AAPC CPC Practice Exam D Questions 2022
(Verified Answers by Expert)
1. Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a
liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion
during the same encounter
C. Failing to append modifier 26 on an X-ray that is performed and
interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in
the lab panel>>>>Reporting a biopsy and excision performed on the
same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would
result in a fraudulent claim. According to National Correct Coding
Initiative (NCCI) and CPT® coding guidelines, a biopsy performed on
the same lesion as an excision during the same encounter is an
incidental service and is not reported separately. If ultrasound
guidance is performed for a liver biopsy, it is billable. X-rays performed
in a physician's office do not require modifier 26, because the
1/
, physician owns the equipment and performs the interpretation, he bills
the global service. Lab panels can be reported with additional lab tests
that are not listed in a lab panel.
2. Which place of service code is reported for fracture care performed by
an orthopedic physician in the ED?
A. 11
B. 20
C. 22
D. 23>>>>23
Place of service codes are reported on the claim form to identify the
site of the service provided. In this case, the services are rendered in
the ED which is reported with place of service (POS) 23. The place of
service codes can be found in the CPT® codebook.
3. What is the full CPT® code description for 61535?
A. Craniotomy with elevation of bone flap; for subdural implantation of
an electrode array, for long-term seizure monitoring; for removal of
epidural or subdural electrode array, without excision of cerebral tissue
(separate procedure)
2/
(Verified Answers by Expert)
1. Which one of the following is an example of fraud?
A. Reporting the code for ultrasound guidance when used to perform a
liver biopsy
B. Reporting a biopsy and excision performed on the same skin lesion
during the same encounter
C. Failing to append modifier 26 on an X-ray that is performed and
interpreted in the physician's office
D. Reporting a lab panel with an additional lab test that is not included in
the lab panel>>>>Reporting a biopsy and excision performed on the
same skin lesion during the same encounter
Answer B is the only example of unbundling of CPT® which would
result in a fraudulent claim. According to National Correct Coding
Initiative (NCCI) and CPT® coding guidelines, a biopsy performed on
the same lesion as an excision during the same encounter is an
incidental service and is not reported separately. If ultrasound
guidance is performed for a liver biopsy, it is billable. X-rays performed
in a physician's office do not require modifier 26, because the
1/
, physician owns the equipment and performs the interpretation, he bills
the global service. Lab panels can be reported with additional lab tests
that are not listed in a lab panel.
2. Which place of service code is reported for fracture care performed by
an orthopedic physician in the ED?
A. 11
B. 20
C. 22
D. 23>>>>23
Place of service codes are reported on the claim form to identify the
site of the service provided. In this case, the services are rendered in
the ED which is reported with place of service (POS) 23. The place of
service codes can be found in the CPT® codebook.
3. What is the full CPT® code description for 61535?
A. Craniotomy with elevation of bone flap; for subdural implantation of
an electrode array, for long-term seizure monitoring; for removal of
epidural or subdural electrode array, without excision of cerebral tissue
(separate procedure)
2/
