AAPC CPC Final Exam Actual Exam Latest

AAPC CPC Final Exam Actual Exam Latest Update - 300 Questions and 100% Verified Correct Answers Guaranteed A+

A 3-year-old is brought into the ED crying. He cannot bend his left arm after his older brother twisted it. X-ray is performed and the ED physician diagnoses the patient has a dislocated nursemaid elbow. The ED physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopedist for follow- up care. What CPT® and ICD-10-CM codes are reported?

• 24640-54-LT, S53.091A, W50.2XXA
• 24600-54-LT, S53.002A, W49.9XXA
• 24640-54-LT, S53.032A, W50.2XXA

d.24565-54-LT, S53.194S, Y33.XXXA - CORRECT ANSWER: c. 24640-54-LT,

S53.032A, W50.2XXA

A 4-year-old patient, who accidentally ingests valium found in his mother's purse, is found unconscious and rushed to the ED. The child is treated by the ED physician, who inserted a tube orally into the stomach and performed a gastric lavage, removing the stomach contents. What CPT® and ICD-10-CM codes are reported?

• 43754, R40.20, T42.71XA
• 43753, T42.4X1A, R40.20
• 43755, T43.501A

d. 43756, T42.71XA - CORRECT ANSWER: b. 43753, T42.4X1A, R40.20

Rationale: Code 43753 is the correct CPT® code for gastric lavage performed for the treatment of ingested poison. Look in the CPT® Index for Gastric Lavage, Therapeutic/Intubation. The ICD-10-CM code for the poisoning is found in the Table of Drugs and Chemicals by looking for Valium/Poisoning, Accidental (unintentional) column, referring you to code T42.4X1-. In the Tabular List a 7 th character is needed to complete the code. A is reported as the 7 th character because this was the patient's initial encounter.The next code is the manifestation of ingesting the Valium, unconsciousness. Unconsciousness is found in the ICD-10-CM Alphabetic Index and directs you to see Coma R40.20. The Tabular List confirms this code is reported for unconsciousness.

A 5 week old infant shows signs of fatigue after eating and has poor weight gain. He is suspected to have a congenital heart defect. The neonatologist ordered a transthoracic echocardiogram (TTE). TTE is showing a shunt between the right and left ventricles.The neonatologist read and interpreted the study and indicated the patient has a ventricular septal defect (VSD). What are the CPT® and ICD-10-CM codes for the TTE read?

• 93303-26, Q21.0 1 / 4

• 93312-26, Q21.0
• 93312, I51.0

d. 93303, I51.0 - CORRECT ANSWER: a. 93303-26, Q21.0

A 12-month-old receives the following vaccinations: Hepatitis B, Hib, Varicella, and Mumps-measles-rubella. What ICD-10-CM code(s) is/are reported for the vaccinations?

• B19.10, B01.9, B26.9, B05.9, B06.9, Z23
• Z23, B19.10, B01.9, B26.9, B05.9, B06.9
• Z23

d. B19.10, B01.9, B26.9, B05.9, B06.9 - CORRECT ANSWER: c. Z23

A 15 year old underwent placement of a cochlear implant 1 year ago. It now needs to be reprogrammed. What CPT® code is reported for the reprogramming?

• 92603
• 92601
• 92604

d. 92602 - CORRECT ANSWER: c. 92604

Response Feedback:

Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of the ear. The use of a cochlear implant involves relearning how to hear and react to sounds. In the CPT® Index look for Cochlear Device/Programming which directs you to codes 92602, 92604. The code selection is based on the age of the patient and whether it is the initial programming or subsequent reprogramming. Code 92604 describes subsequent reprogramming for a patient age 7 or older.

A 16-year-old male is brought to the ED by his mother. He was riding his bicycle in the park when he fell off the bike. The patient's right arm is painful to touch, discolored, and swollen. The X-ray shows a closed fracture of the ulna. What ICD-10-CM codes are reported?

• S52.201A, V19.9XXA, Y92.830
• S52.201A, V18.4XXA, Y92.831
• S52.201A, V18.0XXA, Y92.830

d. S52.209A, V18.4XXA, Y92.830 - CORRECT ANSWER: c. S52.201A, V18.0XXA,

Y92.830

A 16-year-old male is brought to the ED by his mother. He was riding his bicycle in the park when he fell off the bike. The patient's right arm is painful to touch, discolored, and swollen. The X-ray shows a closed fracture of the ulna. What ICD-10-CM codes are reported?

• S52.201A, V18.0XXA, Y92.830
• S52.201A, V18.4XXA, Y92.831
• S52.209A, V18.4XXA, Y92.830 2 / 4

d. S52.201A, V19.9XXA, Y92.830 - CORRECT ANSWER: a. S52.201A, V18.0XXA,

Y92.830

A 25-year-old male presents with a deviated nasal septum. The patient undergoes a nasal septum repair and submucous resection. Cartilage from the bony septum was detached and the nasoseptum was realigned and removed in a piecemeal fashion.Thereafter, 4-0 chronic was used to approximate mucous membranes. Next, submucous resection of the turbinates was handled in the usual fashion by removing the anterior third of the bony turbinate and lateral mucosa followed by bipolar cauterization. What CPT® codes are reported?

• 30450, 30999-51
• 30520, 30140-51
• 30420, 30140-51

d. 30620, 30999-51 - CORRECT ANSWER: b. 30520, 30140-51

A 26-year-old female with a one-year history of a left tympanic membrane perforation.She has extensive tympanosclerosis with a nonhealing perforation. Her options, including observation with water precautions or surgery, were discussed. The patient wished to proceed with surgery. With use of the operating microscope, the surgeon performs a left lateral graft tympanoplasty. What CPT® code is reported? - CORRECT

ANSWER: 69631-LT

Rationale: During the procedure, a tympanoplasty is performed. There is no mention of a mastoidectomy or ossicular chain reconstruction being performed. From the CPT® Index look for Tympanoplasty/without Mastoidectomy then verify the code in the numeric section. Modifier LT is used to indicate the procedure was performed on the left ear.

A 28-year-old female patient is returning to her provider's office with complaints of RLQ pain and heartburn with a temperature of 100.2. The provider performs a medically appropriate history and exam. Abdominal ultrasound is ordered and the patient has mild appendicitis. The provider prescribes antibiotics to treat the appendicitis in hopes of avoiding an appendectomy. What are the correct CPT® and ICD-10-CM codes for this encounter?

• 99213, K37, R12
• 99202, R10.31, K37
• 99203, K37

d. 99203, R50.9, R12, R10.31, K37 - CORRECT ANSWER: a. 99213, K37, R12

A 30-year-old female patient was seen in the ED with complaints of diarrhea for the past four days. She was also complaining of lower abdominal pain. After examination, the patient was diagnosed with viral gastroenteritis. She was instructed to drink plenty of fluids and to begin eating solids only after the diarrhea has subsided. What diagnosis code(s) would be reported for this encounter? 3 / 4

• R10.31, R19.7
• K52.9
• A08.4, R10.84, R19.7

d. A08.4 - CORRECT ANSWER: d. A08.4

A 32-year-old male was seen in the ambulatory surgery center ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm.Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported?

• D17.30
• D17.39
• D17.1, D17.23

d. D17.21, D17.1 - CORRECT ANSWER: d. D17.21, D17.1

A 32-year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an ongoing problem with allergies. The patient has failed Claritin and Alavert and feels his symptoms continue to worsen. Dr. Smith performs an expanded problem focused history and exam and discusses options with the patient on allergy management. The MDM is straightforward. The patient agrees he would like to be tested to possibly gain better control of his allergies. Dr. Smith sends a report to Dr.Long thanking him for the referral and includes the date the patient is scheduled for allergy testing. Dr. Smith also includes his findings from the encounter. What E/M code is reported?

• 99203
• 99242
• 99243

d. 99214 - CORRECT ANSWER: b. 99242

A 32-year-old patient with cervical cancer is in an outpatient facility to have HDR brachytherapy. The cervix is dilated and under ultrasound guidance six applicators are inserted with iridium via the vagina to release its radiation dose. The placement is in the cervical cavity (intracavitary). What CPT® code is reported for the physician service? -

CORRECT ANSWER: 77762-26

Response Feedback:

Rationale: Patient is receiving a type of internal radiation therapy delivering a high dose of radiation (HDR) from implants (applicators with the iridium) placed via the vaginal cavity (intracavitary). This is found in the CPT® Index by looking for Brachytherapy/Intracavitary Application directing you to 0395T, 77761-77763. The CPT® subsection guidelines under the heading Clinical Brachytherapy, definitions are given to differentiate simple, intermediate and complex brachytherapy. Code 77762 is reported for the intracavitary application of five to 10 sources (intermediate); six applicators were used for this procedure making 77762 the correct code.

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