AAPC - Final Exam

AAPC - Final Exam All Answers Complete 2023 Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs Ans- c. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice Ans- d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO Ans- b. Medicaid Which type of information is NOT maintained in a medical record? a. Treatment outcomes b. Financial records c. Medical or surgical interventions d. Observations Ans- b. Financial records According to the OIG, internal monitoring and auditing should be performed by what means? a. Focused audits on problems brought to the attention of the compliance officer. b. Baseline audits. c. Periodic audits. d. Audits on all denied claims. Ans- c. Periodic audits. Urine is transported from the kidneys to the urinary bladder by which structure? a. Ureter b. Urethra c. Kidney pelvis d. Urinary vein Ans- a. Ureter Which of the following does NOT circulate fluids throughout the body? a. Venous system b. Endocrine system c. Arterial system d. Lymphatic system Ans- b. Endocrine system What is a function of the alveoli in the lungs? a. Oxygen exchange b. Nicotine is destroyed c. Fluid in the lungs absorbed d. Providing an airway to breathe Ans- a. Oxygen exchange Cytopathology is the study of: a. Tissue b. Cells c. Blood d. Organs Ans- b. Cells The meaning of heteropsia (or anisometropia) is: a. Blindness in half the visual field b. Double vision c. Unequal vision in the two eyes d. Blindness in both eyes Ans- c. Unequal vision in the two eyes What is the meaning of provider in the ICD-10-CM guidelines? a. Insurance company b. The hospital c. The physician d. The patient Ans- c. The physician What is the ICD-10-CM code for hay fever? a. J30.1 b. J30.89 c. J30.81 d. J45.909 Ans- a. J30.1 What is the ICD-10-CM code for eyestrain? a. H53.10, H53.10 b. H57.8 c. H57.8, H57.8 d. H53.10 Ans- d. H53.10 What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? a. G03.9, G80.1 b. G80.1, G43.909, G03.9 c. G09, G80.1 d. G80.1, G09 Ans- d. G80.1, G09 The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy. What diagnosis code is reported? a. R29.898 b. M62.81 c. R53.1 d. G58.9 Ans- b. M62.81 A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a history of hypertension. What is the correct ICD-10-CM code to report? a. I15.0 b. I13.0 c. R03.0 d. I10 Ans- c. R03.0 A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported? a. D17.1, D17.23 b. D17.21, D17.1 c. D17.30 d. D17.39 Ans- b. D17.21, D17.1 What is the time frame defining when pain becomes chronic? a. After the global period b. One year c. The 30th day d. No time frame Ans- d. No time frame A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported? a. E85.3, N08 b. E85.4, N08 c. N08, E85.3 d. N08, E85.4 Ans- b. E85.4, N08 A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM codes are reported? a. E11.622, Z79.4 b. E11.9, L98.429, Z79.4 c. E11.622, L98.429, Z79.4 d. E11.622, L98.429 Ans- c. E11.622, L98.429, Z79.4 In which circumstances would an external cause code be reported? a. Delivery of a newborn. b. Causes of injury or health condition. c. Chemotherapy treatment of neoplasms. d. Only for the cause of motor vehicle accidents. Ans- b. Causes of injury or health condition. Patient presents with no menses and positive pregnancy test but an ultrasound reveals no uterine contents. An embryo has implanted on the left ovary and this is treated with laparoscopic oophorectomy. What ICD-10-CM code is reported for this procedure? a. O00.102 b. O00.202 c. O00.802 d. O00.09 Ans- b. O00.202 A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the fracture is healing normally. What ICD-10-CM code is reported? a. S12.9XXS b. S12.190D c. S12.9XXD d. S12.190A Ans- b. S12.190D A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM codes are reported? a. L97.319 b. L97.319, E11.9 c. L97.319, E11.622 d. E11.622, L97.319 Ans- d. E11.622, L97.319 A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported? a. L27.0, R11.2, T42.71XA b. R21, R11.2, T42.71XA c. R21, R11.0, T42.75XA d. L27.0, R11.0, T42.75XA Ans- d. L27.0, R11.0, T42.75XA What surgical status indicator represents the Global Surgical Package for endoscopic procedures (without an incision) where there is no postoperative period after the day of the surgery?? a. XXX b. 000 c. 010 d. 090 AnsWhat code represents a secondary rhinoplasty where a small amount of work is performed on the tip of the nose? a. 30430 b. 30420 c. 30435 d. 30400 Ans- What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure? a. 59 b. 66 c. 62 d. 80 AnsWhat is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis? a. 52005, 52007 b. 52007 c. 52000, 52007 d. 52005 AnsWhat codes are voluntarily reported to payers, provide evidence-based performance-measure data? a. CPT® Category I codes b. CPT® Category II codes c. CPT® Category III codes d. HCPCS Level II codes AnsWhich statement is true regarding coding of carbuncles and furuncles in ICD-10-CM? a. There are separate codes for carbuncles and furuncles. b. The differentiation between a carbuncle and a furuncle is specified by a 7th character extender. c. Code L02.43 is a complete code. d. Carbuncles and furuncles are reported with the same code. Ans- Patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the area is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented the size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm on each side of the lesion. Single layer closure was performed. The patient tolerated the procedure well. What CPT® code(s) is/are reported? a. 11643, 12013 b. 11642, 12013 c. 11643 d. 11442 AnsJoe 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. 11765 c. 11730 d. 11750 AnsPatient presents with a suspicious lesion on her left arm. With the patient's permission the physician marked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring 1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to be a sebaceous cyst. What codes are reported? a. 13121, 11401-51, D22.62 b. 11402, L72.3 c. 11401, D22.62 d. 12031, 11401-51, L72.3 AnsOperative Report Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg Open wound, right leg Personal history of squamous cell carcinoma, right leg INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on reskin grafting the area. The patient is aware of all of these markings, and understands the surgery and location. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The anterior of his leg and the thigh were infiltrated with local anesthetic. Both lower extremities were prepped and draped circumferentially, which included the left thigh on the left side. I excised the lesion on his left leg as drawn into the subcutaneous fat. Hemostasis achieved with the Bovie cautery. I then excised the wound on his right leg to lower the bacterial counts. I took a 1-2 mm margin around the wound and excised the granulation tissue as well. Hemostasis was achieved using the Bovie cautery. I then changed gloves. A split-thickness skin graft was harvested from the left thigh using the Zimmer dermatome. This was meshed 1:5:1. By this time, the pathology returned showing the margins were clear. Skin grafts were inset on each leg wound using the skin stapler. Xeroform and gauze bolster was placed over the skin graft using 4-0 nylon. The skin graft donor site was dressed with OpSite. The legs were further dressed with heavy cast padding and the double Ace wrap. The patient tolerated the procedure well. PROCEDURES: Excision squamous cell carcinoma, left leg with excised diameter of 2.5 cm, repaired with a split-thickness skin graft measuring 5.1 cm². Excisional preparation of right leg wound repaired with a split-thickness skin graft measuring 3.2 cm². What CPT® codes are reported? a. 15100, 11603-51-LT, 15002-51-RT b. 15100, 11403-51-LT, 15100-51-RT c. 15100, 11603-51-LT d. 15100, 15100-51-LT, 11603-51-LT, 15002-51-RT Ans