AAPC CPC EXAM 2024 QUESTIONS AND
DETAILED ANSWERS~ ALREADY
PASSED
44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameter deformity parameters and initial strut settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT code should reported? --------- Answer ------
--- 20697
A young female patient was taken to the operative suite, and was placed under appropriate anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right shoulder.The right arm was sterilely draped and prepped. Arthroscopic portals were created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion was noted to be normal.The middle and inferior glenohumeral ligaments were visualized in noted to be normal. The undersurface of the rotator cuff was clearly visualized and also noted to be normal. There was a large anterior spur formation. The blur was introduced through a lateral portal and the anterior lip of the acromion was resected. The undersurface of the clavicle was noted to be quite prominent and part of the impinging process. There was intense bursitis and a bursectomy was performed, allowing for acromial decompression and release. Spurs were removed from the distal clavicle. All instruments were removed skin incisions were closed and a dress was applied. The patient was placed in a sling and returned to the recovery room. What CPT code is reported? --------- Answer -------
-- 23415-RT 1 / 4
What modifier must always be applied to medicare claims for test performed in a site with CLIA Waived certificate? --------- Answer -
-------- QW
Difference between entropion and ectropion ---------- Answer -------
- Entropion is the inward turning of the eyelid and ectropion is the
outward turning of the eyelid
Ateriovenous anastomosis is used to increase blood flow in hemodialysis. Which one of the following describes a direct arteriovenous anastomosis ---------- Answer -------- section of artery and a neighboring vein are joined
Ventral, umbilical, spigelian, and incisional are types of ---------- Answer -------- hernias
Fracturing the acetabulum involves what area?
- Skull
- Shoulder
- Pelvis
- Leg ---------- Answer -------- Pelvis
When a patient is having a tenotomy performed on the abductor hallucis muscle, where is this muscle located? ---------- Answer ----
---- FOOT
Which statement is TRUE about reporting codes for diabetes mellitus ---------- Answer -------- If the type of diabetes mellitus is not documented in the medical record the default type is E11,- type 2 diabetes mellitus
Which statment is TRUE about reporting codes for diabetes mellitus ---------- Answer -------- External cause codes should never be sequences as a first-listed or primary code 2 / 4
What is PHI ---------- Answer -------- Protected Health Information
A medicare patient is receiving chemotherapy at her oncologist's office. While the patient is receiving chemotherapy, the oncologist calls in a prescription for pain medication to a pharmacy in the same building. The pharmacy delivers the medication to the patient in the oncologist's office for the patient to take home. What part of Medicare should be billed for the pain medication by the pharamacy? ---------- Answer -------- Medicare Part D is for prescription drug coverage. The patient's prescription for the pain medication would be billed to Medicare Part D
What is medical coding? ---------- Answer -------- Translating medical documentation into codes.
Which one is not a covered entity of HIPPA
MEDICARE
Workers' compensation Dentists Pharmacies ---------- Answer -------- Workers' compensation
Which one falls under a commercial payer?
A Medicare
- Medicaid
- Blue Cross Blue Shield
- All the above are commercial payers ---------- Answer --------
Blue Cross Blue Shield
There are two primary types of insurers: commercial and
government. Commercial payers are private payers that offer both group and individual plans. For example, Blue Cross Blue Shield 3 / 4
organizations are private payers who usually operate in the state in which they are based.
When should an ABN be signed? ---------- Answer -------- When a service is not expected to be covered by Medicare.
The amount on an ABN should be within how much of the cost to the patient? ---------- Answer -------- $100 or 25% of cost
An entity that processes nonstandard health information they receive from another entity into a standard format is considered what? ---------- Answer -------- Clearing house A Health care clearing house is an entity that processes nonstandard health information they receive from another entity into a standard (such as standard electronic format, or data content) or vice versa
Intentional billing of services not provided is considered? ---------- Answer -------- Fraud
What OIG document should a provider review for potentional problem areas that will receive special scrutiny in the upcoming year? ---------- Answer -------- OIG Work Plan Each year in October, the OIG releases a work plan outlining its priorities for the fiscal year ahead
. A patient sustaining an injury to her great saphenous vein would have sustained an injury to which of the following anatomical sites? ---------- Answer -------- Leg The great saphenous vein carries blood from the great toe up the leg to the thigh, where it drains into the femoral vein
Which of the following is a function of the pancreas Supplies digestive enzymes manufactures melatonin
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