CPC POPULAR EXAMS | CPC NEW BRAINDUMPS

CPC Popular Exams | CPC New Braindumps

CPC Popular Exams | CPC New Braindumps

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q55-Q60):

NEW QUESTION # 55
A patient presents with keratosis lesions on her left cheek, above the left eyebrow, and on the chin area. The dermatologist treats those areas by lightly sanding the surface of a total of 5 lesions.
What CPTcoding is reported?

  • A. 15786, 15787 x 4
  • B. 15786 x 5
  • C. 15787 x 5
  • D. 15786, 15787

Answer: B

Explanation:
CPTcode 15786 is used for abrasion treatment of a single lesion (e.g., for keratosis) through techniques like dermabrasion (lightly sanding the skin's surface). When treating multiple lesions in this manner, each lesion treated should be coded individually.
Since the patient has 5 keratosis lesions treated through sanding, 15786 x 5 accurately represents the procedure for each lesion.
Explanation of other options:
A: 15787 x 5: Incorrect because 15787 is designated for dermabrasion of "additional lesions" and would be used in conjunction with 15786, not alone.
B: 15786, 15787: Incorrect, as it does not account for all five lesions treated.
C: 15786, 15787 x 4: Incorrect, as 15787 is used only when performed in addition to 15786, not as a replacement for each additional lesion.
Therefore, the correct answer is D. 15786 x 5, which accurately reports the treatment of all five lesions.


NEW QUESTION # 56
Patient is admitted in observation care on 12/2/20XX in the morning for acute asthma exacerbation. The ED physician requires the patient to stay overnight. Next day, 12/3/20XX the patient is discharged from observation care in the afternoon. Patient's total stay in observation was 16 hours.
What E/M categories and code ranges are appropriate to report?

  • A. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-
    99236) and Hospital Inpatient or Observation Discharge services (99238-99239)
  • B. Initial Hospital Inpatient or Observation Care (99221-99223) and Subsequent Hospital Inpatient or Observation Care (99231-99233)
  • C. Initial Hospital Inpatient or Observation Care (99221-99223) and Hospital Inpatient or Observation Discharge services (99238-99239)
  • D. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-
    99236) and Subsequent Inpatient or Observation Care (99231-99233)

Answer: A

Explanation:
1. E/M Code Category Selection:
The patient was placed in observation care on 12/2/20XX for an acute asthma exacerbation and stayed in observation for a total of 16 hours, with discharge occurring on 12/3/20XX.
The appropriate E/M category for patients in observation care for a period that includes both admission and discharge on separate calendar dates is "Hospital Inpatient or Observation Care Services", with specific codes for admission and discharge on different dates.
2. Code Range and Specific Codes:
Code Range 99234-99236 applies to cases where observation care includes both admission and discharge, particularly when they occur on different calendar days and the total duration of care is under 24 hours.
For discharge on the subsequent day, 99238-99239 (Hospital Inpatient or Observation Discharge Services) applies, depending on the time spent on discharge.
3. Rationale for Excluding Other Options:
Option B and Option D include Initial Hospital Inpatient or Observation Care codes (99221-99223), which are typically used for admissions to inpatient care rather than for observation care scenarios as presented here.
Option C incorrectly combines Subsequent Inpatient or Observation Care codes (99231-99233), which are used for follow-up days rather than discharge services.
4. AAPC and CPTCoding Guidelines:
According to CPTguidelines, the 99234-99236 code range is used when observation care requires both admission and discharge on different dates, and 99238-99239 is appropriate for discharge services.
Therefore, the correct answer is A. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-99236) and Hospital Inpatient or Observation Discharge services (99238-99239).


NEW QUESTION # 57
View MR 006399
MR 006399
Operative Report
Preoperative Diagnosis: Chronic otitis media in the right ear
Postoperative Diagnosis: Chronic otitis media in the right ear
Procedure: Eustachian tube inflation
Anesthesia: General
Blood Loss: Minimal
Findings: Serous mucoid fluid
Complications: None
Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.
Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask, and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.
What CPT coding is reported for this case?

  • A. 69421-RT
  • B. 69433-RT
  • C. 69420-RT
  • D. 69436-RT

Answer: A

Explanation:
The procedure involves eustachian tube inflation to remove serous mucoid fluid in the right ear of a 2-year-old patient with chronic otitis media.
* Procedure Description:
* Eustachian tube inflation to remove fluid.
* General anesthesia.
* Incision to the tympanum and suctioning of thick mucoid fluid.
* CPT Coding:
* 69421-RT: Eustachian tube inflation, transnasal or transoral; with catheterization, including general anesthesia. The modifier -RT indicates the right ear.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on eustachian tube procedures.


NEW QUESTION # 58
The human shoulder is made of which three bones?

  • A. Carpal, radius, humerus
  • B. Olecranon, radius, ulna
  • C. Metatarsal, tibia, navicular
  • D. Clavicle, scapula, humerus

Answer: D

Explanation:
The human shoulder is composed of three main bones: the clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone). These bones form the shoulder joint, which is one of the most flexible and mobile joints in the human body, allowing for a wide range of motion.References: AMA's CPT Professional Edition (current year), Musculoskeletal System section.


NEW QUESTION # 59
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 partially removed.
What CPT @ code is reported for this procedure?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: D

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a partial nephrectomy (removal of part of the left kidney) via a laparoscopic approach.
CPTCode 50543 is specifically used for a laparoscopic partial nephrectomy, which is an accurate description of this procedure.
2. Rationale for Excluding Other Options:
Code 50548 is used for a laparoscopic radical nephrectomy, which involves the complete removal of the kidney and surrounding structures; therefore, it does not apply to this partial nephrectomy.
Code 50220 represents an open partial nephrectomy, not a laparoscopic approach, and is therefore incorrect for this procedure.
Code 50546 is for a laparoscopic radical nephrectomy with bilateral removal of kidneys, which is not applicable in this case where only a partial removal of the left kidney was performed.
3. AAPC and CPTCoding Guidelines:
AAPC and CPTguidelines indicate that the use of 50543 is appropriate for any laparoscopic partial nephrectomy, regardless of the laterality, and it specifically identifies laparoscopic technique over open surgery.
Therefore, based on CPTguidelines, the correct answer is C. 50543.


NEW QUESTION # 60
......

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