AAPC CPC FINAL EXAM 2024 REAL EXAM 120
QUESTIONS AND CORRECT ANSWERS AGARDE
A patient is in the OR for an arthroscopy of the medial compartment of his left knee. A meniscectomy is performed. What is the correct code used to report for the anesthesia services?
- 01400
- 01402
- 29880-LT
- 29870-LT - ANSWER>> a. 01400
What is the correct CPT® code for a MRI performed on the brain first without contrast and then with contrast?
- 70554
- 70553
- 70552
- 70551 - ANSWER>> b. 70553
How are ambulance modifiers used?
- They identify the time elements of the ambulance service.
- They identify the mileage traveled during the encounter.
- They identify ambulance place of origin and destination.
- they identify emergency or non-emergency transport types. - ANSWER>> c. They
- ANSWER>> 11765
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identify ambulance place of origin and destination.What is the correct CPT® code for the wedge excision of a nail fold of an ingrown toenail?
Rationale: In the CPT® Index, look for Excision/Nail Fold referring you to 11765.A patient is taken to surgery for removal of a squamous cell carcinoma of the right thigh.What is the correct diagnosis code for today's procedure?
- C44.722
- C44.702
- D79.89
- C79.2 - ANSWER>> a. C44.722
In ICD-10-CM, what type of burn is considered corrosion? - ANSWER>> Burns due to chemicals 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?
- 11720
- 11730
- 11750
- 11765 - ANSWER>> c. 11750
The patient is seen for removal of fatty tissue of the posterior iliac crest, abdomen, and the medial and lateral thighs. Suction-assisted lipectomy was undertaken in the left posterior iliac crest area and was continued on the right and the lateral trochanteric and posterior aspect of the medial thighs. The medial right and left thighs were suctioned followed by the abdomen. The total amount infused was 2300 cc and the total amount removed was 2400 cc. The incisions were closed and a compression garment was applied. What CPT® codes are reported?
- 15877, 15878-50-51
- 15877, 15879-50-51
- 15830, 15839-50-51, 15847
- 15830, 15832-50-51 - ANSWER>> b. 15877, 15879-50-51
The patient is seen in follow-up for excision of the basal cell carcinoma of his nose. I examined his nose noting the wound has healed well. His pathology showed the margins were clear. He has a mass on his forehead; he says it is from a fragment of sheet metal from an injury to his forehead. He has an X-ray showing a foreign body, and we have offered to remove it. After obtaining consent we proceeded. The area was infiltrated with local anesthetic. I had drawn for him how I would incise over the foreign body. He observed this in the mirror so he could understand the surgery and agree on the location. I incised a thin ellipse over the mass to give better access to it; the mass was removed.There was a granuloma capsule around this, containing what appeared to be a black- colored piece of stained metal; I felt it could potentially cause a permanent black mark on 2 / 4
his forehead. I offered to excise the metal. He wanted me - ANSWER>> a. 10121, L92.3,
Z18.10, Z85.828
In ICD-10-CM, what classification system is used to report open fracture classifications?
- Gustilo classification for open fractures
- PHF classification of fractures
- Danis-Weber classification
- Muller AO classification of fractures - ANSWER>> a. Gustilo classification for open
fractures A patient presented with a right ankle fracture. After induction of general anesthesia, the right leg was elevated and draped in the usual manner for surgery. A longitudinal incision was made parallel and posterior to the fibula. It was curved anteriorly to its distal end. The skin flap was developed and retracted anteriorly. The distal fibula fracture was then reduced and held with reduction forceps. A lag screw was inserted from anterior to posterior across the fracture. A 5-hole 1/3 tubular plate was then applied to the lateral contours of the fibula with cortical and cancellous bone screws. Final radiographs showed restoration of the fibula. The wound was irrigated and closed with suture and staples on the skin. Sterile dressing was applied followed by a posterior splint. What CPT® code is reported?
- 27823-RT
- 27792-RT
- 27814-RT
- 27787-RT - ANSWER>> b. 27792-RT
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 - ANSWER>> d.
25000-LT
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Rationale:
The report states the extensor retinaculum of the first extensor compartment was incised.Look in CPT index for Incision/Wrist/Tendon Sheath 25000-25001. Code 25000 shows deQuervain's disease in the description. Modifier LT is appended to inciate procedure is performed on the left side.A 45-year-old presents to the operating room with a right index trigger finger and left shoulder bursitis. The left shoulder was injected with 1 cc of Xylocaine, 1 cc of Celestone and 1 cc of Marcaine. An approximately 1-inch incision was made over the A1 pulley in the distal transverse palmar crease. This incision was taken through skin and subcutaneous tissue. The A1 pulley was identified and released in its entirety. The wound was irrigated with antibiotic saline solution. The subcutaneous tissue was injected with Marcaine without epinephrine. The skin was closed with 4-0 Ethilon suture. Clean dressing was applied. What CPT® codes are reported?
- 20553-F6, 20610-51-LT
- 20552-F6, 20605-52-LT
- 26055-F6, 20610-76-LT
- 26055-F6, 20610-51-LT - ANSWER>> d. 26055-F6, 20610-51-LT
A 3-year-old is brought into the ED crying. He cannot bend his left arm after his older brother twisted it. X-ray is performed and the ED physician diagnoses the patient has a dislocated nursemaid elbow. The ED physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopedist for follow- up care. What CPT® and ICD-10-CM codes are reported?
- 24640-54-LT, S53.091A, W50.2XXA
- 24600-54-LT, S53.002A, W49.9XXA
- 24640-54-LT, S53.032A, W50.2XXA
d.24565-54-LT, S53.194S, Y33.XXXA - ANSWER>> c. 24640-54-LT, S53.032A,
W50.2XXA
What CPT® code is reported for an emergency endotracheal intubation to save the patient's life? - ANSWER>> 31500 Rationale: In the CPT® Index, look for Intubation/Endotracheal Tube. This directs you to code 31500, which is for an emergency endotracheal intubation.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
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