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AAPC CPC Exam Practice Questions And Correct Answers
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AAPC CPC Exam Practice Questions AndCorrect Answers
Which of the following statements provides an example for which there is a
diabetes-related problem and for which the code for diabetes is
NEVER sequenced first?
A. When the patient experiences an underdose of insulin because of an insulin pump
malfunction.
B. When the patient is admitted to be treated for secondary diabetes.
C. If the patient is on treatment for Type 2 diabetes and is on insulin.
D. If the patient is diabetic and has a related condition. - ANSWER A. If the patient has an
underdose of insulin due to malfunctioned insulin pump.
PRE OP DIAGNOSIS: Left Breast Abnormal MMG or Palpable Mass; Other Disorders of
Breast
PROCEDURE: Automated Stereotactic Biopsy Left Breast FINDINGS: Lesion is located
in the lateral
region, just at or below the level of the nipple on the 90 degree lateral view. There is a
subglandular
implant in place. I discussed the procedure with the patient today including risks,
benefits and
alternatives. Specifically discussed was the fact that the implant would be displaced out
of the way during this biopsy procedure. Possibility of injury to the implant was
discussed with the patient. Patient has signed the consent form and wishes to proceed
with the biopsy. The patient was placed prone on the stereotactic table; the left breast
was then imaged from the inferior approach. The lesion of interest is in
the anterior portion of the breast away from the implant which was displaced back
toward the chest wall.
After imaging was obt - ANSWER A. 19081
A 53-year-old male is in the dermatologist's office for removal of 2 lesions located on his
lower lip and
,nose. Lesions were identified and marked. The lower lip lesion of 4 mm in size was
shaved to the level of
the superficial dermis. A 3-mm punch biopsy was performed on the left supratip nasal
area. What
are the CPT® codes for these procedures?
O A 40490. 11104-59
O B. 11310, 11104-59
O C. 17000, 17003
O D. 11440, 11105-59 - ANSWER B. 11310, 11104-59
A 76-year-old has dermatochalasis on bilateral upper eyelids. The condition does not
interfere with the
function of the eyelids. The patient consents to surgery. SURGERY: The patient is
present for a bilateral blepharoplasty. A
lower incision line was marked at approximately 5 mm above the lid margin along the
crease. Then using
a pinch test with forceps the amount of skin to be resected was determined and marked.
An elliptical
incision was performed on the left eyelid and the skin was excised. In similar fashion the
same
procedure was performed on the right eye. The wounds were closed with sutures. What
CPT® coding is
reported?
O A. 15822, 15823-51
O B. 15823-50
O C. 15822-50
O D. 15820-LT, 15820-RT - ANSWER C. 15822-50
A 42-year-old male has a frozen left shoulder. An arthroscope was inserted in the
posterior portal in the
glenohumeral joint. The articular cartilage was normal except for some minimal grade
,IlI-IV changes,
about 5% of the humerus just adjacent to the rotator cuff insertion of the supraspinatus.
The biceps was
inflamed, not torn at all. The superior labrum was not torn at all, the labrum was
completely intact. The
rotator cuff was completely intact. An anterior portal was established high in the rotator
interval. The
rotator interval was very thick and contracted. Adhesions were destroyed with
electrocautery and the
Bovie. The superior glenohumeral ligament, the middle glenohumeral ligament and the
tendinous portion
of the subscapularis were released. The arthroscope was placed anteriorly, adhesions
were destroyed
and the shaver was used to debride some of the posterior capsule and the posterior
capsule was
released - ANSWER D. 29825-LT
After adequate anesthesia was obtained the patient was turned prone in a kneeling
position on the spinal
table. A lower midline lumbar incision was made and the soft tissues divided down to the
spinous
processes. The soft tissues were stripped away from the lamina down to the facets and
discectomies and
laminectomies were then carried out at L3-4, L4-5 and L5-S1. Interbody fusions were set
up for the lower
three levels using the Danek allografts and augmented with structural autogenous bone
from the iliac
crest. The posterior instrumentation of a 5.5 mm diameter titanium rod was then cut to
the appropriate
length and bent to confirm to the normal lordotic curve. It was then slid immediately
onto the bone screws
and at each level compression was carried out as each of the two bolts were tightened
so that the
, interbody fusions would be snug and as tight as possible. Choose the appropriate CPT®
codes for this
Visit?
O A - ANSWER C. 22630, 22632 x 2, 22842, 20938, 20930
PREOPERATIVE DIAGNOSIS: Displaced impacted Colles fracture, left distal radius and
ulna.
POSTOPERATIVE DIAGNOSIS: Displaced impacted Colles fracture, left distal radius and
ulna.
OPERATIVE PROCEDURE: Reduction with application of an external fixation system, left
wrist fracture
FINDINGS: The patient is a 46 year-old right-hand-dominant female who fell off stairs 4
to 5 days ago
sustaining an impacted distal radius fracture with possible intraarticular component
and associated
ulnar styloid fracture. Today in surgery, fracture was reduced anatomically and an
external fixation system
was applied. PROCEDURE: Under satisfactory general anesthesia, the fracture was
manipulated and C-
arm images were checked. The left upper extremity was prepped and draped in the
usual sterile
orthopedic fashion. Two small incisions were made over the second metacarpal and
after removing soft
tissues including tendinous structures out o - ANSWER D 25607-LT
A 79-year-old male with symptomatic bradycardia and syncope is taken to the Operating
Suite where an
insertion of a DD pacemaker will be performed. After the anesthesiologist provided
moderate sedation,
the cardiologist performed a left subclavian venipuncture was carried out. A guide wire
was passed
through the needle, and the needle was withdrawn. A second subclavian venipuncture
was performed, a
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