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Certified Professional Coder (CPC) Exam Pass4sure Test - CPC Pdf Vce & CPC L
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AAPC CPC Exam Syllabus Topics:| Topic | Details | | Topic 1 | - Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:
| | Topic 2 | - 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 3 | - 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 4 | - 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 5 | - 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 6 | - 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 7 | - 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 8 | - 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 9 | - 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 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 | - 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 12 | - 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 13 | - Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q181-Q186):NEW QUESTION # 181
A 63-year-old is seen by his. primary care physician for an annual exam. His last exam with the primary care physician was four years ago. He has no complaints.
What CPT code is reported?
Answer: A
Explanation:
99386 = Initial comprehensive preventive medicine E/M, new patient, age 40-64 Patient has not been seen in 4 years, which meets the new patient definition (no professional services in past 3 years).
Age = 63
No problem-oriented complaints → preventive service only
Why others are incorrect:
99396 / 99397 - Established patient codes
99387 - Age 65+
NEW QUESTION # 182
An air bag deployed when a driver lost control of the car and crashed into a guardrail on the side of the highway. The driver suffers partial impact resulting in a skull fracture of the anterior cranial base. The fracture is diagnosed using the MRI scanner and cerebrospinal fluid is noted dripping via the sphenoid sinus into the right nasal passage. The patient requires a surgical nasal sinus endoscopy to assess and repair the injury.
What is the correct procedure and diagnosis coding combination to report this service?
- A. 31291, S02.19XA, V47.5XXA, Y92.411
- B. 31287, S02.19XA, V47.5XXA, Y92.411
- C. 31235, S02.91XA, V47.5XXA, Y92.411
- D. 31291, 31231-59, S02.109A, V47.5XXA, Y92.411
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The patient requires a surgical nasal sinus endoscopy to repair a cerebrospinal fluid (CSF) leak caused by a skull fracture that resulted in CSF draining into the nasal passage.
Code 31291 is the correct CPTcode for an endoscopic repair of a cerebrospinal fluid leak in the sphenoid sinus. This procedure code is appropriate because it specifically addresses surgical endoscopy for CSF leak repair in the sinus region.
Other codes provided, such as 31287 (nasal/sinus endoscopy with balloon dilation) and 31235 (nasal endoscopy with biopsy), do not match the description for surgical repair of a CSF leak and are therefore inappropriate for this case.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code S02.19XA is used to describe a fracture of the anterior cranial base, which fits the described injury of the skull with cerebrospinal fluid leakage.
External cause code V47.5XXA is used for motor vehicle accidents involving a car hitting a stationary object.
Y92.411 is the appropriate code to describe the location of the accident as a highway.
3. Exclusion of Additional Procedure Codes:
There is no need for a second endoscopy code or a modifier, as 31291 fully describes the endoscopic repair procedure for the CSF leak.
4. AAPC and CPTCoding Guidelines:
Per AAPC guidelines, procedure codes for sinus endoscopy are chosen based on the specific type of intervention (e.g., CSF leak repair). The guidelines for ICD-10-CM stress including external cause codes and location codes for trauma cases related to motor vehicle accidents.
Thus, the correct answer based on CPTand ICD-10-CM coding standards is B. 31291, S02.19XA, V47.
5XXA, Y92.411.
NEW QUESTION # 183
A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.
What CPT code is reported for this surgery?
Answer: B
NEW QUESTION # 184
The human shoulder is made of which three bones?
- A. Carpal, radius, humerus
- B. Metatarsal, tibia, navicular
- C. Olecranon, radius, ulna
- D. Clavicle, scapula, humerus
Answer: D
NEW QUESTION # 185
A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital. What HCPCS Level II coding is reported for the ambulance's service?
- A. A0427-QM-HS
- B. A0429-QN-SH
- C. A0426-QN-SH
- D. A0428-QM-HS
Answer: B
NEW QUESTION # 186
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