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AAPC CPC - Certified Professional Coder (CPC) Exam

Page: 4 / 6
Total 100 questions

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?

A.

19303

B.

19305

C.

19306

D.

19307

A catheter was placed into the abdominal aorta via the right common femoral artery access. An abdominal aortography was performed. The right and left renal artery were adequately visualized. The catheter was used to selectively catheterize the right and left renal artery. Selective right and left renal angiography were then performed, demonstrating a widely patent right and left renal artery.

What CPT® coding is reported?

A.

36251

B.

36252

C.

36253, 75625-26

D.

36252, 75625-26

A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior.

What ICD-10-CM codes are reported for this patient?

A.

R91.8, C56.9, C78.7

B.

C56.9, C78.7, C78.02

C.

C78.02, C22.9, C79.82

D.

D38.1, C56.9, C78.7

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 CPT® codes will be reported?

A.

19081

B.

19100, 76098

C.

19101, 19283

D.

19081, 19283

A complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging, is performed on a patient with systolic left ventricular congestive heart failure and premature ventricular contractions.

What CPT® and ICD-10-CM codes are reported?

A.

75557, 75559, I50.1, I49.1

B.

75561, 75563, I50.1, I49.1

C.

75563, I50.20, I49.3

D.

75559, I50.20, I49.3

The outermost protective layer of skin is called the:

A.

Epidermis

B.

Hypodermis

C.

Subcutaneous tissue

D.

Dermis

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.

47562, 74300-26

B.

47563, 74300-26

C.

47605, 74300-26

D.

47600, 74300-26

The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.

What CPT® and ICD-10CM codes are reported?

A.

46320, 46945, K64.0, K64.9

B.

46250, K64.0, K64.9

C.

46255, K64.0, K64.4

D.

46250, 46945, K64.0, K64.4

When a provider's documentation refers to use, abuse, and dependence of the same substance (e.g. alcohol), which statement is correct?

A.

If both use and abuse are documented, assign abuse as the first code and use as the additional code.

B.

If use, abuse, and dependence are documented, report all three codes separately.

C.

If both abuse and dependence are documented, assign only the code for abuse.

D.

If both use and dependence are documented, assign only the code for dependence.

Which HCPCS Level II codes identify temporary services that would not be assigned a CPT® code, but are needed for claims processing purposes?

A.

K codes

B.

T codes

C.

G codes

D.

Q codes