CPC Examcollection Questions Answers - CPC Exam Introduction
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CPC Exam Introduction - Latest CPC Exam Cram
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q435-Q440):
NEW QUESTION # 435
A cardiologist attempted to perform a percutaneous transluminal coronary angioplasty of a totally occluded blood vessel. The surgeon stopped the procedure because of an anatomical problem creating risk for the patient and preventing performance of the catheterization.
What modifier is appended to the procedure code?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
Modifier 53 is used to report a discontinued procedure. It indicates that a procedure was started but terminated due to the patient's well-being being at risk. In this scenario, the percutaneous transluminal coronary angioplasty was attempted but stopped because of an anatomical problem that created a risk for the patient, preventing the completion of the procedure.
AMA's CPT Professional Edition, coding guidelines on the use of modifiers.
NEW QUESTION # 436
A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT code is reported for this procedure?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: A
Explanation:
* Laparoscopic nephrectomy: A minimally invasive surgical procedure to remove a kidney.
* Part of the ureter: Removal includes part of the ureter.
* 50220: Nephrectomy (open procedure), which doesn't apply since the procedure was laparoscopic.
* 50548: Nephrectomy, partial, laparoscopic, which doesn't match the full nephrectomy performed.
* 50543: Laparoscopy, surgical; nephrectomy with total ureterectomy.
50543 is the correct CPT code for the laparoscopic removal of the kidney along with part of the ureter, fitting the scenario described.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)
NEW QUESTION # 437
Patient is diagnosed with dacryocystitis, which is the inflammation of?
- A. Cornea
- B. Eardrum
- C. Fingernail
- D. Lacrimal sac
Answer: D
Explanation:
Dacryocystitis is the inflammation of the lacrimal sac, which is part of the tear drainage system located in the inner corner of the eye. The lacrimal sac is connected to the nasolacrimal duct, which drains tears into the nasal cavity. Inflammation in this area can cause pain, redness, and swelling near the inner corner of the eye.
ICD-10-CM, medical dictionaries
NEW QUESTION # 438
A provider performs a mastoidectomy and complete labyrinthectomy for right-sided peripheral vertigo.
What CPT and ICD-10-CM codes are reported?
- A. 69910, 69990-51, R42
- B. 69905, 69990, H81.391
- C. 69910, 69990, H81.391
- D. 69905, 69990-51, R42
Answer: B
Explanation:
69905 = Transmastoid labyrinthectomy
69990 = Operating microscope (separately reportable)
H81.391 = Peripheral vertigo, right ear
R42 (dizziness) is not reported when a definitive diagnosis exists
RADIOLOGY & IMAGING QUESTIONS
NEW QUESTION # 439
(The documentation states: "A punch is placed and pushed downward to obtain a tissue sample for a biopsy of thelunula." What anatomical structure is being biopsied?)
- A. Brain
- B. Eye
- C. Nail
- D. Skin
Answer: C
Explanation:
Thelunulais the pale, crescent-shaped area visible at the base of some fingernails and toenails (most commonly the thumb). It is part of thenail unit, associated with the nail matrix where nail formation occurs.
Because the lunula is anail structure, a biopsy "of the lunula" is anail biopsy, even though a punch tool is also commonly used in skin biopsies. CPC exam questions frequently test precise anatomical vocabulary, especially for integumentary structures (skin, nail, hair). The distractors "eye" and "brain" are unrelated, and
"skin" is tempting because punch biopsies are typically skin procedures; however, the question specifically identifies thelunula, which is not a skin landmark. Coding and documentation accuracy depend on knowing these terms because nail procedures often have different code families and clinical considerations than routine skin biopsies. Correct identification starts by mapping the term to its anatomical system: lunula # nail apparatus.
NEW QUESTION # 440
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