REVIEW FOR AAPC CPC EXAM 2023
A+ Grade
What anatomical or compartment contains all the thoracic viscera except the lungs? -
ANS-Mediastinum
Who is
... [Show More] responsible for enforcing the HIPAA security rule - ANS-Office of Civil Rights
(OCR)
ABN - ANS-Advance Beneficiary Notice
According to the OIG, internal monitoring and auditing should be performed by what
means? - ANS-Periodic audits
What does the abbreviation MAC stand for? - ANS-Medicare Administrative Contractor
How many lobes make up the RIGHT lung? - ANS-the right has 3 lobes
the left has 2 lobes
Condition in which the endometrial tissue is found outside of the uterus. - ANSEndometriosis
A thin membrane lining the chambers of the heart and valves is called the: - ANSendocardium
PHI - ANS-Protected Health Information
What is the TRUE statement in reporting pressure ulcers? - ANS-Two codes are
assigned when a patient is admitted with a pressure ulcer that evolves to another stage
during the admission.
The acronym MMRV stands for what? - ANS-measles, mumps, rubella, and varicella
Which of the following is not part of the small intestine?
a. duodenum
b. ileum
c. jejunum
d. cecum - ANS-d. cecum
Healthcare providers are responsible for developing ______________ policies and
procedures regarding privacy in their practices.
a. Patient hotline
b. Work around procedures
c. Fees
d. Notices of Privacy Practices - ANS-Notices of Privacy Practices
A part of the male genital system sitting below the urinary bladder and surrounding the
urethra is called the:
a. testis
b. scrotum
c. prostate
d. epididymis - ANS-c. Prostate
What is the Rinne test?
a. Test using music as the focal point
b. test for hearing loss using a vibrating tuning fork placed at the center of the head
c. test using a 2-syllable word with equal stress on each syllable
d. test measuring hearing using bone conduction and air conduction - ANS-d. test
measuring hearing using bone conduction and air conduction
What is the difference between entropion and ectropion?
A. Entropion is the inward turning of the eyelid and ectropion is the outward turning of
the eyelid.
B. Entropion is facial droop and ectropion is a facial spasm.
C. Entropion is the outward turning of the hands and ectropion is the inward turning of
the hands.
D. Entropion inward turning of the feet and ectropion is the outward turning of the feet
due to muscle disorder. - ANS-a. entropion is the inward turning of the eyelid and
ectropion is the outward turning of the eyelid.
An arteriovenous anastomosis is used to increase blood flow in hemodialysis. Which
one of the following describes a direct arteriovenous anastomosis?
A. Insertion of a cannula
B. A section of artery and a neighboring vein are joined
C. A donor's vein is used to connect an artery and a vein
D. Radical hysterectomy not otherwise specified
E. A synthetic vein is used to connect an artery and a vein - ANS-b. a section of the
artery and a neighboring vein are joined
Ventral, umbilical, spigelian and incisional are types of:
A. Surgical approaches
B. Hernias
C. Organs found in the digestive system
D. Cardiac catheterizations - ANS-b. hernias
When a patient is having a tenotomy performed on the abductor hallucis muscle, where
is this muscle located?
A. Foot
B. Upper Arm
C. Upper Leg
D. Hand - ANS-a. foot
Which statement is TRUE when reporting pregnancy codes (O00-O9A):
A. These codes can be used on the maternal and baby records.
B. These codes have sequencing priority over codes from other chapters.
C. Code Z33.1 should always be reported with these codes.
D. The seventh character assigned to these codes only indicate a complication during
the pregnancy. - ANS-B: These codes have sequencing priority over codes from other
chapters
Which statement is TRUE about reporting codes for diabetes mellitus?
A. If the type of diabetes mellitus is not documented in the medical record the default
type is E11.- Type 2 diabetes mellitus.
B. When a patient uses insulin, Type 1 is always reported.
C. The age of the patient is a sole determining factor to report Type 1
. D. When assigning codes for diabetes and its associated condition(s), the code(s) from
category E08-E13 are not reported as a primary code. - ANS-a. if the type of diabetes
mellitus is not documented in the medical record, the default type is E11: type 2
diabetes mellitus
Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)?
A. All external cause codes do not require a seventh character.
B. Only report one external cause code to fully explain each cause.
C. Report code Y92.9 if the place of occurrence is not stated.
D. External cause codes should never be sequenced as a first-listed or primary code -
ANS-d. external cause codes should never be sequenced as a first-listed or primary
code
What is NOT included in CPT® surgical package?
A. Typical postoperative follow-up care
B. One related Evaluation and Management service on the same date of the procedure
C. Returning to the operating room the next day for a complication resulting from the
initial procedure
D. Evaluating the patient in the post-anesthesia recovery area - ANS-c. returning to the
operating room the next day for a complication resulting from the initial procedure
What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis
B. Osteochondritis
C. Costochondritis
D. Osteomyelitis - ANS-d. osteomyelitis
The root word trich/o means:
A. Hair
B. Sebum
C. Eyelid
D. Trachea - ANS-a. hair
Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe
B. Occipital lobe
C. Middle lobe
D. Inferior lobe - ANS-d. occipital lobe
A patient is having pyeloplasty performed to treat an uretero-pelvic junction obstruction.
What is being performed?
A. Surgical repair of the bladder
B. Removal of the kidney
C. Cutting into the ureter
D. Surgical reconstruction of the renal pelvis - ANS-d. surgical reconstruction of the
renal pelvis
A patient that has cirrhosis of the liver just had an endoscopy performed showing
hemorrhagic esophageal varices. The ICD-10-CM codes are reported:
A. I85.01, K74.69
B. I85.11, K74.60
C. K74.60, I85.11
D. I85.00, K74.69 - ANS-In the ICD-10-CM Alphabetic Index look for
Varix/esophagus/in/cirrhosis of liver/bleeding referring you to code I85.11. This
eliminates multiple choices A and D. In the Tabular List you will see an instructional
note above codes I85.10 and I85.11 to Code first underlying disease. For the scenario,
cirrhosis of liver (K74.60) is coded first then the esophageal varices with bleeding is
coded as a secondary code. Eliminating multiple choice B.
correct answer is C. K74.60, I85.11
Which statement is TRUE about Z codes:
A. Z codes are never reported as a primary code.
B. Z codes are only reported with injury codes.
C. Z codes may be used either as a primary code or a secondary code.
D. Z codes are always reported as a secondary code. - ANS-c. Z codes may be used
wither as a primary code or a secondary code
Guidelines from which of the following code sets are included as part of the code set
requirements under HIPAA?
A. CPT® Category III codes
B. ICD-10-CM
C. HCPCS Level II
D. ADA Dental Codes - ANS-ICD-10-CM guidelines are the only guidelines specifically
mentioned in HIPAA. While HIPAA requires the use of the other code sets listed, there
is no specific mention of the other guidelines in the law. This information is found in the
ICD-10-CM Official Guidelines for Coding and Reported in you ICD-10-CM codebook:
These guidelines are a set of rules that have been developed to accompany and
complement the official conventions and instructions provided within the ICD-10-CM
itself. These guidelines are based on the coding and sequencing instructions in
Volumes I, II and III of ICD-10-CM, but provide additional instruction. Adherence to
these guidelines when assigning ICD-10-CM diagnosis and procedure codes is required
under the Health Insurance Portability and Accountability Act (HIPAA).
Which statement is an example in which a diabetes-related problem exists and the code
for diabetes is NEVER sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunction.
B. If the patient is being treated for secondary diabetes.
C. If the patient is being treated for Type 2 diabetes and uses insulin.
D. If the patient is diabetic with an associated condition. - ANS-a. If the patient has an
underdose of insulin due to an insulin pump malfunction.
The ICD-10-CM guidelines (Section I.C.4.a.5): An underdose of insulin due to an insulin
pump failure should be assigned T85.6-, as the principal or first listed code, followed by
code T38.3X6-. Additional codes for the type of diabetes mellitus should also be
assigned.
Local Coverage Determinations (LCD) are published to give providers information on
which of the following?
A. Information on modifier use with procedure codes
B. CPT® codes that are bundled
C. Fee schedule information listed by CPT® code
D. Reasonable and necessary conditions of coverage for an item or service - ANS-d.
Reasonable and necessary conditions of coverage for an item or service
Which place of service code is reported on the physician's claim for a surgical
procedure performed in an ASC?
A. 21
B. 22
C. 24
D. 11 - ANS-place of service codes are two digit numerical codes that define the
location where the services are performed and reported on the CMS-1500 form. A
complete chart of place -of-service codes are located in the front of the CPT book
C. 24
If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation
myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported,
according to ICD-10-CM guidelines?
A. As unspecified AMI
B. As a subendocardial AMI
C. As STEMI
D. As a NSTEMI - ANS-C. as STEMI
ICD-10-CM guidelines (Section I.C.9.e.1) indicate: If STEMI converts to NSTEMI due to
thrombolytic therapy, it is still coded as STEMI
When a person has labyrinthitis what has the inflammation?
A. Inner ear
B. Brain
C. Conjunctiva
D. Spine - ANS-a. inner ear
An angiogram is a study to look inside:
A. Female Reproductive System
B. Urinary System
C. Blood Vessels
D. Breasts - ANS-c. blood vessels
What does oligospermia mean?
A. Presence of blood in the semen
B. Deficiency of sperm in semen
C. Having sperm in urine
D. Formation of spermatozoa - ANS-b. deficiency of sperm in semen
The breakdown of this term: combining form olig/o means too few or too little and
spermia refers to the condition of the sperm. The definition is too low or too few sperm.
In the Alphabetic Index look for Oligospermia N46.11. In the Tabular List oligospermia is
indicated as a type of male infertility.
A 45-year-old male is in outpatient surgery to excise a basal cell carcinoma of the right
nose and have reconstruction with an advancement flap. The 1.2 cm lesion with an
excised diameter of 1.5 cm was excised with a 15-blade scalpel down to the level of the
subcutaneous tissue, totaling a primary defect of 1.8 cm. Electrocautery was used for
hemostasis. An adjacent tissue transfer of 3 sq cm was taken from the nasolabial fold
and was advanced into the primary defect. Which CPT® code(s) is (are) reported?
A. 14060
B. 11642, 14060
C. 11642, 15115
D. 15574 - ANS-A. 14060
An adjacent tissue transfer (advancement flap) was used to repair a defect on the nose
due to an excision of a malignant lesion, eliminating multiple choice answers C and D.
The section guidelines in the CPT® codebook for Adjacent Tissue or Rearrangement
indicate that the excision of a benign lesion (11400-11446) or a malignant lesion
(11600-11646) is included in codes for adjacent tissue transfer (14000-14302), and are
not separately reported. This eliminates multiple choice answer B.
A 24-year-old patient had an abscess by her vulva which burst. She has developed a
soft tissue infection caused by gas gangrene. The area was debrided of necrotic
infected tissue. All of the pus was removed and irrigation was performed with a liter of
saline until clear and clean. The infected area was completely drained and the wound
was packed gently with sterile saline moistened gauze and pads were placed on top of
this. The correct CPT® code is:
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