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AAPC - Chapter 13 Review Exam, Chapter 13 CPC Study Guide
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AAPC - Chapter 13 Review Exam,Chapter 13 CPC Study Guide
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual
cycle. The gynecologist orders an ultrasound to obtain more information for a diagnosis.
What diagnosis code is appropriate for this encounter? - correct answer-N93.9
If a woman is hospitalized with severe pre-eclampsia in the 30th week of her pregnancy
what is the diagnosis code for her daily visits? - correct answer-O14.13, Z3A.30
Mrs. Jones, G1P0, is diagnosed with polyhydramnios and is scheduled for amniocentesis to
aspirate some of the excessive fluid from the amniotic sac. The amniocentesis is performed
under ultrasound guidance. What is/are the code(s) for the procedure performed? - correct
answer-59001
Patient with genital warts has cryotherapy of an extensive number of lesions on her mons
pubis, labia and perineum. How is this procedure coded? - correct answer-56515
A pregnant patient presents to the ED with bleeding, cramping, and concerns of loss of
tissue and material per vagina. On examination, the physician discovers an open cervical os
with no products of conception seen. He tells the patient she has had an abortion. What type
of abortion has she had? - correct answer-Spontaneous
Patient presents with no menses and positive pregnancy test but ultrasound finds no uterine
contents. Embryo has implanted on left ovary and this is treated with laparoscopic
oophorectomy. What are the CPT® and ICD-10-CM codes reported for this procedure? Do
not code the ultrasound. - correct answer-59151, O00.202
A 23 year-old woman presents with sudden LLQ (left lower quadrant) pain which does not
resolve. The decision is made to perform exploratory laparoscopy revealing a cyst on the left
ovary. The cyst is removed along with a partial oophorectomy. What is/are the CPT® code(s)
reported for this procedure? - correct answer-58661
What ICD-10-CM code is reported for an incomplete uterine prolapse? - correct
answer-N81.2
A pregnant patient presents to the hospital in active labor. The obstetrician providing her
prenatal care is contacted to perform the delivery. The provider delivers twins vaginally. The
obstetrician will also provide the postnatal care. What CPT® code(s) describe this
procedure? - correct answer-59400, 59409-51
An ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises
and other trauma as well as a laceration of the vaginal wall, which is repaired with sutures
(colporrhaphy) by the ED physician. What are the CPT® and ICD-10-CM codes reported for
this procedure? - correct answer-57200, S31.41XA, T74.21XA
, Patient wishes permanent sterilization and elects laparoscopic tubal ligation with Falope ring.
What is the CPT® code reported for this service? - correct answer-58671
What ICD-10-CM category is used to report the weeks of gestation of pregnancy? - correct
answer-Z3A
Vulvar cancer in situ can also be documented as: - correct answer-VIN III
Patient has a LEEP conization for CIN II. What are the CPT® and ICD-10-CM codes
reported for this procedure? - correct answer-57522, N87.1
A patient with a long history of endometriosis has an exploratory laparotomy for an enlarged
right ovary seen on ultrasound with other possible masses on the uterus and in the
peritoneum. Exploration reveals these masses to be endometriosis including a chocolate
cyst (endometrioma) of the right ovary, right fallopian tube and peritoneum. The
endometriomas are all small, less than 5 cm, and laser is used to ablate them, except the
ovarian cyst, which is excised. During the procedure the patient also has a tubal ligation.
What are the CPT® and ICD-10-CM codes reported for this service? - correct
answer-49203, 58611, N80.1, N80.2, N80.3, Z30.2
A 62 year-old woman with a history of urinary incontinence and incomplete bladder emptying
presents for sling urethropexy and repair of a cystocele. The sling urethropexy is performed
using a prosthetic mesh. The anterior repair is also performed without difficulty and both
repairs are performed vaginally. What are the CPT® codes reported for this service? -
correct answer-57288, 57240-51
A patient with a previous low transverse incision cesarean delivery is attempting VBAC
(vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with her
second child. During labor her uterus ruptured. She had an emergency cesarean section
followed immediately by hysterectomy to remove her ruptured uterus. Mother and baby
survived. The same obstetrician provided her antepartum and postpartum care. What are the
CPT® and ICD-10-CM codes reported for this service? - correct answer-59618, 59525,
O71.1, O34.211, Z3A.00, Z37.0
A 37 year-old woman presents with abdominal pain, bleeding unrelated to menses and an
abnormal pap showing LGSIL (low grade squamous intraepithelial lesion). Treatment is
hysteroscopy with thermoablation of the endometrium and cryocautery of the cervix. This is
performed without difficulty. What are the CPT® and ICD-10-CM codes reported for this
procedure? - correct answer-58563, 57511-51, R87.612
A woman presents for hysterectomy after ECC (endocervical curettage) and EMB
(endometrial biopsy) indicates endometrial cancer. Transabdominal approach (incision) is
chosen for exposure of all structures possibly affected. The abdomen is thoroughly
inspected with no gross disease outside the enlarged uterus but several lymph nodes are
enlarged and the decision is made to perform a hysterectomy with bilateral removal of tubes
and ovaries and bilateral pelvic lymphadenectomy with periaortic lymph node sampling.
Specimens sent to pathology confirm endometrial cancer but find normal tissue in the lymph
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