AAPC - Final Exam Questions 2022 100 Questions with 100% Correct Answers – COMPLETE SOLUTION

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Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs -Answer- c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification ... b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice -Answer- d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO -Answer- b. Medicaid Which type of information is NOT maintained in a medical record? a. Treatment outcomes b. Financial records c. Medical or surgical interventions d. Observations -Answer- b. Financial records According to the OIG, internal monitoring and auditing should be performed by what means? a. Focused audits on problems brought to the attention of the compliance officer. b. Baseline audits. c. Periodic audits. d. Audits on all denied claims. -Answer- c. Periodic audits. Urine is transported from the kidneys to the urinary bladder by which structure? a. Ureter b. Urethra c. Kidney pelvisd. Urinary vein -Answer- a. Ureter Which of the following does NOT circulate fluids throughout the body? a. Venous system b. Endocrine system c. Arterial system d. Lymphatic system -Answer- b. Endocrine system What is a function of the alveoli in the lungs? a. Oxygen exchange b. Nicotine is destroyed c. Fluid in the lungs absorbed d. Providing an airway to breathe -Answer- a. Oxygen exchange Cytopathology is the study of: a. Tissue b. Cells c. Blood d. Organs -Answer- b. Cells The meaning of heteropsia (or anisometropia) is: a. Blindness in half the visual field b. Double vision c. Unequal vision in the two eyes d. Blindness in both eyes -Answer- c. Unequal vision in the two eyes What is the meaning of provider in the ICD-10-CM guidelines? a. Insurance company b. The hospital c. The physician d. The patient -Answer- c. The physician What is the ICD-10-CM code for hay fever? a. J30.1 b. J30.89 c. J30.81 d. J45.909 -Answer- a. J30.1 What is the ICD-10-CM code for eyestrain?a. H53.10, H53.10 b. H57.8 c. H57.8, H57.8 d. H53.10 -Answer- d. H53.10 What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? a. G03.9, G80.1 b. G80.1, G43.909, G03.9 c. G09, G80.1 d. G80.1, G09 -Answer- d. G80.1, G09 The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy. What diagnosis code is reported? a. R29.898 b. M62.81 c. R53.1 d. G58.9 -Answer- b. M62.81 A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a history of hypertension. What is the correct ICD-10-CM code to report? a. I15.0 b. I13.0 c. R03.0 d. I10 -Answer- c. R03.0 A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported? a. D17.1, D17.23 b. D17.21, D17.1 c. D17.30 d. D17.39 -Answer- b. D17.21, D17.1 What is the time frame defining when pain becomes chronic? a. After the global period b. One year c. The 30th day d. No time frame -Answer- d. No time frameA patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported? a. E85.3, N08 b. E85.4, N08 c. N08, E85.3 d. N08, E85.4 -Answer- b. E85.4, N08 A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM codes are reported? a. E11.622, Z79.4 b. E11.9, L98.429, Z79.4 c. E11.622, L98.429, Z79.4 d. E11.622, L98.429 -Answer- c. E11.622, L98.429, Z79.4 In which circumstances would an external cause code be reported? a. Delivery of a newborn. b. Causes of injury or health condition. c. Chemotherapy treatment of neoplasms. d. Only for the cause of motor vehicle accidents. -Answer- b. Causes of injury or health condition. Patient presents with no menses and positive pregnancy test but an ultrasound reveals no uterine contents. An embryo has implanted on the left ovary and this is treated with laparoscopic oophorectomy. What ICD-10-CM code is reported for this procedure? a. O00.102 b. O00.202 c. O00.802 d. O00.09 -Answer- b. O00.202 A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the fracture is healing normally. What ICD-10-CM code is reported? a. S12.9XXS b. S12.190D c. S12.9XXD d. S12.190A -Answer- b. S12.190D A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM codes are reported? a. L97.319b. L97.319, E11.9 c. L97.319, E11.622 d. E11.622, L97.319 -Answer- d. E11.622, L97.319 A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported? a. L27.0, R11.2, T42.71XA b. R21, R11.2, T42.71XA c. R21, R11.0, T42.75XA d. L27.0, R11.0, T42.75XA -Answer- d. L27.0, R11.0, T42.75XA What surgical status indicator represents the Global Surgical Package for endoscopic procedures (without an incision) where there is no postoperative period after the day of the surgery?? a. XXX b. 000 c. 010 d. 090 -AnswerWhat code represents a secondary rhinoplasty where a small amount of work is performed on the tip of the nose? a. 30430 b. 30420 c. 30435 d. 30400 -AnswerWhat is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure? a. 59 b. 66 c. 62 d. 80 -AnswerWhat is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis? a. 52005, 52007 b. 52007 c. 52000, 52007 d. 52005 -AnswerWhat codes are voluntarily reported to payers, provide evidence-based performancemeasure data? a. CPT® Category I codes b. CPT® Category II codes c. CPT® Category III codes d. HCPCS Level II codes -AnswerWhich statement is true regarding coding of carbuncles and furuncles in ICD-10-CM? a. There are separate codes for carbuncles and furuncles. b. The differentiation between a carbuncle and a furuncle is specified by a 7th character extender. c. Code L02.43 is a complete code. d. Carbuncles and furuncles are reported with the same code. -AnswerPatient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the area is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented the size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm on each side of the lesion. Single layer closure was performed. The patient tolerated the procedure well. What CPT® code(s) is/are reported? a. 11643, 12013 b. 11642, 12013 c. 11643 d. 11442 -AnswerJoe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail permanently removed along with the nail matrix. What CPT® code is reported? a. 11720 b. 11765 c. 11730 d. 11750 -AnswerPatient presents with a suspicious lesion on her left arm. With the patient's permission the physician marked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring 1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to be a sebaceous cyst. What codes are reported? a. 13121, 11401-51, D22.62 b. 11402, L72.3 c. 11401, D22.62d. 12031, 11401-51, L72.3 -AnswerOperative Report Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg Open wound, right leg Personal history of squamous cell carcinoma, right leg INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsyproven squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and location. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The anterior of his leg and the thigh were infiltrated with local anesthetic. Both lower extremities were prepped and draped circumferentially, which included the left thigh on the left side. I excised the lesion on his left leg as drawn into the subcutaneous fat. Hemostasis achieved with the Bovie cautery. I then excised the wound on his right leg to lower the bacterial counts. I took a 1-2 mm margin around the wound and excised the granulation tissue as well. Hemostasis was achieved using the Bovie cautery. I then changed gloves. A split-thickness skin graft was harvested from the left thigh using the Zimmer dermatome. This was meshed 1:5:1. By this time, the pathology returned showing the margins were clear. Skin grafts were inset on each leg wound using the skin stapler. Xeroform and gauze bolster was placed over the skin graft using 4-0 nylon. The skin graft donor site was dressed with OpSite. The legs were further dressed with heavy cast padding and the double Ace wrap. The patient tolerated the procedure well. PROCEDURES: Excision squamous cell carcinoma, left leg with excised diameter of 2.5 cm, repaired with a split-thickness skin graft measuring 5.1 cm². Excisional preparation of right leg wound repaired with a split-thickness skin graft measuring 3.2 cm². What CPT® codes are reported? a. 15100, 11603-51-LT, 15002-51-RT b. 15100, 11403-51-LT, 15100-51-RT c. 15100, 11603-51-LT d. 15100, 15100-51-LT, 11603-51-LT, 15002-51-RT -AnswerIn ICD-10-CM, what classification system is used to report open fracture classifications? a. Muller AO classification of fracturesb. PHF classification of fractures c. Danis-Weber classification d. Gustilo classification for open fractures -AnswerA 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After induction of anesthesia, the patient's left arm was prepared and draped in the normal sterile fashion. Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A transverse incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released. The tendons were freely moving. Subcutaneous tissues were closed with a 3-0 Vicryl and the skin with 3-0 Prolene subcuticular closure. Steri-strips, Xeroform and dry sterile dressings were applied. What CPT® code is reported? a. 25001-LT b. 25118-LT c. 25085-LT d. 25000-LT -AnswerThis 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to pathology. What CPT® code is reported? a. 23075-RT b. 23066-RT c. 23030-RT d. 23076-RT -AnswerA 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her injury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion. Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient was then prepped and draped for the fractureand turned on her right side. We all rescrubbed. An 8 inch incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the neck and the greater tuberosity were removed. The decision was made to replace the femoral head. The femur was removed from the acetabulum and the femoral head was removed. The femoral canal was reamed and a prosthesis was placed. It was then replaced in the acetabulum with a good fit, and the capsule was closed. The wound was closed. The patient was sent to recovery in good condition. a. 27125-LT, 11010-59-LT b. 27236-LT, 11043-59-LT c. 27130-LT, 11010-59-LT d. 27244-LT, 11043-59-LT -AnswerA 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. After general anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibula was dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot of free fragments of bone around the subtalar joint and the talus itself. The bone fragments were removed and a large defect consistent with avascular necrosis of the body of the talus was noted. An eggshaped burr was introduced and the articulating cartilage of the ankle joint was excised and debrided. The subtalar joint was approached and resection of the articulating surface of the subtalar joint was completed. Bone graft from the fibula was prepared on the back table. We made two large blocks to fill the defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller defects around the talus and ankle. Fixation was performed in the calcaneocuboid. The talar screw was inserted, followed by fixation of the talonavicular, tibiotalar and additional compression. The ankle screws were inserted proximally and the wound was irrigated and closed in layers. What CPT® codes are reported? a. 28730, 20900-51 b. 28725, 20924-51 c. 28705, 20902-51 d. 28715, 20910-51 -AnswerWhat is the largest single mass of lymphatic tissue? a. Spleen b. Peyer's Patches c. Tonsils d. Thymus -Answer- a. Spleen An 18 month-old patient is seen in the ED unable to breathe due to a toy he swallowed which had lodged in his throat. Soon brain death will occur if an airway is notestablished immediately. The ED provider performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported? a. 31601, 31603, T17.228A b. 31601, J34.9, T17.298A c. 31603, T17.220A d. 31603, T17.290A -AnswerWhat ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an infusion? a. T80.89XA, J81.1, Y63.0 b. J95.89, E87.70, Y63.1 c. J81.0, E87.70, Y63.1 d. T81.9XXA, J81.1, Y63.0 -AnswerA 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B and the transplant of both lungs into the prepped and waiting patient by physician C. What is the correct coding for the removal (physician A), preparation (physician B) and insertion (physician C) of the lungs? a. 32850, 32855, 32851 b. 32850, 32856, 32851 x 2 c. 32850, 32856, 32853 d. 32850, 32855 x 2, 32850-50 -AnswerA 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by direct visualization. Using an instrument introduced through the endoscope, the surgeon creates an opening in the pericardial sac for drainage purposes. What CPT® code is reported? a. 32659 b. 32662 c. 32658 d. 32661 -AnswerPatient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-10-CM code(s) for this condition? a. I21.29 b. I22.8c. I25.2 d. Z51.89, I25.9 -AnswerDue to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator system. The original dual leads are extracted transvenously. The generator pocket is relocated. What CPT® codes are reported? a. 33244, 33220-51, 33264-51, 33223-59 b. 33243, 33202-51, 33263-51, 33223-59 c. 33241, 32330-51, 33263-51, 33223-59 d. 33244, 33202-51, 33264-51, 33223-59 -AnswerA patient presents to the hospital for a cardiovascular SPECT study. A single study is performed under stress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s) for this procedure. a. 78451, 78472 b. 78451 c. 78453 d. 78453, 78472 -AnswerIn the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral artery stent in the right vertebral artery. Which CPT® code is reported by the physician providing only the radiologic supervision and interpretation? a. 0075T b. 0075T-26 c. 35301 d. 35005 -AnswerA patient is brought to the operating suite when she experiences a large output of blood in her chest tubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resutured. a. 35761-78 b. 35241 c. 35761 d. 35820-78 -AnswerA patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats the patient for dehydration which is documented in the patient's record as the final diagnosis. What ICD-10-CM code(s) is/are reported for this encounter?a. R11.2, E86.0 b. E86.0 c. R11.14 d. R11.10, R11.0, E86.0 -AnswerWhat CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert a temporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due to alcohol dependence? A gastric tube was not created. a. 43870, C15.8, F10.99 b. 43831, D49.0, F10.10 c. 43830, C15.3, F10.20 d. 43653, C15.9, F10.20 -AnswerWhat is the correct ICD-10-CM coding for diverticulosis of the small intestine which has been present since birth? a. K57.90, Q43.8 b. Q43.8 c. K57.90 d. K57.10 -AnswerA 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-10-CM codes for the encounter? a. 48548, K85.90 b. 48548, K86.1 c. 48520, K86.1 d. 48520, K85.80 -AnswerMargaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlie [Show More]

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