AAPC CPC Questions Tips For Better Preparation

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q128-Q133):

NEW QUESTION # 128
(What does the suffix-graphmean?)

Answer: C

Explanation:
In medical terminology,"-graph"refers to aninstrument used to record(or produce a record), while"-gram" refers to therecord/image produced, and"-graphy"refers to theprocess of recording. This set is frequently tested because the terms look similar. Example: anelectrocardiographis the instrument; anelectrocardiogram (ECG/EKG)is the tracing produced;electrocardiographyis the act of recording. The distractors are surgical suffixes:"-desis"typically indicates surgical binding/fusion, and"-rrhaphy"indicates surgical repair by suture.
"Z-plasty" is a plastic surgery technique; "instrument used for Z-plasty" is not a standard suffix definition.
For CPC-style questions, the safest approach is to memorize the trio:graph (instrument)/gram (record)/graphy (process). That pattern also helps with radiology terms (mammogram, angiography) and diagnostic testing vocabulary.


NEW QUESTION # 129
The evisceration of ocular contents was performed using a surgical microscope for enhanced visualization.
The procedure was performed on the left eye and an implant was not placed in the ocular cavity.
What CPTcoding is reported?

Answer: C

Explanation:
1. Procedure and CPTCode Selection:
The procedure performed was an evisceration of ocular contents without the placement of an implant. The surgical microscope was used for enhanced visualization, but this does not require a separate code if the primary procedure code includes it inherently.
CPTCode 65091 is used for an evisceration of the ocular contents without implant placement. This code correctly describes the procedure performed on the left eye.
2. Modifier:
Modifier LT is added to indicate that the procedure was performed on the left eye.
3. Exclusion of Code 69990:
Code 69990 is for the use of an operating microscope, but it should not be billed separately when it is used as part of a procedure where enhanced visualization is typical or expected, such as an evisceration procedure.
According to CPTguidelines, 69990 is not separately reported when the microscope is used for visualization in procedures where its use is considered part of the standard of care.
4. Rationale for Excluding Other Options:
Code 65093 is for an evisceration with implant placement, which does not apply since no implant was used.
Options B and C incorrectly include 69990, which is not separately reportable in this scenario.
5. AAPC and CPTCoding Guidelines:
According to AAPC and CPTcoding guidelines, 65091 is sufficient to capture the procedure without the need to add code 69990 for the microscope.
Therefore, the correct answer is D. 65091-LT.


NEW QUESTION # 130
Two weeks after removal of a 4 cm subcutaneous lipoma, the patient presents with extensive internal wound dehiscence requiring multi-layer closure in the OR.
What CPT coding is reported by the surgeon?

Answer: C

Explanation:
Repair of wound dehiscence # CPT 13160 (complex repair, secondary closure) Occurs during global period and is unplanned # Modifier -78 Modifier -58 is for staged or planned procedures.


NEW QUESTION # 131
(The patient presents to the emergency department with chest pain. EKG showsNSTEMIand troponin is abnormal. The ED provider discusses the case with a cardiologist and the patient is admitted for heart catheterization/PCI. What is the E/M service and ICD-10-CM coding reported for the ED provider?)

Answer: A

Explanation:
An ED visit involvingNSTEMIwith abnormal troponin, EKG confirmation, and escalation to cardiology for admission representshigh acuityand high risk of morbidity/mortality, supporting the highest-level ED E/M in typical CPC exam scenarios:99285. The definitive ED diagnosis isNSTEMI, which is coded asI21.4. When a definitive diagnosis is established (NSTEMI), you generally do not separately code the presenting symptomchest pain (R07.9)as an additional diagnosis unless the symptom is unrelated or specifically required; here it is the presenting symptom attributable to the MI and not separately necessary. Options A and C use inpatient consult codes (99254/99255) rather than an ED E/M code and are inappropriate for the ED provider's service. Option D understates the acuity and incorrectly includes symptom coding as if no definitive diagnosis were made. Therefore, the correct answer is99285 with I21.4.


NEW QUESTION # 132
A patient arrives for a PEG placement. The patient requires tube feeds for nutrition but frequently pulls out the dobhoffs tube. An EGD was performed. Several attempts were made to place the PEG tube without success so the procedure was aborted. During the withdraw of the scope, a small hiatal hernia was noted in the stomach. The scope was removed the the patient transferred to recovery.
What CPT and ICD-10-CM coding is reported?

Answer: A


NEW QUESTION # 133
......

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