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High Pass-Rate AAPC-CPC Test Questions Pdf | Amazing Pass Rate For AAPC-CPC: American Academy of Professional Coders: Certified Professional Coder | Professional Sample AAPC-CPC Test Online

High Pass-Rate AAPC-CPC Test Questions Pdf | Amazing Pass Rate For AAPC-CPC: American Academy of Professional Coders: Certified Professional Coder | Professional Sample AAPC-CPC Test Online

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q36-Q41):

NEW QUESTION # 36
A female patient experiencing swollen lymph nodes is seen for a follow-up to discuss the results of her open axillary biopsy that occurred last week The results are positive for diffuse large cell lymphom a. The patient is given multiple treatment options, including success rates, risks, and side effects. She opts to begin radiation treatment next week. What CPT and ICD-IO-CM codes should the provider report for this visit?

  • A. 99213-24, C83.84
  • B. 99024, C85.84
  • C. 99214-24, 25, 99024, C83.34
  • D. 99214, (285.94

Answer: C

Explanation:
To determine which services to report for this encounter, it is important to understand which services were rendered on the last. The patient had an open biopsy of the axillary lymph nodes (CPT 38525) last week This procedure has a postoperative 90-day global period. This means that any related services provided to the patient within that time are reported with zero-charge CPT
99024. Services such as biopsy results, follow-up incisional care, and any postoperative complications are all inclusive to this code. As the patient was given biopsy results, CPT 99024 should be reported for this encounter. However, CPT guidelines also state that when it comes to diagnostic procedures, "care of the condition for which the diagnostic procedure was performed...
is not included and may be listed separately." In this case, that care begins with the discussion of treatment options with their identified risks, and the decision to begin radiation. This level of moderate medical decision-making is reported by means of E/M CPT 99214. Modifier 24 is appended to indicate that is it unrelated to postoperative care, and modifier 25 is appended to indicate it is separately identifiable to CPT 99024. ICD-IO-CM crosswalk for lymphoma, diffuse large cell, is C83.34.


NEW QUESTION # 37
ICD-IO-CM codes R50.9, R05.9, R53.81, and 102.9 are all symptoms ofJ10.00.

  • A. False
  • B. True

Answer: B

Explanation:
The statement is true. In general, R codes are descriptive of a patient's signs and symptoms.
ICD-IO-CM crosswalk for an unspecified sore throat is 102.9 (acute pharyngitis) and is also considered a symptom of the influenza and pneumonia. Being that there is a definitive diagnosis of an influenza, these symptoms would not be reported to an insurance copyright with Jl 0.00.


NEW QUESTION # 38
An established 4-year-old patient is seen by her pediatrician with complaints of pain in her left wrist after falling. The pediatrician determines the wrist is sprained and applies a splint that will keep the wrist from being able to move. The patient's mother is told to follow up if symptoms worsen. What code(s) should be reported for this encounter?

  • A. 29125, S8451
  • B. 99212-25, 29125, S8451
  • C. 29126, E1805
  • D. 99212-25, 29126, E1805

Answer: C

Explanation:
The "application of casts and strapping" guidelines located in the surgery section of the CPT book explain that a splint is reported when the physician providing the initial service does not perform, or expects to perform, any other treatment. In this case, because the visit was minimal and directed only at the sprain with no intended follow-up care, only the application of the splint would be reported. The application itself is considered static because the wrist is completely immobilized. HCPC crosswalk for a wrist splint, in addition to knowing the difference bet',veen static and dynamic, would immediately lend itself to the correct HCPC: S8451.


NEW QUESTION # 39
What must the documentation for a consultation include?

  • A. Which family member prompted the consultation, a written report ofthe physical findings/recommendations, and the time spent discussing the recommended treatment plan
  • B. Documentation of assumption of care, who requested the consultation, and the consultingproviders, professional opinion
  • C. Who requested the consultation, the consulting providers, professional opinion, and awritten report that is provided to the referring physician
  • D. The reason for the consultation, the time spent discussing the recommended treatmentplan, and a medical decision-making of moderate complexity

Answer: C

Explanation:
Per CPT guidelines, the Office of Inspector General, and Medicare, a consultation must include who requested the consultation, the consulting provider's professional opinion, and a written report of the findings, which is provided to the referring physician. Time can be used to select the level of E/M; however, it is not required if all three components of the documentation are met (history, exam, and medical decision-making). Additionally, once the provider assumes care, a subsequent code appropriate for that place of service would be reported (e.g., 99211-99215) and not a consultation code.


NEW QUESTION # 40
A low-risk obstetrical patient is told to come in for weekly ultrasounds in her first trimester. This is an example of what?

  • A. Misuse
  • B. Waste
  • C. Abuse
  • D. Fraud

Answer: B

Explanation:
In this case, the patient is not at risk, and most organs either are not developed and/or cannot be visualized in the first trimester. Thus, this would constitute as waste due to the provider overutilizing services that result in unnecessary cost. AAPC defines fraud as purposely billing "for services that were never given or to bill for a service that has a higher reimbursement than the service provided." Abuse is payment for services "that are billed by mistake by providers."


NEW QUESTION # 41
......

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