AAPC CPC Final Exam Real Exam 3 Latest Versions with Answers (100 Solved Questions)

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADE65 year-old was admitted in the hospital two days ago and is being examined today by his primary carephysician, who has been seeing him since he has been admitted. Primary care physician is checking forany improvements or if the condition is worsening.CHIEF COMPLAINT: CHFINTERVAL HISTORY: CHF symptoms worsened since yesterday.Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the160s. Also, I'm concerned about his CKD, which has worsened, most likely due to cardio-renal syndrome.REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank pain,obstructive symptoms or documented exposure to nephrotoxins.PHYSICAL EXAMINATION:GENERAL: Mild respiratory distress at restVITAL SIGNS: BP 168/84, HR 58, temperature 98.1.LUNGS: Worsening bibasilar cracklesCARDIOVASCULAR: RRR, no MRGs.EXTREMITIES: Show worsening lower extremity edema.LABS: BU - ANSSA 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck andchest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?a. 78013b. 78015, 78020c. 78014d. 78015 - ANSSA 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited afamily member that had a cat and dog. The mother wants to know if her son is allergic to cats and dogs.The child's skin was scratched with two different allergens. The provider waited 15 minutes to check theresults. There was a flare up reaction to the cat allergen, but there was no flare up to the dog allergen.The provider included the test interpretation and report in the record.a. 95004 x 2b. 95027 x 2c. 95024 x 2d. 95018 x 2 - ANSSA 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospitalby ambulance. She was found to have an open wound of the left lower thigh, just above the knee and adisplaced fracture of the left femoral neck. She was taken to the operating room within four hours of herinjury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion.Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. Thearea was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound wasclosed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patientwas then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEincision was made over the left hip and the head of the femur was exposed. Multiple fragments from theneck an - ANSSA 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT andRT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organdonor. The donor pneumonectomy was performed by physician A, the backbench work by physician Band the transplant of both lungs into the prepped and waiting patient by physician C.What is the correct coding for the removal (physician A), preparation (physician B) and insertion(physician C) of the lungs?a. 32850, 32855, 32851b. 32850, 32856, 32851 x 2c. 32850, 32856, 32853d. 32850, 32855 x 2, 32850-50 - ANSSA 32 year-old ETOH dependent female is in a partial hospitalization program and has been seeing anaddictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is awareof her problem. She was referred to the group through their Employee Assistance Program. As long asshe is in compliance they will support her efforts. Recently, she has arrived late at the meetings. Theprovider met with the patient and discussed the importance of her treatment, compliance with theprogram and avoidance of situations in which she may use alcohol. She denies contact with her previousassociates and assures the provider she has had no alcohol intake since beginning the substance abusetreatment program. They will continue to reinforce her progress and successful sobriety. Time of thesession was 45 minutes. What CPT® and ICD-10-CM codes are reported?a. 90832, F10.220b. 90832, F10.20c. 90834, F10.20 - ANSSA 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back andthe other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s)is/are reported?a. D17.1, D17.23b. D17.21, D17.1c. D17.30d. D17.39 - ANSSb. D17.21, D17.1A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. Thegynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code isappropriate for this encounter?a. N92.1b. N92.4c. N92.6d. N93.9 - ANSSA 42 year-old patient was undergoing anesthesia in an ASC and began having complications prior to theadministration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurancecompany requires a reported modifier, what modifier best describes the extenuating circumstances?

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEa. 53b. 23c. 73d. 74 - ANSSA 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CMcodes are reported?a. L97.319b. L97.319, E11.9c. L97.319, E11.622d. E11.622, L97.319 - ANSSd. E11.622, L97.319A 43 year-old patient with a severe systemic disease is having surgery to remove an integumentary massfrom his neck. What CPT® code and modifier are reported for the anesthesia service?a. 00300-P2b. 00300-P3c. 00322-P3d. 00350-P3 - ANSSA 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs andenters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by directvisualization. Using an instrument introduced through the endoscope, the surgeon creates an opening inthe pericardial sac for drainage purposes. What CPT® code is reported?a. 32659b. 32662c. 32658d. 32661 - ANSSA 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for severalyears and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CMcodes are reported?a. E11.622, Z79.4b. E11.9, L98.429, Z79.4c. E11.622, L98.429, Z79.4d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.4A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. Onesurgeon performs the transthoracic approach while another surgeon performs the three vertebral nerveroot decompressions necessary. How should each provider involved code their portion of the surgery?a. 63087-52, 63088-52 x 2b. 63087-80, 63088-80 x 2c. 63085-62, 63086-62 x 2d. 63085, 63086-82 x 2 - ANSS

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEA 49 year-old female presented with chronic deQuervain's disease and has been unresponsive tophysical therapy, bracing or cortisone injection. She has opted for more definitive treatment. Afterinduction of anesthesia, the patient's left arm was prepared and draped in the normal sterile fashion.Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A transverseincision was made over the central area of the first dorsal compartment. The subcutaneous tissues weregently spread to protect the neural and venous structures. The retractors were placed. The fascial sheathof the first dorsal compartment was then incised and opened carefully. The underlying thumb abductorand extensor tendons were identified. The tissues were dissected and the extensor retinaculum of thefirst extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released.The tendons were fre - ANSSA 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have ahistory of hypertension. What is the correct ICD-10-CM code to report?a. I15.0b. I13.0c. R03.0d. I10 - ANSSc. R03.0A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk ofperforation and underwent reconstruction of the ocular surface. The eye is incised and an operatingmicroscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved humanamniotic membrane is first removed from the storage medium and transplanted by trimming themembrane to fit the thinning area of the cornea then sutured. This process was repeated three times untilthe area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and abandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?a. 65435b. 65780c. 65781d. 65710 - ANSSA 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-10-CM codesfor the encounter?a. 48548, K85.90b. 48548, K86.1c. 48520, K86.1d. 48520, K85.80 - ANSSA 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinaryincontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted.What CPT® code is reported for this service?a. 53446b. 53448c. 53447d. 53445 - ANSS

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEA 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having theblepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision onthe left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skinwas excised to the levator aponeurosis. An attenuated area of levator aponeurosis was dehisced from thelower strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissuesuperiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What CPT® codeis reported?a. 67911-E1b. 67901-E1c. 67903-E1d. 67904-E1 - ANSSA 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. Aftergeneral anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibulawas dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot offree fragments of bone around the subtalar joint and the talus itself. The bone fragments were removedand a large defect consistent with avascular necrosis of the body of the talus was noted. An egg-shapedburr was introduced and the articulating cartilage of the ankle joint was excised and debrided. Thesubtalar joint was approached and resection of the articulating surface of the subtalar joint wascompleted. Bone graft from the fibula was prepared on the back table. We made two large blocks to fillthe defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller d -ANSSA CT study of the lumbar spine (L2-L4) was performed with IV contrast in the hospital outpatient radiologydepartment and the interpretation of the images is performed by the radiologist. What CPT® code(s)should be reported by the radiologist who is not an employee of the hospital?a. 72132b. 72132-26c. 72132-26, 72132-TCd. 72132-TC - ANSSA fracture of the corpus cavernosum penis is repaired. What is the correct code?a. 54440b. 54420c. 54430d. 54435 - ANSSA left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of thespecimen to determine whether more extensive resection is appropriate. The frozen section reveals noindications of malignancy. No other specimen is obtained but the remainder of the biopsy specimen issent for further testing and examination, including decalcification. The results indicate breastfibrosclerosis only. What CPT® and ICD-10-CM codes are reported?a. 88331, 88313, N63.20b. 88305, 88331, 88311, N60.32c. 88307, 88305, 88331, 88313, N60.32

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEd. 88307, 88331, R92.0 - ANSSA new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibrationand cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for thisservice?a. 94664b. 99201-25, 94668c. 94667d. 94662 - ANSSA non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s)is/are reported?a. 77066b. 77067c. 77059d. 77062 - ANSSA patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit potentialdamage from swelling of the brain. The CSF is sent to pathology for examination and the results showunusual cytological counts, although no specific findings. The patient has had no previous symptomsknown to his family members. What is the ICD-10-CM code for this examination of CSF?a. A39.0b. Z00.01c. S06.1X0Ad. R83.6 - ANSSA patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and thefracture is healing normally. What ICD-10-CM code is reported?a. S12.9XXSb. S12.190Dc. S12.9XXDd. S12.190A - ANSSb. S12.190DA patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal washingsand assessment of the abdomen for any metastases, including inspection of omentum, diaphragm andmultiple biopsies. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. She has previouslyhad a hysterectomy. What are the CPT® and ICD-10-CM codes reported for this service?a. 58943, C56.1, C56.2b. 58950, 49255, C79.61, C79.62c. 58720, 38770, C56.1, C79.62d. 58940, C56.1, C56.2 - ANSSA patient is brought to the operating suite when she experiences a large output of blood in her chesttubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resutured.

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEa. 35761-78b. 35241c. 35761d. 35820-78 - ANSSA patient is diagnosed as having both acute and chronic tonsillitis. How is this reported in ICD-10-CM?a. The chronic tonsillitis is reported first; the acute tonsillitis is reported second.b. The acute tonsillitis is reported first; the chronic tonsillitis is reported second.c. Only the chronic tonsillitis is reported.d. Only the acute tonsillitis is reported. - ANSSA patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three dayslater with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is adrug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported?a. L27.0, R11.2, T42.71XAb. R21, R11.2, T42.71XAc. R21, R11.0, T42.75XAd. L27.0, R11.0, T42.75XA - ANSSd. L27.0, R11.0, T42.75XAA patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patientwith Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to reportthe services provided by Dr. B?a. Established patient office visitb. Preventive medicine visitc. Office consultationd. New patient office visit - ANSSA patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treatsthe patient for dehydration which is documented in the patient's record as the final diagnosis. What ICD-10-CM code(s) is/are reported for this encounter?a. R11.2, E86.0b. E86.0c. R11.14d. R11.10, R11.0, E86.0 - ANSSA patient needing scoliosis measurements is coming in to have standing anteroposterior and lateral viewsof his entire thoracic and lumbar spine. What CPT® code(s) is/are reported for radiology?a. 72084b. 72082c. 72083d. 72040, 72070, 72100 - ANSS

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEA patient presents to the hospital for a cardiovascular SPECT study. A single study is performed understress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s)for this procedure.a. 78451, 78472b. 78451c. 78453d. 78453, 78472 - ANSSA patient recently experienced muscle atrophy and noticed she did not have pain when she cut herself ona piece of glass. The provider decides to obtain a needle biopsy of the spinal cord under ultrasoundguidance in the outpatient setting. The biopsy results come back as syringomyelia. What CPT® and ICD-10-CM codes are reported for the biopsy procedure?a. 62269, G12.9b. 62270, 76942-26, G95.0c. 62270, G12.9d. 62269, 76942-26, G95.0 - ANSSA patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported?a. E85.3, N08b. E85.4, N08c. N08, E85.3d. N08, E85.4 - ANSSb. E85.4, N08A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/arethe correct ICD-10-CM code(s) for this encounter?a. I11.0b. I11.9c. I10, I25.10d. I11.9, I25.10 - ANSSA patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her parathyroidglands and part of the fourth parathyroid gland. What CPT® and ICD-10-CM codes are reported?a. 60505, E31.22b. 60505, E31.21c. 60500, E31.21d. 60502, E31.22 - ANSSA provider visits Mr. Smith's home monthly. Today, the provider performs a problem focused history, anexpanded problem focused examination and a medical decision making of low complexity. What CPT®code is reported?a. Home visits are no longer reportable.b. 99348c. 99349d. 99347 - ANSS

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEA urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual colorcomparison test). What CPT® code is reported?a. 84702b. 81025c. 81025, 36415d. 84703 - ANSSABN stands for _____.a. Advanced Benefits Notificationb. Advisory Beneficial Noticec. Admitting Beneficiary Noticed. Advance Beneficiary Notice - ANSSd. Advance Beneficiary NoticeAccording to the OIG, internal monitoring and auditing should be performed by what means?a. Focused audits on problems brought to the attention of the compliance officer.b. Baseline audits.c. Periodic audits.d. Audits on all denied claims. - ANSSc. Periodic audits.An 18 month-old patient is seen in the ED unable to breathe due to a toy he swallowed which had lodgedin his throat. Soon brain death will occur if an airway is not established immediately. The ED providerperforms an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported?a. 31601, 31603, T17.228Ab. 31601, J34.9, T17.298Ac. 31603, T17.220Ad. 31603, T17.290A - ANSSAn ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises and othertrauma as well as a laceration of the vaginal wall, which is repaired with sutures (colporrhaphy) by the EDphysician. What are the CPT® and ICD-10-CM codes reported for this procedure?a. 59300, S31.41XA, T74.21XAb. 57260, N89.8c. 57200, S31.41XA, T74.21XAd. 57289, N89.8 - ANSSAn infant is born six weeks premature in rural Arizona and the pediatrician in attendance intubates thechild and administers surfactant in the ET tube while waiting in the ER for the air ambulance. During the45-minute wait, he continues to bag the critically ill patient on 100 percent oxygen while monitoring VS,ECG, pulse oximetry and temperature. The infant is in a warming unit and an umbilical vein line wasplaced for fluids and in case of emergent need for medications. How is this coded?a. 99471-25, 94610, 36510b. 99291c. 99471

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEd. 99291-25, 31500, 36510, 94610 - ANSSCytopathology is the study of:a. Tissueb. Cellsc. Bloodd. Organs - ANSSb. CellsDue to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillatorsystem with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillatorsystem. The original dual leads are extracted transvenously. The generator pocket is relocated. WhatCPT® codes are reported?a. 33244, 33220-51, 33264-51, 33223-59b. 33243, 33202-51, 33263-51, 33223-59c. 33241, 32330-51, 33263-51, 33223-59d. 33244, 33202-51, 33264-51, 33223-59 - ANSSHow is Streptococcal A Meningitis reported in ICD-10-CM?a. Only Streptococcal, group A, as the cause of diseases classified elsewhere is reported.b. Only one code is reported for streptococcal meningitis.c. Streptococcal, group A, as the cause of diseases classified elsewhere is reported first; Streptococcalmeningitis is reported second.d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classifiedelsewhere is reported second. - ANSSd. Streptococcal meningitis is reported first; Streptococcal, group A,as the cause of diseases classified elsewhere is reported second.If the findings on examination of a Pap smear are normal and described as "negative for intraepitheliallesion or malignancy" this is an example of what type of results reporting?a. Surgical pathologyb. Cytogeneticsc. Bethesdad. Non-Bethesda - ANSSIn ICD-10-CM, what classification system is used to report open fracture classifications?a. Muller AO classification of fracturesb. PHF classification of fracturesc. Danis-Weber classificationd. Gustilo classification for open fractures - ANSSIn the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral arterystent in the right vertebral artery. Which CPT® code is reported by the physician providing only theradiologic supervision and interpretation?a. 0075Tb. 0075T-26

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEc. 35301d. 35005 - ANSSIn which circumstances would an external cause code be reported?a. Delivery of a newborn.b. Causes of injury or health condition.c. Chemotherapy treatment of neoplasms.d. Only for the cause of motor vehicle accidents. - ANSSb. Causes of injury or health condition.Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail permanentlyremoved along with the nail matrix. What CPT® code is reported?a. 11720b. 11765c. 11730d. 11750 - ANSSLocal Coverage Determinations are administered by whom?a. State Lawb. NCDsc. Each regional MACd. LMRPs - ANSSc. Each regional MACMargaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amountof pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratorylaparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. Thearea had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding forthe subsequent services on this date of service? The same surgeon took her back to the OR as the onewho performed the original operation.What CPT® code is reported?a. 49000-58b. 49402-77c. 49000-77d. 49402-78 - ANSSMrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week of pregnancy.In the late afternoon she suddenly feels a gush of fluids followed by strong uterine contractions. She isrushed to the hospital but the baby is born before they arrive. In the ED she and the baby are examinedand the retained placenta is delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a2nd degree perineal laceration secondary to precipitous delivery which was repaired by the ED physician.She will return home for her postpartum care. What ICD-10-CM and CPT® codes are reported by the EDphysician?a. 59409, 59414-51, 59300-51, O62.3, O70.1, Z3A.26, Z37.0b. 59414, 59300-51, O73.0, O70.1, Z3A.26, Z37.0c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.0

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEd. 59409, O80, Z3A.26, Z37.0 - ANSSOperative ReportPre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left legOpen wound, right legPersonal history of squamous cell carcinoma, right legINDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven squamouscell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and Idrew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his rightleg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan onre-skin grafting the area. The patient is aware of all of these markings, and understands the surgery andlocation.DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. Iused plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. Theanterior of his leg and the thigh - ANSSPatient comes in today to the provider's office for routine monthly Foley catheter change. A two way Foleycatheter is replaced in the usual sterile fashion. An abdominal urinary drainage bag and bedside bag aregiven to the patient. What is/are the correct code(s)?a. 51702, A4338, A4357, A4358b. 51100c. 51102d. 51701, A4338, A4357, A4358 - ANSSPatient had an abscess in the external auditory canal which was incised and drained in the office. WhatCPT® code is reported?a. 69000b. 69020c. 69540d. 69105 - ANSSPatient presents to her physician 10 weeks following a true posterior wall myocardial infarction. Thepatient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-10-CM code(s) for this condition?a. I21.29b. I22.8c. I25.2d. Z51.89, I25.9 - ANSSPatient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After thearea is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented thesize of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm oneach side of the lesion. Single layer closure was performed. The patient tolerated the procedure well.What CPT® code(s) is/are reported?

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEa. 11643, 12013b. 11642, 12013c. 11643d. 11442 - ANSSPatient presents with a suspicious lesion on her left arm. With the patient's permission the physicianmarked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to bea sebaceous cyst. What codes are reported?a. 13121, 11401-51, D22.62b. 11402, L72.3c. 11401, D22.62d. 12031, 11401-51, L72.3 - ANSSPatient presents with no menses and positive pregnancy test but an ultrasound reveals no uterinecontents. An embryo has implanted on the left ovary and this is treated with laparoscopic oophorectomy.What ICD-10-CM code is reported for this procedure?a. O00.102b. O00.202c. O00.802d. O00.09 - ANSSb. O00.202The meaning of heteropsia (or anisometropia) is:a. Blindness in half the visual fieldb. Double visionc. Unequal vision in the two eyesd. Blindness in both eyes - ANSSc. Unequal vision in the two eyesThe patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknownand to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy.What diagnosis code is reported?a. R29.898b. M62.81c. R53.1d. G58.9 - ANSSb. M62.81The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of the cancerperformed. He now presents to have a Port-A-Cath (a central venous access device) inserted forpostoperative adjuvant therapy. An 18-gauge introducer needle was inserted into the left subclavian veinthrough which a soft tipped guide wire was inserted into the superior vena cava under fluoroscopy. Asubcutaneous pouch in the anterior part of the chest was created for the port. The catheter was thentunneled and measured to length. The dilator and introducer sheath were passed over the wire into thesuperior vena cava under fluoroscopic guidance. The catheter was passed through the sheath and theport was applied with good venous return. What CPT® codes are reported?a. 36571, 77001-26

AAPC CPC Final Exam Real Exam 3 Latest Versions with Answers (100 Solved Questions) - Page 15 preview image

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEb. 36560, 77002-26c. 36561, 77001-26d. 36563, 77003-26 - ANSSThe patient is a pleasant 51 year-old male with morbid obesity, weighing approximately 560 pounds andBMI being 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found tohave erythema, edema and possible areas of eschar on the scrotum. He was transferred to the hospital,evaluated and found to be stable with cellulitis and suspect early Fournier's gangrene. What are theappropriate ICD-10-CM codes reported?a. N49.2, E11.9, E66.01, Z68.45b. N50.1, E11.9, N49.2, E66.01, Z68.45c. N50.1, N49.2, E66.01, Z68.52d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSSThis 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upondeep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared tobe benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent topathology. What CPT® code is reported?a. 23075-RTb. 23066-RTc. 23030-RTd. 23076-RT - ANSSUrine is transported from the kidneys to the urinary bladder by which structure?a. Ureterb. Urethrac. Kidney pelvisd. Urinary vein - ANSSa. UreterWhat are the three classifications of anesthesia?a. General, Regional and Moderate Sedationb. General, Regional and Epiduralc. General, Regional and Monitored Anesthesia Cared. General, MAC and Conscious Sedation - ANSSc. General, Regional and Monitored Anesthesia CareWhat code represents a secondary rhinoplasty where a small amount of work is performed on the tip ofthe nose?a. 30430b. 30420c. 30435d. 30400 - ANSSWhat codes are voluntarily reported to payers, provide evidence-based performance-measure data?

AAPC CPC Final Exam Real Exam 3 Latest Versions with Answers (100 Solved Questions) - Page 16 preview image

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEa. CPT® Category I codesb. CPT® Category II codesc. CPT® Category III codesd. HCPCS Level II codes - ANSSWhat CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert atemporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma dueto alcohol dependence? A gastric tube was not created.a. 43870, C15.8, F10.99b. 43831, D49.0, F10.10c. 43830, C15.3, F10.20d. 43653, C15.9, F10.20 - ANSSWhat CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chainreconstruction in the right ear?a. 69636-RTb. 69632-RTc. 69644-RTd. 69646-RT - ANSSWhat diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis?a. G03.9, G80.1b. G80.1, G43.909, G03.9c. G09, G80.1d. G80.1, G09 - ANSSd. G80.1, G09What does contralateral mean?a. Affecting or originating in the opposite side.b. Contractions occurring on opposite sides of the body.c. Pertaining to the same side of the body.d. Lateral contractions. - ANSSb. Contractions occurring on opposite sides of the body.What does IOL stand for?a. Interdimensional ocular lengthsb. Iridescence over laminac. Intraocular lensd. Interoptic laser - ANSSc. Intraocular lensWhat does the abbreviation IVF mean?a. In vitro fertilizationb. Infundibulum via Fallopian tubec. Intravaginal foreign bodyd. Intravenous fluids - ANSSa. In vitro fertilization

AAPC CPC Final Exam Real Exam 3 Latest Versions with Answers (100 Solved Questions) - Page 17 preview image

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AAPC CPC FINAL EXAM REAL EXAM 3 LATESTVERSIONS EACH VERSION CONTAINS 100QUESTIONS AND CORRECT ANSWERS(VERIFIEDANSWERS)|AGRADEWhat ICD-10-CM code is reported for a reaction to anesthesia, initial encounter?a. T88.59XAb. T88.2XXAc. T88.52XAd. T88.4XXA - ANSSWhat ICD-10-CM code is reported when a flu vaccine is administered?a. J11.1b. Z28.3c. Z28.04d. Z23 - ANSSd. Z23What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from aninfusion?a. T80.89XA, J81.1, Y63.0b. J95.89, E87.70, Y63.1c. J81.0, E87.70, Y63.1d. T81.9XXA, J81.1, Y63.0 - ANSSWhat is a function of the alveoli in the lungs?a. Oxygen exchangeb. Nicotine is destroyedc. Fluid in the lungs absorbedd. Providing an airway to breathe - ANSSa. Oxygen exchangeWhat is the appropriate modifier to use when two surgeons perform separate distinct portions of the sameprocedure?a. 59b. 66c. 62d. 80 - ANSSWhat is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extractionmeasuring 1 cm?a. 50080b. 50130c. 50040d. 50081 - ANSSWhat is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis?a. 52005, 52007b. 52007

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