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CPC Exam Prep: Medical Coding Q&A, Exams of Computer Science

A series of questions and answers related to medical coding, specifically focusing on the certified professional coder (cpc) exam preparation. It covers a range of topics including medicare, hipaa, ncds, abns, phi, oig guidelines, anatomy, physiology, and icd-10-cm coding guidelines. The questions are designed to test knowledge of medical terminology, coding procedures, and regulatory compliance. It is useful for students and professionals in medical coding and billing, offering a concise review of key concepts and principles. Questions on fracture types, muscle types, anatomical systems, and coding rules, providing a comprehensive overview for exam preparation.

Typology: Exams

2024/2025

Available from 05/17/2025

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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
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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