-10-CM codes are reported?
A. 37200, T81.509D
B. 37197, T82.514A
C. 37193, T80.219A
D. 37217, T88.8XXA - ANS-B. 37197, T82.514A
A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is
(are) the appropriate anesthesia code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 - ANS-B. 00326
A 10-year-old patient had a recent placement of a cochlear implant. She and her family see an
audiologist to check the pressure and determine the strength of the magnet. The transmitter,
microphone and cable are connected to the external speech processor and maximum loudness
levels are determined under programming computer control. Which CPT® code should be
used?
A. 92601
B. 92603
C. 92604
D. 92562 - ANS-B. 92603
A 10-year-old-male sustained a Colles' fracture in which the pediatrician performs an application
of short arm fiberglass cast. Select the HCPCS Level II code that is reported.
A. Q4012
B. A4580
C. A4570
D. Q4024 - ANS-A. Q4012
A 15 year-old female is to have a tonsillectomy performed for chronic tonsillitis and
hypertrophied tonsils. A McIver mouth gag was put in place and the tongue was depressed. The
nasopharynx was digitalized. No significant adenoid tissue was felt. The tonsils were then
removed bilaterally by dissection. The uvula was a huge size because of edema, a part of this
was removed and the raw surface oversewn with 3-0 chromic catgut. Which CPT® code(s) is
(are) reported?
A. 42821
B. 42825, 42104-51
,C. 42826, 42106-51
D. 42842 - ANS-C. 42826, 42106-51
A 16-day-old male baby is in the OR for a repeat circumcision due to redundant foreskin that
caused circumferential scarring from the original circumcision. Anesthetic was injected and an
incision was made at base of the foreskin. Foreskin was pulled back and the excess foreskin
was taken off and the two raw skin surfaces were sutured together to create a circumferential
anastomosis. Select the appropriate code for this surgery:
A. 54150
B. 54160
C. 54163
D. 54164 - ANS-C. 54163
A 2 year-old is brought to the ER by EMS for near drowning. EMS had gotten a pulse. The ER
physician performs endotracheal intubation, blood gas, and a central venous catheter
placement. The ER physician documents a total time of 30 minutes on this critical infant in
which the physician already subtracted the time for the other billable services. Select the E/M
service and procedures to report for the ER physician?
A. 99291-25, 36555, 31500
B. 99291-25, 36556, 31500, 82803
C. 99285-25, 36556, 31500, 82803
D. 99475-25, 36556 - ANS-A. 99291-25, 36555, 31500
A 2-year-old is coming in with his mom to see the pediatrician for fever, sore throat, and pulling
of the ears. The physician performs an expanded problem focused history. An expanded
problem focused exam. A strep culture was taken for the pharyngitis and came back positive for
strep throat. A diagnosis was also made of the infant having acute otitis media with effusion in
both ears. The medical decision making was of moderate complexity with the giving of a
prescription. What CPT® and ICD-10-CM codes are reported?
A. 99212, J02.9, H66.93
B. 99213, J02.0 H65.93
C. 99212, J02.0 H65.193
D. 99213, J02.0 H65.193 - ANS-D. 99213, J02.0 H65.193
A 2-year-old male has a chalazion on both upper and lower lid of the right eye. He was placed
under general anesthesia. With a #11 blade the chalazion was incised and a small curette was
then used to retrieve any granulomatous material on both lids. What CPT® code should be used
for this procedure?
A. 67801
B. 67805
C. 67800
D. 67808 - ANS-D. 67808
, A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for
cyanosis and rapid breathing. The neonatologist performed intubation, ventilation management
and a complete echocardiogram in the NICU and provided a report for the echocardiography
which did indicate congenital heart disease. Select the correct codes for the physician service.
A. 99468-25, 93303-26
B. 99471-25, 31500, 94002, 93303-26
C. 99460-25, 31500, 94002, 93303-26
D. 99291-25, 93303-26 - ANS-A. 99468-25, 93303-26
A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She has consented
for a D&E. She was brought to the operating room where MAC anesthesia was given. She was
then placed in the dorsal lithotomy position and a weighted speculum was placed into her
posterior vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter hooked up
to a suction evacuator was placed and products of conception were evacuated. A medium size
curette was then used to curette her endometrium. There was noted to be a small amount of
remaining products of conception in her left cornua. Once again the suction evacuator was
placed and the remaining products of conception were evacuated. At this point she had a good
endometrial curetting with no further products of conception noted. Which CPT® code should be
used?
A. 59840
B. 59841
C. 59812
D. 59851 - ANS-B. 59841
A 23-year-old who is pregnant at 39-weeks and 3 days is presenting for a low transverse
cesarean section. An abdominal incision is made and was extended superiorly and inferiorly
with good visualization of the bladder. The bladder blade was then inserted and the lower
uterine segment incised in a transverse fashion with the scalpel. The bladder blade was
removed and the infant's head delivered atraumatically. The nose and mouth were suctioned
with the bulb suction trap and the cord doubly clamped and cut. The placenta was then removed
manually. What CPT® and ICD-10-CM codes are reported for this procedure?
A. 59610, O34.211, Z37.0, Z3A.39
B. 59510, O64.1XX0, Z37.0, Z3A.39
C. 59514, O82, Z37.0, Z3A.39
D. 59515, O82, Z37.0, Z3A.39 - ANS-C. 59514, O82, Z37.0, Z3A.39
A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue
infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the
pus was removed and irrigation was performed with a liter of saline until clear and clean. The
infected area was completely drained and the wound was packed gently with sterile saline
moistened gauze and pads were placed on top of this. The correct CPT® code is:
A. 56405
B. 10061
C. 11004
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