AAPC CPC Chapter 9 Exam
with verified answers
1. What is the term for removal of part of the lymph system?
A) Lymphoma
B) Lymphadenectomy
C) Lymphadenitis
D) Lymphedema
ANS: B
2. Which of the following is not one of the four organs of the lymph system?
A) Spleen
B) Thymus gland
C) Tonsils
D) Bone Marrow
ANS: D
3. What is the ICD-10-CM code for acquired lymphedema?
A) I88.1
B) I89.0
C) Q82.0
D) I88.8
ANS: B
4. A 4-month-old infant presents to the physician with cold-like symptoms, coughing, and
wheezing. The infant is diagnosed with bronchiolitis due to RSV. How is this condition coded?
A) J21.0
B) J21.8
C) J21.0, B97.4
D) R05, B97.4
ANS: A
5. A patient presents to the physician with persistent stuffiness and facial pain. The physician
documents a diagnosis of nasal polyps. What ICD-10-CM code is reported?
A) J33.0
B) J33.8
C) J33.1
D) J33.9
ANS: D
6. A patient with adenocarcinoma of the larynx has developed cervical adenopathy is undergoing
an excisional biopsy of the right cervical node. An incision is made above the clavicle and
dissection taken down into the muscle. Blunt dissection was used to work the way down to the
node, which was firm and white. The entire node was taken and the wound was closed. What
CPT® code is reported?
,A) 38500
B) 38510
C) 38520
D) 38542
ANS: B
7. Which CPT® code(s) describes VATS therapeutic wedge resection of the left upper lobe
followed by left upper lobectomy?
A) 32480
B) 32505, 32480
C) 32663, 32666
D) 32663
ANS: D
8. Which CPT® code describes a pneumonectomy?
A) 32442
B) 32440
C) 32440-50
D) 32445
ANS: B
9. Patient is a mouth-breather. He is diagnosed with inflamed inferior turbinates and a superficial
ablation is performed. What CPT® code is reported?
A) 30802
B) 30140
C) 30801
D) 30802-52
ANS: C
10. A thoracotomy procedure was performed for repair of hemorrhage and lung tear. What CPT®
code is reported?
A) 32100
B) 32110
C) 32120
D) 32420
ANS: B
11. What is the major muscle used during respiration?
A) Intercostal muscles of the ribs
B) Diaphragm
C) Abdominal muscles
D) Chest wall or pectoral muscles
ANS: B
12. What portion of the thoracic cavity lies between the lungs and contains the heart?
, A) Mediastinum
B) Diaphragm
C) Lymphatic channels
D) Bone marrow
ANS: A
13. What is the ICD-10-CM code selection for a patient with COPD presenting with an acute
bronchitis?
A) J44.0
B) J21.8
C) J44.9
D) J44.0, J20.9
ANS: D
14. A patient has a mass in her left axilla that is a suspected recurrence of lymphoma. She
has a left axillary node excisional biopsy. The lymph node biopsied is under the pectoralis
minor. What CPT® code is reported?
A) 38500
B) 38562
C) 38745
D) 38525
ANS: D
15. Can bronchoscopy codes be coded together by a physician, and if yes, how? Are multiple
procedures reported with modifier 51?
A) No
B) Yes: Report multiple procedures with modifier 51 (if required by the payer)
C) Yes: Report distinct procedures with modifier 59
D) Yes: Report multiple bronchoscopy codes together because no modifier is required
ANS: B
16. CASE 1
Preoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.
Postoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.(Report this
diagnosis if no further findings are found in the notes.) Procedure Performed: Video-assisted
thoracoscopy, (Indication the procedure is being performed by Video Assisted Thoracic Surgery
(VATS).) lysis of adhesions, talc pleurodesis
Procedure: Patient was brought to the operating room and placed in supine position. IV sedation
and general anesthesia were administered, per the anesthesia department. A double-lumen
endotracheal tube was placed, per anesthesia. The position was confirmed by bronchoscopy.
The patient was placed in the decubitus position with the right side up. The chest was prepped
in the standard fashion with ChloraPrep, sterile towels, sheets, and drapes. A small incision is
made between two ribs and a standard port placement was utilized to gain access to the tho-
racic cavity. The endoscope is inserted into the chest cavity. We had excellent isolation of the
lung; however, we had poor exposure because there were a number of fibrous adhesions, a few
were actually very dense. We immediately evacuated approximately 700 ml of fluid;(Indicating of
with verified answers
1. What is the term for removal of part of the lymph system?
A) Lymphoma
B) Lymphadenectomy
C) Lymphadenitis
D) Lymphedema
ANS: B
2. Which of the following is not one of the four organs of the lymph system?
A) Spleen
B) Thymus gland
C) Tonsils
D) Bone Marrow
ANS: D
3. What is the ICD-10-CM code for acquired lymphedema?
A) I88.1
B) I89.0
C) Q82.0
D) I88.8
ANS: B
4. A 4-month-old infant presents to the physician with cold-like symptoms, coughing, and
wheezing. The infant is diagnosed with bronchiolitis due to RSV. How is this condition coded?
A) J21.0
B) J21.8
C) J21.0, B97.4
D) R05, B97.4
ANS: A
5. A patient presents to the physician with persistent stuffiness and facial pain. The physician
documents a diagnosis of nasal polyps. What ICD-10-CM code is reported?
A) J33.0
B) J33.8
C) J33.1
D) J33.9
ANS: D
6. A patient with adenocarcinoma of the larynx has developed cervical adenopathy is undergoing
an excisional biopsy of the right cervical node. An incision is made above the clavicle and
dissection taken down into the muscle. Blunt dissection was used to work the way down to the
node, which was firm and white. The entire node was taken and the wound was closed. What
CPT® code is reported?
,A) 38500
B) 38510
C) 38520
D) 38542
ANS: B
7. Which CPT® code(s) describes VATS therapeutic wedge resection of the left upper lobe
followed by left upper lobectomy?
A) 32480
B) 32505, 32480
C) 32663, 32666
D) 32663
ANS: D
8. Which CPT® code describes a pneumonectomy?
A) 32442
B) 32440
C) 32440-50
D) 32445
ANS: B
9. Patient is a mouth-breather. He is diagnosed with inflamed inferior turbinates and a superficial
ablation is performed. What CPT® code is reported?
A) 30802
B) 30140
C) 30801
D) 30802-52
ANS: C
10. A thoracotomy procedure was performed for repair of hemorrhage and lung tear. What CPT®
code is reported?
A) 32100
B) 32110
C) 32120
D) 32420
ANS: B
11. What is the major muscle used during respiration?
A) Intercostal muscles of the ribs
B) Diaphragm
C) Abdominal muscles
D) Chest wall or pectoral muscles
ANS: B
12. What portion of the thoracic cavity lies between the lungs and contains the heart?
, A) Mediastinum
B) Diaphragm
C) Lymphatic channels
D) Bone marrow
ANS: A
13. What is the ICD-10-CM code selection for a patient with COPD presenting with an acute
bronchitis?
A) J44.0
B) J21.8
C) J44.9
D) J44.0, J20.9
ANS: D
14. A patient has a mass in her left axilla that is a suspected recurrence of lymphoma. She
has a left axillary node excisional biopsy. The lymph node biopsied is under the pectoralis
minor. What CPT® code is reported?
A) 38500
B) 38562
C) 38745
D) 38525
ANS: D
15. Can bronchoscopy codes be coded together by a physician, and if yes, how? Are multiple
procedures reported with modifier 51?
A) No
B) Yes: Report multiple procedures with modifier 51 (if required by the payer)
C) Yes: Report distinct procedures with modifier 59
D) Yes: Report multiple bronchoscopy codes together because no modifier is required
ANS: B
16. CASE 1
Preoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.
Postoperative Diagnosis: Recurrent pleural effusion, stage IV right lung cancer.(Report this
diagnosis if no further findings are found in the notes.) Procedure Performed: Video-assisted
thoracoscopy, (Indication the procedure is being performed by Video Assisted Thoracic Surgery
(VATS).) lysis of adhesions, talc pleurodesis
Procedure: Patient was brought to the operating room and placed in supine position. IV sedation
and general anesthesia were administered, per the anesthesia department. A double-lumen
endotracheal tube was placed, per anesthesia. The position was confirmed by bronchoscopy.
The patient was placed in the decubitus position with the right side up. The chest was prepped
in the standard fashion with ChloraPrep, sterile towels, sheets, and drapes. A small incision is
made between two ribs and a standard port placement was utilized to gain access to the tho-
racic cavity. The endoscope is inserted into the chest cavity. We had excellent isolation of the
lung; however, we had poor exposure because there were a number of fibrous adhesions, a few
were actually very dense. We immediately evacuated approximately 700 ml of fluid;(Indicating of
