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[General] AAPC-CPC New Exam Braindumps - Exam AAPC-CPC Fee

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【General】 AAPC-CPC New Exam Braindumps - Exam AAPC-CPC Fee

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q33-Q38):NEW QUESTION # 33
Code the excision of a large goiter extending into the chest cavity using a transthoracic approach.
  • A. 0
  • B. 1
  • C. 2
  • D. 3
Answer: A
Explanation:
A goiter is an abnormal enlargement of the thyroid gland. The removal of that gland is a thyroidectomy, represented by CPT codes 60240-60271. CPT 60270 is selected based on the approach used. CPT codes 21602 and 32900 are obtained by using the coding crosswalk for resection ofthe chest wall and describe the removal of a tumor and one or more ribs. CPT 32140 is a thoracotomy, which involves pulling apart the ribs to reach and remove a lung cyst.

NEW QUESTION # 34
Alzheimer's disease with early onset usually presents itself in which age group?
  • A. 60-70 years old
  • B. 50-60 years old
  • C. 30-40 years old
  • D. 40-50 years old
Answer: D
Explanation:
According to CPT, the rarest form of Alzheimer's disease occurs before 30 years of age.
Early onset Alzheimer's disease usually affects those between the age of 40 and 50 years old. The most common form of Alzheimers disease occurs after the age of 65 and is largely contributed to a combination of environmental and genetic factors.

NEW QUESTION # 35
Which service is NOT included in the central nervous system assessment?
  • A. Review of an advance care plan
  • B. Clinical dementia rating
  • C. Discussion of suicidal intentions
  • D. Prescription for an opioid
Answer: D
Explanation:
A central nervous system assessment is comprised of multiple screenings that are reported with CPT codes 96105-96146 and includes, but is not limited to, the following elements: use of standardized instruments for staging and rating clinical dementia: evaluation for behavioral symptoms using standardized screening instruments; and development, updating, revision, and/or review of an Advance Care Plan. A review of high-risk medications is also included in the central nervous system assessment; however, if in the same encounter a prescription is issued, the clinician should document and report the treatment with an appropriate E/M.

NEW QUESTION # 36
A physician documents a comprehensive electrophysiologic evaluation with an unsuccessful attempted induction of arrhythmi a. Upon review, the bundle-of-His recording is missing. What code(s) should be reported?
  • A. 0
  • B. 93620-52
  • C. 93610, 93602, 93612, 93603, 93618
  • D. 93619-52
Answer: C
Explanation:
To bill a comprehensive electrophysiologic evaluation (93619-93622), the following five components must be documented: right atrial pacing (93610), right atrial recording (93602), right ventricular pacing (93612), right ventricular recording (93603), and bundle-of-His recording (93600). If the documentation does not support all five components, each study must be reported separately, as opposed to billing the procedure with a "reduced services" modifier. The exception to this rule would be if an add-on procedure were performed and required to be reported in addition to the comprehensive electrophysiologic evaluation. In this case, however, the attempted induction arrhythmia (93618) is not an add-on code and can be reported in addition to the primary procedures.

NEW QUESTION # 37
A 15-year-old male patient is seen in the emergency department due to a dislocated left elbow, caused by a fall from his skateboard. The physician performs a comprehensive physical evaluation to check for other injuries before manually realigning the dislocation and placing a splint from the shoulder to wrist. The patient is informed to follow up in 4 weeks. Which CPT and ICD-IO-CM codes should the emergency department report?
  • A. 24600-LT, 29105, S53.195AVOO.131A
  • B. 99282-57, 24600-LT, S53.105A VOO.131A
  • C. 99283, 24600-LT, VOO.131A
  • D. 24600-LT, S53.105A. VOO.131A
Answer: B
Explanation:
An E/M is always billed when a patient is seen in the emergency department because it is unscheduled and urgent. In this case, the documentation encompasses a straightforward level of decision-making (one acute, uncomplicated injury, minimal or no data reviewed, superficial dressings that result in minimal risk or morbidity of the patient), which lead the coder to 99282.
Modifier 57 is appended to indicate that the decision for surgery was made just prior to the procedure and is not bundled. CPT coding crosswalk confirms that a closed treatment of a dislocated elbow is CPT code 24600. Application ofa splint is represented by CPT code 29105 but is not applicable when performed with a surgery to correct the dislocation. ICD-IO-CM crosswalk for dislocation of left elbow is S53.105A.

NEW QUESTION # 38
......
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