AAPC CPC Exam 2024-2025
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sjeliminatesjchoicesjAjandjD.jBasedjonjICD-10-
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sis,jandjthejdiagnosisjorjproblemjforjwhichjthejservicejisjbeingjperformedjasjajsecondaryjdi
agnosis.jForjmetastasizedjorjsecondaryjneoplasmjinjleftjupperjlobejlung,jreferjtojthejTablej
ofjNeoplasmjforjNeoplasm/lung/upperjlobe/MalignantjSecondaryjreferringjyoujtojcodejC78
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rosisjProcedure:jCystoscopyjandjrightjretrogradejpyelogramjProcedurejDescription:jThej
patientjwasjpreppedjandjdrapedjinjthejdorsolithotomyjposition.jUnderjgeneraljanesthesia,j
aj23jFrenchjcystoscopejwasjpassedjintojthejbladder.jNojtumorsjwerejvisualized.jUrinejfro
mjthejbladderjwasjsentjforjurinejcytology.jThenjaj6jFrenchjaccessjcatheterjwasjpassedjinto
jthejrightjureteraljorifice.jContrastjwasjinjectedjandjtherejwerejnojfillingjdefectsjnoted.jThe
rejwasjnojfixedjtumor,jnojstone.jTherejwasjmildjhydroureteraljnephrosisjagainstjthejbladde
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nojabnormalities.jRenaljpelvisjbarbotagedjwithjsalinejandjrenaljpelvisjurinejsentjtojpatholo
gyjforjurinejcytology.jAfterjthejretrogradejpyelogramjwasjperformedjthejaccessjcatheterjw
asjremoved.jInterpretationjandjreportjarejinjthejmedicaljrecord.jWhatjCPTjcodesjarejrepoj-
jANSWERjd.j52005-RT,j74420-26
PatentjhadjajretrogradejpyelogramjeliminatingjmultiplejchoicesjBjandjC.jAjcystoscopejisjp
assedjthroughjthejurethrajintojthejbladder.jThenjajFrenchjcatheterjwasjpassedjintojthejrigh
tjureterj(ureteraljcatheterization)jtojintroducejthejcontrastjforjradiologicjstudyjofjthejrenalj
pelvisjandjureter,jeliminatesjcodej52000.jNotejinjthejcodejdescriptionjforjcodej52005jthatjit
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uryjorjmalfunction.
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thatjinvolvesjabnormaljbonejdestructionjandjregrowthjwhichjresultsjinjdeformity.jItjwasjde
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WhatjmonthjdoesjthejnewjICD-10-CMjcodejbookjtakejeffectjeachjyear?j-
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jANWERjOfficialjCodingjguidelines
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operativejdiagnosisjisjconfirmed,jselectjthejpostoperativejdiagnosisjforjcodingjbecausejitji
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eyond.
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ordingjtojthejAAPCjCodejofjEthics?
a. Integrity
b. Responsibility
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d. Commitmentj-jANSWERjc.jefficiency
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ductjthemselvesjinjalljprofessionaljactivitiesjinjajmannerjconsistentjwithjALLjofjthejfollowi
ngjethicaljprinciplesjofjprofessionaljconduct:
+jIntegrity
+jRespect
+jCommitment
+jCompetence
+jFairness
+jResponsibility
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a. Anjinflammatoryjconditionjcharacterizedjbyjrednessjpustularjandjvesicularjlesions,jcr
usts,jandjscales
b. Ajcontagiousjinfectionjofjskinjgenerallyjcausedjbyjstaphylococcusjbacterium
c. Ajchronicjconditionjcharacterizedjbyjred,jdry,jelevatedjlesions,jcoveredjbyjsilveryjsc
ales.
j j j
Documentationjsupportsjstereotacticjbodyjradiationjtherapy,jtreatmentjmanagement.jThi
sjeliminatesjchoicesjAjandjD.jBasedjonjICD-10-
CMjguidelinesjinjSectionjI.C.2.e.2:jIfjajpatientjadmission/encounterjisjsolelyjforjthejadminist
rationjofjchemotherapy,jimmunotherapyjorjradiationjtherapy,jassignjcodejZ51.0j(radiation
),jZ51.11j(chemotherapy),jorjZ51.12j(immunotherapy)jasjthejfirstjlistedjorjprincipaljdiagno
sis,jandjthejdiagnosisjorjproblemjforjwhichjthejservicejisjbeingjperformedjasjajsecondaryjdi
agnosis.jForjmetastasizedjorjsecondaryjneoplasmjinjleftjupperjlobejlung,jreferjtojthejTablej
ofjNeoplasmjforjNeoplasm/lung/upperjlobe/MalignantjSecondaryjreferringjyoujtojcodejC78
.0-.jCompletejcodejinjthejTabularjList,jC78.02.
PreoperativejDiagnosis:jRightjhydronephrosisjPostoperativejDiagnosis:jRightjhydroneph
rosisjProcedure:jCystoscopyjandjrightjretrogradejpyelogramjProcedurejDescription:jThej
patientjwasjpreppedjandjdrapedjinjthejdorsolithotomyjposition.jUnderjgeneraljanesthesia,j
aj23jFrenchjcystoscopejwasjpassedjintojthejbladder.jNojtumorsjwerejvisualized.jUrinejfro
mjthejbladderjwasjsentjforjurinejcytology.jThenjaj6jFrenchjaccessjcatheterjwasjpassedjinto
jthejrightjureteraljorifice.jContrastjwasjinjectedjandjtherejwerejnojfillingjdefectsjnoted.jThe
rejwasjnojfixedjtumor,jnojstone.jTherejwasjmildjhydroureteraljnephrosisjagainstjthejbladde
r.jTherejwasjajnarrowingjatjthejUVJ-
nojabnormalities.jRenaljpelvisjbarbotagedjwithjsalinejandjrenaljpelvisjurinejsentjtojpatholo
gyjforjurinejcytology.jAfterjthejretrogradejpyelogramjwasjperformedjthejaccessjcatheterjw
asjremoved.jInterpretationjandjreportjarejinjthejmedicaljrecord.jWhatjCPTjcodesjarejrepoj-
jANSWERjd.j52005-RT,j74420-26
PatentjhadjajretrogradejpyelogramjeliminatingjmultiplejchoicesjBjandjC.jAjcystoscopejisjp
assedjthroughjthejurethrajintojthejbladder.jThenjajFrenchjcatheterjwasjpassedjintojthejrigh
tjureterj(ureteraljcatheterization)jtojintroducejthejcontrastjforjradiologicjstudyjofjthejrenalj
pelvisjandjureter,jeliminatesjcodej52000.jNotejinjthejcodejdescriptionjforjcodej52005jthatjit
jstates:jexclusivejofjradiologicjservice.jThisjisjanjindicationjthatjradiologyjwilljbejcodedjifjpe
rformed.
ThejMedicarejprogramjhasjseveraljparts.jWhichjpartjprovidesjforjproviderjfeesjwithoutjpriv
atejinsurer<j-jANSWERjMedicarejPartjB
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,requiresjthejpatientjtojobtainjajmedicaljconsultationjfromjajsecondjphysician?j-
jANSWERj32
NCCIjfilesjcarryjajCorrectjCodingjModifierjindicator.jThejmeaningjofjthejCCMjindicatorj0jisj
-Thejmodifierjisjnotjallowedjandjwilljnotjbypassjthejedits.
WhichjmodifiersjarejappendedjtojE/Mjcodejtojreportjservicesjwithinjthejglobaljpa
ckage?j-jANSWERj24,j25,j57
Whichjfollowingjservicesjincludedjinjthejsurgicaljglobaljpackage?j-
jANSWERjPreoperativejvisits,jintraoperative,jpostsurgicaljpainjmanagement
HowjoftenjcanjthejtemporaryjCodesjbejupdatedjforjthejHCPCS?j-ANSWERjquarterly
WhatjsetjofjHCPCSjLeveljIIjcodesjarejconsideredjtemporaryjcodesjassignedjbyjCMSjan
djreviewedjbyjAMAjforjinclusionjinjthejCPT-ANSWERjGjcodes
WhatjisjthejmodifierjyoujshouldjappendjforjajnewjwheelchairjpurchasejtojthisjHCPCSjLev
eljIIjcode?j-ANSWERjNU
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jANSWERjThejcodejthatjrepresentsjthejconditionjmostjcommonlyjassociatedjwithjth
ejmainjterm
WhojarejthejpartiesjresponsiblejforjprovidingjthejICD-10-CM?j-
jANSWERjNCHSjandjCMS
WhatjdoesjICD-10-CMjstandjfor>j-
jANSWERjInternationaljClassificationjofjDiseases,j10thjRevision,jClinicaljModification
Ischemiaj-
jInadequatejbloodjsupply,jgenerallyjduejtojconditionsjinjthejvesseljitself,jleadingjtojtissuejinj
uryjorjmalfunction.
,Thejthinjlayerjofjmembranejliningjthejchambersjofjthejheartjandjcoveringjthejvalvesjisjcalled
jthe:j-jANSWERjendocardium
WhichjsectionjofjthejICD-10-
CMjguidelinesjoffersjinstructionjforjcodingjajpatientjwhojisjtreatedjinjthejoutpatientjsettingj
forjdiagnosticjtreatmentjonly?j-jANSWERjSectionjIV
Whatjisjanjexamplejofjanjeponym?j-jANSWERjPaget'sjdisease
Rationale:jAnjeponymjisjajwordjderivedjfromjsomeone'sjname.jPaget'sjdiseasejisjajdisorderj
thatjinvolvesjabnormaljbonejdestructionjandjregrowthjwhichjresultsjinjdeformity.jItjwasjde
scribedjbyjsurgeonjandjpathologistjSirjJamesjPaget.
WhatjmonthjdoesjthejnewjICD-10-CMjcodejbookjtakejeffectjeachjyear?j-
jANSWERjOctober
Whatjdojthejguidelinesjandjconventionsjofjthejclassificationsjtakejprecedencejover?j-
jANWERjOfficialjCodingjguidelines
Whatjisjthejsequencingjorderjwhenjcodingjajsequela?j-
jANWERjThejresidualjconditionjisjcodedjfirstjandjcodesjforjthejcausejofjthejlatejeffectjarejc
odedjsecondary.
Whatjdojbracketsj{}jinjthejICD-10-CMjAlphabeticjindexjindicate?j-
jANSWERjUsejcodejinjbracketsjinjadditionjtojthejdiseasejorjconditionjtojidentifyjanjassociat
edjmanifestation.
Whenjcodingjforjanjambulatoryjsurgicaljprocedure,jhowjisjthejdiagnosisjdetermined?j-
jANSWERjCodejthejpostjoperativejdiagnosisjbecausejitjisjthejmostjdefinitive
Forjambulatoryjsurgery,jifjthejpostoperativejdiagnosisjisjknownjtojbejdifferentjfromjthejpre
operativejdiagnosisjisjconfirmed,jselectjthejpostoperativejdiagnosisjforjcodingjbecausejitji
sjthejmostjdefinitive
, ThejOIGjreleasesja
outliningjitsjprioritiesjforjthejfiscaljyearjaheadjandjb
eyond.
a. Compliancejplan
b. Self-referraljlaw
c. WorkjPlan
d. CIAjyearlyjreviewj-jANSWERjb.jworkjplan
WhichjofjthejfollowingjtermsjisjNOTjlistedjasjanjethicaljprinciplejofjprofessionaljconductjacc
ordingjtojthejAAPCjCodejofjEthics?
a. Integrity
b. Responsibility
c. Efficiency
d. Commitmentj-jANSWERjc.jefficiency
ItjshalljbejthejdutyjofjeveryjAAPCjmember,jasjajconditionjofjcontinuedjmembership,jtojcon
ductjthemselvesjinjalljprofessionaljactivitiesjinjajmannerjconsistentjwithjALLjofjthejfollowi
ngjethicaljprinciplesjofjprofessionaljconduct:
+jIntegrity
+jRespect
+jCommitment
+jCompetence
+jFairness
+jResponsibility
Whichjofjthejfollowingjbestjdescribesjpsoriasis?
a. Anjinflammatoryjconditionjcharacterizedjbyjrednessjpustularjandjvesicularjlesions,jcr
usts,jandjscales
b. Ajcontagiousjinfectionjofjskinjgenerallyjcausedjbyjstaphylococcusjbacterium
c. Ajchronicjconditionjcharacterizedjbyjred,jdry,jelevatedjlesions,jcoveredjbyjsilveryjsc
ales.
