AAPC-CPC LATEST CRAM MATERIALS, MOCK AAPC-CPC EXAMS

AAPC-CPC Latest Cram Materials, Mock AAPC-CPC Exams

AAPC-CPC Latest Cram Materials, Mock AAPC-CPC Exams

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q140-Q145):

NEW QUESTION # 140
An extracapsular cataract extraction procedure was performed on a patient with a clouded and discolored lens. The physician uses iris hooks in the right pupil to ensure safe and controlled access to the cataract and blue staining dye to visualize the capsulorhexis. Using suction, the existing lens capsule is removed, and an intraocular lens is inserted. What should the physician report?

  • A. 66984-RT, H18.891
  • B. 66982-RT, H27.8
  • C. 66982-RT, Q12.8
  • D. 66984-RT, H26.8

Answer: B

Explanation:
When deciding between a routine extracapsular cataract removal and a complex extracapsular cataract removal, bear in mind the code descriptor for a complex procedure involves
"devices or techniques not generally used in a routine cataract surgery (e.g., iris expansion device)." Because iris hooks were used, the procedure is complex (CPT 66982). When it comes to the diagnosis, do not get confused with the anatomy of the eye. Although the cornea works with the lens to help refract light, they are anatomically separate, thus eliminating answer B as an acceptable choice. A congenital condition is one that is genetic and/or present from birth. The documentation does not specifiy the origin, nor does it indicate when the lens abnormality began. Symptoms of a cataract include clouded and discolored lenses but should not be reported unless the physician clearly identifies this as the diagnosis. Coding crosswalk for diseases of the lens leads a coder to H27.8 (other specified disorders of lens).


NEW QUESTION # 141
A physician performs a simple repair on a Medicare patient who comes in with a 2.7 cm cut, an open wound, on the neck. The repair is made with Dermabond. Which CPT code(s) should be reported?

  • A. 12002, G0168
  • B. 99213-25, G0168
  • C. 0
  • D. G0168

Answer: D

Explanation:
When a wound is repaired with a tissue adhesive, Medicare accepts only the HCPC code G0168. Answers B and C accurately reflect the repair code for a commercial copyright. An E/M would not be added as an additional charge because the patient's encounter was only for the repair, thus eliminating answer D.


NEW QUESTION # 142
If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?

  • A. Request for services is received for an operation that begins in 1 hour.
  • B. Propofol is administered to the patient intravenously.
  • C. A pulse oximeter is attached to the patient,s finger while in the operating room.
  • D. Medical history and vital signs for the patient are obtained prior to the surgery.

Answer: C

Explanation:
Anesthesia time begins when the provider begins to prepare the patient for anesthesia services. This usually will take place in the operating room or an equivalent area. Although answer B would not be incorrect as a chosen starting point, answer C is more accurate according to the anesthesia time definition. Preoperative evaluations of the patient, such as a history intake, cannot be counted as anesthesia time.


NEW QUESTION # 143
A physician performs a thyroidectomy on a 26-year-old female patient with thyroid cancer. A radical neck dissection with a partial parathyroidectomy and autotransplantation of two parathyroid glands is also completed in the same session. W'hat CPT code(s) should the physician report?

  • A. 60254, 60512-52
  • B. 60254, 60500-51, 60512
  • C. 60254, 60500-51, 60512-51
  • D. 0

Answer: A

Explanation:
The CPT code for a thyroidectomy with a radical neck dissection is 60254 and sequenced first because it is the primary procedure with the highest RVU. CPT 60500, which describes a parathyroidectomy, is bundled into a thyroidectomy. Therefore, the two procedures should never be reported together. Parathyroid autotransplantation (CPT 60512) involves the removal of all four parathyroid glands. If not all four glands are removed, report the code with modifier 52 to indicate reduced services. As this is an add-on code, do not append modifier 51.


NEW QUESTION # 144
Code a polyp found in the transverse colon.

  • A. K63.5
  • B. D12.6
  • C. D12.3
  • D. K51.40

Answer: A

Explanation:
Coding crosswalk for a colon polyp would direct the coder to the benign neoplasm table.
However, careful examination of the guidelines reveals that if the documentation does not specifically state that a polyp was adenomatous and/or benign, or that a polyp was inflammatory, the most appropriate choice selection would be a code from K63.


NEW QUESTION # 145
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