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CPC AAPC FINAL EXAM AND PRACTICE
TEST BANK NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND ANSWERS
GRADED A |BRAND NEW!!!
C. 01402-AA, 62326, 01996 x 2 - ✔✔✔ Correct Answer > A
patient is having knee replacement surgery. The surgeon requests that in addition to the general anesthesia for the procedure that the anesthesiologist also insert a continuous lumbar epidural infusion for postoperative pain management. The anesthesiologist performs postoperative management for two postoperative days. A. 01400-AA, 62326, 01996 x 2 B. 01402-AA, 62327, 01966 x 2 C. 01402-AA, 62326, 01996 x 2 D. 01404-AA, 62327
C. 71046 - ✔✔✔ Correct Answer > A 35-year-old male sees his
primary care physician complaining of fever with chills, cough and congestion. The physician performs a chest X-ray taking lateral and AP views in his office. The physician interprets the X- ray views and the patient is diagnosed with walking
pneumonia. Which CPT® code is reported for the chest X-rays performed in the office and interpreted by the physician? A. 71046- 26 B. 71047- 26 C. 71046 D. 71045- 26 - TC
D. 55875, 76965- 26 - ✔✔✔ Correct Answer > This gentleman
has localized prostate cancer and has chosen to have complete transrectal ultrasonography performed for dosimetry purposes. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous placement of 1- 125 seeds. Select the appropriate codes for this procedure. A. 55920, 76965- 26 B. 55876, 76942- 26 C. 55860, 76873- 26 D. 55875, 76965- 26
A. 73100-26, S52.502B, W18.31XA, Y92.039 - ✔✔✔ Correct
Answer > A 76-year-old female had a ground level fall when she tripped over her dog earlier this evening in her apartment. The Emergency Department took X-rays of the left wrist in oblique and lateral views which revealed a displaced distal radius
therapeutic drug testing performed to assess serum plasma levels of this medication. What lab code(s) is (are) reported for this testing? A. 80305 B. 80375 C. 80201 D. 80306, 80375
D. 82951, 82952 x 2 - ✔✔✔ Correct Answer > Patient that is a
borderline diabetic has been sent to the laboratory to have an oral glucose tolerance test. Patient drank the glucose and five blood specimens were taken every 30 to 60 minutes up to three hours to determine how quickly the glucose is cleared from the blood. What code(s) is (are) reported for this test? A. 82947 x 5 B. 82946 C. 80422 D. 82951, 82952 x 2
B. 82810, 82810- 91 - ✔✔✔ Correct Answer > A patient with
severe asthma exacerbation has been admitted. The admitting physician orders a blood gas for oxygen saturation only. The admitting physician performs the arterial puncture drawing
blood for a blood gas reading on oxygen saturation only. The physician draws it again in an hour to measure how much oxygen the blood is carrying. Select the codes for reporting this service. A. 82805, 82805- 51 B. 82810, 82810- 91 C. 82803, 82803- 51 D. 82805, 82805- 90
C. 93015, 99204- 25 - ✔✔✔ Correct Answer > A new patient is
having a cardiovascular stress test done in his cardiologist's office. Before the test is started the physician documents a comprehensive history and exam and moderate complexity medical decision making. The physician will be supervising and interpreting the stress on the patient's heart during the test. What procedure codes are reported for this encounter? A. 93015-26, 99204- 25 B. 93016, 93018, 99204- 25 C. 93015, 99204- 25 D. 93018-26, 99204- 25
A. 96360 - ✔✔✔ Correct Answer > A cancer patient is coming in
to have a chemotherapy infusion. The physician notes the
D. Osteomyelitis - ✔✔✔ Correct Answer > What is the term
used for inflammation of the bone and bone marrow? A. Chondromatosis B. Osteochondritis C. Costochondritis D. Osteomyelitis
A. Hair - ✔✔✔ Correct Answer > The root word trich/o means:
A. Hair B. Sebum C. Eyelid D. Trachea
B. Occipital lobe - ✔✔✔ Correct Answer > Complete this series:
Frontal lobe, Parietal lobe, Temporal lobe, ____________. A. Medulla lobe B. Occipital lobe C. Middle lobe D. Inferior lobe
D. Surgical reconstruction of the renal pelvis - ✔✔✔ Correct
Answer > A patient is having pyeloplasty performed to treat an uretero-pelvic junction obstruction. What is being performed? A. Surgical repair of the bladder B. Removal of the kidney C. Cutting into the ureter D. Surgical reconstruction of the renal pelvis C. T23.301A, T23.302A, T20.20XA, T31.10, X10.2XXA, Y93.G3 -
✔✔✔ Correct Answer > A 27-year-old was frying chicken when
an explosion of the oil had occurred and she sustained second- degree burns on her face (5%), third degree burns on both hands (5%). There was a total of 10 percent of the body surface that was burned. Select which ICD- 10 - CM codes are reported. A. T20.20XA, T23.301A, T23.302A, T31.10, X10.2XXA, Y93.G B. T23.301A, T23.302A, T20.20XA, T31.11, X10.2XXA, Y93.G C. T23.301A, T23.302A, T20.20XA, T31.10, X10.2XXA, Y93.G D. T23.601A, T23.602A, T20.60XA, T31.10, X10.2XXA, Y93.G
C. K74.60, I85.11 - ✔✔✔ Correct Answer > A patient that has
cirrhosis of the liver just had an endoscopy performed showing hemorrhagic esophageal varices. The ICD- 10 - CM codes are reported:
D. Z codes are always reported as a secondary code.
B. V2785 - ✔✔✔ Correct Answer > Patient with corneal
degeneration is having a cornea transplant. The donor cornea had been previously prepared by punching a central corneal button with a guillotine punch. This had been stored in Optisol GS. It was gently rinsed with BSS Plus solution and was then transferred to the patient's eye on a Paton spatula and sutured with 12 interrupted 10-0 nylon sutures. Select the HCPCS Level II code for the corneal tissue. A. V B. V C. V D. V
A. J3301 x 4 - ✔✔✔ Correct Answer > The patient presents to
the office for an injection. Joint prepped using sterile technique. Muscle group location: gluteus maximus. Sterilely injected with 40 mg of Kenalog-10, 2 cc Marcaine and 2 cc lidocaine 2%. Sterile bandage applied. Choose the HCPCS Level II code for this treatment. A. J3301 x 4 B. J
C. J3300 x 40 D. J
A. A digital X-ray - ✔✔✔ Correct Answer > Which of the
following is an example of electronic data? A. A digital X-ray B. An explanation of benefits C. An advance beneficiary notice D. A written prescription
C. Workers' compensation - ✔✔✔ Correct Answer > Which
health plan does NOT fall under HIPAA? A. Medicaid B. Medicare C. Workers' compensation D. Private plans
B. ICD- 10 - CM - ✔✔✔ Correct Answer > Guidelines from which
of the following code sets are included as part of the code set requirements under HIPAA? A. CPT® Category III codes
excised pieces of tissue were examined by the surgeon. No tumor was identified after the final stage of the microscopically controlled surgery. What procedure codes are reported? A. 17313, 17314, 17314 B. 17313, 17315 C. 17260, 17313, 17314 D. 17313,17314, 17315
A. 14060 - ✔✔✔ Correct Answer > A 45-year-old male is in
outpatient surgery to excise a basal cell carcinoma of the right nose and have reconstruction with an advancement flap. The 1.2 cm lesion with an excised diameter of 1.5 cm was excised with a 15-blade scalpel down to the level of the subcutaneous tissue, totaling a primary defect of 1.8 cm. Electrocautery was used for hemostasis. An adjacent tissue transfer of 3 sq cm was taken from the nasolabial fold and was advanced into the primary defect. Which CPT® code(s) is (are) reported? A. 14060 B. 11642, 14060 C. 11642, 15115 D. 15574
C. 11004 - ✔✔✔ Correct Answer > A 24-year-old patient had an
abscess by her vulva which burst. She has developed a soft tissue infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the pus was removed and irrigation was performed with a liter of saline until clear and clean. The infected area was completely drained and the wound was packed gently with sterile saline moistened gauze and pads were placed on top of this. The correct CPT® code is: A. 56405 B. 10061 C. 11004 D. 11042
D. 19125, D24.2 - ✔✔✔ Correct Answer > A 76-year-old female
had a recent mammographic and ultrasound abnormality in the 6 o'clock position of the left breast. She underwent core biopsies which showed the presence of a papilloma. The plan now is for needle localization with excisional biopsy to rule out occult malignancy. After undergoing preoperative needle localization with hookwire needle injection with methylene blue, the patient was brought to the operating room and was placed on the operating room table in the supine position where she underwent laryngeal mask airway (LMA) anesthesia. The left breast was prepped and draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of the
fascia extending distally over the flexor tendons of the ring finger. The fascial attachments to the flexor tendon sheath were released. At the level of the metacarpophalangeal crease, one band arose from the central pretendinous cord-one coursing toward the middle finger. The digital nerve was identified, and this diseased fascia was also excised. What procedure code(s) is (are) used? A. 26123-RT, 26125-F B. 26121-RT C. 26035-RT D. 26040-RT
C. 27096- 50 - ✔✔✔ Correct Answer > This is a 32-year-old
female who presents today with sacroilitis. On the physical exam there was pain on palpation of the left and right sacroiliac joint and fluoroscopic guidance was done for the needle positioning. Then 80 mg of Depo-Medrol and 1 mL of bupivacaine at 0.5% was injected into the left and right sacroiliac joint with a 22 gauge needle. The patient was able to walk from the exam room without difficulty. Follow up will be as needed. The correct CPT® code(s) is (are): A. 20611 B. 27096-50, 77012 C. 27096- 50
D. 27096, 27096-51, 77012
C. 29881-RT, M23.221, M65.861, M94.261, M22.41 - ✔✔✔
Correct Answer > PREOPERATIVE DIAGNOSIS: Medial meniscus tear, right knee POSTOPERATIVE DIAGNOSIS: Medial meniscus tear, extensive synovitis with an impingement medial synovial plica, right knee TITLE OF PROCEDURE: Diagnostic operative arthroscopy, partial medial meniscectomy and synovectomy, right knee The patent was brought to the operating room, placed in the supine position after which he underwent general anesthesia. The right knee was then prepped and draped in the usual sterile fashion. The arthroscope was introduced through an anterolateral portal, interim portal created anteromedially. The suprapatellar pouch was inspected. The findings on the patella and the femoral groove were as noted above. An intra- articular shaver was introduced to debride the loose fibrillated articular cartilage from the medial patellar facet. The hypertrophic synovial scarring between the patella and the femoral groove was debrided. The hypertrophic impinging medial synovial plica was resected. The hypertrophic synovial scarring overlying the intercondylar notch and lateral compartment was debrided. The medial compartment was inspected. An upbiting basket was introduced to transect the base of the degenerative posterior horn flap tear. This was removed with a grasper. The meniscus was then further contoured and balanced with an intra-articular shaver,
reduction of the fracture. Under direct AP and lateral fluoroscopic guidance, a Kirschner wire was advanced into the C2 body through the fracture line and into the odontoid process. This was then drilled, and a 42 millimeter cannulated lag screw was advanced through the C2 body into the odontoid process. What procedure code is reported? A. 22505 B. 22326 C. 22315 D. 22318
C. 36831- 78 - ✔✔✔ Correct Answer > The patient is a 51-year-
old gentleman who has end-stage renal disease. He was in the OR yesterday for a revision of his AV graft. The next day the patient had complications of the graft failing. The patient was back to the operating room where an open thrombectomy was performed on both sides getting good back bleeding, good inflow. Select the appropriate code for performing the procedure in a post-operative period: A. 36831- 76 B. 36831 C. 36831- 78 D. 36831- 58
A. 37609 - ✔✔✔ Correct Answer > The patient is a 77-year-old
white female who has been having right temporal pain and headaches with some visual changes and has a sed rate of 51. She is scheduled for a temporal artery biopsy to rule out temporal arteritis. A Doppler probe was used to isolate the temporal artery and using a marking pen the path of the artery was drawn. Lidocaine 1% was used to infiltrate the skin, and using a 15 blade scalpel the skin was opened in the preauricular area and dissected down to the subcutaneous tissue where the temporal artery was identified in its bed. It was a medium size artery and we dissected it out for a length of approximately 4 cm with some branches. The ends were ligated with 4-0 Vicryl, and the artery was removed from its bed and sent to Pathology as specimen. What CPT® code is reported? A. 37609 B. 37605 C. 36625 D. 37799
C. 38505, 76942- 26 - ✔✔✔ Correct Answer > A 50-year-old
female has recurrent lymphoma in the axilla. Ultrasound was used to localize the lymph node in question for needle guidance. An 11 blade scalpel was used to perform a small
