AAPC AAPC Certifications AAPC-CPC Questions & Answers

• Question 61:

  A patient underwent a cystourethroscopy with a pyeloscopy using lithotripsy to break up the ureteral calculus. An indwelling stent was also inserted during the same operative session on the same side. This service was performed in the outpatient hospital surgery center.

  What CPT?coding reported?

  A. 52352, 52332-51

  B. 52325, 52332-51

  C. 52353, 52332-51

  D. 52356

  Correct Answer: D

• Question 62:

  Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?

  A. Centers for Medicare and Medicaid Services (CMS)

  B. American Medical Association (AMA)

  C. Office of Inspector General (OIG)

  D. Office for Civil Rights (OCR)

  Correct Answer: C

• Question 63:

  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 69644?

  A. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction

  B. Without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction

  C. With intact or reconstructed canal wall with ossicular chain reconstruction

  D. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction

  Correct Answer: A

• Question 64:

  A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws wereplaced at L2, L3, and L4. The construct was copiously irrigated and muscle; fascia and skin were closed in layers.

  Select the procedure codes for this scenario.

  A. 63005 x 2, 22612, 22614 x 3, 22842

  B. 63042, 63043, 22808, 22841 x 3

  C. 63047, 63048, 22612, 22614 x 3, 22842

  D. 63017, 63048, 22612, 22808, 22842 x 3

  Correct Answer: C

• Question 65:

  A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.

  How does each surgeon report their portion of the surgery?

  A. 63090-66, 63091-66

  B. 63087-62, 63088-62

  C. 63090-80, 63091-80

  D. 63085-62, 63086-62

  Correct Answer: D

• Question 66:

  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?

  A. 69645

  B. 69641

  C. 69642

  D. 69643

  Correct Answer: B

• Question 67:

  The procedure is performed at an outpatient radiology department. From a left femoral access, the catheter is placed in the abdominal aorta and is then selectively placed in the celiac trunk and manipulated up into the common hepatic artery for an abdominal angiography. Dye is injected, and imaging is obtained. The provider performs the supervision and interpretation.

  What CPT?codes are reported?

  A. 36246, 75716-26

  B. 36246, 75726-26

  C. 36246, 75635-26

  D. 36246, 75741-26

  Correct Answer: B

• Question 68:

  According to the Application of Cast and Strapping CPT?guidelines, what is reported when an orthopedic provider performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the patient will be returning for subsequent fracture care?

  A. 25622

  B. 29075

  C. 25622, 29075

  D. 29075-22

  Correct Answer: B

• Question 69:

  A catheter was placed into the abdominal aorta via the right common femoral artery access. An abdominal aortography was performed. The right and left renal artery were adequately visualized. The catheter was used to selectively catheterize the right and left renal artery. Selective right and left renal angiography were then performed, demonstrating a widely patent right and left renal artery.

  What CPT?coding is reported?

  A. 36251

  B. 36252

  C. 36253, 75625-26

  D. 36252, 75625-26

  Correct Answer: B

• Question 70:

  In rhinoplasty:

  A. The nose is reconstructed

  B. The brow is reconstructed

  C. The lips are reconstructed

  D. The chin is reconstructed

  Correct Answer: A