AAPC CPC Coding Exam the Certification Step Final Examination Actual Exam All Questions, Exams of Nursing

Download AAPC CPC Coding Exam the Certification Step Final Examination Actual Exam All Questions and more Exams Nursing in PDF only on Docsity! AAPC CPC Coding Exam the Certification Step Final Examination Actual Exam All Questions and Answers Updated 2023-2024 Who requires a special report with the use of unlisted codes? --------- Correct Answer --- ------ Third-party payers Which of the following represents three of the six elements that a special report must contain? --------- Correct Answer --------- nature, extent, need The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps muscle biopsy. What diagnosis code is reported? --------- Correct Answer --------- M62.81 The provider orders the following serum blood tests as part of a pre-employment physical exam. The patient goes to the local hospital for the following tests: CBC automated and automated differential WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating hormone assay (84443), all part of the general health panel. A drug screen for multiple drug classes was also collected (80100). What diagnosis code is reported? --------- Correct Answer --------- Z02.1 What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis? --- ------ Correct Answer --------- F12.10 What codes, according to ICD 10 CM sequencing guidelines, describe a patient that has heart disease due to malignant hypertension with left heart failure? --------- Correct Answer --------- I11.0, 150.1 A 45-year-old male patient has developed in ulcer on his upper back. He has had diabetes for many years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM code are reported? --------- Correct Answer --------- E11.622, L98.429, Z79.4 What does the root word cool/o stand for? --------- Correct Answer --------- Vagina What does the abbreviation CKD stand for? --------- Correct Answer --------- Chronic kidney disease The patient is in for in initial replacement of a leaking dialysis catheter. What ICD 10 CM code is reported? --------- Correct Answer --------- T82.43XA What is/are the external cause code(s) for a passenger involved in a MVA that lost control on the highway and hit a guardrail? --------- Correct Answer --------- Y92.411 A patient was admitted three weeks following a normal vaginal delivery with a postpartum breast abscess. What ICD 10 code should be reported? --------- Correct Answer --------- O91.12 A 28-year-old male was rushed to the ED after being found unconscious. Information from family members indicated that the patient had left a suicide note and taking a large amount of LSD (a hallucinogenic). What ICD 10 CM codes are reported? --------- Correct Answer --------- T40.8X2A, R40.20 A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now presents with a non-union of the scaphoid bone. What ICD 10 CM code is reported? --------- Correct Answer --------- S62.001K What three components are considered when relative value units are established? ------- -- Correct Answer --------- Physician work, practice expense, malpractice insurance What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-molded? --------- Correct Answer --------- L3050 What is another term for hives? --------- Correct Answer --------- Urticaria The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM codes are reported? --------- Correct Answer --------- 12051, 11441-51, D23.39 44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameter deformity parameters and initial strut settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT code should reported? --------- Correct Answer --------- 20697 A young female patient was taken to the operative suite, and was placed under appropriate anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in noted to be normal. The undersurface of the rotator cuff A patient with AIDS presents for follow up care. The total T-cell count is ordered to evaluate any progression of the disease. What CPT code is reported? --------- Correct Answer --------- 86359- Code 86359 is for total T-cell count. If other studies were performed and they were not ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index, look for T Cells/Count. A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is ordered. What CPT code is/are reported? --------- Correct Answer --------- 86357- Although there are a number of cells that attack viruses and other infectious organisms, NK cells are specifically identified by code 86357. In the CPT Index, see Natural Killer (NK) Cells. A virus is identified by observing growth patterns on cultured media. What is this type of identification is called? --------- Correct Answer --------- Presumptive- Presumptive identification identifies microorganisms like by viruses by observing growth patterns and other characteristics. CPT stands for: --------- Correct Answer --------- Current Procedure Terminology Which term reflects the technologic advances made in medicine that are incorporated into the CPT manual? --------- Correct Answer --------- special reports How man sections is the CPT manual divided into? --------- Correct Answer --------- 6 Where is specific coding information about each section located? --------- Correct Answer --------- Guidelines In which CPT appendix would modifiers be found? --------- Correct Answer --------- Appendix A In which CPT appendix would additions, deletions, and revisions be found? --------- Correct Answer --------- Appendix B A list of the unlisted procedures for use in a specific section of the CPT manual is contained in: --------- Correct Answer --------- Guidelines Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available? --------- Correct Answer --------- hypen Which punctuation mark between codes in the index of the CPT manual indicates two codes are available? --------- Correct Answer --------- comma The words that follow a code number in the CPT manual are called: --------- Correct Answer --------- procedure/ service descriptor A code that has all the words that describe the code following it is called what type of code? --------- Correct Answer --------- stand alone According to surgery guidelines, is surgical destruction part of a surgical procedure? ---- ----- Correct Answer --------- yes First division in the CPT --------- Correct Answer --------- SECTION Second division in the CPT --------- Correct Answer --------- SUBSECTION Third division in the CPT --------- Correct Answer --------- SUBHEADING Fourth division in the CPT --------- Correct Answer --------- CATEGORY What is the largest single mass of lymphatic tissue? --------- Correct Answer --------- Spleen Which main coronary artery bifurcates into two smaller ones? --------- Correct Answer --- ------ Left What is the term for the divider between the heart chamber walls? --------- Correct Answer --------- Septum ______ is a term standing for enlargement of the heart --------- Correct Answer --------- Cardiomegaly cardio= heart megaly= enlargement repair of coronary vessel is called: --------- Correct Answer --------- Angioplasty angio= vessel plasty= repair Where is the hypertension table located in ICD-10-CM? --------- Correct Answer --------- there is no hypertension table in ICD-10-CM Which statement is true regarding codes for hypertension and heart disease in ICD-10- CM? --------- Correct Answer --------- Hypertension and heart disease without a stated casual relationship must be coded separately. What information is needed in order to accurately code hypertension retinopathy in ICD- 10-CM? --------- Correct Answer --------- The affected eye(s) What is the default code for coronary artery atherosclerosis? --------- Correct Answer ---- ----- 1125.10 How many layers of tissue does an artery have? --------- Correct Answer --------- 3 The conduction system contains pacemaker cells, nodes, the ____, and the _____. ----- ---- Correct Answer --------- Purkinje fibers and Bundle of His What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart? --------- Correct Answer --------- Heart valves What information is required to accurately code PVD due to diabetes in ICD-10-CM? ---- ----- Correct Answer --------- Whether the patient has gangrene Bile empties into the duodenum through what structure? --------- Correct Answer --------- Common bile duct Which of the following is not a function on the skin? --------- Correct Answer --------- Acts as a gland by synthesizing vitamin A. What ICD-10-CM code is reported for spontaneous pneumothorax? --------- Correct Answer --------- J93.83 When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned? --------- Correct Answer --------- R75 What does MRSA stand for? --------- Correct Answer --------- Methicillin resistant Staphylococcus Aureus When do you code acute respiratory failure as a secondary diagnosis? --------- Correct Answer --------- When it occurs after admission When the type of diabetes mellitus is not documented in the medical note, what is used as the default type? --------- Correct Answer --------- Type 2 If a patient uses insulin, what type of diabetic does it mean the patient is? --------- Correct Answer --------- The use of insulin doesn't specify the patient is a certain type of diabetic According to ICD-10-CM Guidelines, when a patient is seen for management of anemia due to malignancy, how is it reported? --------- Correct Answer --------- The malignancy is reported first, followed by the code for the anemia. First episode of an acute myocardial infraction --------- Correct Answer --------- I21.3 secondary neoplasm of the descending colon --------- Correct Answer --------- C78.5 In which circumstances would an external cause code be reported? --------- Correct Answer --------- causes of injury or health condition adverse effect --------- Correct Answer --------- rash developing when taking oenicillin