AAPC CPC FINAL EXAM 2023-2024 REAL EXAM 3 LATEST VERSIONS/ Test Bank/ Question Bank, Exams of Nursing

Download AAPC CPC FINAL EXAM 2023-2024 REAL EXAM 3 LATEST VERSIONS/ Test Bank/ Question Bank and more Exams Nursing in PDF only on Docsity! Started on Wednesday, April 27, 2022, 9:05 AM State Finished Completed on Wednesday, April 27, 2022, 12:11 PM Time taken 3 hours 6 mins Grade 80.00 out of 100.00 What does CMS-HCC stand for? Select one: a. Centers for Medicare & Medicaid Services – Hospital Correct Coding Initiative b. County Mandated Services – Heightened Control Center c. Country Mandated Services – Hospital Correct Coding Initiative d. Centers for Medicare & Medicaid Services – Hierarchal Condition Category! The correct answer is: Centers for Medicare & Medicaid Services – Hierarchal Condition Category Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for? Select one: a. Subjective, Objective, Assessment, Plan! b. Scope, Observation, Action, Plan c. Standard, Objective, Activity, Period d. Source, Opinion, Advice, Provider The correct answer is: Subjective, Objective, Assessment, Plan Question 2 Correct 1.00 points out of 1.00 Question 1 Correct 1.00 points out of 1.00 AAPC CPC FINAL EXAM 2023-2024 REAL EXAM 3 LATEST VERSIONS/ Test Bank/ Question Bank EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT ANSWERS qi the Besi  When coding an operative report, what action would NOT be recommended? Select one: a. Starting with the procedure listed. b. Reading the body of the report. c. Highlighting unfamiliar words. d. Coding from the header without reading the body of the report.! The correct answer is: Coding from the header without reading the body of the report. Question 5 Correct 1.00 points out of 1.00 Question 7 Correct 1.00 points out of 1.00 Question 8 Correct 1.00 points out of 1.00 qi the Bes!  What are chemicals which relay, amplify and modulate signals between a neuron and another cell? Select one: a. Interneurons b. Hormones c. Myelin d. Neurotransmitters! The correct answer is: Neurotransmitters Lacrimal glands are responsible for which of the following? Select one: a. Production of mydriatic agents b. Production of vitreous c. Production of tears! d. Production of zonules The correct answer is: Production of tears What is the function of the thyroid gland? Select one: a. It secretes hormones regulating body metabolism and blood calcium! b. It secretes hormones regulating the secretion of insulin and hemoglobin c. It secretes hormones regulating the immune system and blood calcium d. It secretes hormones regulating mood and growth hormones The correct answer is: It secretes hormones regulating body metabolism and blood calcium 9 The word describing the presence of blood in the pleural cavity is: Select one: a. Hemoptysis b. Pleural effusion c. Hemothorax! d. Hydrothorax Question 11 Correct 1.00 points out of 1.00 The correct answer is: Otalgia What does ICD-10-CM stand for? Select one: a. International Classification of Diseases 10th Revision, Clinical Modification ! b. International Class Diagnosis 10th Book, Clinical Medicine c. Infections Classified Diseases 10th Revision, Clinical Modification d. International Code Diagnosis-10, Coding Medical The correct answer is: International Classification of Diseases 10th Revision, Clinical Modification Question 14 Correct 1.00 points out of 1.00 Question 13 Correct 1.00 points out of 1.00 qi the Bes!  qi the Bes!  1.00 points out of 1.00 What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? Select one: a. G80.1, G09 ! b. G09, G80.1 c. G03.9, G80.1 d. G80.1, G43.909, G03.9 The correct answer is: G80.1, G09 When do you code acute respiratory failure as a secondary diagnosis? Select one: a. When it occurs after admission. ! b. The patient has any other condition at the same time. c. Acute respiratory failure is always listed first. d. When it is determined to be the cause of the shortness of breath. The correct answer is: When it occurs after admission. A patient returns to the provider for an injection to relieve low back pain from a car accident. What ICD -10-CM code(s) is/are reported? Select one: a. G89.21, M54.50 b. M54.50 ! c. G89.11, M54.50 d. M54.50, G89.11 The correct answer is: M54.50 Question 19 Correct 1.00 points out of 1.00 Question 21 Correct 1.00 points out of 1.00 Ieenrrnct qi the Bes!  0.00 points out of 1.00 The patient has a history of unstable angina, hypertension, and chronic systolic heart failure. He is seen in the ED after prolonged chest pain that was not relieved by medication. Cardiac enzymes are elevated, and EKG shows anterior infarct. A decision was made to perform a cardiac catheterization and coronary angiography. Left heart catheterization was performed in order to perform a left ventriculogram. He tolerated the procedure well and will be discharged. His final diagnosis is chronic systolic heart failure and hypertension. The two conditions are unrelated. What ICD-10-CM code(s) is/are reported? Select one: a. I11.0, I50.22 " b. I50.22, I10 c. I11.0, I10 d. I11.0 The correct answer is: I50.22, I10 According to the ICD-10-CM Official Guidelines for Coding and Reporting, Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A), codes in this range have sequencing priority over what codes? Select one: a. Codes from all other chapters. ! b. Codes from Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99). c. Chapter 15 codes do not have sequencing priority over other codes. d. All codes including Z33.1 The correct answer is: Codes from all other chapters. What ICD-10-CM codes are reported on the maternal record for a delivery of triplets that are all liveborn at 32 weeks of pregnancy? Select one: a. Z37.9, Z3A.32 b. O30.109, Z37.9, Z3A.00 c. Z37.61, O30.103, Z3A.32 d. O30.103, Z37.51, Z3A.32 ! The correct answer is: O30.103, Z37.51, Z3A.32 A pregnant woman in her 40th week has gestational diabetes which is controlled by diet. What ICD-10-CM code(s) is/are reported? Select one: a. O24.410, Z3A.40 ! b. O24.410, O24.913 c. O24.913 d. O24.113, O24.410, Z3A.40 The correct answer is: O24.410, Z3A.40 A 47-year-old male was treated in the ED after being involved in a fight at a local pub. The patient sustained two lacerations, one to the left cheek and one to the left forearm. Abrasions were also on the left cheek. What ICD-10-CM codes are reported? Select one: a. S01.412D, S51.812D, Y04.0XXD, Y92.29 b. S01.412A, S51.812A, Y04.0XXA, Y92.29 ! c. S01.412A, S51.812A, S00.81XA, Y04.0XXA, Y92.29 d. S01.412D, S51.812D, S00.81XD, Y04.0XXD, Y92.29 The correct answer is: S01.412A, S51.812A, Y04.0XXA, Y92.29 Question 27 Correct 1.00 points out of 1.00 Question 26 Correct 1.00 points out of 1.00 Ieenrrnct qi the Bes!  qi the Bes!  What codes are voluntarily reported to payers and provide evidence-based performance-measure data? Select one: a. CPT® Category I codes b. CPT® Category III codes c. HCPCS Level II codes d. CPT® Category II codes! The correct answer is: CPT® Category II codes A patient is seen in the physician’s office for a 2,400,000 U injection of Bicillin L-A. What code represents this drug and the units given? Select one: a. J0558 x 24 b. J0561 x 24! c. J2510 x 4 d. J2540 x 4 The correct answer is: J0561 x 24 What is the correct anesthesia CPT® code for surgery performed on the frontal lobe of the brain? Select one: a. 00216 b. 00218 c. 00210! d. 00212 The correct answer is: 00210 Question 32 Correct 1.00 points out of 1.00 Question 34 Correct 1.00 points out of 1.00 Ieenrrnct qi the Bes!  0.00 points out of 1.00 A 45-year-old male with a previous biopsy positive for malignant melanoma presents for definitive excision of the lesion. After induction of general anesthesia, the patient is placed supine on the OR table, the left knee prepped and draped in the usual sterile fashion. IV antibiotics are given as the patient had previous MRSA infection. The previous excisional biopsy site on the left knee measured approximately 4 cm and was widely ellipsed with a 1.5 cm margin. The excision was taken down to the underlying patellar fascia. Hemostasis was achieved via electrocautery. The resulting defect was 11cm x 5cm. Wide advancement flaps were created inferiorly and superiorly using electrocautery. This allowed skin edges to come together without tension. The wound was closed using interrupted 2-0 Monocryl and 2 retention sutures were placed using #1 Prolene. Skin was closed with a stapler. What CPT® code(s) is/are reported? Select one: a. 15738, 11606-51 b. 15758 c. 14301, 11606-51 " d. 14301 The correct answer is: 14301 A 56-year-old pro golfer is having Mohs micrographic surgery for skin cancer on his forehead. The surgeon performs the surgery with two stages. The first stage includes 4 tissue blocks and the second stage includes 6 tissue blocks. What are the codes for both stages? Select one: a. 17311, 17315 b. 17313, 17314, 17315 c. 17311, 17312, 17315 ! d. 17311, 17312 The correct answer is: 17311, 17312, 17315 Diagnosis: Basal Cell Carcinoma Procedure: Mohs micrographic excision of skin cancer. Site: Face left lateral upper canthus eyelid Pre-operative size: 0.8 cm Indications for surgery: Area of high recurrence, area of functional and/or cosmetic importance. Discussed procedure including alternative therapy, expectations, complications, and the possibility of a larger or deeper defect than expected requiring si gnificant reconstruction. Patient’s questions were answered. Local anesthesia 1:1 Marcaine and 1% Lidocaine with Epinephrine. Sterile prep and drape. Stage 1: The clinically apparent lesion was marked out with a small rim of normal appearing tissue and excised down to subcut aneous fat level with a defect size of 1.2 cm. Hemostasis was obtained and a pressure bandage placed. The tissue was sent for slide preparation. Review of the slides show clear margins for the site. Repair: Complex repair. Repair of Mohs micrographic surgical defect. Wound margins were extensively undermined in order to mobilize tissue for closure. Hemostasis was achieved. Repair length 3.4 cm. A layered closure was performed. Multiple buried absorbable sutures were placed to re-oppose deep fat. The epidermis and dermis were re-opposed using monofilament sutures. There were no complications; the patient tolerated the procedure well. Post-procedure expectations (including discomfort management), wound care and activity restrictions were reviewed. Written Instructions with urgent contact numbers given, follow-up visit and suture removal in 3-5 days What CPT® and ICD-10-CM codes are reported? Select one: a. 13152, 11642-51, C44.311 b. 13152, 11442-51, C44.311 c. 17311, 13152-51, C44.1191 ! d. 17313, 13152-51, C44.1191 The correct answer is: 17311, 13152-51, C44.1191 Question 37 Correct 1.00 points out of 1.00 qi the Bes!  qi the Bes!  The patient fell and fractured his left femoral shaft in three places. The fracture is treated with an ORIF of the left femur with an intramedullary nail and interlocking screws (peritrochanterically). The orthopedist also places the leg in a plaster splint prior to leaving the OR. What CPT® code(s) is/are reported? Select one: a. 27506 ! b. 27507, 29505 c. 27245 d. 27513, 29505 The correct answer is: 27506 A patient is seen in the hospital’s outpatient surgical area with a diagnosis of a displaced fracture of the lateral condyle, right elbow. An ORIF (open reduction) procedure was performed and included the following techniques: An incision was made in the area of the lateral epicondyle. This was carried through subcutaneous tissue, and the fracture site was easily exposed. Inspection revealed the fragment to be rotated in two places about 90 degrees. It was possible to manually reduce this quite easily, and the manipulation resulted in an almost anatomic reduction. This was fixed with two pins driven across the humerus. The pins were cut off below skin level. The wound was closed with plain catgut subcutaneously and 5-0 nylon for the skin. Dressings and a long arm cast were applied. What CPT® and ICD-10-CM codes are reported? Select one: a. 24579-RT, S42.451A ! b. 24577-RT, S42.451A c. 24579-RT, 29065-51-RT, S42.434B d. 24575-RT, S42.434B The correct answer is: 24579-RT, S42.451A Question 41 Correct 1.00 points out of 1.00 Question 44 Incorrect 0.00 points out of 1.00 Question 43 Correct 1.00 points out of 1.00 qi the Bes!  What ICD-10-CM code is reported for pyopneumothorax with fistula? Select one: a. J95.811 b. J86.0 ! c. J86.9 d. J93.9 The correct answer is: J86.0 A 20-year-old patient is seen for 5 transbronchial lung biopsies of 2 separate lobes. One biopsy is taken in one lobe and 4 biopsies in another lobe. What CPT® code(s) is/are reported? Select one: a. 31628 b. 31628, 31632 x 4 c. 31629, 31632 d. 31628, 31632 ! The correct answer is: 31628, 31632 How are multiple moderate lacerations of the spleen, initial encounter coded in ICD-10-CM? Select one: a. S36.032A b. S36.039A c. S36.030A d. S36.031A " The correct answer is: S36.032A 1.00 points out of 1.00 A patient with laryngeal spasms undergoes therapeutic injection of the vocal cords. Topical anesthesia is administered to the oral cavity, pharynx and larynx. Using an operating microscope, a direct laryngoscope is inserted into the patient’s mouth. The interior larynx is examined and the surgeon injects the vocal cords at two sites with glycerin. What CPT® and ICD-10-CM codes are reported? Select one: a. 31571, J38.5 ! b. 31535, J38.5 c. 31570, 69990, J38.5 d. 31571, 69990, J38.5 The correct answer is: 31571, J38.5 is a term standing for enlargement of the heart. Select one: a. Cardiorenal b. Cardiomegaly ! c. Valvuloplasty d. Angiomegaly The correct answer is: Cardiomegaly Question 49 Correct 1.00 points out of 1.00 Question 48 Correct 1.00 points out of 1.00 qi the Bes!  Ieenrrnct qi the Bes!  0.00 points out of 1.00 What is the eponym for a pancreatoduodenectomy? Select one: a. Kasai procedure b. Meckel’s procedure " c. Whipple procedure d. Hartmann’s procedure The correct answer is: Whipple procedure What is the correct ICD-10-CM code for a 30-year-old obese patient with a BMI of 32.5? Select one: a. E66.9, Z68.32 ! b. E66.9, Z68.30 c. E66.3, Z68.32 d. E66.01, Z68.35 The correct answer is: E66.9, Z68.32 What is the correct coding for a physician who performs an UGI radiological evaluation of the esophagus, stomach and first po rtion of the duodenum with barium and double-contrast in the hospital GI lab? (Physician is not employed by the hospital) Select one: a. 74246-26 ! b. 74251 c. 74246 d. 74251-26 The correct answer is: 74246-26 Question 54 Correct 1.00 points out of 1.00 Question 57 Correct 1.00 points out of 1.00 Question 56 Correct 1.00 points out of 1.00 qi the Bes!  Patient is status post radical retropubic prostatectomy with erectile dysfunction, presenting for penile implant. An inflatable penile prosthesis is inserted. What CPT® code is reported for this service? Select one: a. 54400 b. 54408 c. 54416 d. 54401 ! The correct answer is: 54401 Patient is admitted for acute bilateral pyelonephritis. What is the appropriate ICD-10-CM code? Select one: a. N11.1 b. N11.8 c. N10 ! d. N11.9 The correct answer is: N10 Circumcision with adjacent tissue transfer was performed on a 2-month-old. What CPT® code(s) is/are reported for this service? Select one: a. 54161-22 b. 14040, 54161-51 ! c. 54163 d. 14040 The correct answer is: 14040, 54161-51 Question 61 Correct 1.00 points out of 1.00 A patient presents in her 15th week of pregnancy with cramping, cervix dilated to 2 cm and bulging amniotic sac. The physician confirms a threatened abortion and decides to manage the patient expectantly with monitoring. What is the ICD-10-CM code? Select one: a. O03.6 b. O20.0, Z3A.15 ! c. O20.9, Z3A.15 d. O03.4 The correct answer is: O20.0, Z3A.15 What modifier is appropriate for a separately billable antenatal service during the global OB package period? Select one: a. 24" b. 25 c. 57 d. No modifier is needed The correct answer is: No modifier is needed qi the Bes!  Question 63 Correct 1.00 points out of 1.00 A diabetic woman delivered her child and now returns to obstetrician’s office for follow up. She has had type 1 diabetes controlled with insulin for most of her life. Her obstetrician will monitor her closely for several weeks to be sure her pregnancy does not cause her permanent problems. What diagnosis code is used for her visit 2 weeks after her delivery? Select one: a. P70.1 b. O24.019, E10.9 c. O24.33 d. O24.03 ! The correct answer is: O24.03 A 27-year-old woman’s regular obstetrician delivers her twins. The first is delivered vaginally but the second is delivered by cesarean delivery. Both are delivered without complications. Patient will return in two weeks for a postpartum visit. What is/are the CPT® code(s) reported for this service? Select one: a. 59510, 59409-51 ! b. 59400, 59514-51 c. 59510 d. 59400, 59409-51 The correct answer is: 59510, 59409-51 What does contralateral mean? Select one: a. Contractions occurring on opposite sides of the body. b. Pertaining to the same side of the body. c. Lateral contractions. d. Affecting or originating in the opposite side. ! The correct answer is: Affecting or originating in the opposite side. A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? Select one: a. M54.2, G89.21 b. G89.21, M54.2 ! c. G89.21 d. M54.2 The correct answer is: G89.21, M54.2 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? Select one: a. 96522, C41.2 b. 62360, C41.2 c. 62361, C70.1 d. 62362, C70.1 ! The correct answer is: 62362, C70.1 Question 66 Correct 1.00 points out of 1.00 qi the Bes!  Question 70 Correct 1.00 points out of 1.00 A patient with a cyst like mass on his left external auditory canal was visualized under the microscope and a microcup forcep s was used to obtain a biopsy of tissue along the posterior superior canal wall. What CPT® code is reported? Select one: a. 69105-LT ! b. 69145-LT c. 69140-RT d. 69100-RT The correct answer is: 69105-LT A patient has heavy skin and muscle (myogenic) that is drooping down and blocking his vision due to myogenic ptosis of the upper eyelid. The provider performed a bilateral upper blepharoplasty. What ICD-10-CM code(s) is (are) reported? Select one: a. H02.31, H02.34 b. H02.423 ! c. H02.531, H02.534 d. H02.421, H02.422 The correct answer is: H02.423 qi the Bes!  Question 72 Correct 1.00 points out of 1.00 Repair of right eye retinal detachment with a giant tear is performed for an accidental injury sustained from a baseball to the eye at fastball practice. Vitrectomy, drainage of subretinal fluid, silicone oil tamponade, and endolaser photocoagulation are performed to correct the tear. What CPT® and ICD-10-CM codes are reported? Select one: a. 67113, H33.031, W21.03XA! b. 67145, H33.001, T15.01XA c. 67108, H33.051, W50.0XXA d. 67141, H33.8, W50.0XXA The correct answer is: 67113, H33.031, W21.03XA What intraperitoneal organs are found in the lower abdomen? Select one: a. Spleen, liver, appendix, stomach, cecum b. Gallbladder, cecum, spleen, ileum, sigmoid colon c. Liver, appendix, gallbladder, ileum, sigmoid colon d. Appendix, cecum, ileum, sigmoid colon ! The correct answer is: Appendix, cecum, ileum, sigmoid colon Question 75 Correct 1.00 points out of 1.00 Question 74 Correct 1.00 points out of 1.00 qi the Bes!  An 11-month-old patient presented for emergency surgery to repair a severely broken arm after falling from a third story window. What qualifying circumstance code(s) may be reported in addition to the anesthesia code? Select one: a. 99100 b. 99140 c. 99116 d. 99100, 99140 ! The correct answer is: 99100, 99140 An anesthesiologist is medically supervising six cases. What modifier is reported for the CRNA’s medically directed service? Select one: a. QZ b. AD c. QX! d. QK The correct answer is: QX Which plane divides the body into anterior and posterior halves? Select one: a. Coronal ! b. Sagittal c. Axial d. Transverse The correct answer is: Coronal Question 79 Correct 1.00 points out of 1.00 A 52-year-old female is sent to radiology for a lymphangiography of both arms. The patient has swelling in both arms which is suspected to be lymphangitis. She also has a history of breast cancer having had a double mastectomy 5 years ago. What CPT® and ICD-10-CM codes are reported? Select one: a. 75801, L03.123, L03.124, Z80.3, Z90.13 b. 75801, M79.89, Z80.3, Z90.13 c. 75803, M79.89, Z85.3, Z90.13 ! d. 75803, L03.123, L03.124, Z85.3, Z90.13 The correct answer is: 75803, M79.89, Z85.3, Z90.13 Tomographic axial images (CT or CAT scan) through the abdomen were obtained without administration of intravenous contrast. This showed a 3 cm diameter mass in the upper pole of the right kidney abutting the liver. Cryoablation of the lesion was performed utilizing two freezing cycles with good cosmetic results. What CPT® codes are reported? Select one: a. 50593, 77022-26 b. 47381, 77012-26 c. 50250, 77013-26 ! d. 50250, 76940-26 The correct answer is: 50250, 77013-26 qi the Bes!  Question 81 Correct 1.00 points out of 1.00 A CT study of the lumbar spine (L2–L4) was performed with IV contrast in the hospital outpatient radiology department and the interpretation of the images is performed by the radiologist. What CPT® code(s) should be reported by the radiologist who is not an employee of the hospital? Select one: a. 72132-26 ! b. 72132 c. 72132-26, 72132-TC d. 72132-TC The correct answer is: 72132-26 A patient presents with worries she is at risk for cancer. She asks for tests to verify whether she has cancer. The test come s back normal. What type of service is this considered? Select one: a. Abnormal findings b. Signs and symptoms c. Screening services ! d. Cancer The correct answer is: Screening services qi the Bes!  Esther Glass has a primary cancer located in the intra-hepatic biliary tract and had a cholecystectomy and biopsy of the duodenum done. Two separate specimens (gall bladder, biopsy of duodenum) were sent to the pathologist working at a hospital laboratory. The technician prepared the slides and the pathologist (self-employed) read them. Select the best code or codes for the pathologist’s services. Select one: a. 88304-26 x2 b. 88305-26 x2 c. 88304, 88305 d. 88304-26, 88305-26 ! The correct answer is: 88304-26, 88305-26 A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day she’s in the hospital. What subcategory of E/M codes would be used for days two, three and four? Select one: a. Subsequent Hospital Care ! b. Subsequent Observation Care c. Initial Hospital Care d. Office or Other Outpatient Services; Established patient The correct answer is: Subsequent Hospital Care Question 85 Correct 1.00 points out of 1.00