AAPC CPC

(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a....

Chapter 19 Test Review  Question 1_4 out of 4 points A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B? Selected Answer: a. Established patient office visit Correct Answer: a. Established patient office visit Response Feedback: Rationale: According to the E/M Guideline for New and Established...

Chapter 16 Test Review  Question 1_4 out of 4 points A 22 year-old patient who has severe medical problems is placed under general anesthesia by an anesthetist for a service not usually requiring anesthesia. What modifier would be appended to the service? Selected Answer: b. 23 Correct Answer: b. 23 Response Feedback: Rationale: In the CPT® codebook go to Appendix A – Modifiers. Review the modifiers to determine that modifier 23 is reported to indicate a procedure not usually re...

Chapter 14 Test Review  Question 1_4 out of 4 points Looking in the CPT® manual the Nervous System is divided into what subheadings? Selected Answer: a. Skull, Meninges, and Brain; Spine and Spinal Cord; Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Correct Answer: a. Skull, Meninges, and Brain; Spine and Spinal Cord; Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Response Feedback: Rationale: CPT® divides the nervous system into...

Chapter 15 Test Review  Question 1_4 out of 4 points What is exophthalmos? Selected Answer: d. Protrusion of the eyeballs. Correct Answer: d. Protrusion of the eyeballs. Response Feedback: Rationale: Exophthalmos is a protruding eyeball anteriorly out of the orbit (eye socket). When there is an increase in the volume of the tissue behind the eyes, the eyes will appear to bulge out of the face.  Question 2_4 out of 4 points What is the abbreviation for EACH EYE? Selected Answe...

Chapter 17 Test Review  Question 1_4 out of 4 points An axillary view might be included in an X-ray of what part of the skeleton? Selected Answer: c. Shoulder Correct Answer: c. Shoulder Response Feedback: Rationale: The axillary view is an X-ray view taken of the shoulder.  Question 2_4 out of 4 points Which anatomic position has the patient lying at an angle instead of lying flat or directly on their side? Selected Answer: b. Oblique Correct Answer: b. Oblique Response Fee...

Chapter 12 Test Review  Question 1_4 out of 4 points Left ureteral stent placement and Extracorporeal Shock Wave Therapy or Lithotripsy (ESWL) of the left kidney are performed. What CPT® code(s) is/are reported for this service? Selected Answer: d. 50590-LT, 52332-51-LT Correct Answer: d. 50590-LT, 52332-51-LT Response Feedback: Rationale: Two procedures are performed. CPT® 52353 describes laser lithotripsy and does not include ESWL. CPT® 52332 describes the stent placement, but...

 Question 1_4 out of 4 points What hernia repair codes can be reported with add-on code 49568? Selected Answer: a. 49560-49566 Correct Answer: a. 49560-49566 Response Feedback: Rationale: Look in your CPT® codebook for 49568. The parenthetical note under add-on code 49568 states to Use 49568 in conjunction with 11004-11006, 49560-49566.  Question 2_4 out of 4 points Services provided in the home by an agency are considered Selected Answer: c. Facility services Correct Answer...

Chapter 1 Test Review  Question 1_4 out of 4 points What is the value of a remittance advice? Selected Answer: c. It states what will be paid and why any changes to charges were made. Correct Answer: c. It states what will be paid and why any changes to charges were made. Response Feedback: Rationale: The determination of the payer is sent to the provider in the form of a remittance advice. The remittance advice explains the outcome of the insurance adjudication on the claim, inclu...