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[General] Reliable CPC Exam Prep - New CPC Exam Experience

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【General】 Reliable CPC Exam Prep - New CPC Exam Experience

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q287-Q292):NEW QUESTION # 287
A 65-year-old gentleman presents for refill of medications and follow-up for his chronic conditions. The patient indicates good medicine compliance. No new symptoms or complaints.
Appropriate history and exam are obtained. Labs that were ordered from previous visit were reviewed and discussed with patient. The following are the diagnoses and treatment:
Hypokalemia - stable. Refill Potassium 20 MEQ
Hypertension - blood pressure remaining stable. Patient states home readings have been in line with goals.
Refill prescription Lisinopril.
Esophageal Reflux - Patient denies any new symptoms. Stable condition. Continue taking over the counter Prevacid oral capsules, 1 every day.
Patient is instructed to follow up in 3 months. Labs will be obtained prior to visit.
What CPT code is reported?
  • A. 0
  • B. 1
  • C. 2
  • D. 3
Answer: D
Explanation:
* The patient presented for a follow-up visit for chronic conditions, including hypokalemia, hypertension, and esophageal reflux. During this visit, the physician reviewed and discussed lab results, managed prescriptions, and noted that there were no new symptoms or complaints.
* The level of service provided included an appropriate history and exam, as well as the management of multiple chronic conditions, which aligns with the criteria for CPT code 99214. This code is used for an established patient office or other outpatient visit that requires at least 2 of the following 3 key components: a detailed history, a detailed examination, and medical decision-making of moderate complexity.
References:
* CPT Professional Edition, AMA
* Evaluation and Management Coding Guidelines

NEW QUESTION # 288
Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved.
What CPT coding is reported?
  • A. 0
  • B. 63050-50
  • C. 63040-50, 63043, 63043
  • D. 63045, 63048
Answer: D
Explanation:
Cervical spondylosis with myelopathy: Condition requiring decompressive surgery.
Bilateral posterior laminectomy, facetectomies, foraminotomies: Procedures performed to decompress nerve roots.
Interspaces C5-C6 and C6-C7: Specific levels where the procedures were performed.
CPT code 63045 is used for the initial cervical laminectomy, and 63048 is for each additional segment. The combination covers the decompression across two interspaces.

NEW QUESTION # 289
The CPT code book provides full descriptions of medical procedures, although some descriptions require the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT code 44361?
  • A. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with biopsy, single or multiple
  • B. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure), with biopsy, single or multiple
  • C. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple
  • D. With biopsy, single or multiple
Answer: C
Explanation:
In the CPT book, codes that contain a semicolon (;) indicate that the portion of the description before the semicolon applies to all codes in that series, and the text after the semicolon completes the individual code description.
For the small intestinal endoscopy (enteroscopy) codes:
The parent code describes: "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum;" CPT 44361 specifically adds: "with biopsy, single or multiple." Therefore, the full description of CPT 44361 is:
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple.

NEW QUESTION # 290
Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eight weeks that is not healing. On the dermatologist's exam of left shoulder blade, there is excoriation and scabbing and the lesion not healing. Patient agrees and wishes to proceed with a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent to pathology. A simple repair is performed at the biopsy site.
What CPT and ICD-10-CM codes are reported?
  • A. 11104,12001-51, L98.9
  • B. 11104, D49.2
  • C. 11102, L98.9
  • D. 11102, 12001-51, D49.2
Answer: B

NEW QUESTION # 291
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required  limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.
What is the radiology coding for this encounter?
  • A. 0
  • B. 73562-26
  • C. 73560-26-LT
  • D. 73560-LT
Answer: B
Explanation:
73562 = Knee X-ray, 3 views
-26 = Professional component only

NEW QUESTION # 292
......
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