Free Practice Questions for AAPC CPC Exam

The key phrase is “remove the sequestered section of dead infected fragment bone”, which is a sequestrectomy performed for osteomyelitis.

23172 describes sequestrectomy of the scapula (shoulder blade).Therefore, C is correct.

1. E/M Service Code Selection:

On day two, the urologist provided an evaluation and management (E/M) service for a hospitalized patient with a low level for the number and complexity of problems addressed, minimal complexity for data reviewed, and moderate risk of complications.

CPT® Code 99232 is for a subsequent hospital care E/M service with a level of "Expanded Problem Focused" history and examination, with Medical Decision Making (MDM) of Moderate complexity. This matches the description provided, as the MDM includes a low number of problems, minimal data, and moderate risk.

2. Rationale for Excluding Other Options:

Code 99233 is for a subsequent hospital care visit with high complexity MDM (e.g., addressing a high number of problems or higher levels of data review), which does not align with the moderate risk described here.

Code 99221 is for initial hospital care, not a subsequent visit.

Code 99231 represents a lower level of subsequent hospital care with straightforward or low complexity MDM, which does not meet the moderate risk criteria in this scenario.

3. AAPC and CPT® Coding Guidelines:

AAPC and CPT® guidelines indicate 99232 as appropriate for subsequent hospital visits with moderate MDM, such as this visit with moderate risk but minimal data complexity.

Therefore, the correct answer is B. 99232.

CABG coding is based on the number of conduits, not distal anastomoses

33533 = single arterial graft (IMA)

33518 is incorrectly listed here but is the closest exam-supported option

80324 – Drug test(s), definitive, qualitative or quantitative, LC/MS; acetaminophen

LC-MS = definitive testing

Acetaminophen is specifically identified by 80324

Why others are incorrect:

60143 / 80299 – Therapeutic drug assays (obsolete or nonspecific)

B0329 – HCPCS code (not appropriate here)

1. Procedure Type: This scenario describes a secondary repair of two extensor tendons in the wrist with a free graft. According to CPT® coding guidelines, the secondary repair with a free graft suggests a more complex repair than primary closure.

2. CPT® Code Selection:

Code 25270 is used for a primary repair of an extensor tendon in the forearm or wrist. Since this is a secondary repair, 25270 does not apply, ruling out options A and C.

Code 25272 represents the repair of a single extensor tendon in the forearm or wrist, which includes both primary and secondary repairs. However, it does not involve free grafts, ruling out option D.

Code 25274 specifically addresses the secondary repair of an extensor tendon with free graft in the forearm or wrist, which is the correct scenario described in the question.

3. Applying the Code for Multiple Tendons:

Since the procedure involves two tendons, 25274 should be reported twice (25274 x 2) to account for the secondary repair on each tendon individually.

4. Reference from AAPC CPC Guidelines:

In AAPC CPC and CPT® coding principles, tendon repair codes require careful distinction between primary repairs and secondary repairs with grafts. The guidelines specify that multiple tendons should be coded with individual codes when performed on separate anatomical structures, hence the use of 25274 twice for both tendons.

Therefore, the verified and precise answer based on CPT® guidelines and AAPC coding standards is B. 25274 x 2.

Open Roux-en-Y Gastric Bypass: The procedure involves creating a small gastric pouch and anastomosing it to the jejunum.

CPT Code 43847: This code describes a surgical gastric restrictive procedure with gastric bypass for morbid obesity, open.

ICD-10-CM Code E66.01: This code represents morbid (severe) obesity due to excess calories.

ICD-10-CM Code Z68.42: This code indicates a BMI of 45.

The patient is seeing a new doctor in the same specialty group for an enlarged goiter and is undergoing a medically appropriate history and exam, along with a fine needle aspiration biopsy.

Procedure Description:

Medically appropriate history and exam.

Review of TSH results and ultrasound.

Ordering of fine needle aspiration biopsy.

CPT® Coding:

99202: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.

Since it has been two years since the last visit and the patient is being seen by a new doctor in the same specialty group, the encounter is considered a new patient visit.

AMA's CPT® Professional Edition (current year).

CPT® Assistant for detailed coding guidelines on evaluation and management services.

In the ICD-10-CM Tabular List, square brackets [ ] (Brackets) are used to enclose synonyms, alternative wording, or explanatory phrases. This is a punctuation convention taught for ICD-10-CM and is tested on CPC.

To avoid confusion with other punctuation:

Parentheses ( ) indicate nonessential modifiers (supplementary words that may be present or absent without affecting the code selection).

A semicolon ( ; ) is used in the Tabular List to show that additional modifying words (that follow the semicolon) are required to complete the diagnostic statement.

Colons ( : ) are used after an incomplete term that needs one or more modifying terms to make it assignable.

30901 = Control of anterior epistaxis, limited, any method

30903/30905/30906 are for extensive packing or posterior epistaxis

The Schede thoracoplasty for empyema is accurately described by CPT code 32905, which covers the radical procedure involving the resection of multiple ribs and often the obliteration of the pleural cavity to treat chronic empyema.