AAPC CPC FINAL EXAM GRADED A
What would be considered an adverse effect?
a. Shortness of breath when running
b. Rash developing when taking penicillin
c. Hemorrhaging after a vaginal delivery
d. Wound infection after surgery - correct answer b. Rash developing when
taking penicillin
What is a TRUE statement in reporting pressure ulcers?
a. When a pressure ulcer is at on stage and progresses to the higher stage, report
the lowest stage for that site.
b. Two codes are assigned when a patient is admitted with a pressure ulcer that
evolves to another stage during the admission.
c. When documentation does not provide the stage of the pressure ulcer, report
the unstageable pressure ulcer code(L89.95).
d. The site of the ulcer and the stage of the ulcer are reported with two separate codes.
- correct answer b. Two codes are assigned when a patient is admitted with a pressure
ulcer that evolves to another stage during the admission.
A child has a splinter under the right middle fingernail. What ICD-10-CM code is
reported?
a. S61.222A
b. S61.227A
c. S61.242A
d. S60.452A - correct answer d. S60.452A
A 16-year-old male is brought to the ED by his mother. He was riding his bicycle in the
park when he fell off the bike. The patient's right arm is painful to touch, discolored, and
swollen. The X-ray shows a closed fracture of the ulna. What ICD-10-CM codes are
reported?
a. S52.201A, V19.9XXA, Y92.830
,b. S52.201A, V18.4XXA, Y92.831
c. S52.201A, V18.0XXA, Y92.830
d. S52.209A, V18.4XXA, Y92.830 - correct answer c. S52.201A, V18.0XXA, Y92.830
A 12-month-old receives the following vaccinations: Hepatitis B, Hib, Varicella, and
Mumps-measles-rubella. What ICD-10-CM code(s) is/are reported for the vaccinations?
a. B19.10, B01.9, B26.9, B05.9, B06.9, Z23
b. Z23, B19.10, B01.9, B26.9, B05.9, B06.9
c. Z23
d. B19.10, B01.9, B26.9, B05.9, B06.9 - correct answer c. Z23
The Table of Drugs in the HCPCS Level II book indicates various medication routes of
administration. What abbreviation represents the route where a drug is introduced into
the subdural space of the spinal cord?
a. IT
b. SC
c. IM
d. INH - correct answer a. IT
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?
a. 01400
b. 01402
c. 29880-LT
d. 29870-LT - correct answer a. 01400
What is the correct CPT® code for a MRI performed on the brain first without contrast
and then with contrast?
,a. 70554
b. 70553
c. 70552
d. 70551 - correct answer b. 70553
How are ambulance modifiers used?
a. They identify the time elements of the ambulance service.
b. They identify the mileage traveled during the encounter.
c. They identify ambulance place of origin and destination.
d. they identify emergency or non-emergency transport types. - correct answer c.
They 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? - correct answer 11765
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?
a. C44.722
b. C44.702
c. D79.89
d. C79.2 - correct answer a. C44.722
In ICD-10-CM, what type of burn is considered corrosion? - correct 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?
, a. 11720
b. 11730
c. 11750
d. 11765 - correct 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?
a. 15877, 15878-50-51
b. 15877, 15879-50-51
c. 15830, 15839-50-51, 15847
d. 15830, 15832-50-51 - correct 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 his forehead. I offered to excise the metal. He wanted me to, and so I went ahead
and removed the capsule with the stain and removed all the black stain. I consider this to
be a complicated procedure. Hemostasis was achieved with light pressure. The wound
was closed in layers using 4-0 Monocryl and 6-0 Prolene.
What CPT® and ICD-10-CM codes are reported?
a. 10121, L92.3, Z18.10, Z85.828
b. 11010, M79.5, Z18.10, Z85.828
c. 10121, M79.5, Z18.10, Z85.828
What would be considered an adverse effect?
a. Shortness of breath when running
b. Rash developing when taking penicillin
c. Hemorrhaging after a vaginal delivery
d. Wound infection after surgery - correct answer b. Rash developing when
taking penicillin
What is a TRUE statement in reporting pressure ulcers?
a. When a pressure ulcer is at on stage and progresses to the higher stage, report
the lowest stage for that site.
b. Two codes are assigned when a patient is admitted with a pressure ulcer that
evolves to another stage during the admission.
c. When documentation does not provide the stage of the pressure ulcer, report
the unstageable pressure ulcer code(L89.95).
d. The site of the ulcer and the stage of the ulcer are reported with two separate codes.
- correct answer b. Two codes are assigned when a patient is admitted with a pressure
ulcer that evolves to another stage during the admission.
A child has a splinter under the right middle fingernail. What ICD-10-CM code is
reported?
a. S61.222A
b. S61.227A
c. S61.242A
d. S60.452A - correct answer d. S60.452A
A 16-year-old male is brought to the ED by his mother. He was riding his bicycle in the
park when he fell off the bike. The patient's right arm is painful to touch, discolored, and
swollen. The X-ray shows a closed fracture of the ulna. What ICD-10-CM codes are
reported?
a. S52.201A, V19.9XXA, Y92.830
,b. S52.201A, V18.4XXA, Y92.831
c. S52.201A, V18.0XXA, Y92.830
d. S52.209A, V18.4XXA, Y92.830 - correct answer c. S52.201A, V18.0XXA, Y92.830
A 12-month-old receives the following vaccinations: Hepatitis B, Hib, Varicella, and
Mumps-measles-rubella. What ICD-10-CM code(s) is/are reported for the vaccinations?
a. B19.10, B01.9, B26.9, B05.9, B06.9, Z23
b. Z23, B19.10, B01.9, B26.9, B05.9, B06.9
c. Z23
d. B19.10, B01.9, B26.9, B05.9, B06.9 - correct answer c. Z23
The Table of Drugs in the HCPCS Level II book indicates various medication routes of
administration. What abbreviation represents the route where a drug is introduced into
the subdural space of the spinal cord?
a. IT
b. SC
c. IM
d. INH - correct answer a. IT
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?
a. 01400
b. 01402
c. 29880-LT
d. 29870-LT - correct answer a. 01400
What is the correct CPT® code for a MRI performed on the brain first without contrast
and then with contrast?
,a. 70554
b. 70553
c. 70552
d. 70551 - correct answer b. 70553
How are ambulance modifiers used?
a. They identify the time elements of the ambulance service.
b. They identify the mileage traveled during the encounter.
c. They identify ambulance place of origin and destination.
d. they identify emergency or non-emergency transport types. - correct answer c.
They 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? - correct answer 11765
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?
a. C44.722
b. C44.702
c. D79.89
d. C79.2 - correct answer a. C44.722
In ICD-10-CM, what type of burn is considered corrosion? - correct 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?
, a. 11720
b. 11730
c. 11750
d. 11765 - correct 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?
a. 15877, 15878-50-51
b. 15877, 15879-50-51
c. 15830, 15839-50-51, 15847
d. 15830, 15832-50-51 - correct 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 his forehead. I offered to excise the metal. He wanted me to, and so I went ahead
and removed the capsule with the stain and removed all the black stain. I consider this to
be a complicated procedure. Hemostasis was achieved with light pressure. The wound
was closed in layers using 4-0 Monocryl and 6-0 Prolene.
What CPT® and ICD-10-CM codes are reported?
a. 10121, L92.3, Z18.10, Z85.828
b. 11010, M79.5, Z18.10, Z85.828
c. 10121, M79.5, Z18.10, Z85.828
