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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q64-Q69):
NEW QUESTION # 64
Refer to the supplemental information when answering this question:
View MR 354859
What CPTand ICD-10-CM coding is reported?
- A. 28810-T2, 170.262, L97.528
- B. 28810-T2, L97.528, 170.262
- C. 28820-T2, 170.262, L97.528
- D. 28820-T2, L97.528, 170.262
Answer: D
NEW QUESTION # 65
Miranda is in her provider's office for follow up of her diabetes. Her blood sugars remain at goal with continuing her prescribed medications.
When referring to the MDM Table in the CPTcode book for number and complexity of problems addressed at the encounter, what type of problem is this considered?
- A. Stable, acute illness
- B. Minimal problem
- C. Acute, uncomplicated illness or injury
- D. Stable, chronic illness
Answer: D
Explanation:
1. Problem Type Selection:
Miranda is following up on her diabetes, which is a chronic condition. Her blood sugars are controlled, indicating that the condition is stable with her current medication regimen.
Stable, chronic illness is defined in the CPTMDM (Medical Decision Making) Table as a chronic condition that is under control and not currently worsening, even if ongoing management is required. This aligns with the patient's diabetes being well-managed with her prescribed medications.
2. Rationale for Excluding Other Options:
A: Acute, uncomplicated illness or injury is not applicable as diabetes is a chronic condition, not an acute issue.
B: Minimal problem refers to conditions that are minor or self-limited and typically require little to no treatment, which does not apply to chronic conditions like diabetes.
D: Stable, acute illness would refer to an acute condition that has stabilized, whereas diabetes is a chronic condition, not acute.
3. AAPC and CPTCoding Guidelines:
According to the CPTMDM Table, a "Stable, chronic illness" is the correct classification for a follow-up encounter on a controlled chronic condition like diabetes.
Therefore, the correct answer is C. Stable, chronic illness.
NEW QUESTION # 66
View MR 004397
MR 004397
Operative Report
Preoperative Diagnosis: Calculi of the gallbladder
Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis Procedure: Cholecystectomy Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.
Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.
What CPT coding is reported for this case?
- A. 47563, 74300-26
- B. 47562, 74300-26
- C. 47605, 74300-26
- D. 47600, 74300-26
Answer: A
NEW QUESTION # 67
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?
- A. Cannot determine based on the documentation
- B. Percutaneous
- C. Open
- D. Laparoscopic
Answer: C
Explanation:
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.References:
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)
NEW QUESTION # 68
Regarding the CPTSurgery Guidelines for a surgical code designated as a "Separate Procedure", which statement is FALSE?
- A. When a procedure is designated as a separate procedure and carried out independently or considered to be unrelated from the total primary service, it may be reported.
- B. A service that is commonly carried out as an integral component of a total service or procedure is identified by the inclusion of the term "separate procedure."
- C. The codes designated as "separate procedure" should not be reported in addition to the code for the total procedure or service of which it is an integral component.
- D. To identify a service designated as a "separate procedure" that is reported with an unrelated primary service, append modifier 79 to the code.
Answer: D
Explanation:
In CPTSurgery Guidelines, a "separate procedure" code is used to identify a service that is typically performed as part of a larger procedure and should not be coded separately when it is an integral component of that primary service. However, it may be reported independently if it is performed alone or is unrelated to the primary procedure.
A: is true because a separate procedure may be reported if it is performed independently or is unrelated to the primary procedure.
B: is true, as "separate procedure" codes are not reported in addition to the code for the primary procedure when they are part of the total procedure.
C: is correct because "separate procedure" designation indicates that the service is often part of a more comprehensive procedure but can be reported separately when performed alone.
D: is false because modifier 79 is not used for unrelated "separate procedures." Instead, modifier 59 is typically used to indicate a "distinct procedural service" when reporting a separate procedure that is unrelated to the primary service.
Therefore, the correct answer is D. To identify a service designated as a "separate procedure" that is reported with an unrelated primary service, append modifier 79 to the code.
NEW QUESTION # 69
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