AAPC CPC FINAL Objective Assessment Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

AAPC CPC FINAL Objective Assessment Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her injury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion. Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the neck. - Correct Answer: 1. 11043 – Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue), first 20 sq cm or less Justification: 15 sq cm of devitalized skin and muscle was excised from the lateral thigh. 27236 – Open treatment of femoral neck fracture, with internal fixation or prosthetic replacement Justification: Displaced fracture of the left femoral neck treated with open surgical exposure via an 8-inch incision. : Rationale - The wound was an open injury requiring excisional debridement down to muscle → coded separately. - The femoral neck fracture required open reduction with exposure of the femoral head. - Since the fracture was displaced and surgically exposed, this qualifies as open treatment, not closed treatment. 2. A 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. After general anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibula was dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot of free fragments of bone around the subtalar joint and the talus itself. The bone fragments were removed and a large defect consistent with avascular necrosis of the body of the talus was noted. An egg-shaped burr was introduced and the articulating cartilage of the ankle joint was excised and debrided. The subtalar joint was approached and resection of the articulating surface of the subtalar joint was completed. Bone graft from the fibula was prepared on the back table. We made two large blocks to fill the defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller - Correct Answer: 1. 28725 – Arthrodesis, subtalar joint 2. 20902 – Bone graft, any donor area; major or large (e.g., fibula), obtained through a separate incision 3. What is the largest single mass of lymphatic tissue? a. Spleen b. Peyer's Patches c. Tonsils d. Thymus - Correct Answer: a. Spleen 4. 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 immediately. The ED provider performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported? a. 31601, 31603, T17.228A b. 31601, J34.9, T17.298A c. 31603, T17.220A d. 31603, T17.290A - Correct Answer: C. 31603, T17.220A 5. What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an infusion? a. T80.89XA, J81.1, Y63.0 b. J95.89, E87.70, Y63.1 c. J81.0, E87.70, Y63.1 d. T81.9XXA, J81.1, Y63.0 - Correct Answer: C. J81.0, E87.70, Y63.1 6. A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B and the transplant of both lungs into the prepped and waiting patient by physician C. What is the correct coding for the removal (physician A), preparation (physician B) and insertion (physician C) of the lungs? a. 32850, 32855, 32851 b. 32850, 32856, 32851 x 2 c. 32850, 32856, 32853 d. 32850, 32855 x 2, 32850-50 - Correct Answer: C. 32850, 32856, 32853 7. A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is examined by direct visualization. Using an instrument introduced through the endoscope, the surgeon creates an opening in the pericardial sac for drainage purposes. What CPT® code is reported? a. 32659 b. 32662 c. 32658 d. 32661 - Correct Answer: D. 32661 8. 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? a. I21.29 b. I22.8 c. I25.2 d. Z51.89, I25.9 - Correct Answer: c. I25.2 9. Due to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator system. The original dual leads are extracted transvenously. The generator pocket is relocated. What CPT® codes are reported? a. 33244, 33220-51, 33264-51, 33223-59 b. 33243, 33202-51, 33263-51, 33223-59 c. 33241, 32330-51, 33263-51, 33223-59 d. 33244, 33202-51, 33264-51, 33223-59 - Correct Answer: D. 33244, 33202-51, 33264-51, 33223-59 10. A patient presents to the hospital for a cardiovascular SPECT study. A single study is performed under stress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s) for this procedure. a. 78451, 78472 b. 78451 c. 78453 d. 78453, 78472 - Correct Answer: b. 78451 11. In the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral artery stent in the right vertebral artery. Which CPT® code is reported by the physician providing only the radiologic supervision and interpretation? a. 0075T b. 0075T-26 c. 35301 d. 35005 - Correct Answer: b. 0075T-26 12. A patient is brought to the operating suite when she experiences a large output of blood in her chest tubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resaturated. a. 35761-78 b. 35241 c. 35761 d. 35820-78 - Correct Answer: d. 35820-78