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AAPC CPC Exam Syllabus Topics:
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q165-Q170):
NEW QUESTION # 165
Mr. Roland has difficulty breathing and congestion with a productive cough. The physician takes frontal and lateral view chest X-rays in the office (the equipment is owned by the physician group). The physician reads the X-rays and determines a diagnosis of walking pneumonia. The physician's interpretation is placed in the patient's chart.
How does the physician bill for the chest X-ray?
Answer: D
Explanation:
For a physician who owns the equipment and interprets the chest X-rays (both frontal and lateral views), code
71046 is used. This code includes both the technical and professional components, as the equipment is owned by the physician group and the physician also provides the interpretation.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)
NEW QUESTION # 166
A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.
Which mastectomy code is reported?
Answer: C
Explanation:
For a mastectomy that involves removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes, the appropriate CPT code is:
* 19306: Mastectomy, radical, including pectoral muscles, axillary lymph nodes.
This code captures the extent of the surgery, including the removal of the breast tissue, skin, pectoral muscles, and lymph nodes.
References:
* CPT Professional Edition (current year)
* Surgery guidelines for mastectomy procedures
NEW QUESTION # 167
A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The procedure was performed using stereotactic imaging.
What CPTcodes will be reported?
Answer: D
Explanation:
CPT code 19081 is used for percutaneous biopsy of breast(s) using stereotactic guidance, which includes the placement of a localization device and imaging of the biopsy specimen when performed. This accurately describes the procedure performed on the right breast with the placement of a Gelmark clip using stereotactic imaging. The other codes either describe open biopsies or separate procedures that are not applicable here.
References: AMA's CPTProfessional Edition (current year)
NEW QUESTION # 168
Refer to the supplemental information when answering this question:
View MR 138093
What E/M coding is reported?
Answer: D
Explanation:
This patient presents to the ER with syncope, requiring a comprehensive evaluation and critical care. Here's the breakdown of the codes:
* CPT Code 99291-25: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
* This code is appropriate because the patient's syncope and vital signs (low blood pressure, shallow respirations, low oxygen saturation) indicate a critical condition requiring immediate intervention.
* Modifier -25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service. This modifier is appended because the critical care services were provided in addition to the separately reported procedures below.
* CPT Code 92950: Cardiopulmonary resuscitation (eg, CPR, external cardiac massage, endotracheal intubation, ventilation)
* While the documentation doesn't explicitly mention CPR, it states the patient was unresponsive upon arrival but had spontaneous pulse and respirations. This suggests possible resuscitation efforts were performed by the paramedics before the physician's assessment.
* CPT Code 31500: Intubation, endotracheal, emergency procedure
* Although not explicitly stated, the documentation indicates the patient was placed on "high flow oxygen," which strongly suggests endotracheal intubation was performed to manage the patient's respiratory distress.
* CPT Code 82803: Blood gases, arterial, pH, PCO2, PO2, with oxygen saturation; interpretation and report
* This code is likely reported based on the patient's respiratory distress and the need to monitor their oxygenation status.
Why other options are incorrect:
* 99285: This is a standard emergency department visit code and doesn't capture the critical nature of the patient's condition.
* 99285-25, 99291-25, 92950, 31500, 82803: This includes 99285, which is not necessary as 99291 encompasses the evaluation and management.
* 99291-25, 99292-25, 92950, 31500: This includes 99292, which is for subsequent critical care time.
There's no indication in the documentation that the physician provided critical care beyond the initial 74 minutes.
References:
* CPT Codes 99281-99285: Emergency department visits
* CPT Codes 99291-99292: Critical care services
* CPT Code 92950: Cardiopulmonary resuscitation
* CPT Code 31500: Endotracheal intubation
* CPT Code 82803: Arterial blood gases
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 169
The surgeon performs Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract on a 45-year-old patient.
What CPT code is reported?
Answer: D
NEW QUESTION # 170
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