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 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
65 year-old was admitted in the hospital two days ago and is being examined today by his primary care
physician, who has been seeing him since he has been admitted. Primary care physician is checking for
any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the
160s. 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 rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and
chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a
family 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 the
results. 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 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital
by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a
displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her
injury. 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. The
area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient
was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
65 year-old was admitted in the hospital two days ago and is being examined today by his primary care
physician, who has been seeing him since he has been admitted. Primary care physician is checking for
any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the
160s. 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 rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and
chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a
family 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 the
results. 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 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital
by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a
displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her
injury. 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. The
area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient
was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
65 year-old was admitted in the hospital two days ago and is being examined today by his primary care
physician, who has been seeing him since he has been admitted. Primary care physician is checking for
any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the
160s. 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 rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and
chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a
family 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 the
results. 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 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital
by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a
displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her
injury. 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. The
area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient
was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
65 year-old was admitted in the hospital two days ago and is being examined today by his primary care
physician, who has been seeing him since he has been admitted. Primary care physician is checking for
any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the
160s. 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 rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSS
A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and
chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSS
A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a
family 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 the
results. 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 2
b. 95027 x 2
c. 95024 x 2
d. 95018 x 2 - ANSS
A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital
by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a
displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her
injury. 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. The
area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was
closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient
was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the
neck an - ANSS
A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and
RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ
donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B
and 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, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANSS
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been seeing an
addictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is aware
of her problem. She was referred to the group through their Employee Assistance Program. As long as
she is in compliance they will support her efforts. Recently, she has arrived late at the meetings. The
provider met with the patient and discussed the importance of her treatment, compliance with the
program and avoidance of situations in which she may use alcohol. She denies contact with her previous
associates and assures the provider she has had no alcohol intake since beginning the substance abuse
treatment program. They will continue to reinforce her progress and successful sobriety. Time of the
session was 45 minutes. What CPT® and ICD-10-CM codes are reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANSS
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and
the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s)
is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANSSb. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. The
gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is
appropriate for this encounter?
a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANSS
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications prior to the
administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance
company requires a reported modifier, what modifier best describes the extenuating circumstances?
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the
neck an - ANSS
A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and
RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ
donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B
and 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, 32851
b. 32850, 32856, 32851 x 2
c. 32850, 32856, 32853
d. 32850, 32855 x 2, 32850-50 - ANSS
A 32 year-old ETOH dependent female is in a partial hospitalization program and has been seeing an
addictive disease specialist (psychotherapist) in a chemical dependency program. Her employer is aware
of her problem. She was referred to the group through their Employee Assistance Program. As long as
she is in compliance they will support her efforts. Recently, she has arrived late at the meetings. The
provider met with the patient and discussed the importance of her treatment, compliance with the
program and avoidance of situations in which she may use alcohol. She denies contact with her previous
associates and assures the provider she has had no alcohol intake since beginning the substance abuse
treatment program. They will continue to reinforce her progress and successful sobriety. Time of the
session was 45 minutes. What CPT® and ICD-10-CM codes are reported?
a. 90832, F10.220
b. 90832, F10.20
c. 90834, F10.20 - ANSS
A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and
the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s)
is/are reported?
a. D17.1, D17.23
b. D17.21, D17.1
c. D17.30
d. D17.39 - ANSSb. D17.21, D17.1
A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. The
gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is
appropriate for this encounter?
a. N92.1
b. N92.4
c. N92.6
d. N93.9 - ANSS
A 42 year-old patient was undergoing anesthesia in an ASC and began having complications prior to the
administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance
company requires a reported modifier, what modifier best describes the extenuating circumstances?
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 53
b. 23
c. 73
d. 74 - ANSS
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM
codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANSSd. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an integumentary mass
from his neck. What CPT® code and modifier are reported for the anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANSS
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs and
enters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by direct
visualization. Using an instrument introduced through the endoscope, the surgeon creates an opening in
the pericardial sac for drainage purposes. What CPT® code is reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANSS
A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several
years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM
codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.4
A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. One
surgeon performs the transthoracic approach while another surgeon performs the three vertebral nerve
root decompressions necessary. How should each provider involved code their portion of the surgery?
a. 63087-52, 63088-52 x 2
b. 63087-80, 63088-80 x 2
c. 63085-62, 63086-62 x 2
d. 63085, 63086-82 x 2 - ANSS
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 53
b. 23
c. 73
d. 74 - ANSS
A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM
codes are reported?
a. L97.319
b. L97.319, E11.9
c. L97.319, E11.622
d. E11.622, L97.319 - ANSSd. E11.622, L97.319
A 43 year-old patient with a severe systemic disease is having surgery to remove an integumentary mass
from his neck. What CPT® code and modifier are reported for the anesthesia service?
a. 00300-P2
b. 00300-P3
c. 00322-P3
d. 00350-P3 - ANSS
A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs and
enters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by direct
visualization. Using an instrument introduced through the endoscope, the surgeon creates an opening in
the pericardial sac for drainage purposes. What CPT® code is reported?
a. 32659
b. 32662
c. 32658
d. 32661 - ANSS
A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several
years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM
codes are reported?
a. E11.622, Z79.4
b. E11.9, L98.429, Z79.4
c. E11.622, L98.429, Z79.4
d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.4
A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. One
surgeon performs the transthoracic approach while another surgeon performs the three vertebral nerve
root decompressions necessary. How should each provider involved code their portion of the surgery?
a. 63087-52, 63088-52 x 2
b. 63087-80, 63088-80 x 2
c. 63085-62, 63086-62 x 2
d. 63085, 63086-82 x 2 - ANSS
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to
physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After
induction 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 transverse
incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were
gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath
of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor
and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the
first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released.
The tendons were fre - ANSS
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a
history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 - ANSSc. R03.0
A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of
perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating
microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human
amniotic membrane is first removed from the storage medium and transplanted by trimming the
membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until
the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a
bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?
a. 65435
b. 65780
c. 65781
d. 65710 - ANSS
A 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 codes
for the encounter?
a. 48548, K85.90
b. 48548, K86.1
c. 48520, K86.1
d. 48520, K85.80 - ANSS
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary
incontinence. 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. 53446
b. 53448
c. 53447
d. 53445 - ANSS
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to
physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After
induction 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 transverse
incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were
gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath
of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor
and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the
first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released.
The tendons were fre - ANSS
A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a
history of hypertension. What is the correct ICD-10-CM code to report?
a. I15.0
b. I13.0
c. R03.0
d. I10 - ANSSc. R03.0
A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of
perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating
microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human
amniotic membrane is first removed from the storage medium and transplanted by trimming the
membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until
the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a
bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?
a. 65435
b. 65780
c. 65781
d. 65710 - ANSS
A 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 codes
for the encounter?
a. 48548, K85.90
b. 48548, K86.1
c. 48520, K86.1
d. 48520, K85.80 - ANSS
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary
incontinence. 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. 53446
b. 53448
c. 53447
d. 53445 - ANSS
Loading page 5...
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having the
blepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision on
the left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skin
was excised to the levator aponeurosis. An attenuated area of levator aponeurosis was dehisced from the
lower strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue
superiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What CPT® code
is reported?
a. 67911-E1
b. 67901-E1
c. 67903-E1
d. 67904-E1 - ANSS
A 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. After
general anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibula
was dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot of
free fragments of bone around the subtalar joint and the talus itself. The bone fragments were removed
and a large defect consistent with avascular necrosis of the body of the talus was noted. An egg-shaped
burr was introduced and the articulating cartilage of the ankle joint was excised and debrided. The
subtalar joint was approached and resection of the articulating surface of the subtalar joint was
completed. Bone graft from the fibula was prepared on the back table. We made two large blocks to fill
the defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller d -
ANSS
A CT study of the lumbar spine (L2-L4) was performed with IV contrast in the hospital outpatient radiology
department 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. 72132
b. 72132-26
c. 72132-26, 72132-TC
d. 72132-TC - ANSS
A fracture of the corpus cavernosum penis is repaired. What is the correct code?
a. 54440
b. 54420
c. 54430
d. 54435 - ANSS
A left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of the
specimen to determine whether more extensive resection is appropriate. The frozen section reveals no
indications of malignancy. No other specimen is obtained but the remainder of the biopsy specimen is
sent for further testing and examination, including decalcification. The results indicate breast
fibrosclerosis only. What CPT® and ICD-10-CM codes are reported?
a. 88331, 88313, N63.20
b. 88305, 88331, 88311, N60.32
c. 88307, 88305, 88331, 88313, N60.32
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having the
blepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision on
the left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skin
was excised to the levator aponeurosis. An attenuated area of levator aponeurosis was dehisced from the
lower strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue
superiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What CPT® code
is reported?
a. 67911-E1
b. 67901-E1
c. 67903-E1
d. 67904-E1 - ANSS
A 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. After
general anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibula
was dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot of
free fragments of bone around the subtalar joint and the talus itself. The bone fragments were removed
and a large defect consistent with avascular necrosis of the body of the talus was noted. An egg-shaped
burr was introduced and the articulating cartilage of the ankle joint was excised and debrided. The
subtalar joint was approached and resection of the articulating surface of the subtalar joint was
completed. Bone graft from the fibula was prepared on the back table. We made two large blocks to fill
the defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller d -
ANSS
A CT study of the lumbar spine (L2-L4) was performed with IV contrast in the hospital outpatient radiology
department 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. 72132
b. 72132-26
c. 72132-26, 72132-TC
d. 72132-TC - ANSS
A fracture of the corpus cavernosum penis is repaired. What is the correct code?
a. 54440
b. 54420
c. 54430
d. 54435 - ANSS
A left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of the
specimen to determine whether more extensive resection is appropriate. The frozen section reveals no
indications of malignancy. No other specimen is obtained but the remainder of the biopsy specimen is
sent for further testing and examination, including decalcification. The results indicate breast
fibrosclerosis only. What CPT® and ICD-10-CM codes are reported?
a. 88331, 88313, N63.20
b. 88305, 88331, 88311, N60.32
c. 88307, 88305, 88331, 88313, N60.32
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 88307, 88331, R92.0 - ANSS
A new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibration
and cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for this
service?
a. 94664
b. 99201-25, 94668
c. 94667
d. 94662 - ANSS
A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s)
is/are reported?
a. 77066
b. 77067
c. 77059
d. 77062 - ANSS
A patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit potential
damage from swelling of the brain. The CSF is sent to pathology for examination and the results show
unusual cytological counts, although no specific findings. The patient has had no previous symptoms
known to his family members. What is the ICD-10-CM code for this examination of CSF?
a. A39.0
b. Z00.01
c. S06.1X0A
d. R83.6 - ANSS
A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the
fracture is healing normally. What ICD-10-CM code is reported?
a. S12.9XXS
b. S12.190D
c. S12.9XXD
d. S12.190A - ANSSb. S12.190D
A patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal washings
and assessment of the abdomen for any metastases, including inspection of omentum, diaphragm and
multiple biopsies. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. She has previously
had a hysterectomy. What are the CPT® and ICD-10-CM codes reported for this service?
a. 58943, C56.1, C56.2
b. 58950, 49255, C79.61, C79.62
c. 58720, 38770, C56.1, C79.62
d. 58940, C56.1, C56.2 - ANSS
A patient is brought to the operating suite when she experiences a large output of blood in her chest
tubes 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.
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 88307, 88331, R92.0 - ANSS
A new patient with cystic fibrosis underwent evaluation of lung function, including percussion, vibration
and cupping to the chest wall to facilitate his lung function. What CPT® code(s) is/are reported for this
service?
a. 94664
b. 99201-25, 94668
c. 94667
d. 94662 - ANSS
A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s)
is/are reported?
a. 77066
b. 77067
c. 77059
d. 77062 - ANSS
A patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit potential
damage from swelling of the brain. The CSF is sent to pathology for examination and the results show
unusual cytological counts, although no specific findings. The patient has had no previous symptoms
known to his family members. What is the ICD-10-CM code for this examination of CSF?
a. A39.0
b. Z00.01
c. S06.1X0A
d. R83.6 - ANSS
A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the
fracture is healing normally. What ICD-10-CM code is reported?
a. S12.9XXS
b. S12.190D
c. S12.9XXD
d. S12.190A - ANSSb. S12.190D
A patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal washings
and assessment of the abdomen for any metastases, including inspection of omentum, diaphragm and
multiple biopsies. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. She has previously
had a hysterectomy. What are the CPT® and ICD-10-CM codes reported for this service?
a. 58943, C56.1, C56.2
b. 58950, 49255, C79.61, C79.62
c. 58720, 38770, C56.1, C79.62
d. 58940, C56.1, C56.2 - ANSS
A patient is brought to the operating suite when she experiences a large output of blood in her chest
tubes 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.
Loading page 7...
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 35761-78
b. 35241
c. 35761
d. 35820-78 - ANSS
A 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. - ANSS
A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days
later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a
drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported?
a. L27.0, R11.2, T42.71XA
b. R21, R11.2, T42.71XA
c. R21, R11.0, T42.75XA
d. L27.0, R11.0, T42.75XA - ANSSd. L27.0, R11.0, T42.75XA
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?
a. Established patient office visit
b. Preventive medicine visit
c. Office consultation
d. New patient office visit - ANSS
A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats
the 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, E86.0
b. E86.0
c. R11.14
d. R11.10, R11.0, E86.0 - ANSS
A patient needing scoliosis measurements is coming in to have standing anteroposterior and lateral views
of his entire thoracic and lumbar spine. What CPT® code(s) is/are reported for radiology?
a. 72084
b. 72082
c. 72083
d. 72040, 72070, 72100 - ANSS
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 35761-78
b. 35241
c. 35761
d. 35820-78 - ANSS
A 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. - ANSS
A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days
later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a
drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported?
a. L27.0, R11.2, T42.71XA
b. R21, R11.2, T42.71XA
c. R21, R11.0, T42.75XA
d. L27.0, R11.0, T42.75XA - ANSSd. L27.0, R11.0, T42.75XA
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?
a. Established patient office visit
b. Preventive medicine visit
c. Office consultation
d. New patient office visit - ANSS
A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats
the 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, E86.0
b. E86.0
c. R11.14
d. R11.10, R11.0, E86.0 - ANSS
A patient needing scoliosis measurements is coming in to have standing anteroposterior and lateral views
of his entire thoracic and lumbar spine. What CPT® code(s) is/are reported for radiology?
a. 72084
b. 72082
c. 72083
d. 72040, 72070, 72100 - ANSS
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A patient presents to the hospital for a cardiovascular SPECT study. A single study is performed under
stress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s)
for this procedure.
a. 78451, 78472
b. 78451
c. 78453
d. 78453, 78472 - ANSS
A patient recently experienced muscle atrophy and noticed she did not have pain when she cut herself on
a piece of glass. The provider decides to obtain a needle biopsy of the spinal cord under ultrasound
guidance 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, G12.9
b. 62270, 76942-26, G95.0
c. 62270, G12.9
d. 62269, 76942-26, G95.0 - ANSS
A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported?
a. E85.3, N08
b. E85.4, N08
c. N08, E85.3
d. N08, E85.4 - ANSSb. E85.4, N08
A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/are
the correct ICD-10-CM code(s) for this encounter?
a. I11.0
b. I11.9
c. I10, I25.10
d. I11.9, I25.10 - ANSS
A patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her parathyroid
glands and part of the fourth parathyroid gland. What CPT® and ICD-10-CM codes are reported?
a. 60505, E31.22
b. 60505, E31.21
c. 60500, E31.21
d. 60502, E31.22 - ANSS
A provider visits Mr. Smith's home monthly. Today, the provider performs a problem focused history, an
expanded problem focused examination and a medical decision making of low complexity. What CPT®
code is reported?
a. Home visits are no longer reportable.
b. 99348
c. 99349
d. 99347 - ANSS
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A patient presents to the hospital for a cardiovascular SPECT study. A single study is performed under
stress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s)
for this procedure.
a. 78451, 78472
b. 78451
c. 78453
d. 78453, 78472 - ANSS
A patient recently experienced muscle atrophy and noticed she did not have pain when she cut herself on
a piece of glass. The provider decides to obtain a needle biopsy of the spinal cord under ultrasound
guidance 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, G12.9
b. 62270, 76942-26, G95.0
c. 62270, G12.9
d. 62269, 76942-26, G95.0 - ANSS
A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported?
a. E85.3, N08
b. E85.4, N08
c. N08, E85.3
d. N08, E85.4 - ANSSb. E85.4, N08
A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/are
the correct ICD-10-CM code(s) for this encounter?
a. I11.0
b. I11.9
c. I10, I25.10
d. I11.9, I25.10 - ANSS
A patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her parathyroid
glands and part of the fourth parathyroid gland. What CPT® and ICD-10-CM codes are reported?
a. 60505, E31.22
b. 60505, E31.21
c. 60500, E31.21
d. 60502, E31.22 - ANSS
A provider visits Mr. Smith's home monthly. Today, the provider performs a problem focused history, an
expanded problem focused examination and a medical decision making of low complexity. What CPT®
code is reported?
a. Home visits are no longer reportable.
b. 99348
c. 99349
d. 99347 - ANSS
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual color
comparison test). What CPT® code is reported?
a. 84702
b. 81025
c. 81025, 36415
d. 84703 - ANSS
ABN stands for _____.
a. Advanced Benefits Notification
b. Advisory Beneficial Notice
c. Admitting Beneficiary Notice
d. Advance Beneficiary Notice - ANSSd. Advance Beneficiary Notice
According 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 lodged
in his throat. Soon brain death will occur if an airway is not established immediately. The ED provider
performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported?
a. 31601, 31603, T17.228A
b. 31601, J34.9, T17.298A
c. 31603, T17.220A
d. 31603, T17.290A - ANSS
An ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises and other
trauma as well as a laceration of the vaginal wall, which is repaired with sutures (colporrhaphy) by the ED
physician. What are the CPT® and ICD-10-CM codes reported for this procedure?
a. 59300, S31.41XA, T74.21XA
b. 57260, N89.8
c. 57200, S31.41XA, T74.21XA
d. 57289, N89.8 - ANSS
An infant is born six weeks premature in rural Arizona and the pediatrician in attendance intubates the
child and administers surfactant in the ET tube while waiting in the ER for the air ambulance. During the
45-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 was
placed for fluids and in case of emergent need for medications. How is this coded?
a. 99471-25, 94610, 36510
b. 99291
c. 99471
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
A urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual color
comparison test). What CPT® code is reported?
a. 84702
b. 81025
c. 81025, 36415
d. 84703 - ANSS
ABN stands for _____.
a. Advanced Benefits Notification
b. Advisory Beneficial Notice
c. Admitting Beneficiary Notice
d. Advance Beneficiary Notice - ANSSd. Advance Beneficiary Notice
According 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 lodged
in his throat. Soon brain death will occur if an airway is not established immediately. The ED provider
performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported?
a. 31601, 31603, T17.228A
b. 31601, J34.9, T17.298A
c. 31603, T17.220A
d. 31603, T17.290A - ANSS
An ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises and other
trauma as well as a laceration of the vaginal wall, which is repaired with sutures (colporrhaphy) by the ED
physician. What are the CPT® and ICD-10-CM codes reported for this procedure?
a. 59300, S31.41XA, T74.21XA
b. 57260, N89.8
c. 57200, S31.41XA, T74.21XA
d. 57289, N89.8 - ANSS
An infant is born six weeks premature in rural Arizona and the pediatrician in attendance intubates the
child and administers surfactant in the ET tube while waiting in the ER for the air ambulance. During the
45-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 was
placed for fluids and in case of emergent need for medications. How is this coded?
a. 99471-25, 94610, 36510
b. 99291
c. 99471
Loading page 10...
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 99291-25, 31500, 36510, 94610 - ANSS
Cytopathology is the study of:
a. Tissue
b. Cells
c. Blood
d. Organs - ANSSb. Cells
Due to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator
system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator
system. The original dual leads are extracted transvenously. The generator pocket is relocated. What
CPT® codes are reported?
a. 33244, 33220-51, 33264-51, 33223-59
b. 33243, 33202-51, 33263-51, 33223-59
c. 33241, 32330-51, 33263-51, 33223-59
d. 33244, 33202-51, 33264-51, 33223-59 - ANSS
How 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; Streptococcal
meningitis is reported second.
d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified
elsewhere 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 intraepithelial
lesion or malignancy" this is an example of what type of results reporting?
a. Surgical pathology
b. Cytogenetics
c. Bethesda
d. Non-Bethesda - ANSS
In ICD-10-CM, what classification system is used to report open fracture classifications?
a. Muller AO classification of fractures
b. PHF classification of fractures
c. Danis-Weber classification
d. Gustilo classification for open fractures - ANSS
In the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral artery
stent in the right vertebral artery. Which CPT® code is reported by the physician providing only the
radiologic supervision and interpretation?
a. 0075T
b. 0075T-26
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 99291-25, 31500, 36510, 94610 - ANSS
Cytopathology is the study of:
a. Tissue
b. Cells
c. Blood
d. Organs - ANSSb. Cells
Due to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator
system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator
system. The original dual leads are extracted transvenously. The generator pocket is relocated. What
CPT® codes are reported?
a. 33244, 33220-51, 33264-51, 33223-59
b. 33243, 33202-51, 33263-51, 33223-59
c. 33241, 32330-51, 33263-51, 33223-59
d. 33244, 33202-51, 33264-51, 33223-59 - ANSS
How 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; Streptococcal
meningitis is reported second.
d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified
elsewhere 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 intraepithelial
lesion or malignancy" this is an example of what type of results reporting?
a. Surgical pathology
b. Cytogenetics
c. Bethesda
d. Non-Bethesda - ANSS
In ICD-10-CM, what classification system is used to report open fracture classifications?
a. Muller AO classification of fractures
b. PHF classification of fractures
c. Danis-Weber classification
d. Gustilo classification for open fractures - ANSS
In the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral artery
stent in the right vertebral artery. Which CPT® code is reported by the physician providing only the
radiologic supervision and interpretation?
a. 0075T
b. 0075T-26
Loading page 11...
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
c. 35301
d. 35005 - ANSS
In 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 permanently
removed along with the nail matrix. What CPT® code is reported?
a. 11720
b. 11765
c. 11730
d. 11750 - ANSS
Local Coverage Determinations are administered by whom?
a. State Law
b. NCDs
c. Each regional MAC
d. LMRPs - ANSSc. Each regional MAC
Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount
of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory
laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The
area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for
the subsequent services on this date of service? The same surgeon took her back to the OR as the one
who performed the original operation.
What CPT® code is reported?
a. 49000-58
b. 49402-77
c. 49000-77
d. 49402-78 - ANSS
Mrs. 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 is
rushed to the hospital but the baby is born before they arrive. In the ED she and the baby are examined
and the retained placenta is delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a
2nd 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 ED
physician?
a. 59409, 59414-51, 59300-51, O62.3, O70.1, Z3A.26, Z37.0
b. 59414, 59300-51, O73.0, O70.1, Z3A.26, Z37.0
c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.0
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
c. 35301
d. 35005 - ANSS
In 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 permanently
removed along with the nail matrix. What CPT® code is reported?
a. 11720
b. 11765
c. 11730
d. 11750 - ANSS
Local Coverage Determinations are administered by whom?
a. State Law
b. NCDs
c. Each regional MAC
d. LMRPs - ANSSc. Each regional MAC
Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount
of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory
laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The
area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for
the subsequent services on this date of service? The same surgeon took her back to the OR as the one
who performed the original operation.
What CPT® code is reported?
a. 49000-58
b. 49402-77
c. 49000-77
d. 49402-78 - ANSS
Mrs. 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 is
rushed to the hospital but the baby is born before they arrive. In the ED she and the baby are examined
and the retained placenta is delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a
2nd 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 ED
physician?
a. 59409, 59414-51, 59300-51, O62.3, O70.1, Z3A.26, Z37.0
b. 59414, 59300-51, O73.0, O70.1, Z3A.26, Z37.0
c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.0
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 59409, O80, Z3A.26, Z37.0 - ANSS
Operative Report
Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg
Open wound, right leg
Personal history of squamous cell carcinoma, right leg
INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven squamous
cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I
drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right
leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on
re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and
location.
DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I
used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The
anterior of his leg and the thigh - ANSS
Patient comes in today to the provider's office for routine monthly Foley catheter change. A two way Foley
catheter is replaced in the usual sterile fashion. An abdominal urinary drainage bag and bedside bag are
given to the patient. What is/are the correct code(s)?
a. 51702, A4338, A4357, A4358
b. 51100
c. 51102
d. 51701, A4338, A4357, A4358 - ANSS
Patient had an abscess in the external auditory canal which was incised and drained in the office. What
CPT® code is reported?
a. 69000
b. 69020
c. 69540
d. 69105 - ANSS
Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The
patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-
10-CM code(s) for this condition?
a. I21.29
b. I22.8
c. I25.2
d. Z51.89, I25.9 - ANSS
Patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the
area is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented the
size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm on
each side of the lesion. Single layer closure was performed. The patient tolerated the procedure well.
What CPT® code(s) is/are reported?
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
d. 59409, O80, Z3A.26, Z37.0 - ANSS
Operative Report
Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg
Open wound, right leg
Personal history of squamous cell carcinoma, right leg
INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven squamous
cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I
drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right
leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on
re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and
location.
DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I
used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The
anterior of his leg and the thigh - ANSS
Patient comes in today to the provider's office for routine monthly Foley catheter change. A two way Foley
catheter is replaced in the usual sterile fashion. An abdominal urinary drainage bag and bedside bag are
given to the patient. What is/are the correct code(s)?
a. 51702, A4338, A4357, A4358
b. 51100
c. 51102
d. 51701, A4338, A4357, A4358 - ANSS
Patient had an abscess in the external auditory canal which was incised and drained in the office. What
CPT® code is reported?
a. 69000
b. 69020
c. 69540
d. 69105 - ANSS
Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The
patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-
10-CM code(s) for this condition?
a. I21.29
b. I22.8
c. I25.2
d. Z51.89, I25.9 - ANSS
Patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the
area is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented the
size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm on
each side of the lesion. Single layer closure was performed. The patient tolerated the procedure well.
What CPT® code(s) is/are reported?
Loading page 13...
AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 11643, 12013
b. 11642, 12013
c. 11643
d. 11442 - ANSS
Patient presents with a suspicious lesion on her left arm. With the patient's permission the physician
marked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring
1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to be
a sebaceous cyst. What codes are reported?
a. 13121, 11401-51, D22.62
b. 11402, L72.3
c. 11401, D22.62
d. 12031, 11401-51, L72.3 - ANSS
Patient presents with no menses and positive pregnancy test but an ultrasound reveals no uterine
contents. 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. O00.102
b. O00.202
c. O00.802
d. O00.09 - ANSSb. O00.202
The meaning of heteropsia (or anisometropia) is:
a. Blindness in half the visual field
b. Double vision
c. Unequal vision in the two eyes
d. Blindness in both eyes - ANSSc. Unequal vision in the two eyes
The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown
and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy.
What diagnosis code is reported?
a. R29.898
b. M62.81
c. R53.1
d. G58.9 - ANSSb. M62.81
The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of the cancer
performed. He now presents to have a Port-A-Cath (a central venous access device) inserted for
postoperative adjuvant therapy. An 18-gauge introducer needle was inserted into the left subclavian vein
through which a soft tipped guide wire was inserted into the superior vena cava under fluoroscopy. A
subcutaneous pouch in the anterior part of the chest was created for the port. The catheter was then
tunneled and measured to length. The dilator and introducer sheath were passed over the wire into the
superior vena cava under fluoroscopic guidance. The catheter was passed through the sheath and the
port was applied with good venous return. What CPT® codes are reported?
a. 36571, 77001-26
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. 11643, 12013
b. 11642, 12013
c. 11643
d. 11442 - ANSS
Patient presents with a suspicious lesion on her left arm. With the patient's permission the physician
marked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring
1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to be
a sebaceous cyst. What codes are reported?
a. 13121, 11401-51, D22.62
b. 11402, L72.3
c. 11401, D22.62
d. 12031, 11401-51, L72.3 - ANSS
Patient presents with no menses and positive pregnancy test but an ultrasound reveals no uterine
contents. 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. O00.102
b. O00.202
c. O00.802
d. O00.09 - ANSSb. O00.202
The meaning of heteropsia (or anisometropia) is:
a. Blindness in half the visual field
b. Double vision
c. Unequal vision in the two eyes
d. Blindness in both eyes - ANSSc. Unequal vision in the two eyes
The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown
and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy.
What diagnosis code is reported?
a. R29.898
b. M62.81
c. R53.1
d. G58.9 - ANSSb. M62.81
The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of the cancer
performed. He now presents to have a Port-A-Cath (a central venous access device) inserted for
postoperative adjuvant therapy. An 18-gauge introducer needle was inserted into the left subclavian vein
through which a soft tipped guide wire was inserted into the superior vena cava under fluoroscopy. A
subcutaneous pouch in the anterior part of the chest was created for the port. The catheter was then
tunneled and measured to length. The dilator and introducer sheath were passed over the wire into the
superior vena cava under fluoroscopic guidance. The catheter was passed through the sheath and the
port was applied with good venous return. What CPT® codes are reported?
a. 36571, 77001-26
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
b. 36560, 77002-26
c. 36561, 77001-26
d. 36563, 77003-26 - ANSS
The patient is a pleasant 51 year-old male with morbid obesity, weighing approximately 560 pounds and
BMI being 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found to
have 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 the
appropriate ICD-10-CM codes reported?
a. N49.2, E11.9, E66.01, Z68.45
b. N50.1, E11.9, N49.2, E66.01, Z68.45
c. N50.1, N49.2, E66.01, Z68.52
d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSS
This 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon
deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to
be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to
pathology. What CPT® code is reported?
a. 23075-RT
b. 23066-RT
c. 23030-RT
d. 23076-RT - ANSS
Urine is transported from the kidneys to the urinary bladder by which structure?
a. Ureter
b. Urethra
c. Kidney pelvis
d. Urinary vein - ANSSa. Ureter
What are the three classifications of anesthesia?
a. General, Regional and Moderate Sedation
b. General, Regional and Epidural
c. General, Regional and Monitored Anesthesia Care
d. General, MAC and Conscious Sedation - ANSSc. General, Regional and Monitored Anesthesia Care
What code represents a secondary rhinoplasty where a small amount of work is performed on the tip of
the nose?
a. 30430
b. 30420
c. 30435
d. 30400 - ANSS
What codes are voluntarily reported to payers, provide evidence-based performance-measure data?
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
b. 36560, 77002-26
c. 36561, 77001-26
d. 36563, 77003-26 - ANSS
The patient is a pleasant 51 year-old male with morbid obesity, weighing approximately 560 pounds and
BMI being 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found to
have 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 the
appropriate ICD-10-CM codes reported?
a. N49.2, E11.9, E66.01, Z68.45
b. N50.1, E11.9, N49.2, E66.01, Z68.45
c. N50.1, N49.2, E66.01, Z68.52
d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSS
This 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon
deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to
be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to
pathology. What CPT® code is reported?
a. 23075-RT
b. 23066-RT
c. 23030-RT
d. 23076-RT - ANSS
Urine is transported from the kidneys to the urinary bladder by which structure?
a. Ureter
b. Urethra
c. Kidney pelvis
d. Urinary vein - ANSSa. Ureter
What are the three classifications of anesthesia?
a. General, Regional and Moderate Sedation
b. General, Regional and Epidural
c. General, Regional and Monitored Anesthesia Care
d. General, MAC and Conscious Sedation - ANSSc. General, Regional and Monitored Anesthesia Care
What code represents a secondary rhinoplasty where a small amount of work is performed on the tip of
the nose?
a. 30430
b. 30420
c. 30435
d. 30400 - ANSS
What codes are voluntarily reported to payers, provide evidence-based performance-measure data?
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. CPT® Category I codes
b. CPT® Category II codes
c. CPT® Category III codes
d. HCPCS Level II codes - ANSS
What CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert a
temporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due
to alcohol dependence? A gastric tube was not created.
a. 43870, C15.8, F10.99
b. 43831, D49.0, F10.10
c. 43830, C15.3, F10.20
d. 43653, C15.9, F10.20 - ANSS
What CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chain
reconstruction in the right ear?
a. 69636-RT
b. 69632-RT
c. 69644-RT
d. 69646-RT - ANSS
What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis?
a. G03.9, G80.1
b. G80.1, G43.909, G03.9
c. G09, G80.1
d. G80.1, G09 - ANSSd. G80.1, G09
What 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 lengths
b. Iridescence over lamina
c. Intraocular lens
d. Interoptic laser - ANSSc. Intraocular lens
What does the abbreviation IVF mean?
a. In vitro fertilization
b. Infundibulum via Fallopian tube
c. Intravaginal foreign body
d. Intravenous fluids - ANSSa. In vitro fertilization
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
a. CPT® Category I codes
b. CPT® Category II codes
c. CPT® Category III codes
d. HCPCS Level II codes - ANSS
What CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert a
temporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due
to alcohol dependence? A gastric tube was not created.
a. 43870, C15.8, F10.99
b. 43831, D49.0, F10.10
c. 43830, C15.3, F10.20
d. 43653, C15.9, F10.20 - ANSS
What CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chain
reconstruction in the right ear?
a. 69636-RT
b. 69632-RT
c. 69644-RT
d. 69646-RT - ANSS
What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis?
a. G03.9, G80.1
b. G80.1, G43.909, G03.9
c. G09, G80.1
d. G80.1, G09 - ANSSd. G80.1, G09
What 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 lengths
b. Iridescence over lamina
c. Intraocular lens
d. Interoptic laser - ANSSc. Intraocular lens
What does the abbreviation IVF mean?
a. In vitro fertilization
b. Infundibulum via Fallopian tube
c. Intravaginal foreign body
d. Intravenous fluids - ANSSa. In vitro fertilization
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AAPC CPC FINAL EXAM REAL EXAM 3 LATEST
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
What ICD-10-CM code is reported for a reaction to anesthesia, initial encounter?
a. T88.59XA
b. T88.2XXA
c. T88.52XA
d. T88.4XXA - ANSS
What ICD-10-CM code is reported when a flu vaccine is administered?
a. J11.1
b. Z28.3
c. Z28.04
d. Z23 - ANSSd. Z23
What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an
infusion?
a. T80.89XA, J81.1, Y63.0
b. J95.89, E87.70, Y63.1
c. J81.0, E87.70, Y63.1
d. T81.9XXA, J81.1, Y63.0 - ANSS
What is a function of the alveoli in the lungs?
a. Oxygen exchange
b. Nicotine is destroyed
c. Fluid in the lungs absorbed
d. Providing an airway to breathe - ANSSa. Oxygen exchange
What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same
procedure?
a. 59
b. 66
c. 62
d. 80 - ANSS
What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction
measuring 1 cm?
a. 50080
b. 50130
c. 50040
d. 50081 - ANSS
What is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis?
a. 52005, 52007
b. 52007
VERSIONS EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
What ICD-10-CM code is reported for a reaction to anesthesia, initial encounter?
a. T88.59XA
b. T88.2XXA
c. T88.52XA
d. T88.4XXA - ANSS
What ICD-10-CM code is reported when a flu vaccine is administered?
a. J11.1
b. Z28.3
c. Z28.04
d. Z23 - ANSSd. Z23
What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an
infusion?
a. T80.89XA, J81.1, Y63.0
b. J95.89, E87.70, Y63.1
c. J81.0, E87.70, Y63.1
d. T81.9XXA, J81.1, Y63.0 - ANSS
What is a function of the alveoli in the lungs?
a. Oxygen exchange
b. Nicotine is destroyed
c. Fluid in the lungs absorbed
d. Providing an airway to breathe - ANSSa. Oxygen exchange
What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same
procedure?
a. 59
b. 66
c. 62
d. 80 - ANSS
What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction
measuring 1 cm?
a. 50080
b. 50130
c. 50040
d. 50081 - ANSS
What is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis?
a. 52005, 52007
b. 52007
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