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AAPC CPC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Radiology | 5-10% | - Diagnostic Imaging |
| Topic 2: ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Topic 3: HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Topic 4: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Topic 5: Surgery Coding | 40-50% | - Cardiovascular System - Genitourinary System - Nervous System - Respiratory System - Integumentary System - Digestive System - Musculoskeletal System |
| Topic 6: Medicine | 5-10% | - Specialty Coding |
| Topic 7: Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Topic 8: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
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Taking the AAPC CPC practice test is very beneficial to clear the Certified Professional Coder (CPC) Exam CPC exam on the first try. You get awareness about the AAPC CPC real exam environment because the CPC Practice Exam has an actual exam-like pattern. Furthermore, the AAPC CPC practice test tracks and reports your performance.
AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q404-Q409):
NEW QUESTION # 404
A patient had surgery a year ago to
repair two extensor tendons in his wrist. He is in surgery for a secondary
repair for the same two tendons with free graft. What CPTcoding is reported?
- A. 25274 x 2
- B. 25270 x 2
- C. 0
- D. 1
Answer: A
Explanation:
1. Procedure Type: This scenario describes a secondary repair
of two extensor tendons in the wrist with a free graft. According to CPTcoding
guidelines, the secondary repair with a free graft suggests a more complex
repair than primary closure.
2. CPTCode Selection:
Code 25270 is used for
a primary repair of an extensor tendon in the forearm or wrist. Since this is a
secondary repair, 25270 does not apply, ruling out options A and C.
Code
25272 represents the repair of a single extensor tendon in the forearm or wrist,
which includes both primary and secondary repairs. However, it does not involve
free grafts, ruling out option D.
Code 25274 specifically addresses the
secondary repair of an extensor tendon with free graft in the forearm or wrist,
which is the correct scenario described in the question.
3. Applying the Code
for Multiple Tendons:
Since the procedure involves two tendons, 25274 should
be reported twice (25274 x 2) to account for the secondary repair on each tendon
individually.
4. Reference from AAPC CPC Guidelines:
In AAPC CPC and
CPTcoding principles, tendon repair codes require careful distinction between
primary repairs and secondary repairs with grafts. The guidelines specify that
multiple tendons should be coded with individual codes when performed on
separate anatomical structures, hence the use of 25274 twice for both
tendons.
Therefore, the verified and precise answer based on CPTguidelines
and AAPC coding standards is B.
25274 x 2.
NEW QUESTION # 405
A 60-year-old male has three-vessel
disease and supraventricular tachycardia which has been refractory to other
management. He previously had pacemaker placement and stenting of LAD coronary
artery stenosis, which has failed to solve the problem. He will undergo CABG
with autologous saphenous vein and an extensive modified MAZE procedure to treat
the tachycardia.
He is brought to the cardiac OR and placed in the supine
position on the OR table. He is prepped and draped, and adequate endotracheal
anesthesia is assured. A median sternotomy incision is made and cardiopulmonary
bypass is initiated. The endoscope is used to harvest an adequate length of
saphenous vein from his left leg. This is uneventful and bleeding is easily
controlled. The vein graft is prepared and cut to the appropriate lengths for
anastomosis. Two bypasses are performed: one to the circumflex and another to
the obtuse marginal. The left internal mammary is then freed up and it is
anastomosed to the ramus, the first diagonal, and the LAD. An extensive maze
procedure is then performed and the patient is weaned from bypass. At this
point, the sternum is closed with wires and the skin is reapproximated with
staples. The patient tolerated the procedure without difficulty and was taken to
the PACU.
Choose the procedure codes for this surgery.
- A. 33535, 33259 51, 33519-51, 33508-51
- B. 33533, 33257-51, 33519-51, 33508-51
- C. 33533, 33257, 33519, 33508
- D. 33535, 33259, 33519, 33508
Answer: A
Explanation:
The CABG procedure involved multiple bypasses, with the use
of autologous saphenous vein grafts and the left internal mammary artery, along
with an extensive modified MAZE procedure. CPT code 33535 describes a coronary
artery bypass using arterial grafts, including at least three coronary artery
bypasses. CPT code 33259-51 is for the MAZE procedure for supraventricular
tachycardia, with the -51 modifier indicating multiple procedures. CPT code
33519-51 is for an additional vein graft, and CPT code 33508-51 describes the
endoscopic harvesting of the vein.
Reference:
AMA's CPT Professional
Edition (current year), Codes 33535, 33259-51, 33519-51, 33508-51
NEW QUESTION # 406
A patient presents to the urgent care
facility with multiple burns acquired while burning debris in his backyard.
After examination the physician determines the patient has third-degree burns of
the left and right posterior thighs (10%). He also has second-degree burns of
the anterior portion of the right side of his chest wall (8%) and upper back
(6%). TBSA is 24% with third-degree burns totaling 10%.
What ICD-10-CM codes
are reported, according to 1CD-10-CM coding guidelines?
- A. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21
- B. T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21
- C. T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21
- D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31
Answer: A
Explanation:
In coding burns, ICD-10-CM guidelines indicate that each burn
site is coded separately, specifying the degree, location, and extent of the
burn. Additionally, a code for total body surface area (TBSA) burned is included
when burns cover more than 10% of the body. Here's the breakdown:
1.
T24.311A: Represents a third-degree burn on the left thigh, initial
encounter.
2. T24.312A: Represents a third-degree burn on the right thigh,
initial encounter.
3. T21.21XA: Represents a second-degree burn on the
anterior chest wall, initial encounter.
4. T21.23XA: Represents a
second-degree burn on the upper back, initial encounter.
5. T31.21:
Represents burns with 20-29% TBSA involvement, with third-degree burns covering
10-19% of the TBSA.
Explanation of incorrect answers:
A includes an
incorrect TBSA code (T31.21).
B has the correct codes but lists an incorrect
TBSA code for third-degree burns.
C uses incorrect burn site codes for the
areas involved and incorrect TBSA percentages.
Therefore, the correct answer
is D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21, which accurately captures
the burns' degrees, locations, and TBSA.
NEW QUESTION # 407
(A 14-month-old male with a
unilateral complete cleft lip and alveolar cleft palate had prior repair of the
cleft lip. He now presents forreconstruction of the palatewith closing the
fissure in the soft tissue of thealveolar ridge with bone graft. What CPT coding
is reported?)
- A. 42210, 20900
- B. 42200, 20900
- C. 0
- D. 1
Answer: D
Explanation:
This scenario describes apalatoplasty(repair of cleft palate)
withclosure of the alveolar ridgeusing abone graft.
CPT code42210is the code
that captures palatoplasty withclosure of the alveolar ridgeand associated bone
grafting work as part of the reconstructive procedure described. Because the
bone graft is part of the defined palatoplasty service in this code concept, you
donotseparately report a generic bone graft harvesting code such as20900in the
way the answer options suggest. The distractor42200is associated with a more
limited palate repair (not matching the alveolar ridge closure with graft
detail), and42205does not reflect the specific alveolar ridge closure with bone
grafting described in the question stem. CPC exam strategy: identify the
mostcomprehensive cleft palate repairthat matches the documentation; when a CPT
code description includes the specific additional work (like alveolar ridge
closure with graft), code that single comprehensive service.
NEW QUESTION # 408
(A 40-year-old woman with progressive
sensorineural hearing loss in the right ear has acochlear implantplaced for the
right ear. Anesthesia is provided by aCRNAwithmedical directionby an
anesthesiologist who is concurrently directing 5 CRNAs. Physical status is3.
What anesthesia CPT and ICD-10-CM codes are reported by
theanesthesiologist?)
- A. 00120-AD-P3, H90.41
- B. 00120-AA-P3, H90.41
- C. 00300-QY-P3, H90.5
- D. 00300-QX-P3, H90.5
Answer: A
Explanation:
Cochlear implant surgery is anearprocedure and maps to
anesthesia code00120in this question's option framework. The anesthesiologist
ismedically directingCRNAs and is concurrently directing5CRNAs. Under anesthesia
modifier rules, when an anesthesiologist is directingmore than fourconcurrent
anesthesia procedures, the correct modifier isAD(medical supervision by a
physician: more than four concurrent anesthesia procedures). Physical status is
given asP3(severe systemic disease), so append-P3. The diagnosis is progressive
sensorineural hearing loss in the right ear; in the options,H90.41represents
unilateral sensorineural hearing loss (right ear) as provided. Options
usingAAwould indicate the anesthesiologist personally performed anesthesia (not
true here), andQY/QXrepresent medical direction structures but do not match
the
"more than four" concurrency described (which specifically triggersADin
these exam-style choices).
Therefore, the correct reporting by the
anesthesiologist is00120-AD-P3, H90.41.
NEW QUESTION # 409
......
These AAPC CPC exam questions give you an idea about the final AAPC CPC exam questions formats, exam question structures, and best possible answers, and you will also enhance your exam time management skills. Finally, at the end of CPC Exam Practice test you will be ready to pass the final CPC exam easily. Best of luck in Certified Professional Coder (CPC) Exam (CPC) exam and professional career!!!
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