AAPC Certified Professional Coder (CPC) - CPC Exam Questions

QUESTION NO: 1
The provider orders a bilirubin test for a patient with bowel flora disturbance. The lab determines the presence of bilirubin in a fecal sample.
What CPTcode is reported for the test?

QUESTION NO: 2
A 52-year-old male patient with known AIDS saw his orthopedic physician today for severe pain in the right knee. The physician documents that his knee pain is due to a flare up of posttraumatic osteoarthritis and he gives him a cortisone injection in the right knee joint. The osteoarthritis is not related to AIDS.
What ICD-10-CM codes are reported for this encounter?

QUESTION NO: 3
Refer to the supplemental information when answering this question:
View MR 138093
What E/M coding is reported?

QUESTION NO: 4
(What does the suffix-graphmean?)

QUESTION NO: 5
A patient presents with keratosis lesions on her left cheek, above the left eyebrow, and on the chin area. The dermatologist treats those areas by lightly sanding the surface of a total of 5 lesions.
What CPTcoding is reported?

QUESTION NO: 6
(Which one of the following is an anesthesiaphysical status modifier?)

QUESTION NO: 7
A 13-year-old established patient is seen for an annual preventive exam. Last visit was two years ago.
What CPTcode is reported?

QUESTION NO: 8
View MR 099405
MR 099405
CC: Shortness of breath
HPI: 16-year-old female comes into the ED for shortness of breath for the last two days. She is an asthmatic.
Current medications being used to treat symptoms is Advair, which is not working and breathing is getting worse. Does not feel that Advair has been helping. Patient tried Albuterol for persistent coughing, is not helping. Coughing 10-15 minutes at a time. Patient has used the Albuterol 3x in the last 16 hrs. ED physician admits her to observation status.
ROS: No fever, no headache. No purulent discharge from the eyes. No earache. No nasal discharge or sore throat. No swollen glands in the neck. No palpitations. Dyspnea and cough. Some chest pain. No nausea or vomiting. No abdominal pain, diarrhea, or constipation.
PMH: Asthma
SH: Lives with both parents.
FH: Family hx of asthma, paternal side
ALLERGIES: PCN-200 CAPS. Allergies have been reviewed with child's family and no changes reported.
PE: General appearance: normal, alert. Talks in sentences. Pink lips and cheeks. Oriented. Well developed.
Well nourished. Well hydrated.
Eyes: normal. External eye: no hyperemia of the conjunctiva. No discharge from the conjunctiva Ears: general/bilateral. TM: normal. Nose: rhinorrhea. Pharynx/Oropharynx: normal. Neck: normal.
Lymph nodes: normal.
Lungs: before Albuterol neb, mode air entry b/l. No rales, rhonchi or wheezes. After Albuterol neb.
improvement of air entry b/l. Respiratory movements were normal. No intercostals inspiratory retraction was observed.
Cardiovascular system: normal. Heart rate and rhythm normal. Heart sounds normal. No murmurs were heard.
GI: abdomen normal with no tenderness or masses. Normal bowel sounds. No hepatosplenomegaly Skin: normal warm and dry. Pink well perfused Musculoskeletal system patient indicates lower to mid back pain when she lies down on her back and when she rolls over. No CVA tenderness.
Assessment: Asthma, acute exacerbation
Plan: Will keep her in observation overnight. Will administer oral steroids and breathing treatment. CXR ordered and to be taken in the morning.
What E/M code is reported?

QUESTION NO: 9
(A 52-year-old woman has vulvar intraepithelial neoplasia (VIN II). The surgeon performs avulvectomyremovingless than 80%of the vulva, including affected skin and deep subcutaneous tissue. What CPTand ICD-10-CM codes are reported?)

QUESTION NO: 10
A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4.
The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.

QUESTION NO: 11
A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction thrombectomy, followed by atherectomy and a stent to the artery. A CRNA provides MAC for this patient, who is status P5.
What code/modifier combination would you report for the services of the CRNA?

QUESTION NO: 12
A woman who is 19 weeks pregnant is taken to the hospital from her doctor ' s office due to the detection of no fetal heartbeat and the death of the fetus. Due to the stage of pregnancy, labor is initiated, and the fetus is delivered.
What CPTand ICD-10-CM codes are reported for the delivery of the fetus on the maternal record?

QUESTION NO: 13
Patient presents with flank pain and dysuria and is diagnosed with hydronephrosis. Further testing detects ureteropelvic junction obstruction. The final diagnosis is hydronephrosis due to acquired occlusion of ureteropelvic junction with infection. What ICD-10-CM coding is reported?

QUESTION NO: 14
A patient has swelling in both arms and lymphangitis is suspected. She is in the outpatient radiology department for a lymphangiography of both arms.
What CPTcoding is correct?

QUESTION NO: 15
A patient with compression fractures of L5 and the sacrum undergoes vertebroplasty, with cement injected into two vertebral bodies, performed bilaterally.
What CPTcoding is reported?