AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 1:

  A 60-year-old man presents for a sigmoidoscopy. The physician inserts a flexible scope into the patient's rectum and determines that the rectum is clear of polyps. The scope is advanced to the sigmoid colon and examined. A total of three polyps are found in the sigmoid colon. Polyps are removed using the snare technique. The flexible scope is withdrawn.

  What CPT and ICD-10-CM codes are reported?

  A. 45308, K63.5
  B. 45346, K62.1
  C. 45338, K63.5
  D. 45309, K62.1
  C. 45338, K63.5

• Question 2:

  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. 50220
  B. 50548
  C. 50543
  D. 50546
  D. 50546

• Question 3:

  A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.

  Which mastectomy code is reported?

  A. 19303
  B. 19305
  C. 19306
  D. 19307
  C. 19306

• Question 4:

  The heart chambers are called:

  A. Atria and ventricles
  B. Apex and alveoli
  C. Tricuspid and bicuspid
  D. Sphincter and glottis
  A. Atria and ventricles

• Question 5:

  The physician performs a diagnostic ERCP of the common bile duct with insertion of a stent into the biliary duct.

  What CPT(R) coding is reported?

  A. 43276
  B. 43274
  C. 43260, 43274
  D. 43275, 43274
  B. 43274

  ---

  Explanation

  For ERCP, CPT coding follows the rule that thetherapeutic ERCP code includes the diagnostic ERCP workperformed during the same session. In this case, the key performed service isstent insertion into the biliary duct, which is captured by43274(ERCP with placement of endoscopic stent into biliary or pancreatic duct). You donotseparately report the diagnostic ERCP code43260when the therapeutic service (stent placement) is performed, because the diagnostic component is considered part of the overall ERCP service. Code43276is used forstent removal and/or exchange, which is not described here. Option D is incorrect because it pairs another ERCP service with stent placement, and the scenario does not support multiple distinct ERCP therapeutic services beyond stenting. CPC exam tip: when a single ERCP session includes diagnostic evaluation plus a therapeutic intervention, report themost definitive therapeutic ERCP code-here, 43274.

• Question 6:

  A patient who has endometriosis is having a supracervical hysterectomy. Under general anesthesia, a 12 mm incision is made in the infraumbilical folds and the Veress needle is introduced into the abdominal cavity. The abdomen is inflated with carbon dioxide gas and a 12 mm scope is introduced into the abdomen and placement is confirmed. The uterus was dissected free from the bladder and surrounding tissues. Both ovaries and both fallopian tubes are removed. The abdominal cavity is deflated and instruments removed. The incision is closed in two layers. The uterus weighed 250 grams.

  What procedure code is reported for this hysterectomy?

  A. 58180
  B. 58542
  C. 58570
  D. 58291
  C. 58570

• Question 7:

  What is the HCPCS Level II code for a standard wheelchair?

  A. K0010
  B. K0002
  C. K0001
  D. E1130
  C. K0001

  ---

  Explanation

  K0001 = Standard wheelchair.

  Other K000 codes represent specialized wheelchairs.

• Question 8:

  A patient undergoes a laparoscopic appendectomy for chronic appendicitis.

  What CPT(R) and diagnosis codes are reported?

  A. 44950, K35.80
  B. 44950, K35.80, R11.2, R10.31
  C. 44970, K36
  D. 44970, K36, R11.2, R10.31
  C. 44970, K36

  ---

  Explanation

  44970 = Laparoscopic appendectomy.

  K36 = Chronic appendicitis.

  Symptoms are not coded when a definitive diagnosis is established.

• Question 9:

  A patient who is 37 weeks' gestation is admitted to labor and delivery for a cesarean delivery. An external cephalic version was performed successfully several days ago, and she now presents in labor, fully dilated, and the fetus has returned to a footling presentation.

  What anesthesia code is reported?

  A. 01960
  B. 01967
  C. 01958
  D. 01961
  D. 01961

  ---

  Explanation

  To determine the correct anesthesia code for a cesarean delivery with specific conditions, we review the following codes:

  01961 is defined as anesthesia for cesarean delivery only, which aligns with this scenario, as the patient is admitted for a cesarean section.

  01960 refers to anesthesia for vaginal delivery only, which does not apply here because the delivery is via cesarean.

  01967 is for neuraxial labor analgesia/anesthesia for planned vaginal delivery, which does not apply due to the cesarean route.

  01958 is used for anesthesia for external cephalic version procedures and is not appropriate for the cesarean delivery.

  Given that the patient is in labor for a cesarean section after a previous external cephalic version, 01961 is the correct answer.

• Question 10:

  A 45-year-old patient presents with right shoulder pain. The provider administers three trigger point injections in the trapezius muscle and two in the pectoralis muscle.

  What CPT(R) coding is reported?

  A. 20552 x 5
  B. 20552 x 2
  C. 20552
  D. 20553
  C. 20552

  ---

  Explanation

  20552 = Injection(s), single or multiple trigger points, 1 or 2 muscles.

  Total muscles injected = 2, trapezius and pectoralis.

  The number of injections does not determine code selection; the number of muscles does.