Exam (elaborations)
AAPC CPC Practice Exam D Questions and Complete Solutions Graded A+
- Course
- Institution
AAPC CPC Practice Exam D Questions and Complete Solutions Graded A+
[Show more]
Content preview
AAPC CPC PracticeExam D Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]
, Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion during the same encounter
C. Failing to append modifier 26 on an X-ray that is performed and interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in the lab panel - Answer: B.
Reporting a biopsy and excision performed on the same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would result in a fraudulent claim. According
to National Correct Coding Initiative (NCCI) and CPT® coding guidelines, a biopsy performed on the same
lesion as an excision during the same encounter is an incidental service and is not reported separately. If
ultrasound guidance is performed for a liver biopsy, it is billable. X-rays performed in a physician's office
do not require modifier 26, because the physician owns the equipment and performs the interpretation,
he bills the global service. Lab panels can be reported with additional lab tests that are not listed in a lab
panel.
Which place of service code is reported for fracture care performed by an orthopedic physician in the
ED?
A. 11
B. 20
C. 22
D. 23 - Answer: D. 23
Place of service codes are reported on the claim form to identify the site of the service provided. In this
case, the services are rendered in the ED which is reported with place of service (POS) 23. The place of
service codes can be found in the CPT® codebook.
What is the full CPT® code description for 61535?
A. Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term
seizure monitoring; for removal of epidural or subdural electrode array, without excision of cerebral
tissue (separate procedure)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourExamplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73773 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now