Download Certified Professional Coder CPC MEDICAL CODING AAPC FINAL STUDY GUIDE and more Exams Medical Genetics in PDF only on Docsity!
AAPC CPC FINAL
When coding in operative report what action would NOT be recommended? - correct answer 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? - correct answer Medicare administrative contractor (MAC) MAC stands for what!? - correct answer Medicare administrative contractor What is the definition of coding? - correct answer Translating documentation into numerical/alphabetical codes used to obtain reimbursement. How many components should be included in an effective compliance plan? - correct answer 7 Which of the following is NOT a function of the skin? - correct answer Acts as a gland by synthesizing vitamin A. What is affected by myasthenia gravis? - correct answer Neuromuscular junction The term "episiotomy" Best describes a procedure of what type? - correct answer 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: - correct answer Orchiepididymitis A condition where the thyroid is overactive is called: - correct answer Thyrotoxicosis
What does ICD 10 CM stand for? - correct answer International classification of diseases - 10th revised - clinical modification What is the sequencing order when coding a sequela (late effect)? - correct answer 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? - correct answer 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? - correct answer G03. 45 year old female with malignant Mullerian duct cancer is receiving her first treatment of chemotherapy. What diagnosis codes are reported? - correct answer 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? - correct answer 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? - correct answer Z02. What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis? - correct answer F12.
What three components are considered when relative value units are established? - correct answer Physician work, practice expense, malpractice insurance What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-molded? - correct answer L What is another term for hives? - correct answer 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 6.0 Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? - correct answer 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? - correct answer 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 from the distal clavicle. All instruments were removed skin incisions were closed and a dress was applied. The patient was placed in a sling and returned to the recovery room. What CPT code is reported? - correct answer 23415-RT What modifier must always be applied to medicare claims for test performed in a site with CLIA Waived certificate? - correct answer QW What does "in vivo" mean? - correct answer in the living body what is the code for gross and microscopic examination (surgical pathology) of the breast tissue from a simple mastectomy? - correct answer 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? - correct answer 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? - correct answer Bethesda What ICD-10-CM code is reported for elevated blood sugar? - correct answer R73. What ICD-10-CM code is reported for an abnormal cervical pap smear? - correct answer R87. A lab test reveals an excessive level of alcohol in the blood. What ICD-10-CM code is reported? - correct answer R78. What do the services in the Reproductive Medicine Procedures section of the Pathology and Laboratory chapter of CPT report? - correct answer Services related to in vitro fertilization
In which CPT appendix would additions, deletions, and revisions be found? - correct answer Appendix B A list of the unlisted procedures for use in a specific section of the CPT manual is contained in: - correct answer Guidelines Who requires a special report with the use of unlisted codes? - correct answer Third-party payers Which of the following represents three of the six elements that a special report must contain? - correct answer nature, extent, need Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available? - correct answer hypen Which punctuation mark between codes in the index of the CPT manual indicates two codes are available? - correct answer comma The words that follow a code number in the CPT manual are called: - correct answer procedure/ service descriptor A code that has all the words that describe the code following it is called what type of code? - correct answer stand alone According to surgery guidelines, is surgical destruction part of a surgical procedure? - correct answer yes First division in the CPT - correct answer SECTION Second division in the CPT - correct answer SUBSECTION
Third division in the CPT - correct answer SUBHEADING Fourth division in the CPT - correct answer CATEGORY What is the largest single mass of lymphatic tissue? - correct answer Spleen Which main coronary artery bifurcates into two smaller ones? - correct answer Left What is the term for the divider between the heart chamber walls? - correct answer Septum ______ is a term standing for enlargement of the heart - correct answer Cardiomegaly cardio= heart megaly= enlargement repair of coronary vessel is called: - correct answer Angioplasty angio= vessel plasty= repair Where is the hypertension table located in ICD-10-CM? - correct answer there is no hypertension table in ICD-10-CM Which statement is true regarding codes for hypertension and heart disease in ICD-10-CM? - correct answer 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? - correct answer The affected eye(s) What is the default code for coronary artery atherosclerosis? - correct answer
If a patient uses insulin, what type of diabetic does it mean the patient is? - correct answer The use of insulin doesn't specify the patient is a certain type of diabetic According to ICD-10-CM Guidelines, when a patient is seen for management of anemia due to malignancy, how is it reported? - correct answer The malignancy is reported first, followed by the code for the anemia. First episode of an acute myocardial infraction - correct answer I21. secondary neoplasm of the descending colon - correct answer C78. In which circumstances would an external cause code be reported? - correct answer causes of injury or health condition adverse effect - correct answer rash developing when taking oenicillin colp/o - correct answer vagina CKD stand for: - correct answer Chronic Kidney Disease Which statement is TRUE for reporting burn codes? - correct answer The highest degree of burn is reported as primary code codes for diseases and disorders of the nails - correct answer chapter 12 Skin What does the 7th character A indicate in Chapter 19? - correct answer initial encounter
What codes are reported voluntarily to payers to provide evidence-based performance-measure data? - correct answer CPT Category II codes CPT Category III codes are reimbursable at what level of reimbursement? - correct answer Reimbursement, if any, is determined by the payer HCPCS stands for: - correct answer 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? - correct answer 90 OPPS - correct answer C codes Which statement is TRUE regarding the Instruction for use of the CPT codebook?
- correct answer select the name of the procedure or service that accurately identifies the service performed.
