AAPC CPC Final Exam 2022 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
This 56-year-old female presented with a degenerative posteromedial meniscal flap tear
of the right knee. After appropriate preoperative evaluation, the patient was taken to the
operati...
AAPC CPC Final Exam 2022 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
This 56-year-old female presented with a degenerative posteromedial meniscal flap tear
of the right knee. After appropriate preoperative evaluation, the patient was taken to the
operating room where general anesthesia was instituted. The patient was placed supine
on the operating table. The right lower extremity was sterilely prepped and draped for
arthroscopic surgery. The leg was exsanguinated and the tourniquet inflated. The
arthroscope was introduced first through the anterolateral portal wi - CORRECT
ANSWER d. 29881
Response Feedback:
Rationale: This was a surgical arthroscopy of the knee. In the CPT® Index look for
Arthroscopy/Surgical/Knee, directing you to 29866-29868, 29871-29889. The medial
meniscectomy and debridement are reported with 29881. In this case the synovectomy,
code 29875, is a separate procedure and bundled with 29881; it is not reported
separately.
Operative Report
Indications: This is a third follow-up EGD dilation on this 40-year-old patient for a pyloric
channel ulcer which has been slow to heal with resulting pyloric stricture. This is a
repeat evaluation and dilation.
Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray.
Procedure: With the patient in the left lateral decubitus position, the Olympus GIFXQ10
was inserted into the proximal esophagus and advanced to the Z-line. The esophageal
mucosa was unremarkable - CORRECT ANSWER a. 43245, 43239-51, K31.1,
Z87.11
Response Feedback:
Rationale: The procedures performed are correctly represented by codes 43245
(balloon dilation) and 43239 (biopsies). In the CPT® Index, look for
Esophagogastroduodenoscopy/Flexible Transoral/Dilation of Gastric/Duodenal Stricture
referring you to 43245. Next look for Esophagogastroduodenoscopy/Flexible
Transoral/Biopsy referring you to 43239. Modifier 51 is reported to indicate multiple
procedures performed on the same day, same session.
In the operative note, the diagnosis codes are reported from the Impressions. ICD-10-
CM codes are K31.1 for the pyloric stricture. In the ICD-10-CM Alphabetic Index look for
Stricture/pylorus. The stricture was acquired due to peptic ulcer disease, which is
healed. Report with history code Z87.11. In the Alphabetic Index, look for
,History/personal (of)/disease or disorder (of)/digestive system/peptic ulcer disease
referring you to Z87.11. Verify codes in the Tabular List.
This 36-year-old female presents with an avulsed anterior cruciate ligament off the
femoral condyle with a complete white on white horizontal cleavage tear of the posterior
horn of the medial meniscus, causing instability. A general endotracheal anesthesia was
performed, and the patient was placed supine on the operating table. The right lower
extremity was prepped with Betadine and draped free. Standard arthroscopic portals
were created, and the knee was systematically examined and probed. The - CORRECT
ANSWER b. 29888-RT, 29881-51-RT
Response Feedback:
Rationale: The anterior cruciate ligament repair can be found in the CPT® Index by
looking for Cruciate Ligament/Repair/Arthroscopic Repair 29888, 29889. This was the
anterior cruciate ligament; 29888 is the correct code. A medial meniscectomy was also
performed which is reported with 29881. In the CPT® Index look for
Arthroscopy/Surgical/Knee referring you to 29866-29868, 29871-29889. This is a medial
meniscectomy 29881. Modifier -51 is required to report multiple procedures performed
during the same session. The patellar tendon bone graft is included in 29888. The
notchplasty (29999) is also bundled as only one procedure can be reported per
compartment (patellofemoral). Modifier RT is appended to indicate the right side.
Operative Report
PREOPERATIVE DIAGNOSIS: Prolapsed vitreous in anterior chamber with corneal
edema
POSTOPERATIVE DIAGNOSIS: Same
OPERATION PERFORMED: Anterior vitrectomy
The patient is a 72-year-old woman who approximately 10 months ago underwent
cataract surgery with a YAG laser capsulotomy, developed corneal edema and required
a corneal transplant. The patient has done well. Over the last few weeks, she developed
posterior vitreous detachment with vitreous prolapse to the opening in the post -
CORRECT ANSWER d. 67010
Response Feedback:
Rationale: In the CPT® Index look for Vitrectomy/Anterior Approach/Subtotal. This was
a subtotal removal using a mechanical tool to sweep the vitreous away. Subtotal using a
mechanical tool is reported with 67010.
Operative Report
PROCEDURE: Left L3-L4 peri-articular paravertebral facet joint injection.
PATIENT HISTORY: The patient is a 67-year-old woman referred by Dr. X for repeat
diagnostic/therapeutic spinal injection procedure. She is about 1 1/2 years status post
lumbar decompression for stenosis. Two weeks ago she underwent an interarticular left
L4-L5 paravertebral facet joint injection. She had no relief of symptoms from that
injection.
,TECHNIQUE: The patient was positioned prone and the skin was - CORRECT
ANSWER a. 64493
Rationale: Nerve block injections are selected based on location and number of levels.
Code 64493 is described as a paravertebral facet joint of lumbar spine, single level.
This code descriptor includes imaging guidance, and it is not reported separately. In the
CPT® Index look for Injection/Paravertebral Facet Joint/Nerve/with image guidance.
INDICATIONS FOR CORONARY INTERVENTION: Acute inferior myocardial infarction.
Documented mildly occlusive plaque with much clot in the right coronary artery.
PROCEDURE: Insertion of temporary pacemaker in the right femoral vein. Primary
stenting of the right coronary artery with a 4.5 x 16 mm Express stent. Angio-Seal to the
vessels of the right common femoral artery post procedure, and also Angio-Seal of the
right common femoral vein.
TECHNIQUE: Judkins percutaneous approach from the right groin - CORRECT
ANSWER a. 92928-RC, 92928-LD, 33967, 92973
Response Feedback:
Rationale: Only one base code is reported per major coronary artery. In this case
angioplasty and stent placement was performed in the right coronary artery (92928-RC)
and in the left anterior descending (92928-LD). Look in the CPT® Index for Coronary
Artery/Angioplasty/with Stent Placement referring you to 92928-92929. A thrombectomy
was performed by AngioJet in the LD reported with 92973. Look in the CPT Index for
Coronary Artery/Thrombectomy referring you to 92973. A temporary pacemaker was
inserted through the femoral vein; however, it is bundled with the cardiac
catheterization. At the end of the procedure, an intra-aortic balloon pump was inserted,
33967. Look in the CPT® Index for Insertion/Balloon/Intra-Aortic referring you to 33967,
33973
The minimum necessary rule is based on sound current practice that protected health
information should NOT be used or disclosed when it is not necessary to satisfy a
particular purpose or carry out a function. What does this mean?
a. Staff members are allowed to access any medical record without restriction
b. Providers should develop safeguards to prevent unauthorized access to protected
health information.
c. Practices should only provide minimum necessary information to patients.
d. All of t - CORRECT ANSWER b. Providers should develop safeguards to prevent
unauthorized access to protected health information.
EHR stands for:
a. Electronic health record
b. Extended health record
c. Electronic health response
d. Established health record - CORRECT ANSWER a. Electronic health record
, The AAPC offers over 500 local chapters across the country for the purpose of
a. Continuing education and networking
b. Membership dues
c. Regulations and bylaws
d. Financial management - CORRECT ANSWER a. Continuing education and
networking
What does the abbreviation MAC stand for?
a. Medicaid Alert Contractor
b. Medicare Advisory Contractor
c. Medicare Administrative Contractor
d. Medicaid Administrative Contractor - CORRECT ANSWER c. Medicare
Administrative Contractor
The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are ______.
a. Permanent
b. Consistent and appropriate
c. Frequent
d. Swift and enforceable - CORRECT ANSWER b. Consistent and appropriate
Through which vessel is oxygenated blood returned to the heart from the lungs?
a. Pulmonary vein
b. Bronchial vein
c. Pulmonary artery
d. Bronchial artery - CORRECT ANSWER a. Pulmonary vein
Muscle is attached to bone by what method?
a. Tendons, ligaments, and directly to bone
b. Tendons, aponeurosis, and directly to bone
c. Ligaments, aponeurosis, and directly to bone
d. Tendons and cartilage - CORRECT ANSWER b. Tendons, aponeurosis, and
directly to bone
Lacrimal glands are responsible for which of the following?
a. Production of tears
b. Production of vitreous
c. Production of mydriatic agents
d. Production of zonules - CORRECT ANSWER a. Production of tears
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