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[General] AAPC-CPC Exam Questions | Free AAPC-CPC Exam

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【General】 AAPC-CPC Exam Questions | Free AAPC-CPC Exam

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q81-Q86):NEW QUESTION # 81
A patient is scheduled for a total knee replacement. The assigned anesthesiologist performs a femoral nerve block using an ultrasound machine just prior to entering the operating room to aid in postoperative pain control. Once in the operating room, general anesthesia is administered to the patient. What CPT code(s) should the anesthesiologist report?
  • A. 01402,64447_59, 76942
  • B. 01400, 01991, 76942
  • C. 01400, 01991-59
  • D. 01402
Answer: A
Explanation:
CPT crosswalk for anesthesia administered during a total knee replacement is 01402.
Although CPT 01991 does describe a nerve block, it is considered monitored anesthesia care because the patient is awake. However, in this scenario, general anesthesia is being used for the primary procedure, and the femoral nerve block is administered for postoperative pain management. Therefore, the nerve block would be billed as CPT 64447 with modifier 59 to indicate that it is separately reportable from the primary procedure. If, on the other hand, the nerve block was being used as a component of the general anesthesia, CPT 64447 would be considered inclusive to the general anesthesia and not reported separately. Ultrasound guidance is not currently bundled with the administration of a nerve block and, when used, should be reported separately with CPT 76942.

NEW QUESTION # 82
In which scenario would the modifier 53 be appended?
  • A. An IUD removal is not completed because the patient reports severe pain when thespeculum is inserted.
  • B. A surgeon decides to stop a gallbladder removal procedure in the hospital operating roomafter the patient has extensive bleeding at the incision site.
  • C. The surgeon decides to terminate a routine colonoscopy when the patient becomeshypertensive before receiving anesthesia in the outpatient procedure room.
  • D. A patient receives an x-ray of one femur when the doctor ordered bilateral views.
Answer: B
Explanation:
Modifier 53 is used to indicate that a procedure was terminated by the provider after anesthesia was given due to extenuating circumstances that affected the health of the patient.
Although option B is similar, the procedure that was discontinued was done so prior to anesthesia in the outpatient setting, in which case modifier 73 would be appended.

NEW QUESTION # 83
A urologist performs a laparoscopic adrenalectomy and excises a retroperitoneal mass in the same session. How should this be coded?
  • A. 60650, 49203-51
  • B. 60650-22
  • C. 0
  • D. 1
Answer: B
Explanation:
CPT 60650 describes a laparoscopic adrenalectomy with a biopsy but not the complete removal of a retroperitoneal mass. In contrast, adding modifier 22 indicates increased work and complexity and can be used because there is no CPT to describe a laparoscopic retroperitoneal mass resection. CPT 49329 represents an unlisted laparoscopy procedure that can be used to describe the removal of a retroperitoneal mass but would have to be used in conjunction with CPT
60650 to describe the adrenalectomy procedure. CPT 60545 describes an adrenalectomy with excision ofa retroperitoneal mass by means of an abdominal or posterior incision. CPT 49203 also does not describe the procedure because it involves an open excision of an intra-abdominal tumor.

NEW QUESTION # 84
Dr. Black orders a hepatitis panel for a patient who has recently returned from traveling abroad and is now experiencing lower abdominal pain. The laboratory completed a hepatitis A antibody test, hepatitis B core antibody test, and a hepatitis C antibody test. Select the CPT and the ICD-IO-CM codes that the laboratory will report.
  • A. 86709, 86705, 86803, RIO.31, RIO.32
  • B. 80074, RIO.30
  • C. 80074-52, RIO.30
  • D. 86709, 86705, 86803, RIO.30
Answer: D
Explanation:
The hepatitis B surface antigen test was not performed, so the actual panel code in answer A was not completed, leaving each test to be reported separately. It would not be appropriate to add modifier 52 to 80074 in answer B. Because the provider did not specify which side the lower abdominal pain was on, it would be reported as unspecified with RIO.30, eliminating answer C.

NEW QUESTION # 85
A 92-year old female with Medicare part A coverage receives ongoing hospice care due to dementi a. She goes to a physician's office to receive closed treatment of a hip dislocation following a fall. No anesthesia was used. How should the provider submit this claim?
  • A. 27250-GW, 99202-25, S73.003A W19XXYuA
  • B. 27250-GW, S73.003A, W19XXXA
  • C. 27250, S73.003A, W19XXXA
  • D. 27250, 99213-25, S73.003A
Answer: B
Explanation:
When a patient is receiving hospice care, Medicare will not reimburse the physician for services rendered that are unrelated to the terminal illness unless submitted with modifier GW. In Answers C and D, a separate, identifiable E/M is not to be billed because the procedure is considered minor (1- to 10-day global period) and includes an inherent E/M component.

NEW QUESTION # 86
......
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