AAPC CPC 2017

AAPC Medical Coding (CPC) Final Exam 2017 (Test #1) (The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operat...

Question 1_4 out of 4 points What modifier identifies the professional component of a service? Selected Answer: c. 26 Correct Answer: c. 26 Response Feedback: Rationale: Modifier 26 identifies the Professional component. Modifier TC identifies the technical component. There is no modifier PC. The HCPCS Level I modifiers are listed in the CPT® codebook in Appendix A and the HCPCS Level II modifiers are listed in the HCPCS codebook.  Question 2_4 out of 4 points What modifier must...

AAPC Medical Coding (CPC) Final Exam 2017 (Test #1) (The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operat...

 Question 1_4 out of 4 points The patient presents with a recurrent infection of the Bartholin’s gland which has previously been treated with antibiotics and I&D. At this visit her gynecologist incises the cyst, draining the material from it and tacks the edges of the cyst open creating an open pouch to prevent recurrence. How is this procedure coded? Selected Answer: d. 56440 Correct Answer: d. 56440 Response Feedback: Rationale: Marsupialization is a procedure where a scalpel is...

 Question 1_4 out of 4 points An axillary view might be included in an X-ray of what part of the skeleton? Selected Answer: c. Shoulder Correct Answer: c. Shoulder Response Feedback: Rationale: The axillary view is an X-ray view taken of the shoulder.  Question 2_4 out of 4 points Which anatomic position has the patient lying at an angle instead of lying flat or directly on their side? Selected Answer: b. Oblique Correct Answer: b. Oblique Response Feedback: Rationale: The o...

 Question 1_4 out of 4 points Left ureteral stent placement and Extracorporeal Shock Wave Therapy or Lithotripsy (ESWL) of the left kidney are performed. What CPT® code(s) is/are reported for this service? Selected Answer: d. 50590-LT, 52332-51-LT Correct Answer: d. 50590-LT, 52332-51-LT Response Feedback: Rationale: Two procedures are performed. CPT® 52353 describes laser lithotripsy and does not include ESWL. CPT® 52332 describes the stent placement, but does not include the ES...

Question 1_4 out of 4 points What term best describes a mass of hyperplastic scar tissue? Selected Answer: b. Keloid Correct Answer: b. Keloid Response Feedback: Rationale: A keloid scar is excess growth of connective tissue during the healing process.  Question 2_4 out of 4 points What is commonly known as a boil of the skin? Selected Answer: d. Furuncle Correct Answer: d. Furuncle Response Feedback: Rationale: Carbuncles and furuncles (boils) typically are caused by a stap...

 Question 1_4 out of 4 points What hernia repair codes can be reported with add-on code 49568? Selected Answer: a. Correct Answer: a. Response Feedback: Rationale: Look in your CPT® codebook for 49568. The parenthetical note under add-on code 49568 states to Use 49568 in conjunction with , .  Question 2_4 out of 4 points Services provided in the home by an agency are considered Selected Answer: c. Facility services Correct Answer: c. Facility services Response Feedback:...

Question 1_4 out of 4 points What is the value of a remittance advice? Selected Answer: c. It states what will be paid and why any changes to charges were made. Correct Answer: c. It states what will be paid and why any changes to charges were made. Response Feedback: Rationale: The determination of the payer is sent to the provider in the form of a remittance advice. The remittance advice explains the outcome of the insurance adjudication on the claim, including the payment amount, co...