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New AAPC CPC Study Notes - CPC Exam Outline

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q121-Q126):

NEW QUESTION # 121

Refer to the supplemental information when answering this question:
View MR 003264
What is the procedural coding?

A. 35820-78
B. 32120-58
C. 32658-78
D. 33020-58

Answer: C

Explanation:
The patient had a post-operative complication (cardiac tamponade) following a previous CABG surgery, requiring a return to the operating room for exploration and evacuation of a blood clot. This is coded using CPT code 32658 (Exploration, mediastinum, with or without drainage; for postoperative hemorrhage, drainage of abscess, or to locate foreign body). Modifier 78 is appended to indicate an unplanned return to the operating room by the same physician following the initial procedure for a related procedure during the postoperative period.
References:
* CPT Code 32658: Exploration, mediastinum, with or without drainage; for postoperative hemorrhage, drainage of abscess, or to locate foreign body
* Modifier 78: Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.

NEW QUESTION # 122
An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist who conducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?

A. 92082, G43.019
B. 92081, G43.009
C. 92082, G43.009
D. 92083, G43.019

Answer: C

NEW QUESTION # 123
A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24% with third-degree burns totaling 10%.
What ICD-10-CM codes are reported, according to 1CD-10-CM coding guidelines?

A. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21
B. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31
C. T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21
D. T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21

Answer: A

Explanation:
In coding burns, ICD-10-CM guidelines indicate that each burn site is coded separately, specifying the degree, location, and extent of the burn. Additionally, a code for total body surface area (TBSA) burned is included when burns cover more than 10% of the body. Here's the breakdown:
1. T24.311A: Represents a third-degree burn on the left thigh, initial encounter.
2. T24.312A: Represents a third-degree burn on the right thigh, initial encounter.
3. T21.21XA: Represents a second-degree burn on the anterior chest wall, initial encounter.
4. T21.23XA: Represents a second-degree burn on the upper back, initial encounter.
5. T31.21: Represents burns with 20-29% TBSA involvement, with third-degree burns covering 10-19% of the TBSA.
Explanation of incorrect answers:
A includes an incorrect TBSA code (T31.21).
B has the correct codes but lists an incorrect TBSA code for third-degree burns.
C uses incorrect burn site codes for the areas involved and incorrect TBSA percentages.
Therefore, the correct answer is D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21, which accurately captures the burns' degrees, locations, and TBSA.

NEW QUESTION # 124
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?

A. K63.5
B. Z86.010, K63.5
C. Z09, Z86.010
D. Z09, K63.5

Answer: C

Explanation:
For a follow-up examination after the removal of polyps with no new polyps found, the appropriate diagnosis codes are:
* Z09: Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm.
* Z86.010: Personal history of colonic polyps.
Using Z09 indicates that the follow-up exam is to check the patient after treatment, and Z86.010 indicates a history of colonic polyps, which is relevant to the patient's medical history.
References:
* ICD-10-CM guidelines
* AMA's CPT Professional Edition (current year)

NEW QUESTION # 125
The surgeon performs Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract on a
45-year-old patient.
What CPT code is reported?

A. 0
B. 1
C. 2
D. 3

Answer: C

NEW QUESTION # 126
......

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