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CPC Exam Prep Questions And Answers 100% Correct
1. What part of Medicare covers prescription drug services
ANS Part D
2. What is medical coding?
ANS Translating medical documentation into codes.
3. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Den- tists,
Pharmacies ANS Workers compensation
4. What is an NCD (National Coverage Determination) interpreted at the MAC
level considered? ANS LCD (Local Coverage Determinations)
5. When should an ABN (Advance Beneficiary Notification) be signed?
ANS when a service is not expected to be covered under medicare
6. The amount on an ABN should be within how much of the cost to a
patient? ANS $100 or 25% of cost
7. An entity that processes nonstandard health information they receive from
another entity into a standard is considered what? ANS Clearinghouse
8. A covered entity does not include
ANS patients
9. What is PHI?
ANS Protected Health Information
10. Intentional billing of services not provided is considered
ANS fraud
11. What OIG document should a provider review for potential problem areas
that will receive special scrutiny in the upcoming year? ANS OIG Work Plan
12. 5 Body cavities
ANS cranial, spinal, thoracic, abdominal, pelvic
13. 5 types of membranes
ANS mucous, serous, synovial, meninges, cutaneous
14. 2 layers of the skin
ANS epidermis and dermis
15. 5 layers of epidermis
ANS stratum corneum, stratum lucidum, stratum granulo- sum, stratum spinosum, stratum basale
16. 2 layers of dermis
ANS papillary and reticular
17. Closed fracture
ANS broken bone with no open wound
18. compound fracture
ANS bone breaks through the skin
24. compression fracture
ANS occurs when the bone is pressed together (com- pressed) on itself (vertebrae)
25. epiphyseal fracture
ANS a break at the location of the growth plate, which can affect growth of the bone
26. types of muscle
ANS skeletal, cardiac, smooth
27. 3 layers of the heart
ANS epicardium, myocardium, endocardium
28. organs of the lymphatic system
ANS lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils
29. Central Nervous System (CNS)
ANS brain and spinal cord
30. Peripheral Nervous System (PNS)
ANS the sensory and motor neurons that connect the CNS to the rest of the body
31. Components of blood
ANS plasma, red blood cells, white blood cells, platelets
32. a patient sustaining an injury to her great saphenous vein would have
sustained an injury to which anatomical site? ANS leg
33. What is a function of the pancreas?
ANS Supplies digestive enzymes.
34. Sebaceous glands are part of which anatomic system?
ANS Integumentary
35. What part of the eye refracts light?
ANS Lens
36. The myocardium is the thickest around which chamber of the heart?
ANS Left ventricle
37. The tunica vaginalis is part of which system?
ANS male reproductive
38. Complete the series
ANS Incus, Stapes... ANS Malleus
39. Hemiplegia is a disorder caused by a defect i which anatomic system?
ANS -
Nervous
40. What is the result of a ureteral blockage?
ANS Urine will not be able to flow from the kidney to the bladder.
41. What is a term for a renal calculus?
ANS Nephrolithiasis
42. What year was the AAPC founded?
ANS 1988
47. Capillaries
ANS Smallest blood vessels; site of oxygen and waste exchange
48. 3 layers of the eye
ANS sclera, choroid, retina
49. anterior segment of eye
ANS contains aqueous humor
50. posterior segment of eye
ANS contains vitreous humor
51. Leukocytosis refers to
ANS increased amount of white blood cells (WBC)
52. what structure of the ear is considered the inner ear?
ANS labrynth
53. what type of membrane lines the inner walls of the digestive system?
ANS -
mucous
54. what structure is an internal organ of the male genital system?
ANS Cowper's glands
55. The heart receives DEOXYGENATED blood in the right atrium via which
vessel? ANS Vena Cavae
56. The heart circulates blood thru the lungs and is sent back to the left
atrium of the heart via which vessel? ANS left/right pulmonary veins
57. Where are the basal ganglia located
ANS cerebral cortex
58. What is vesicoureteral reflux?
ANS retrograde flow of bladder urine into the ureters
59. The posterior vaginal fornix and outer cervical os were prepped... what does
os stand for ANS ostium (opening)
60. Recession of left inferior rectus muscle... what anatomic location is being
operated on? ANS eye
61. What anatomic location does kyphosis refer to?
ANS thoracic spine
62. A patient diagnosed with glaucoma has
ANS Abnormally high intraocular pres- sure
63. What is affected by myasthenia gravis?
ANS neuromuscular junction
64. What is significant about an abdominal aneurysm?
ANS it is a weakness in a large artery and rupture can be deadly
65. What is a myocardial infarction?
67. Urine is transported from the kidneys to the urinary bladder via the
ANS
ANS -
ureter
68. The loop of Henle is located in what structure
ANS kidney
69. lacrimal glands are responsible for production of
ANS tears
70. How many lobes does the right lung have?
ANS 3 lobes
71. How many lobes does the left lung have?
ANS 2 lobes
72. What is a sentinel node?
ANS the first node to receive lymph from an area suspected to be cancerous
73. Excessive potassium in the blood is referred to as
ANS
ANS hyperkalemia
74. Intrathecal injection is administered into the
ANS
ANS subarachnoid space
75. Destruction of a nerve or nerve tissue
ANS neurolysis
76. A procedure for widening a narrowed vessel or obstructed vessel is called
ANS Angioplasty
77. Term for pain in the ear
ANS otalgia
78. NEC
ANS Not elsewhere classifiable - provider documented MORE specific info than there are codes available
79. NOS
ANS Coder lacks information necessary to a code a more specific diagnosis
80. [ ] Brackets
ANS enclose synonyms, alternative wording, or explanatory phrases
81. ( ) parenthesis
ANS supplementary words; do not affect code assignment
ANS colon ANS incomplete term, needs modifier
83. Excludes 1
ANS not coded here
84. Excludes 2
ANS Not included here but may have both separate conditions
90. When it is documented that the patient is both using tobacco and has a
dependence on tobacco, how is it reported? ANS The dependence is the only code reported
91. When a patient is seen for management of anemia due to malignancy, how
it is reported? ANS malignancy first then anemia
92. What chapter has sequencing priority over all other chapters?
ANS Chapter 15 - Pregnancy
93. Category III codes are reported to indicate what type of procedure?
ANS New and emerging
94. What is the post-operative period included in the surgical global package for
a major surgery? ANS 90 days
95. What agency maintains and distributes HCPCS Level II codes?
ANS CMS
96. What publications does the AMA copyright and maintain?
ANS CPT codebook and CPT assistant
97. How are ambulance modifiers used?
ANS They identify ambulance place of origin and destination.
98. If a CPT code and a HCPCS Level II code exist for the same service, which
should you report for Medicare? ANS HCPCS Level II
99. What is true for coding carbuncles and furuncles?
ANS there are separate codes for carbuncles and furuncles
100. What term best describes a mass of hypertrophic scar tissue?
ANS keloid
101. What is another term for hives?
ANS urticaria
102. What type of burn is considered corrosion?
ANS chemical
103. Hallux rigidus is a condition affecting what part of the body?
ANS foot
104. What is the major muscle used during respiration?
ANS diaphragm
105. Can a diagnostic thoracoscopy be billed with a surgical thoracoscopy (VATS)
under certain circumstances? ANS No, diagnostic is always included in the surgical VATS
106. An indirect endoscopic procedure of the larynx means the larynx was
viewed with ANS mirrors
107. Where in the respiratory system is the carina located?
ANS Tracheal bifurca- tion
117. Urine is expelled from the body through the
ANS
ANS urethra
118. What modifier is appended to report a bilateral procedure
ANS -50 or RT and LT
119. What are the reproductive glands that produce male hormones?
ANS testes
120. What is true about reporting calculi in both the kidney and the ureter?-
ANS One code identifies both the calculi the kidney and the ureter
121. What word means a scope procedure to examine the vagina
ANS colposcopy
122. The uterine adnexa refers to which two structures of the female rproduc-
tive system? ANS fallopian tubes and ovaries
123. What part of the brain is affected when one has a stroke and is unable to
speak or write? ANS parietal lobe
124. The nervous system is composed of what two parts?
ANS Central and Periph- eral
125. What is the term for uncontrolled muscle movements?
ANS dyskinesia
126. What is a parathyroidectomy?
ANS Removal of glands on the posterior surface of the thyroid
127. What disease is characterized my enlarged skeletal parts?
ANS acromegaly
128. What are the three ossicles of the middle ear?
ANS malleus, incus, stapes
129. What does IOL stand for?
ANS intraocular lens
letter? ANS P
139. What modifier must always be applied to Medicare claims for tests
performed in a site with a CLIA Waived certificate? ANS QW
140. In what section of the Pathology chapter of CPT will a coder find the
codes for a FISH test? ANS Cytopathology
141. A patient is diagnosed with both acute and chronic tonsillitis, how is it
coded? ANS Acute first then chronic
142. Which anatomic site would you look under in the CPT index to find
carinal reconstruction? ANS Trachea
143. When the entry point for a catheterization is the aorta, what order would
the right brachial artery be considered? ANS Third order branch
144. The provider performed a debridement of an open leg wound. Two days later
the provider performed a more extensive debridement of the same wound. What modifier would be reported for the second service? ANS -58 Planned return
145. When coding for a surgical service, which of the following is NOT
included in the global sergical package?
ANS a) digital block
b) general anesthesia
c) Talking with family
