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AAPC CPC Exam Syllabus Topics:
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High Pass-Rate CPC Technical Training & Effective Exam CPC Flashcards & Practical CPC Latest Dumps Book
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q74-Q79):
NEW QUESTION # 74
Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: B
Explanation:
The place of service code 22 is used for services performed in an outpatient hospital setting, including outpatient surgical floors. This code indicates that the procedure was done in a hospital but not requiring an inpatient admission.
AMA's CPT Professional Edition (current year), Place of Service Codes.
NEW QUESTION # 75
Eric is buying his first life insurance policy from XYZ Life Insurance Company. The company requires Eric have a physical exam prior to issuance of the policy. Eric sees his primary care provider who completes the required documentation and forms provided by the insurance company.
How does the primary care provider report his services?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: A
NEW QUESTION # 76
A retinal specialist diagnoses type 2 diabetic mild nonproliferative retinopathy with macular edema, bilateral. Diabetes is secondary to Cushing's syndrome and controlled with oral hypoglycemics. What ICD-10-CM codes are reported?
- A. E24.9, E08.3213, Z79.84
- B. E11.3213, E24.9, Z79.4
- C. E24.9, E11.3213, Z79.84
- D. E08.3213, E24.9, Z79.84
Answer: A
Explanation:
E08.3213 = Diabetes due to underlying condition with mild NPDR with macular edema, bilateral E24.9 = Cushing's syndrome (underlying condition) Z79.84 = Long-term use of oral hypoglycemic drugs Sequencing follows ICD-10-CM guidelines for secondary diabetes.
NEW QUESTION # 77
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?
- A. If the patient has hyperglycemia that Is not responding to medication
- B. If the patient is being treated for secondary diabetes
- C. If the patient is being treated for type 2 diabetes
- D. If the patient has an underdose of insulin due to an insulin pump malfunction
Answer: D
NEW QUESTION # 78
Refer to the supplemental information when answering this question:
View MR 138093
What E/M coding is reported?
- A. 99291-25, 92950, 31500, 82803
- B. 99285-25, 99291-25, 92950, 31500, 82803
- C. 0
- D. 99291-25, 99292-25, 92950, 31500
Answer: A
Explanation:
This patient presents to the ER with syncope, requiring a comprehensive evaluation and critical care. Here's the breakdown of the codes:
CPT Code 99291-25: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes This code is appropriate because the patient's syncope and vital signs (low blood pressure, shallow respirations, low oxygen saturation) indicate a critical condition requiring immediate intervention.
Modifier -25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service. This modifier is appended because the critical care services were provided in addition to the separately reported procedures below.
CPT Code 92950: Cardiopulmonary resuscitation (eg, CPR, external cardiac massage, endotracheal intubation, ventilation) While the documentation doesn't explicitly mention CPR, it states the patient was unresponsive upon arrival but had spontaneous pulse and respirations. This suggests possible resuscitation efforts were performed by the paramedics before the physician's assessment.
CPT Code 31500: Intubation, endotracheal, emergency procedure
Although not explicitly stated, the documentation indicates the patient was placed on "high flow oxygen," which strongly suggests endotracheal intubation was performed to manage the patient's respiratory distress.
CPT Code 82803: Blood gases, arterial, pH, PCO2, PO2, with oxygen saturation; interpretation and report This code is likely reported based on the patient's respiratory distress and the need to monitor their oxygenation status.
Why other options are incorrect:
99285: This is a standard emergency department visit code and doesn't capture the critical nature of the patient's condition.
99285-25, 99291-25, 92950, 31500, 82803: This includes 99285, which is not necessary as 99291 encompasses the evaluation and management.
99291-25, 99292-25, 92950, 31500: This includes 99292, which is for subsequent critical care time. There's no indication in the documentation that the physician provided critical care beyond the initial 74 minutes.
References:
CPT Codes 99281-99285: Emergency department visits
CPT Codes 99291-99292: Critical care services
CPT Code 92950: Cardiopulmonary resuscitation
CPT Code 31500: Endotracheal intubation
CPT Code 82803: Arterial blood gases
AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 79
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