AAPC CPC Chapter 20 REAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
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AAPC CPC Chapter 20 REAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT® code is reported? - Answer -95813
Rationale: In the CPT® Index look for EEG which directs you to Electroencephalography (EE...
AAPC CPC Chapter 20 REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS)|AGRADE
A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT®
code is reported? - Answer -95813
Rationale: In the CPT® Index look for EEG which directs you to
Electroencephalography (EEG). Under Electroencephalography (EEG)/Monitoring you
are directed to 95812-95813, 95950-95953 and 95956. Code range 95812 - 95813 is
based on time. Code 95813 describes an EEG (electroencephalogram), more than 1
hour. This patient had a 3-hour study which is reported with 95813.
A 15 year-old underwent placement of a cochlear implant 1 year ago. It now needs to
be reprogrammed. What CPT® code is reported for the reprogramming? - Answer -
92604
Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of
the ear. The use of a cochlear implant involves relearning how to hear and react to
sounds. In the CPT® Index look for Cochlear Device/Programming which directs you to
codes 92602, 92604. The code selection is based on the age of the patient and whether
it is the initial programming or subsequent reprogramming. Code 92604 describes
subsequent reprogramming for a patient age 7 or older.
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age
and combative behavior of the patient, the provider utilized moderate sedation while
repairing the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse
monitored the patient during the procedure which took 30 minutes. What CPT® code is
reported for moderate sedation? - Answer -99152, 99153
Rationale: Moderate sedation is often used for pediatric patients in situations not
normally requiring sedation. In this case, the provider administered sedation with a
nurse assisting in monitoring the patient. In the CPT® Index look for
Sedation/Moderate/with Independent Observation and you are directed to code range
99151-99153. Code selection is based on age of the patient and the length of time.
Code 99152 describes an encounter using moderate sedation, and the physician or
other qualified health care professional rendering the diagnostic or therapeutic service
also manages the sedation. This code is specific for the age of the patient and up to 15
minutes of time. Add-on 99153 is for each additional 15 minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function. What
CPT® code(s) is/are reported for this service? - Answer -94667
, Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest
Wall or Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct
code since it includes the patient's first time, and it includes the evaluation.
A patient was brought to the emergency department in cardiac arrest. The physician
immediately initiated CPR. What CPT® code is reported for CPR? - Answer -92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which
provides artificial breathing and chest compressions for a person in cardiac arrest. In
the CPT® Index you can look for either CPR or Cardiopulmonary Resuscitation or
Resuscitation/Cardiopulmonary. All indexed items direct you to code 92950.
A patient with hypertensive cardiovascular disease is admitted by his primary care
provider. What is/are the correct ICD-10-CM code(s) for this encounter? - Answer -I11.9
Rationale: In the ICD-10-CM Alphabetic Index look for Hypertension,
hypertensive/cardiovascular/disease (arteriosclerotic) (sclerotic) which states to see
Hypertension, heart. Look for Hypertension/heart (disease) (conditions in I51.4-I51.9
due to hypertension) directing you to I11.9. ICD-10-CM guideline, I.C.9.a.1., states code
I11- is used when a causal relationship is stated or implied. Tabular List confirms code
I11.9 is correct as heart failure is not documented.
A patient with chronic respiratory failure is visited at home by a certified respiratory
therapist to manage his home oxygen therapy. What CPT® and ICD-10-CM codes are
reported? - Answer -99503, J96.10
Rationale: In the CPT® Index look for Home Services/Respiratory Therapy and you are
directed to 99503. In the ICD-10-CM Alphabetic Index, look for Failure,
failed/respiration, respiratory/chronic and you are directed to J96.10. Verification in the
Tabular List confirms code selection.
A patient with chronic myeloid leukemia (CML), BCR/ABL-positive has an implanted
access port for delivery of chemotherapy. The device needs to be irrigated before
receiving treatment. What ICD-10-CM and CPT® codes are reported for the irrigation? -
Answer -96523, C92.10
Rationale: In the CPT® Index look for Irrigation/Venous Access Device. Report code
96523 for irrigation of an implanted venous access device.
In the ICD-10-CM Alphabetic Index look for Leukemia/chronic myeloid, BCR/ABL-
positive and you are directed to C92.1-. In the Tabular List the 5th character of 0 is used
to indicate there is no mention of having achieved remission.
A 49 year-old female was brought to the emergency department. She was lethargic, but
awake. She is four years post liver transplant. Neurology was consulted who
determined the patient was encephalopathic with altered mental status. There was
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