AAPC AAPC-CPC Online Practice Questions and Exam Preparation

AAPC AAPC-CPC Online Questions & Answers

• Question 461:

  A patient presents to the labor and delivery department for a planned cesarean section for triplets. She is at 37 weeks gestation. She is given a continuous epidural for the delivery.

  What anesthesia coding is reported?

  A. 01967, 01968
  B. 01958
  C. 01967
  D. 01961
  D. 01961

• Question 462:

  A patient undergoes CABG using the right internal mammary artery anastomosed to three coronary arteries.

  What CPT(R) coding is reported?

  A. 33535
  B. 33533, 33511
  C. 33533, 33518
  D. 33512
  A. 33535

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  Explanation

  CABG coding is based on the number and type of coronary artery bypass grafts performed.

  Code 33535 is reported for coronary artery bypass using arterial grafts for three coronary arterial grafts.

  In this case, the right internal mammary artery is used as an arterial graft and is anastomosed to three coronary arteries. Therefore, the correct CPT(R) code is 33535.

• Question 463:

  A 23-year-old receives MMR and Hepatitis B vaccines without counseling.

  What CPT(R) codes are reported?

  A. 90471, 90472, 90707, 90746
  B. 90460 x 2, 90461 x 3, 90710, 90744
  C. 90460, 90461, 90710, 90744
  D. 90471 x 2, 90472 x 3, 90707, 90746
  A. 90471, 90472, 90707, 90746

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  Explanation

  90471/90472 = Vaccine administration without counseling.

  90707 = MMR vaccine.

  90746 = Hepatitis B vaccine, adult dosage.

  90471 is reported for the first vaccine administration, and 90472 is reported for the additional vaccine administration.

• Question 464:

  A patient was in a car accident as the driver and suffered a concussion with brief loss of consciousness (15 minutes).

  What ICD-10-CM codes are reported?

  A. S06.0X1A, V40.5XXA, V47.5XXA
  B. S06.0X1A, V47.5XXA
  C. S06.0X9A, V47.6XXA
  D. S06.0X9A, V40.6XXA, V47.6XXA
  A. S06.0X1A, V40.5XXA, V47.5XXA

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  Explanation

  S06.0X1A = Concussion with loss of consciousness of 30 minutes or less, initial encounter.

  V47.5XXA = Car driver injured in collision with fixed or stationary object in traffic accident, initial encounter.

  The documentation states brief loss of consciousness of 15 minutes, which supports S06.0X1A.

  The external cause code describes the mechanism and role of the patient as the driver.

• Question 465:

  A patient presents for an outpatient physical therapy evaluation due to chronic low back pain. The medical record documents that the patient has a current diagnosis of lumbar spine region cancer, which is actively being treated at the time of therapy.

  Which lumbar spine associated condition M code is reported?

  A. M1038
  B. M1037
  C. M1041
  D. M1039
  B. M1037

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  Explanation

  This question is testing selection of the correct therapy functional outcome/condition "M-code" used in certain therapy reporting contexts. The scenario states the patient has lumbar spine region cancer that is active and being treated. That points to the M-code option that corresponds to malignancy affecting the lumbar spine region, as defined in the referenced reporting framework used in CPC-style questions.

  Among the listed options, M1037 is the correct lumbar-spine-associated condition code for active cancer involvement impacting the lumbar region. The key differentiator is "actively being treated," which aligns with a current active condition, not a history of cancer or a nonmalignant condition. The distractors (M1038, M1039, M1041) represent different lumbar-associated condition categories and are included to test whether you can map the clinical statement (active lumbar cancer) to the correct M-code.

  Therefore, the correct selection is M1037.

• Question 466:

  A 32-year-old visited a provider due to ongoing irritation and watering in his left eye. Suspecting an allergy, the provider carried out a test, introducing an allergenic extract into the mucous membrane inner lining of the eye. The patient's eye is monitored for signs of an allergic reaction, such as redness and itching.

  What CPT(R) code is reported?

  A. 95065
  B. 95056
  C. 95004
  D. 95060
  D. 95060

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  Explanation

  This scenario describes conjunctival provocation testing: an allergenic extract is placed into the conjunctival mucous membrane of the eye, and the patient is observed for a localized allergic response, such as redness, itching, and tearing. CPT(R) code 95060 is the code that represents conjunctival, ophthalmic, allergy testing/provocation. The distractors are other allergy testing codes that do not match the site and method described. For CPC exam logic, the key is identifying the route/site of allergen exposure: not intradermal skin testing, not percutaneous prick testing, not inhalation/bronchial challenge.

  This is specifically ocular mucosal testing. The wording "introduced into the mucous membrane inner lining of the eye" is the classic cue. Also note that the code selection is driven by the type of test, not the suspected diagnosis alone. Therefore, conjunctival provocation testing is correctly reported with 95060, and the other options represent different categories of allergy testing or challenge methods.

• Question 467:

  A patient is diagnosed with a gangrenous ulcer on the right thigh with the fat layer exposed and is currently being treated.

  What ICD-10-CM coding is reported?

  A. I96, L97.102
  B. L97.112
  C. I96, L97.112
  D. L97.112, I96
  C. I96, L97.112

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  Explanation

  This scenario involves a non-pressure chronic ulcer with gangrene. For non-pressure chronic ulcers of the thigh, ICD-10-CM uses L97.1- codes. "Fat layer exposed" indicates severity with fat layer exposed, which corresponds to the specific sixth-character level. The correct thigh code here is L97.112, non-pressure chronic ulcer of right thigh with fat layer exposed. Because the ulcer is described as gangrenous, ICD-10- CM instructs to code first any associated gangrene using I96 when gangrene is present with an L97 non-pressure ulcer. Therefore, I96 and L97.112 are both required, and the correct option presented is I96, L97.112.

  Mnemonic: L97 = Location/Layer, I96 = Ischemic gangrene.

• Question 468:

  A couple presents to the freestanding fertility clinic to start in vitro fertilization. Under radiologic guidance, an aspiration needle is inserted (by aid of a superimposed guiding-line) puncturing the ovary and preovulatory follicle and withdrawing fluid from the follicle containing the egg.

  What is the correct CPT code for this procedure?

  A. 58976
  B. 58974
  C. 58999
  D. 58970
  D. 58970

• Question 469:

  During a laparoscopic hemicolectomy, the left kidney is accidentally perforated. A nephrologist performs open repair of the kidney laceration and places a JP drain.

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

  A. 50500, 44206-80, N99.72
  B. 50500, S37.062A
  C. 50500, N99.72
  D. 50500, 44206-80, S37.062A
  C. 50500, N99.72

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  Explanation

  50500 = Repair of kidney laceration.

  N99.72 = Accidental puncture or laceration of the genitourinary system during a procedure.

  S37.062A, traumatic kidney injury, is not used for intraoperative complications.

  The nephrologist does not report the colectomy or modifier -80.

• Question 470:

  A 53-year-old male arrives at the ER due to severe ocular trauma to the right eye. He was at work on a metal drilling machine when a metallic object penetrated his right eyeball. A foreign body is in the posterior segment of the eye, and a corneal laceration with multiple posterior perforation sites is noted. He is brought to the surgical suite. The surgeon removes the metallic foreign body using large retinal forceps.

  The corneal laceration is sutured, and the provider also performs a pars plana lensectomy.

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

  A. 65265-RT, 66852-51-RT, 65280-51-RT, S05.51XA, W31.1XXA
  B. 65235-RT, 66852-51-RT, 65275-51-RT, S05.51XA, W31.1XXA
  C. 65265-RT, 66852-51-RT, 65275-51-RT, S05.31XA, W31.0XXA
  D. 65235-RT, 66852-51-RT, 65280-51-RT, S05.31XA, W31.0XXA
  A. 65265-RT, 66852-51-RT, 65280-51-RT, S05.51XA, W31.1XXA

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  Explanation

  Procedure and CPT(R) code selection: The patient required surgical intervention for severe ocular trauma involving removal of a foreign body from the posterior segment of the eye, suturing of the corneal laceration, and a pars plana lensectomy.

  CPT(R) code 65265 is for removal of a foreign body from the posterior segment of the eye without the use of a magnet. This code is appropriate for the removal of the metallic foreign body using retinal forceps.

  CPT(R) code 66852 covers the pars plana lensectomy, which was performed as part of the surgical treatment.

  CPT(R) code 65280 is used for repairing a corneal laceration with multiple perforations, which applies to the corneal suturing.

  Modifiers:

  Modifier RT is used to indicate that the procedures were performed on the right eye.

  Modifier 51 is added to indicate multiple procedures performed during the same surgical session.

  Diagnosis and ICD-10-CM code selection: ICD-10-CM code S05.51XA is appropriate for a penetrating wound of the right eyeball with a foreign body in the posterior segment.

  ICD-10-CM code W31.1XXA is used to indicate that the injury was caused by contact with a metalworking or woodworking machine.

  Rationale for excluding other options: Codes 65235 and 65275 in options B, C, and D refer to foreign body removal from the anterior chamber and anterior segment, respectively, which are not appropriate because the foreign body was located in the posterior segment. Codes S05.31XA and W31.0XXA in options C and D represent different eye injuries and types of machines, which do not match the scenario described.

  AAPC and CPT(R) coding guidelines: According to AAPC guidelines, codes should be selected based on the specific location, such as the posterior segment, and the type of foreign body removal. Each procedure, including the corneal repair, should be coded to capture the full extent of the treatment.

  Therefore, the correct answer is A. 65265-RT, 66852-51-RT, 65280-51-RT, S05.51XA, W31.1XXA.