AAPC AAPC Certifications AAPC-CPC Questions & Answers

• Question 51:

  A surgeon removes the right and left fallopian tubes and the left ovary via an abdominal incision. How is this reported?

  A. 58720

  B. 58700

  C. 58720-50

  D. 58700-50

  Correct Answer: A

• Question 52:

  A patient is diagnosed with diabetic polyneuropathy.

  Using ICD-10-CM coding guidelines, what ICD-10-CM coding is reported?

  A. E10.42

  B. E11.9, G62.9

  C. E10.9, G62.9

  D. E11.42

  Correct Answer: D

• Question 53:

  View MR 099401

  MR 099401

  Established Patient Office Visit

  Chief Complaint: Patient presents with bilateral thyroid nodules.

  History of present illness: A 54-year-old patient is here for evaluation of bilateral thyroid nodules. Thyroid ultrasound was done last week which showed multiple thyroid masses likely due to multinodular goiter. Patient stated that she can "feel"

  the nodules on the left side of her thyroid. Patient denies difficulty swallowing and she denies unexplained weight loss or gain. Patient does have a family history of thyroid cancer in her maternal grandmother. She gives no other problems at

  this time other than a palpable right-sided thyroid mass.

  Review of Systems:

  Constitutional: Negative for chills, fever, and unexpected weight change.

  HENT: Negative for hearing loss, trouble swallowing and voice change.

  Gastrointestinal: Negative for abdominal distention, abdominal pain, anal bleeding, blood in stool, constipation, diarrhea, nausea, rectal pain, and vomiting

  Endocrine: Negative for cold Intolerance and heat intolerance.

  Physical Exam:

  Vitals: BP: 140/72, Pulse: 96, Resp: 16, Temp: 97.6 (36.4 ), Temporal SpO2: 97%

  Weight: 89.8 kg (198 lbs ), Height: 165.1 cm (65")

  General Appearance: Alert, cooperative, in no acute distress

  Head: Normocephalic, without obvious abnormality, atraumatic

  Throat: No oral lesions, no thrush, oral mucosa moist

  Neck: No adenopathy, supple, trachea midline, thyromegaly is present, no carotid bruit, no JVD

  Lungs: Clear to auscultation, respirations regular, even, and unlabored

  Heart: Regular rhythm and normal rate, normal S1 and S2, no murmur, no gallop, no rub, no click

  Lymph nodes: No palpable adenopathy

  ASSESSMENT/PLAN:

  1) Multinodular goiter - the patient will have a percutaneous biopsy performed (minor procedure).

  What E/M code is reported for this encounter?

  A. 99212

  B. 99214

  C. 99213

  D. 99215

  Correct Answer: A

• Question 54:

  Patient is diagnosed with dacryocystitis, which is the inflammation of?

  A. Cornea

  B. Fingernail

  C. Eardrum

  D. Lacrimal sac

  Correct Answer: D

• Question 55:

  A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.

  What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?

  A. 90471, 90746, Z23, N18.6, Z99.2

  B. G0010, 90740, Z23, N18.6, Z99.2

  C. 90471, 90746, Z23, B19.10, N18.6, Z99.2

  D. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2

  Correct Answer: B

• Question 56:

  A patient presents to the labor and delivery department for a planned cesarean section for triplets. She is at 37 weeks gestation. She is given a continuous epidural for the delivery.

  What anesthesia coding is reported?

  A. 01967, 01968

  B. 01958

  C. 01967

  D. 01961

  Correct Answer: D

• Question 57:

  A patient with empyema requires a Schede thoracoplasty.

  What CPT?code is reported for this procedure?

  A. 32906

  B. 32999

  C. 32905

  D. 32900

  Correct Answer: C

• Question 58:

  The mediastinum is:

  A. A location in the chest, bounded by the sternum, diaphragm, and lungs

  B. A small endocrine organ behind the heart

  C. A part of the lymphatic system

  D. Both the heart and lungs

  Correct Answer: A

• Question 59:

  Which statement regarding lesion excision is TRUE?

  A. Lesion excision codes include removal of a lesion, with margins, and simple (nonlayered) closure when performed

  B. Lesion excision codes are selected by measuring the greatest clinical diameter of a lesion excluding the margins required to complete the excision

  C. Lesion excision codes include removal of a lesion, with margins, and intermediate closure when performed

  D. Lesion excision codes include removal of a lesion with margins, and complex closure when performed

  Correct Answer: A

• Question 60:

  Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?

  A. 11

  B. 21

  C. 22

  D. 24

  Correct Answer: C