AAPC Certified Professional Coder (CPC) - CPC FREE EXAM DUMPS QUESTIONS & ANSWERS
A patient undergoes an MRI of the lumbar spine without and with contrast for left-sided low back pain with sciatica.
What CPTand ICD-10-CM codes are reported?
What CPTand ICD-10-CM codes are reported?
Correct Answer: B
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A patient with coronary artery disease due to lipid-rich plaque undergoes coronary artery bypass grafting. The surgeon performs a left internal mammary artery graft to the left anterior descending artery. Then performs saphenous vein grafts to the obtuse marginal artery, ramus intermedius, and posterior descending artery. An endoscopic saphenous vein harvest is performed.
What CPTcoding is reported for the surgical procedure?
What CPTcoding is reported for the surgical procedure?
Correct Answer: A
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A patient is diagnosed with sepsis and associated acute respiratory failure.
What ICD-10-CM code selection is reported?
What ICD-10-CM code selection is reported?
Correct Answer: A
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An interventional radiologist performs an abdominal paracentesis using fluoroscopic guidance to remove excess fluid. The procedure is performed in the hospital. What CPTcoding is reported?
Correct Answer: A
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A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4.
The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.
The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.
Correct Answer: B
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A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A
22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.
What CPTcode should be reported for the surgical procedure?
22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.
What CPTcode should be reported for the surgical procedure?
Correct Answer: D
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A patient is sent to the hospital by his family care provider for admission due to a high fever and neck pain The patient is admitted to the hospital to rule out bacterial meningitis. The hospitalist admits the patient and orders a CBC. CMR Blood culture, CT of the head and chest, and a lumbar puncture (spinal tap). After review of the results, he determines the patient has bacterial meningitis and starts the patient on IV antibiotics.
What CPTand ICD-10-CM codes are reported for the admission?
What CPTand ICD-10-CM codes are reported for the admission?
Correct Answer: D
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(Preoperative diagnoses:Bradycardia.
Postoperative diagnosis:Bradycardia.
Procedure performed:Dual-chamber pacemaker implantation.
Brief history:77-year-old female with recurrent syncope; evaluation revealed first-degree AV block, sinus bradycardia, bundle-branch block; bradyarrhythmia suspected; after discussion with her sister, dual-chamber pacemaker recommended; risks explained; consent obtained.
Procedure details:Taken to cardiac catheterization lab; positioned on cath table; prepped/draped standard; procedure challenging due to agitation despite adequate sedation; left infraclavicular area anesthetized with
0.5 cc Xylocaine; pacemaker pocket created; hemostasis with cautery; 9-French peel-away sheath used to introduce an atrial and a ventricular lead; leads positioned with excellent thresholds; secured with O-silk sutures over sleeves; pulse generator connected; pocket flushed with antibiotic solution; pacemaker/leads placed in pocket; incision closed in two layers; performed under fluoroscopic guidance.
Complication:None.
Plan:Return to recovery; discharge later this evening to nursing home with routine post-pacemaker care.
Question:What CPTcoding is reported for this procedure?)
Postoperative diagnosis:Bradycardia.
Procedure performed:Dual-chamber pacemaker implantation.
Brief history:77-year-old female with recurrent syncope; evaluation revealed first-degree AV block, sinus bradycardia, bundle-branch block; bradyarrhythmia suspected; after discussion with her sister, dual-chamber pacemaker recommended; risks explained; consent obtained.
Procedure details:Taken to cardiac catheterization lab; positioned on cath table; prepped/draped standard; procedure challenging due to agitation despite adequate sedation; left infraclavicular area anesthetized with
0.5 cc Xylocaine; pacemaker pocket created; hemostasis with cautery; 9-French peel-away sheath used to introduce an atrial and a ventricular lead; leads positioned with excellent thresholds; secured with O-silk sutures over sleeves; pulse generator connected; pocket flushed with antibiotic solution; pacemaker/leads placed in pocket; incision closed in two layers; performed under fluoroscopic guidance.
Complication:None.
Plan:Return to recovery; discharge later this evening to nursing home with routine post-pacemaker care.
Question:What CPTcoding is reported for this procedure?)
Correct Answer: A
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A 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.
What CPTcode is reported?
What CPTcode is reported?
Correct Answer: A
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A cardiologist performs and interprets a 12-lead ECG in the office.
What CPTcoding is reported?
What CPTcoding is reported?
Correct Answer: C
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Which is an anesthesia physical status modifier?
Correct Answer: B
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A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital. What HCPCS Level II coding is reported for the ambulance ' s service?
Correct Answer: B
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A patient with end-stage renal disease (ESRD) receives hemodialysis 3x weekly in the office for one month.
The nephrologist performs a comprehensive exam and supervises dialysis.
What CPTand ICD-10-CM codes are reported?
The nephrologist performs a comprehensive exam and supervises dialysis.
What CPTand ICD-10-CM codes are reported?
Correct Answer: C
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Which one of the following activities, when performed, is NOT considered when selecting an E/M service level based on time?
Correct Answer: C
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