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[Hardware] CPC Exam Success, CPC Real Exam Answers

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【Hardware】 CPC Exam Success, CPC Real Exam Answers

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AAPC CPC Exam Syllabus Topics:
TopicDetails
Topic 1
  • Special Senses (Ocular and Auditory): This section of the exam measures the skills of coding specialists and covers the coding of procedures related to the eyes and ears. Topics include surgeries on the cornea, retina, and middle
  • inner ear, as well as related diagnostic procedures.
Topic 2
  • Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Topic 3
  • Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Topic 4
  • Evaluation & Management Services: This section of the exam measures the skills of coding specialists and covers office visits, hospital care, consultations, and other E
  • M services. It tests the understanding of time-based coding, medical decision-making, and history
  • exam components per current CMS guidelines.
Topic 5
  • Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Topic 6
  • Hemic & Lymphatic Systems, Mediastinum, Diaphragm: This section of the exam measures the skills of medical coders and includes procedures related to the spleen, lymph nodes, bone marrow, as well as surgical interventions in the mediastinum and diaphragm. Coders must differentiate procedures by region and system accurately.
Topic 7
  • Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
Topic 8
  • Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.
Topic 9
  • Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.
Topic 10
  • Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
Topic 11
  • Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
Topic 12
  • Female Reproductive System and Maternity Care & Delivery: This section of the exam measures the skills of coding specialists and evaluates coding accuracy for gynecological and obstetric procedures. It includes deliveries, antepartum care, cesarean sections, and surgical procedures involving female reproductive anatomy.
Topic 13
  • Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
Topic 14
  • Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.
Topic 15
  • The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q69-Q74):NEW QUESTION # 69
A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
  • A. 44204, C18.2
  • B. 44160, C18.2
  • C. 44140, C18.9
  • D. 44205, C18.9
Answer: A
Explanation:
The procedure involves a laparoscopic partial colectomy where the surgeon removes the proximal colon and terminal ileum, then reconnects the cut ends of the distal ileum and remaining colon.
Procedure Description:
Laparoscopic partial colectomy.
Removal of the proximal colon and terminal ileum.
Anastomosis of the distal ileum and remaining colon.
CPT Coding:
44204: Laparoscopy, surgical; colectomy, partial, with anastomosis.
ICD-10-CM Coding:
C18.2: Malignant neoplasm of ascending colon.
AMA's CPT Professional Edition (current year).
ICD-10-CM for corresponding diagnosis codes.

NEW QUESTION # 70

Refer to the supplemental information when answering this question:
View MR 354859
What CPTand ICD-10-CM coding is reported?
  • A. 28820-T2, L97.528, 170.262
  • B. 28810-T2, 170.262, L97.528
  • C. 28810-T2, L97.528, 170.262
  • D. 28820-T2, 170.262, L97.528
Answer: A

NEW QUESTION # 71
In rhinoplasty:
  • A. The lips are reconstructed
  • B. The brow is reconstructed
  • C. The nose is reconstructed
  • D. The chin is reconstructed
Answer: C

NEW QUESTION # 72
A patient with compression fractures of L5 and the sacrum undergoes vertebroplasty, with cement injected into two vertebral bodies, performed bilaterally.
What CPT coding is reported?
  • A. 22514, 22515
  • B. 22514-50, 22515-50
  • C. 22511-50, 22512-50
  • D. 22511, 22512
Answer: A
Explanation:
22514 = Vertebroplasty, lumbar (L5)
22515 = Each additional vertebral body (sacrum)
Vertebroplasty codes are inherently bilateral, so modifier -50 is not used

NEW QUESTION # 73
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?
  • A. If the patient has hyperglycemia that Is not responding to medication
  • B. If the patient is being treated for secondary diabetes
  • C. If the patient is being treated for type 2 diabetes
  • D. If the patient has an underdose of insulin due to an insulin pump malfunction
Answer: D
Explanation:
When a patient experiences an underdose of insulin due to an insulin pump malfunction, the primary reason for the encounter would be the malfunction itself, which is coded first. The resulting hyperglycemia or hypoglycemia due to the pump failure is a secondary condition. According to ICD-10-CM guidelines, the code for the mechanical complication of the pump (T85.633-) is sequenced first, followed by a code for the diabetes with complication (E11.65 for type 2 diabetes with hyperglycemia).References: ICD-10-CM (current year), Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.4.

NEW QUESTION # 74
......
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