AAPC AAPC Certifications AAPC-CPC Questions & Answers

• Question 21:

  Mr. Roland has difficulty breathing and congestion with a productive cough. The physician takes frontal and lateral view chest X-rays in the office (the equipment is owned by the physician group). The physician reads the X-rays and determines a diagnosis of walking pneumonia. The physician's interpretation is placed in the patient's chart.

  How does the physician bill for the chest X-ray?

  A. 71046-26

  B. 71046-26-TC

  C. 71046-TC

  D. 71046

  Correct Answer: A

• Question 22:

  Which one of the following is a commercial or private payer?

  A. Blue Cross Blue Shield

  B. Medicare

  C. Medicaid

  D. Veterans Health Administration (VHA)

  Correct Answer: A

• Question 23:

  A mother brings her 2-year-old son to the pediatrician's office because he stuck a bead up his left nostril. The pediatrician uses a nasal decongestant to open the blocked nostril and removes the bead with nasal forceps. What CPT?coding is reported?

  A. 30210-50

  B. 30210

  C. 30300

  D. 30300-50

  Correct Answer: C

• Question 24:

  A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped, the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon sheath is closed with sutures.

  What procedure code is reported for this surgery?

  A. 27562-LT

  B. 27552-LT

  C. 27556-LT

  D. 27566-LT

  Correct Answer: D

• Question 25:

  A 5-year-old who has an allergy history experienced a possible reaction to peanuts. A quantitative, high-sensitive fluorescent enzyme immunoassay was used to measure specific IgE for recombinant peanut components. Results showed there was no reaction indicating the child has a peanut allergy.

  What lab test is reported?

  A. 86001

  B. 86008

  C. 86003

  D. 86005

  Correct Answer: B

• Question 26:

  A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.

  What CPT?coding is reported?

  A. 92537-52

  B. 92537-50-52

  C. 92538-50

  D. 92537-50

  Correct Answer: A

• Question 27:

  View MR 004397 MR 004397 Operative Report Preoperative Diagnosis: Calculi of the gallbladder Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis Procedure: Cholecystectomy Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder. Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an

  adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.

  What CPT?coding is reported for this case?

  A. 47562, 74300-26

  B. 47563, 74300-26

  C. 47605, 74300-26

  D. 47600, 74300-26

  Correct Answer: B

• Question 28:

  A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine. Which codes are used for reporting the testing and confirmation?

  A. 80305 x 2, 80353

  B. 80306 x 2, 80353

  C. 80305, 80353

  D. 80306, 80375

  Correct Answer: C

• Question 29:

  View MR 006399

  MR 006399

  Operative Report

  Preoperative Diagnosis: Chronic otitis media in the right ear

  Postoperative Diagnosis: Chronic otitis media in the right ear

  Procedure: Eustachian tube inflation

  Anesthesia: General

  Blood Loss: Minimal

  Findings: Serous mucoid fluid

  Complications: None

  Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed

  with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.

  Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask,

  and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum

  and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.

  What CPT?coding is reported for this case?

  A. 69420-RT

  B. 69436-RT

  C. 69433-RT

  D. 69421-RT

  Correct Answer: D

• Question 30:

  A 60-year-old male has three-vessel disease and supraventricular tachycardia which has been refractory to other management. He previously had pacemaker placement and stenting of LAD coronary artery stenosis, which has failed to solve the problem. He will undergo CABG with autologous saphenous vein and an extensive modified MAZE procedure to treat the tachycardia.

  He is brought to the cardiac OR and placed in the supine position on the OR table. He is prepped and draped, and adequate endotracheal anesthesia is assured. A median sternotomy incision is made and cardiopulmonary bypass is initiated. The endoscope is used to harvest an adequate length of saphenous vein from his left leg. This is uneventful and bleeding is easily controlled. The vein graft is prepared and cut to the appropriate lengths for anastomosis. Two bypasses are performed: one to the circumflex and another to the obtuse marginal. The left internal mammary is then freed up and it is anastomosed to the ramus, the first diagonal, and the LAD. An extensive maze procedure is then performed and the patient is weaned from bypass. At this point, the sternum is closed with wires and the skin is reapproximated with staples. The patient tolerated the procedure without difficulty and was taken to the PACU.

  Choose the procedure codes for this surgery.

  A. 33533, 33257, 33519, 33508

  B. 33535, 33259, 33519, 33508

  C. 33533, 33257-51, 33519-51, 33508-51

  D. 33535, 33259 51, 33519-51, 33508-51

  Correct Answer: A