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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q41-Q46):
NEW QUESTION # 41
A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction thrombectomy, followed by atherectomy and a stent to the artery. A CRNA provides MAC for this patient, who is status P5.
What code/modifier combination would you report for the services of the CRNA?
- A. 01925-QZ-QS-P5
- B. 00520-QZ-P5
- C. 00520-QX-QS-P5
- D. 01925-QZ-P5
Answer: C
Explanation:
The patient is undergoing a cardiac catheterization with a CRNA providing monitored anesthesia care (MAC).
Code 00520 is for anesthesia for heart catheterization procedures. Modifier QX indicates CRNA service with medical direction by a physician, QS indicates MAC, and P5 indicates a patient with a severe systemic disease that is a constant threat to life. Thus, the correct code and modifier combination is 00520-QX-QS-P5.
References: CPTProfessional Edition (current year), AMA.
NEW QUESTION # 42
A physician excises a 3.5 cm malignant lesion including margins from the back. Then a destruction of a 2.0 cm benign lesion on the right cheek of the face with cryosurgery.
What CPT@ and ICD-10-CM is reported?
- A. 11604, 11642, C76.8, C76.0
- B. 11404, 11442, C44.509, D23.39
- C. 11604, 17110, C44.509, D23.39
- D. 11604, 11442, C76.8, C76.0
Answer: C
Explanation:
1. CPTCode 11604: This code is used for the excision of a malignant lesion on the back, with a size of 3.5 cm including margins. The 11600 series covers excision of malignant skin lesions, with 11604 being the correct code for a lesion size over 3.0 cm but not exceeding 4.0 cm.
2. CPTCode 17110: This code is appropriate for the destruction of a benign lesion on the face (right cheek) via cryosurgery. 17110 covers the destruction of benign lesions (up to 14 lesions).
3. ICD-10-CM Code C44.509: This code represents unspecified malignant neoplasm of skin of trunk (back).
4. ICD-10-CM Code D23.39: This code is used for a benign neoplasm of skin of other parts of the face (right cheek).
Explanation of other options:
A: 11604, 11442, C76.8, C76.0: Incorrect because 11442 is for excision of a benign lesion, not a malignant lesion.
B: 11404, 11442, C44.509, D23.39: Incorrect because 11404 is used for a benign lesion excision, not malignant.
D: 11604, 11642, C76.8, C76.0: Incorrect as 11642 would indicate a second malignant excision rather than the benign lesion destruction.
Thus, the correct answer is C. 11604, 17110, C44.509, D23.39.
NEW QUESTION # 43
A patient has a bone infection being treated with vancomycin. A therapeutic drug assay is performed to measure the concentration of vancomycin in the patient's blood.
What lab test is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
Explanation:
1. Procedure and CPTCode Selection:
The test performed is a therapeutic drug assay to measure the concentration of vancomycin in the patient's blood.
CPTCode 80184 is specific for a therapeutic drug assay of vancomycin, making it the correct code to report for this test.
2. Rationale for Excluding Other Options:
Code 80197 is used for therapeutic drug assays of another antibiotic, gentamicin, and does not apply to vancomycin.
Code 80202 is for measuring the levels of cyclosporine, another drug, and is not relevant to vancomycin.
Code 80299 is for an unlisted therapeutic drug assay, which is unnecessary since a specific code (80184) exists for vancomycin.
3. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, specific therapeutic drug assay codes, like 80184 for vancomycin, should be used when available.
Therefore, the correct answer is C. 80184.
NEW QUESTION # 44
Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.
What CPT codes are reported for this surgery?
- A. 67311, 67334
- B. 67312, 67335
- C. 67314, 67334
- D. 67316, 67335
Answer: C
Explanation:
* Esotropia of the right eye: Indicates strabismus surgery is required.
* Resection of medial rectus horizontal and lateral rectus muscles: Specific muscles addressed during the surgery.
* Adjustable sutures: Used in securing the muscles, indicating specific techniques.
* Extensive scar tissue from previous surgery: Requires additional work and isolation.
CPT codes 67314 and 67334 are used to report the resection of two muscles with adjustable sutures (67314) and surgery on an extraocular muscle involving extensive scar tissue (67334).
References: AMA's CPT Professional Edition (current year)
NEW QUESTION # 45
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: D
NEW QUESTION # 46
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