AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 321:

  A surgeon performed Mohs micrographic surgery on a lesion on the lower leg. This required one stage with six tissue blocks. A direct skin flap was used to cover the defect.

  What CPT codes are reported for the Mohs surgery and the repair?

  A. 17313, 17315, 15572
  B. 17311, 17312, 15570
  C. 17313, 17314, 15572
  D. 17313, 17314, 17315, 15570
  C. 17313, 17314, 15572

• Question 322:

  What does NCCI stand for, and what is its purpose?

  A. National Correct Coding Initiative; it lists CPT(R) codes that are bundled or not reported separately together, which promotes accurate coding and prevents improper reimbursement
  B. National Coding Compliance Index; it lists CPT(R) codes that must always be billed together, eliminating the need for modifiers
  C. National Coding Compliance Index; it lists CPT(R) codes that can be appended with modifier 51 to bypass an edit and what other codes can be used instead
  D. National Code Collection Information; it lists CPT(R) codes and specifies which codes are allowed for repeat procedures
  A. National Correct Coding Initiative; it lists CPT(R) codes that are bundled or not reported separately together, which promotes accurate coding and prevents improper reimbursement

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  Explanation

  The National Correct Coding Initiative (NCCI) was developed by CMS to: Prevent unbundling Define procedure-to-procedure (PTP) edits Identify when modifiers, such as -59, may be appropriate NCCI edits are critical for accurate CPT(R) coding and proper reimbursement.

• Question 323:

  Which is an anesthesia physical status modifier?

  A. AA
  B. P1
  C. 2P
  D. QS
  B. P1

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  Explanation

  P1-P6 = ASA Physical Status modifiers AA and QS are anesthesia service modifiers.

• Question 324:

  A 25-year-old sustained a rupture of the left eye with partial loss of intraocular tissue in an ATV accident.

  The remaining ocular contents of the eyeball are removed and only the sclera shell remains. A permanent implant is inserted into scleral shell and is attached to the sclera with sutures.

  What CPT code is reported?

  A. 65093
  B. 65105
  C. 65114
  D. 65110
  B. 65105

• Question 325:

  A 62-year-old with insulin-dependent diabetes mellitus has sudden hearing loss. The otolaryngologist administered a transtympanic injection of a steroid for the sudden hearing loss in each ear.

  How is this reported?

  A. 69801
  B. 69801-50
  C. 69801-22
  D. 69801 x 2
  B. 69801-50

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  Explanation

  A transtympanic (intratympanic) injection is reported with CPT(R)69801.

  Because the procedure was performed bilaterally, modifier -50 is appropriate.

  Modifier -22 is not supported.

  Reporting x2 is not the preferred method in this context.

• Question 326:

  A patient has swelling in both arms and lymphangitis is suspected. She is in the outpatient radiology department for a lymphangiography of both arms.

  What CPT(R) coding is correct?

  A. 75801, 75803
  B. 75801-50
  C. 75803
  D. 75803-50
  D. 75803-50

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  Explanation

  1. Procedure and CPT(R) code

  Selection:

  The patient underwent lymphangiography of both arms in an outpatient radiology setting to evaluate suspected lymphangitis.

  CPT(R) code 75803 is used for bilateral lymphangiography of the extremities. This code covers lymphangiography procedures involving both extremities.

  2. Rationale for Excluding Other Options:

  Code 75801 is for lymphangiography of a single extremity and does not apply when both arms are examined.

  Code 75801-50 is not appropriate when a specific bilateral code, 75803, is available.

  Code 75803-50 is also not appropriate because 75803 already describes a bilateral service; modifier 50 should not be appended.

  3. AAPC and CPT(R) coding

  Guidelines:

  When a CPT(R) code already describes a bilateral procedure, modifier 50 is not appended. CPT(R) code 75803 already represents bilateral lymphangiography of the extremities.

  Therefore, the correct answer is 75803.

• Question 327:

  A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.

  What CPT coding is reported?

  A. 92537-52
  B. 92537-50-52
  C. 92538-50
  D. 92537-50
  A. 92537-52

• Question 328:

  The spleen is in what organ system?

  A. Nervous
  B. Endocrine
  C. Digestive
  D. Lymphatic
  D. Lymphatic

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  Explanation

  The spleen is a part of the lymphatic system, which is responsible for filtering blood, removing damaged blood cells, and supporting immune function. The spleen contains lymphocytes that help fight infections and regulate the immune response.

  Option A, Nervous: The nervous system includes the brain, spinal cord, and nerves, unrelated to immune function.

  Option B, Endocrine: The endocrine system regulates hormones through glands like the thyroid and pancreas, not directly involved with blood filtration or immune cell production.

  Option C, Digestive: While the spleen is located near digestive organs, it does not play a role in digestion.

  Thus, the correct answer is Option D, Lymphatic.

• Question 329:

  A patient undergoes cystourethroscopy with pyeloscopy and manipulation to remove a ureteral calculus.

  No stent is inserted.

  What CPT(R) coding is reported?

  A. 52352
  B. 52352, 52351-51
  C. 52353
  D. 52356
  A. 52352

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  Explanation

  52352 = Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus.

  52353 is for lithotripsy.

  52356 includes stent placement, which was not performed.

• Question 330:

  An autopsy is ordered for a deceased patient of unknown cause. The pathologist performs gross and microscopic examination, including the brain and spinal cord.

  What CPT(R) coding is reported?

  A. 88000
  B. 88020
  C. 88027
  D. 88016
  C. 88027

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  Explanation

  88027 = Autopsy, gross and microscopic, with central nervous system examination.

  The central nervous system examination includes the brain and spinal cord. 88016 and 88020 do not describe the complete gross and microscopic autopsy with central nervous system examination documented in this case.