AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 91:

  Ten-year-old boy has a painful felon abscess of the deep tissues of the palmar surface of his right thumb.

  The provider makes an incision on one side of the nail and then across the fingertip parallel to the end of the nail. He identifies the area of abscess and drains it. A drainage tube is inserted.

  What CPT(R) and ICD-10-CM is reported?

  A. 10061-F5, L03.011
  B. 26010-F5, L02.511
  C. 26011-F5, L03.011
  D. 10140-F5, L02.511
  B. 26010-F5, L02.511

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  Explanation

  Procedure and CPT(R) code

  Selection: the right thumb. A felon is an abscess in the pulp of the fingertip, often involving deep tissue.

  The procedure involves an incision and drainage (I&D) of a deep abscess (felon) on the palmar surface of Code 26010 is specific for incision and drainage of a finger abscess, which includes the thumb. This code applies to cases where the abscess is drained from a deep tissue level.

  Code 26011 is similar but involves the use of extensive drainage or debridement, which is not indicated in this case. Therefore, 26011 is not appropriate here.

  Code 10061 refers to incision and drainage of abscesses at different locations on the body but not for specific areas such as the thumb, making it inappropriate in this context.

  Code 10140 pertains to the evacuation of hematoma, seroma, or fluid but does not apply to abscesses, so it is not suitable for this scenario.

  Modifier:

  Modifier F5 is added to specify that the procedure was performed on the right thumb.

  Diagnosis and ICD-10-CM Code Selection: describes the diagnosis of a felon on the thumb. ICD-10-CM

  Code L02.511 is appropriate for cutaneous abscess of the right finger, as it accurately L03.011 would represent cellulitis but does not specify an abscess, making it less precise for this case.

  AAPC and CPT(R) coding

  Guidelines: deep tissue drainage procedures in extremities. Additionally, correct laterality should be included with the use of modifiers and specific ICD-10-CM codes for an accurate representation of the site and nature of the condition. The AAPC guidelines for coding finger abscess drainage emphasize the selection of specific codes for Thus, based on the coding standards and guidelines, the verified answer is B. 26010-F5, L02.511.

• Question 92:

  Which punctuation is used in the ICD-10-CM Alphabetic Index to identify manifestation codes?

  A. Colons
  B. Brackets
  C. Semicolon
  D. Parentheses
  B. Brackets

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  Explanation

  Brackets [ ] in the ICD-10-CM Alphabetic Index are used to identify manifestation codes. These codes cannot be reported as the principal diagnosis and must be sequenced after the underlying condition.

  This is a frequently tested ICD-10-CM guideline concept.

• Question 93:

  A 28-year-old woman who is 36 weeks pregnant with dichorionic/diamniotic twins delivered both babies vaginally. The same OB provider who delivered the babies provided the antepartum care and will provide the postpartum care.

  What CPT(R) and ICD-10-CM codes are reported on the maternal record?

  A. 59400, 59409-51, O80, O30.043, Z37.2, Z3A.36
  B. 59400 x 2, O80, O30.043, Z37.2, Z3A.36
  C. 59400 x 2, O30.043, Z37.2, Z3A.36
  D. 59400, 59409-51, O30.043, Z37.2, Z3A.36
  D. 59400, 59409-51, O30.043, Z37.2, Z3A.36

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  Explanation

  For multiple gestation vaginal deliveries, CPT global obstetric care is generally reported as the global code for the first fetus, here 59400: antepartum care, vaginal delivery, and postpartum care, and an additional delivery-only code for each additional fetus, here 59409, with an appropriate modifier, commonly -51 in exam-style choices.

  You do not report 59400 twice because the global package is not duplicated for each baby; only the additional delivery service is added for the additional fetus. Diagnosis coding: this is a twin pregnancy, dichorionic/diamniotic, third trimester, reported with O30.043. Delivery outcome for twins is reported with Z37.2, and weeks of gestation is reported with Z3A.36.

  O80 is not appropriate because this is not a full-term uncomplicated single vaginal delivery.

  The stem does not document preterm labor; therefore, preterm labor codes from O60.- are not reported.

  Option D is the only one matching the correct CPT multiple-delivery structure and appropriate diagnosis set.

• Question 94:

  The patient presents to the operating room for repair of a right proximal humerus fracture. The surgeon incises the skin over the fractured bone, the fracture is identified, adjusts the bone, and realigns the fracture. Next, the upper end of the humerus bone is replaced with a synthetic humerus bone implant.

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

  A. 23616-RT, S42.201B
  B. 23600-RT, S42.211B
  C. 23616-RT, S42.201A
  D. 23615-RT, S42.211A
  C. 23616-RT, S42.201A

• Question 95:

  A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital.

  What HCPCS Level II coding is reported for the ambulance's service?

  A. A0426-QN-SH
  B. A0429-QN-SH
  C. A0427-QM-HS
  D. A0428-QM-HS
  B. A0429-QN-SH

• Question 96:

  A patient has suspicious lesions on his feet. Biopsies confirm squamous cell carcinoma. The patient elects to destroy a 0.6 cm lesion on the right dorsal foot and a 2.0 cm lesion on the left dorsal foot using cryosurgery.

  What CPT(R) coding is reported?

  A. 17262, 17261
  B. 17110
  C. 17272, 17271
  D. 17000, 17003
  A. 17262, 17261

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  Explanation

  Malignant lesion destruction: CPT(R) codes 17260-17286.

  Trunk/extremities:

  0.6-1.0 cm = 17261.

  1.1-2.0 cm = 17262.

  Both lesions are reported separately.

• Question 97:

  A patient has a bone infection being treated with vancomycin. A therapeutic drug assay is performed to measure the concentration of vancomycin in the patient's blood.

  What lab test is reported?

  A. 80197
  B. 80202
  C. 80184
  D. 80299
  C. 80184

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  Explanation

  The service performed is a therapeutic drug assay to measure the concentration of vancomycin in the patient's blood. CPT 80202 specifically describes a quantitative assay for vancomycin and is the appropriate code for this laboratory test.

  Exclusion of Other Codes: CPT 80197 represents a therapeutic drug assay for tacrolimus and is not applicable to vancomycin.

  CPT 80184 represents a therapeutic drug assay for a different drug (e.g., anticonvulsants such as primidone/phenobarbital group) and is not used for vancomycin measurement.

  CPT 80299 is an unlisted therapeutic drug assay code and should only be used when no specific code exists. Since a dedicated code (80202) is available for vancomycin, 80299 is not appropriate.

  Coding Guidelines:

  According to CPT and AAPC guidelines, when a specific therapeutic drug assay code exists for a drug, it must be reported instead of an unlisted code. Vancomycin has a dedicated code (80202), which should be used when documented.

  Final Answer: 80202

• Question 98:

  A patient with Parkinson's has sialorrhea. The physician administers an injection of atropine bilaterally into a total of four submandibular salivary glands.

  What CPT coding is reported?

  A. 64611
  B. 64611-50
  C. 64611-52
  D. 64611 x 4
  A. 64611

• Question 99:

  A patient has nausea with several episodes of emesis along with severe stomach pain due to dehydration.

  Normal saline is infused in the same bag with 2 mg ondansetron to help with the nausea. Then a dose of 15 mg ketorolac tromethamine is given for the stomach pain.

  What J codes are reported for these services?

  A. J2405, J1885
  B. J2405 x 2, J1885
  C. J2405, J1885 x 15
  D. J2405 x 2, J1835 x 15
  B. J2405 x 2, J1885

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  Explanation

  J2405 = Ondansetron hydrochloride, per 1 mg.

  The patient received 2 mg, so report J2405 x 2.

  J1885 = Ketorolac tromethamine, per 15 mg.

  The patient received 15 mg, so report J1885 once.

  Therefore, the correct answer is B. J2405 x 2, J1885.

• Question 100:

  A patient who was experiencing severe abdominal pain underwent abdominal imaging, and results showed several peritoneal tumors of various sizes. The patient elected to have the tumors removed. An incision was made to access the intra-abdominal peritoneal cavity, where four tumors were identified, measured, and excised. The largest was 2 cm, two were 1 cm each, and the smallest was 0.5 cm. Pathology report indicated the tumors were malignant.

  What CPT(R) and ICD-10-CM coding is reported?

  A. 49203, C76.2
  B. 49204, C76.2
  C. 49203, C48.2
  D. 49205, K66.8
  C. 49203, C48.2

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  Explanation

  Procedure Coding:

  49203 - Excision or destruction, open, intra-abdominal tumors, cysts, or endometriomas; 1 or more peritoneal, mesenteric, or retroperitoneal tumors, largest tumor 5.0 cm diameter or less.

  Four tumors were excised, with the largest measuring 2 cm; therefore, 49203 is the correct code selection.

  Diagnosis Coding:

  C48.2 - Malignant neoplasm of peritoneum, unspecified.

  Pathology confirms malignancy.

  C76.2 is used for malignant neoplasm of ill-defined sites within the abdomen and is not appropriate when the peritoneum is specified.

  K66.8 = Other specified disorders of peritoneum; this is not appropriate for malignant peritoneal tumors.