AAPC CPC FINAL EXAM 2024 REAL EXAM 100
QUESTIONS AND CORRECT
ANSWERSAGARDE
A 65 year-old patient is complaining of difficulty breathing. Patient is scheduled for a diagnostic VATS (Video-assisted thoracoscopic surgery). Under general anesthesia he was placed in left lateral decubitus position and a thoracoscope was inserted through a port site. The VATS exploration immediately revealed a mass of the right upper lobe. A biopsy was performed and sent to pathology. Results from pathology revealed small cell carcinoma. The decision was made to perform VATS and remove the upper lobe of the right lung. What CPT® code(s) is (are) reported? - ANSWER>> 32663 Rationale: The patient started out with a diagnostic VATS but it became a surgical VATS when the upper lobe of the right lung was removed. According to CPT® guidelines a surgical thoracoscopy always includes a diagnostic thoracoscopy. You will not report 32607 or 32609 which are diagnostic VATS codes. The removal of the upper lobe was performed by VATS. Code 32480 is not correct because that is if the patient had an open surgery to remove the upper lobe.A patient with AML (Acute Myelogenous Leukemia) has just learned his sister is an HLA (Human Leukocyte Antigen) match for him. Stem cells taken from the donor (the patient's sister) will be transplanted into the patient to help with his treatment. What CPT® code is used to report the harvesting of the stem cells from the donor (his sister)?
- 38204
- 38205
- 38206
- 38207 - ANSWER>> b. 38205
38205:Rationale: In the CPT® Index look for Stem Cell/Harvesting. This directs you to code range 38205, 38206. Code selection is based on whether it is allogenic (from a donor) or autologous (from the patient). This is allogenic making 38205 the correct code choice.A returning 2 year-old child is seen in the pediatrician's office with stridor and a bark like cough. The pediatrician examines the child quickly and determines the child has stridulous croup. The child is given a nebulizer breathing treatment in the office to improve PO 2 levels. Medication used is breathable Epinephrine. What CPT® and ICD- 10-CM codes are reported? 1 / 3
- 94644, J04.2
- 94644, R06.1, R05
- 94640, J38.5
- 94642, J38.5, R05, R06.1 - ANSWER>> c. 94640, J38.5
- 32650, 32560, J93.11 b. 32601, 32560, J95.811
- 32650, J95.811 d. 32560, J93.81 - ANSWER>> d. 32560, J93.81
- I22.8
- I21.29
- I25.2
- Z51.89, I25.9 - ANSWER>> d. Z51.89, I25.9
A patient with chronic pneumothoraces presents for chemopleurodesis. Under local anesthesia a small incision is made between the ribs. A catheter is inserted into the pleural space between the parietal and pleural viscera. Subsequently, 5g of sterile asbestos free talc was introduced into the pleural space via the catheter. What CPT® and ICD-10-CM codes are reported?
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?
What information is needed in order to accurately code hypertension retinopathy in ICD-
10-CM?
- The affected eye(s).
- Whether the hypertension is malignant or benign.
- Which side of the heart is affected?
- The stage of retinopathy - ANSWER>> a. The affected eye(s).
- 36640
- 36625
- 36620 2 / 3
An arterial catheterization is performed by cutdown for transfusion. What CPT® code is reported?
- 36600 - ANSWER>> b. 36625
INDICATIONS FOR CORONARY INTERVENTION: Acute inferior myocardial infarction.
Documented mildly occlusive plaque with much clot in the right coronary artery.
PROCEDURE: Insertion of temporary pacemaker in the right femoral vein. Primary
stenting of the right coronary artery with a 4.5 x 16 mm Express stent. Angio-Seal to the vessels of the right common femoral artery post procedure, and also Angio-Seal of the right common femoral vein.TECHNIQUE: Judkins percutaneous approach from the right groin with Perclose at the arterial puncture site post procedure.CATHETERS: 4 French Angio-Jet catheter device, insertion of a 5 French temporary pacing wire, a 4.5 x 16 mm Express stent.PRESSURES: Aortic Pressure: 107/78 RESULTS: Coronary stenting procedure of the right coronary artery: The right coronary artery was primarily stented with a 4.5 x 16 mm Express stent. It was expanded to 12 atmospheres. There was no residual - ANSWER>> d. 92928-RC, 92929-LD, 33967,
92973-RC ???
CLINICAL SUMMARY: The patient is a 41 year-old female with known coronary disease and recent recurrent chest pain, cardiac catheterization demonstrated subtotal occlusion of the diagonal artery at its takeoff from the left anterior descending artery.
PROCEDURE: With informed consent obtained, the patient was prepped and draped in the usual sterile fashion. With the right groin area infiltrated with 2% Xylocaine, the patient was given 2 mg of Versed and 50 mcg Fentanyl intravenously for conscious sedation and pain control. The right femoral artery was cannulated with a modified Seldinger technique and a 6 French catheter sheath placed. A 6 French JL3.5 catheter with no side holes was utilized as a guiding catheter. After the initial guiding picture had been obtained, the patient was given Angiomax per protocol, and a short Cross-it 100 wire was advanced to the LAD and then into the diagonal vessel. A 2.0. 15-mm-long - ANSWER>> c. 92920-LD ???What ICD-10-CM code(s) is reported for ulcerative colitis with rectal bleeding?
- K51.90
- K52.9, K62.5
- K51.911
- K51.511 - ANSWER>> C
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