AAPC-CPC Online Practice Questions and Answers

Dr. Burns sees newborn baby James at the birthing center on the same day after the cesarean delivery. Dr. Burns examined baby James, the maternal and newborn history, ordered appropriate blood test tests and hearing screening. He met with the family at the end of the exam.

How would Dr. Bums report his services?

A. 99463

B. 99460

C. 99461

D. 99462

View MR 005398 MR 005398 Operative Report Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Procedure: Right nephrectomy with partial ureterectomy. Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th

ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fascia. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The

right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0

silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding

noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain

was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well.

What CPT?coding is reported for this case?

A. 50234

B. 50220

C. 50230

D. 50240

A 6-French sheath and catheter is placed into the coronary artery and is advanced to the left side of the heart into the ventricle. Ventriculography is performed using power injection of contrast agent. Pressures in the left heart are obtained. The coronary arteries are also selected and imaged.

What CPT?code is reported?

A. 93460

B. 93454

C. 93456

D. 93458

A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.

What CPT?code should be reported for the surgical procedure?

A. 20610-LT

B. 20611-LT, 76942

C. 20611-LT

D. 20610-LT, 76942

View MR 099407

MR 099407

Emergency Department Visit

Chief Complaint: VOMITING.

This started just prior to arrival and is still present. He has had nausea and vomiting. No diarrhea, black stools, bloody stools or abdominal pain. Pt is diabetic and has been having elevated blood sugars (320 mg/dL).

REVIEW OF SYSTEMS: Unobtainable due to patient's altered mental status.

PAST HISTORY: Poorly controlled diabetes mellitus, with history of poor compliance.

Medications: See Nurses Notes.

Allergies: PCN.

SOCIAL HISTORY: Nonsmoker. No alcohol use or drug use.

ADDITIONAL NOTES: The nursing notes have been reviewed.

PHYSICAL EXAM

Appearance: Lethargic. Patient in mild distress.

Vital Signs: Have been reviewed-tachycardic.

Eyes: Pupils equal, round and reactive to light.

ENT: Dry mucous membranes present.

Neck: Normal inspection. Neck supple.

CVS: Tachycardia. Heart sounds normal. Pulses normal.

E D. Course: Insulin IV drip per protocol, at 10 units/hr.

Zofran 8 mg 01:33 Jul 13 2008 IVP.

Phenergan 25 mg IVP. 07:52.Discussed case with physician. Dr. X. Reviewed test results. Agreed upon treatment plan. Physician will see patient in hospital.

Total critical care time: 45 min.

Disposition: Admitted to Intensive Care Unit. Condition: stable.

Admit decision based on need for monitoring and IV hydration and medications.

CLINICAL IMPRESSION: Vomiting, diabetic ketoacidosis, probable diabetes insipidus.

What E/M code is reported for this encounter?

A. 99291

B. 99291, 99292

C. 99222

D. 99285

A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.

What CPT?coding is reported?

A. 92537-52

B. 92537-50-52

C. 92538-50

D. 92537-50

A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped, the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon sheath is closed with sutures.

What procedure code is reported for this surgery?

A. 27562-LT

B. 27552-LT

C. 27556-LT

D. 27566-LT

A 35-year-old is coming in for trigger point injections for right-sided thoracic spine pain. Four points are injected with Depo-Medrol 40 mg/mL on the rhomboid major and rhomboid minor muscles under ultrasonic guidance.

Which CPT?coding is reported for the injections?

A. 20552, 76942

B. 20552 x 4, 76942

C. 20606

D. 20553

A patient has a malfunctioning ventricular electrode. The operative report reflects that the cardiologist made an incision into the subclavicular pocket, which housed a single chamber pacemaker. He detached the malfunctioning ventricular electrode, removed it from the patient, and made the decision to have a thoracic surgeon implant an epicardial lead later in the day (no new hardware was implanted). He then closed the skin pocket with multiple layers of suture.

Which CPT?code is reported for the cardiologist's service?

A. 33234

B. 33249

C. 33235

D. 33236

A 19-year-old college student is seen by his primary care physician for an annual exam. His last exam with the primary care physician was two years ago. He has no complaints. What CPT code is reported?

A. 99395

B. 99385

C. 99384

D. 99394