Download AAPC CPC FINAL EXAM | 101 QUESTIONS WITH VERIFIED SOLUTIONS 2025 and more Exams Law in PDF only on Docsity!
When coding in operative report what action would NOT be recommended? ✔✔Coding from the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who
determines coverage? ✔✔Medicare administrative contractor (MAC)
MAC stands for what!? ✔✔Medicare administrative contractor
What is the definition of coding? ✔✔Translating documentation into numerical/alphabetical codes used to obtain reimbursement.
How many components should be included in an effective compliance plan? ✔✔ 7
Which of the following is NOT a function of the skin? ✔✔Acts as a gland by synthesizing vitamin A.
What is affected by myasthenia gravis? ✔✔Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type? ✔✔An incision made into the perineum to enlarge the passage for the fetus during delivery
A patient is diagnosed with inflammation of the testes and epididymis. The medical term for this condition is: ✔✔Orchiepididymitis
AAPC CPC FINAL EXAM | 101 QUESTIONS WITH
VERIFIED SOLUTIONS 2025
A condition where the thyroid is overactive is called: ✔✔Thyrotoxicosis
What does ICD 10 CM stand for? ✔✔International classification of diseases - 10th revised - clinical modification
What is the sequencing order when coding a sequela (late effect)? ✔✔The residual condition is coded first, in the code(s) for the cause of the late effect are coded as secondary
What is the ICD 10 CM code for hives? ✔✔L50.
20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and performs a lumber puncture. The ED physician reviews the results in the patient is admitted in the hospital for meningitis. The ED physician suspects that the meningitis is bacterial. Which ICD 10 CM code is reported by the
ED physician? ✔✔G03.
45 year old female with malignant Mullerian duct cancer is receiving her first treatment of
chemotherapy. What diagnosis codes are reported? ✔✔Z51.11, C57.
The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps
muscle biopsy. What diagnosis code is reported? ✔✔M62.
The provider orders the following serum blood tests as part of a pre-employment physical exam. The patient goes to the local hospital for the following tests: CBC automated and automated differential WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating hormone assay (84443), all part of the general health panel. A drug screen for
multiple drug classes was also collected (80100). What diagnosis code is reported? ✔✔Z02.
What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis? ✔✔F12.
What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-molded? ✔✔L
What is another term for hives? ✔✔Urticaria
The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 Monocryl and 6. Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM
codes are reported? ✔✔12051, 11441-51, D23.
44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameter deformity parameters and initial strut settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT code should
reported? ✔✔ 20697
A young female patient was taken to the operative suite, and was placed under appropriate anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in noted to be normal. The undersurface of the rotator cuff was clearly visualized and also noted to be normal. There was a large anterior spur formation. The blur was introduced through a lateral portal and the anterior lip of the acromion was resected. The undersurface of the clavicle was noted to be quite prominent and part of the impinging process. There was intense bursitis and a bursectomy was performed, allowing for acromial decompression and release. Spurs were removed fr
✔✔23415-RT
What modifier must always be applied to medicare claims for test performed in a site with CLIA
Waived certificate? ✔✔QW
What does "in vivo" mean? ✔✔in the living body
what is the code for gross and microscopic examination (surgical pathology) of the breast tissue
from a simple mastectomy? ✔✔ 88307
A patient presents with worries she is at risk for cancer. She asks for tests to verify whether she
has cancer. The test comes back normal. What type of service is this considered? ✔✔screening services
If the findings on examination of a pap smear are normal and described as "negative for intraepithelial lesion or malignancy" this is a example of what type of results reporting?
✔✔Bethesda
What ICD-10-CM code is reported for elevated blood sugar? ✔✔R73.
What ICD-10-CM code is reported for an abnormal cervical pap smear? ✔✔R87.
A lab test reveals an excessive level of alcohol in the blood. What ICD-10-CM code is reported?
✔✔R78.
What do the services in the Reproductive Medicine Procedures section of the Pathology and
Laboratory chapter of CPT report? ✔✔Services related to in vitro fertilization
What is usually found in the blood if a person has or used to have an infecting virus?
✔✔Antibody
A patient with AIDS presents for follow up care. The total T-cell count is ordered to evaluate any progression of the disease. What CPT code is reported? ✔✔86359- Code 86359 is for total T-cell count. If other studies were performed and they were not ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index, look for T Cells/Count.
Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available? ✔✔hypen
Which punctuation mark between codes in the index of the CPT manual indicates two codes are available? ✔✔comma
The words that follow a code number in the CPT manual are called: ✔✔procedure/ service descriptor
A code that has all the words that describe the code following it is called what type of code?
✔✔stand alone
According to surgery guidelines, is surgical destruction part of a surgical procedure? ✔✔yes
First division in the CPT ✔✔SECTION
Second division in the CPT ✔✔SUBSECTION
Third division in the CPT ✔✔SUBHEADING
Fourth division in the CPT ✔✔CATEGORY
What is the largest single mass of lymphatic tissue? ✔✔Spleen
Which main coronary artery bifurcates into two smaller ones? ✔✔Left
What is the term for the divider between the heart chamber walls? ✔✔Septum
is a term standing for enlargement of the heart ✔✔Cardiomegaly
cardio= heart megaly= enlargement
repair of coronary vessel is called: ✔✔Angioplasty
angio= vessel plasty= repair
Where is the hypertension table located in ICD-10-CM? ✔✔there is no hypertension table in ICD-10-CM
Which statement is true regarding codes for hypertension and heart disease in ICD-10-CM?
✔✔Hypertension and heart disease without a stated casual relationship must be coded separately.
What information is needed in order to accurately code hypertension retinopathy in ICD-10-CM?
✔✔The affected eye(s)
What is the default code for coronary artery atherosclerosis? ✔✔1125.
How many layers of tissue does an artery have? ✔✔ 3
The conduction system contains pacemaker cells, nodes, the , and the. ✔✔Purkinje fibers and Bundle of His
What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart? ✔✔Heart valves
What information is required to accurately code PVD due to diabetes in ICD-10-CM?
✔✔Whether the patient has gangrene
Bile empties into the duodenum through what structure? ✔✔Common bile duct
adverse effect ✔✔rash developing when taking oenicillin
colp/o ✔✔vagina
CKD stand for: ✔✔Chronic Kidney Disease
Which statement is TRUE for reporting burn codes? ✔✔The highest degree of burn is reported as primary code
codes for diseases and disorders of the nails ✔✔chapter 12 Skin
What does the 7th character A indicate in Chapter 19? ✔✔initial encounter
What codes are reported voluntarily to payers to provide evidence-based performance-measure
data? ✔✔CPT Category II codes
CPT Category III codes are reimbursable at what level of reimbursement? ✔✔Reimbursement, if any, is determined by the payer
HCPCS stands for: ✔✔Healthcare Common Procedures Coding System
How many days does it take for CMS to implement HCPCS Level II Temporary Codes that have
been reported as added, changed, or deleted? ✔✔ 90
OPPS ✔✔C codes
Which statement is TRUE regarding the Instruction for use of the CPT codebook? ✔✔select the name of the procedure or service that accurately identifies the service performed.
