AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 181:

  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
  A. 58720

• Question 182:

  The provider orders a bile acid test for a patient with chronic hepatitis who is undergoing treatment. The lab analyst quantitates the total bile acids with an enzymatic method.

  What CPT(R) code is reported for the test?

  A. 82248
  B. 82247
  C. 82239
  D. 82252
  A. 82248

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  Explanation

  Procedure and CPT(R) code

  Selection: The test ordered is bile acid quantitation using an enzymatic method. This test measures total bile acids in a patient with chronic hepatitis.

  CPT(R) code 82239 is specific for bile acids; total. This is the correct code for a total bile acid test.

  Rationale for Excluding Other Options: Code 82248 is used for direct bilirubin, not bile acids, making it inappropriate for this test.

  Code 82247 is used for total bilirubin, not bile acids.

  Code 82252 is not the appropriate code for total bile acid quantitation in this scenario.

  AAPC and CPT(R) coding

  Guidelines: According to CPT(R) coding principles, the code should be selected based on the analyte measured.

  Because the analyte is total bile acids, 82239 is the appropriate code.

  Therefore, the correct answer is C. 82239.

• Question 183:

  A complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging, is performed on a patient with systolic left ventricular congestive heart failure and premature ventricular contractions.

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

  A. 75557, 75559, I50.1, I49.1
  B. 75561, 75563, I50.1, I49.1
  C. 75563, I50.20, I49.3
  D. 75559, I50.20, I49.3
  C. 75563, I50.20, I49.3

• Question 184:

  The gallbladder is in which organ system?

  A. Urinary
  B. Respiratory
  C. Digestive
  D. Musculoskeletal
  C. Digestive

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  Explanation

  The gallbladder is part of the digestive system. It stores and concentrates bile, which aids in the digestion of fats.

  It works closely with the liver and biliary tract, all of which belong to the digestive system, making C the correct answer.

• Question 185:

  Dr. Roberts called Mr. Davis to discuss the recent change in his asthma medication. Mr. Davis doesn't think the new medication is working as well as the previous medication. Dr. Roberts discussed the pros and cons of the new medication and Mr. Davis decided to continue using it for another month. The phone call lasted 15 minutes.

  How would Dr.

  Roberts report the telephone service?

  A. 99442
  B. 99447
  C. 98967
  D. 99422
  B. 99447

• Question 186:

  In medical terminology, suffixes indicate the procedure, condition, disorder, or disease.

  Which term contains a suffix?

  A. malaise
  B. ambidextrous
  C. neuralgia
  D. hypotension
  C. neuralgia

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  Explanation

  "Neuralgia" contains the suffix "-algia," meaning pain.

  "Malaise" and "ambidextrous" do not contain medically relevant suffixes.

  "Hypotension" includes the prefix "hypo-," but "tension" is the root term.

• Question 187:

  The provider performs staged procedures for gender reassignment surgery converting female anatomy to male anatomy.

  What CPT(R) code is reported?

  A. 58999
  B. 55980
  C. 55970
  D. 55899
  C. 55970

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  Explanation

  55970 = Female-to-male sex transformation. 55980 is for male-to-female transformation.

  Unlisted codes, such as 58999 and 55899, are not used when a specific CPT(R) code exists.

• Question 188:

  A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination, the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24%, with third-degree burns totaling 10%.

  What ICD-10-CM codes are reported, according to ICD-10-CM coding guidelines?

  A. T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21
  B. T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21
  C. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31
  D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21
  D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21

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  Explanation

  Burn coding requires (1) coding each burn site by location, laterality, and degree, and (2) adding a TBSA code when appropriate. The patient has third-degree burns of both thighs (right and left), so the correct site/degree codes are T24.311A (third-degree burn of right thigh, initial encounter) and T24.312A (third-degree burn of left thigh, initial encounter). He also has second-degree burns of the right anterior chest wall and the upper back, reported with T21.21XA (second-degree burn of chest wall, initial encounter) and T21.23XA (second-degree burn of back wall, initial encounter). TBSA is 24%, which falls in the 20-29% category, and third-degree burns total 10%, which falls in the 10-19% third-degree category, so the correct TBSA code is T31.21.

  Option D matches the required site/degree codes and the correct TBSA/third-degree percentage code pairing.

• Question 189:

  A diagnostic mammogram is performed on the left and right breasts. Computer-aided detection is also used to further analyze the image for possible lesions.

  What CPT coding is reported for this radiology service?

  A. 77065-LT, 77065-RT
  B. 77066
  C. 77067-50
  D. 77066-50
  B. 77066

• Question 190:

  A patient with coronary artery disease due to lipid-rich plaque undergoes coronary artery bypass grafting.

  The surgeon performs a left internal mammary artery graft to the left anterior descending artery. Then performs saphenous vein grafts to the obtuse marginal artery, ramus intermedius, and posterior descending artery. An endoscopic saphenous vein harvest is performed.

  What CPT(R) coding is reported for the surgical procedure?

  A. 33536,33512
  B. 33533, 33512, 33508
  C. 33536,33519
  D. 33533,33519,33508
  D. 33533,33519,33508

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  Explanation

  Procedure Coding (CPT(R)):

  33533 - CABG, arterial graft; single arterial graft (LIMA to LAD).

  Correct for left internal mammary artery to LAD.

  33519 - CABG, venous grafts; three coronary venous grafts.

  Saphenous vein grafts placed to: Obtuse marginal Ramus intermedius Posterior descending artery Total = 3 venous grafts.

  33508 - Endoscopic harvest of saphenous vein.

  Separately reportable only when endoscopic.

  Add-on code, no modifier required.

  Why Other Options Are Incorrect: Option A / C - Incorrect arterial graft code. 33536 = multiple arterial grafts.

  Option B - Incorrect venous graft count. 33512 = two grafts.

  CPT(R) Guideline References:

  CABG codes are selected based on: Type of conduit, arterial vs. venous Number of distal anastomoses Endoscopic harvest is add-on and separately reportable.

  Endoscopic harvest is add-on and separately reportable