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AAPC CPC FINAL EXAM QUESTIONS AND ANSWERS 100% CORRECT
1. When coding in operative report what action would NOT be recommend- ed?
ANS Coding from the header with out reading the body of the report
2. If an NCD doesn't exist for a particular service/procedure performed on a
Medicare patient who determines coverage? ANS Medicare administrative contrac- tor (MAC)
3. MAC stands for what!?
ANS Medicare administrative contractor
4. What is the definition of coding?
ANS Translating documentation into numeri- cal/alphabetical codes used to obtain reimbursement.
5. How many components should be included in an effective compliance plan?
ANS 7
6. Which of the following is NOT a function of the skin?
ANS Acts as a gland by synthesizing vitamin A.
7. What is affected by myasthenia gravis?
ANS Neuromuscular junction
8. The term "episiotomy" Best describes a procedure of what type?
ANS An incision made into the perineum to enlarge the passage for the fetus during delivery
9. A patient is diagnosed with inflammation of the testes and epididymis. The
medical term for this condition is ANS Orchiepididymitis
10. A condition where the thyroid is overactive is called
ANS Thyrotoxicosis
11. What does ICD 10 CM stand for?
ANS International classification of diseases - 10th revised - clinical modification
12. What is the sequencing order when coding a sequela (late effect)?
ANS The residual condition is coded first, in the code(s) for the cause of the late effect are coded as secondary
13. What is the ICD 10 CM code for hives?
ANS L50.
14. 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? ANS G03.
15. 45 year old female with malignant Mullerian duct cancer is receiving her first
treatment of chemotherapy. What diagnosis codes are reported? ANS - Z51.11, C57.
had diabetes for many years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM code are reported? ANS - E11.622, L98.429, Z79.
21. What does the root word cool/o stand for?
ANS Vagina
22. What does the abbreviation CKD stand for?
ANS Chronic kidney disease
23. The patient is in for in initial replacement of a leaking dialysis catheter.
What ICD 10 CM code is reported? ANS T82.43XA
24. What is/are the external cause code(s) for a passenger involved in a MVA that
lost control on the highway and hit a guardrail? ANS Y92.
25. A patient was admitted three weeks following a normal vaginal delivery with
a postpartum breast abscess. What ICD 10 code should be reported? ANS - O91.
26. A 28-year-old male was rushed to the ED after being found unconscious.
Information from family members indicated that the patient had left a suicide note and taking a large amount of LSD (a hallucinogenic). What ICD 10 CM codes are reported? ANS T40.8X2A, R40.
27. A 63-year-old fractured her scaphoid bone in her right wrist three months ago
in an accident. She now presents with a non-union of the scaphoid bone. What ICD 10 CM code is reported? ANS S62.001K
28. What three components are considered when relative value units are
established? ANS Physician work, practice expense, malpractice insurance
29. What is the correct HCPCS Level II code for a removable metatarsal foot arch
support which is pre-molded? ANS L
30. What is another term for hives?
ANS Urticaria
31. The patient has a suspicious lesion of the left Jolle line. Clinical diag- nosis 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 6.0 Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? ANS 12051, 11441-51, D23.
32. 44-year-old male with biplanar deformity acquired limb length discrepan- cies
applied. The patient was placed in a sling and returned to the recovery room. What CPT code is reported? ANS 23415-RT
34. What modifier must always be applied to medicare claims for test per-
formed in a site with CLIA Waived certificate? ANS QW
35. What does "in vivo" mean?
ANS in the living body
36. what is the code for gross and microscopic examination (surgical pathol- ogy)
of the breast tissue from a simple mastectomy? ANS 88307
37. 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? ANS screening services
38. 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? ANS Bethesda
39. What ICD-10-CM code is reported for elevated blood sugar?
ANS R73.
40. What ICD-10-CM code is reported for an abnormal cervical pap smear?-
ANS R87.
41. A lab test reveals an excessive level of alcohol in the blood. What ICD-
10-CM code is reported? ANS R78.
42. What do the services in the Reproductive Medicine Procedures section of the
Pathology and Laboratory chapter of CPT report? ANS Services related to in vitro fertilization
43. What is usually found in the blood if a person has or used to have an
infecting virus? ANS Antibody
44. 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? ANS 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.
45. A patient with AIDS presents for follow up care. An NK (natural killer cell)
total count is ordered. What CPT code is/are reported? ANS 86357- Although there are a number of cells that attack viruses and other infectious organisms, NK cells are specifically identified by code 86357. In the CPT Index, see Natural Killer (NK) Cells.
cation identifies microorganisms like by viruses by observing growth patterns and other characteristics.
47. CPT stands for
ANS
ANS Current Procedure Terminology
48. Which term reflects the technologic advances made in medicine that are
incorporated into the CPT manual? ANS special reports
49. How man sections is the CPT manual divided into?
ANS 6
50. Where is specific coding information about each section located?
ANS Guide- lines
51. In which CPT appendix would modifiers be found?
ANS Appendix A
52. In which CPT appendix would additions, deletions, and revisions be
found? ANS Appendix B
53. A list of the unlisted procedures for use in a specific section of the CPT
manual is contained in ANS ANS Guidelines
54. Who requires a special report with the use of unlisted codes?
ANS Third-party payers
55. Which of the following represents three of the six elements that a special
report must contain? ANS nature, extent, need
56. Which punctuation mark between codes in the index of the CPT manual
indicates a range of codes is available? ANS hypen
57. Which punctuation mark between codes in the index of the CPT manual
indicates two codes are available? ANS comma
58. The words that follow a code number in the CPT manual are called
ANS
ANS pro- cedure/ service descriptor
59. A code that has all the words that describe the code following it is called what
type of code? ANS stand alone
60. According to surgery guidelines, is surgical destruction part of a surgical
procedure? ANS yes
61. First division in the CPT
ANS SECTION
66. Which main coronary artery bifurcates into two smaller ones?
ANS Left
67. What is the term for the divider between the heart chamber walls?
ANS Sep- tum
68. is a term standing for enlargement of the heart
ANS Cardiomegaly cardio= heart megaly= enlargement
69. repair of coronary vessel is called
ANS
ANS Angioplasty angio= vessel plasty= repair
70. Where is the hypertension table located in ICD-10-CM?
ANS there is no hyper- tension table in ICD-10-CM
71. Which statement is true regarding codes for hypertension and heart disease
in ICD-10-CM? ANS Hypertension and heart disease without a stated casual relationship must be coded separately.
72. What information is needed in order to accurately code hypertension
retinopathy in ICD-10-CM? ANS The affected eye(s)
73. What is the default code for coronary artery atherosclerosis?
ANS 1125.
74. How many layers of tissue does an artery have?
ANS 3
75. The conduction system contains pacemaker cells, nodes, the , and
the. ANS Purkinje fibers and Bundle of His
76. What part of the cardiovascular system is responsible for the one-way flow
of blood through the chambers of the heart? ANS Heart valves
77. What information is required to accurately code PVD due to diabetes in ICD-
10-CM?
ANS Whether the patient has gangrene
78. Bile empties into the duodenum through what structure?
ANS Common bile duct
79. Which of the following is not a function on the skin?
ANS Acts as a gland by synthesizing vitamin A.
80. What ICD-10-CM code is reported for spontaneous pneumothorax?
ANS -
J93.
81. When a patient has a blood test for HIV that is inconclusive, what ICD-
10-CM code is assigned? ANS R
82. What does MRSA stand for?
84. When the type of diabetes mellitus is not documented in the medical note,
what is used as the default type? ANS Type 2
85. If a patient uses insulin, what type of diabetic does it mean the patient is?
ANS The use of insulin doesn't specify the patient is a certain type of diabetic
86. According to ICD-10-CM Guidelines, when a patient is seen for manage- ment
of anemia due to malignancy, how is it reported? ANS The malignancy is reported first, followed by the code for the anemia.
87. First episode of an acute myocardial infraction
ANS I21.
88. secondary neoplasm of the descending colon
ANS C78.
89. In which circumstances would an external cause code be reported?
ANS -
causes of injury or health condition
90. adverse effect
ANS rash developing when taking oenicillin
91. colp/o
ANS vagina
92. CKD stand for
ANS
ANS Chronic Kidney Disease
93. Which statement is TRUE for reporting burn codes?
ANS The highest degree of burn is reported as primary code
94. codes for diseases and disorders of the nails
ANS chapter 12 Skin
95. What does the 7th character A indicate in Chapter 19?
ANS initial encounter
96. What codes are reported voluntarily to payers to provide evidence-based
performance-measure data? ANS CPT Category II codes
97. CPT Category III codes are reimbursable at what level of reimbursement?-
ANS Reimbursement, if any, is determined by the payer
98. HCPCS stands for
ANS
ANS Healthcare Common Procedures Coding System
99. How many days does it take for CMS to implement HCPCS Level II Tem- porary
Codes that have been reported as added, changed, or deleted? ANS 90
100. OPPS
ANS C codes
