AAPC CPC ACTUAL FINAL EXAM

AAPC CPC ACTUAL FINAL EXAM

LATEST VERSION -

QUESTIONS AND WELL VERIFIED

CORRECT ANSWERS [GRADED A+]

The patient is a 17-year-old male who was struck on the elbow by another player's stick while playing hockey. He is found to have a fracture of the olecranon process.The fracture could be seen at the base of the olecranon process. We irrigated the site thoroughly and reduced the fracture fragments without difficulty. Extending the elbow, we inserted two smooth K-wires across the fracture site. Through a drill hole in the proximal ulnar shaft, we threaded an 18-gauge wire through it and wrapped it around the K-wires in a figure-of-eight manner to further stabilize the fixation. Wires were then twisted and placed into soft tissues. The K-wires in the olecranon were advanced slightly after being bent and cut. Sterile dressing was applied and the patient was placed in a splint. What CPT® code is reported?

• 24675-RT
• 24586-RT
• 24685-RT
• 24635-RT - ANSWER-c. 24685-RT
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A final diagnosis for a patient in the ER is COPD with acute bronchitis due to echovirus. How is this diagnosis coded?

• J44.9, J40
• J44.9, J20.7
• J44.0, J20.7
• J40, J20.9 - ANSWER-c. J44.0, J20.7

A 40-year-old presents with vaginal bleeding for several weeks. The gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is appropriate for this encounter?

• N92.4
• N92.6
• N92.5
• N93.9 - ANSWER-d. N93.9

Rationale: The bleeding is unrelated to the patient's menstrual cycle and there is no indication of menopause. Look in the ICD-10-CM Alphabetic Index for Bleeding/vagina, vaginal (abnormal) directing you to N93.9.

Patient presents with no menses and positive pregnancy test but ultrasound finds no uterine contents. Embryo has implanted on left ovary and this is treated with laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported for this procedure? Do not code the ultrasound.

• 59150, O00.90
• 59151, O00.202 2 / 4

• 59121, O00.102
• 58661, O00.00 - ANSWER-b. 59151, O00.202

What ICD-10-CM codes are reported for an encounter for full-term uncomplicated delivery of a single live birth at 41 weeks of pregnancy?

• O80, Z37.0, Z3A.41
• 08O, Z37.1, Z3A.41
• O82, Z37.1, Z3A.41
• O82, Z37.0, Z3A.41 - ANSWER-a. O80, Z37.0, Z3A.41

A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found she has 5 separate intramural fibroid tumors. The fibroid tumors are successfully removed, with a total weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and ICD-10-CM codes reported for this service?

• 58545, D25.1
• 58146, D25.9
• 58140, D25.9
• 58546, D25.1 - ANSWER-d. 58546, D25.1

When coding for surgery performed on the Skull Base (61580-61598) what term describes the method used to gain exposure to the lesion?

• Repair procedure
• Radical procedure 3 / 4

• Definitive procedure
• Approach procedure - ANSWER-d. Approach procedure

A patient with a neoplasm of the spinal meninges has a programmable pump implanted for chemotherapy administration. What CPT® and ICD-10-CM codes are reported?

• 96522, C41.2
• 62360, C41.2
• 62361, C70.1
• 62362, C70.1 - ANSWER-d. 62362, C70.1

Where in the respiratory system is the carina located?

• Left bronchus
• Sphenoid sinus
• Tracheal bifurcation
• Inferior turbinate - ANSWER-c. Tracheal bifurcation

Which CMS product describes whether specific medical items, services, treatment procedures or technologies are considered medically necessary under Medicare?

• Medicare Claims Processing Manual
• National Coverage Determinations Manual
• Relative Value Files
• Medicare Physician Fee Schedule Final Rule - ANSWER-b. National Coverage

Determinations Manual

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