AAPC CPC EXAM FINALWITH VERIFIED QUESTIONS
AND ANSWERS UPDATED VERSION
A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome.
After extensive research about the condition, she meets with the parents to discuss the features of the
disease and the child's prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are
reported?
a. 96040, Q99.9
b. 96040 x 2, Q99.2
pg. 1
,c. 96040 x 2, Q99.8
d. 96040, Q99.2 - __100% correct answer as d. 96040, Q99.2
Rationale: In the CPT® Index look for Medical Genetics which directs you to 96040. The genetics
counseling session is reported as face-to-face time per 30 minutes. Report 1 unit for the first 30 minutes.
Since the remaining time is 15 minutes, it is not reported separately per the Medical Genetics and
Genetic Counseling Services guidelines. Fragile X syndrome is a congenital chromosomal anomaly that
may include mental retardation. In the ICD-10-CM Alphabetic Index look for Syndrome/fragile X. The
condition is reported with code Q99.2. Verification in the Tabular List confirms code selection.
d. 29881 - __100% correct answer as This 56-year-old female presented with a degenerative
posteromedial meniscal flap tear of the right knee. After appropriate preoperative evaluation, the
patient was taken to the operating room where general anesthesia was instituted. The patient was
placed supine on the operating table. The right lower extremity was sterilely prepped and draped for
arthroscopic surgery. The leg was exsanguinated and the tourniquet inflated. The arthroscope was
introduced first through the anterolateral portal with medial suprapatellar portal utilized. The lateral
compartment looked fairly good. There were some minimal medial degenerative changes. In the medial
compartment there was a full-thickness area of osteochondral degeneration with a flap of cartilage
noted. It was possible to remove this with a bleeding bony bed with beveled edges of cartilage. The
ligament itself was intact. The retropatellar area was normal with Grade I chondromalacia changes
noted. The medial joint was inspected and there was a tear at the junction of the middle and posterior
portions of the meniscus, a flap tear was based more anteriorly. This was shaved with a combination of
small baskets and punches, and the meniscus debrided back to a smooth stable rim. There was
additional synovitis in the medial aspect of the intercondylar notch and this was removed with the
curved automated meniscal incisor. What CPT® code(s) should be reported?
a. 29880, 29879-51
b. 29882
c. 29881, 29875-59
d. 29881
b. 99291
pg. 2
,Rationale: CPT®: In the CPT Index locate Critical Care Services/Evaluation and Management 99291-
99292. 99291 is used for critical care services 30-74 minutes of duration. The patient is documented as
critically ill with multiple system organ failure indicating a critically ill patient. The age of the patient
requires the use of critical care codes in the 9929199292 range. - __100% correct answer as ICU -
CC: Multi-system organ failure
INTERVAL HISTORY: Patient remains intubated and sedated. Overnight events reviewed. Tolerating tube
feeds. Systolic pressures have been running in the low 90s on LEVOPHED. Cultures remain negative.
Kidney function has worsened, but patient remains non-oliguric.
PHYSICAL EXAM: BP 96/60, Pulse 112, Temp 100.8. Lungs have anterior rhonchi. Heart RRR with no
MRGs. Abdomen is soft with positive bowel sounds. Extremities show moderate edema.
LABS: BUN 89, creatinine 2.6, HGB 10.2, WBC 22,000. ABG:
7.34/100/42 on 50% FiO2. CXR shows RLL infiltrate.
IMPRESSION
Hypoxic respiratory failure
Community acquired pneumonia
Septic shock
Non-oliguric acute renal failure
PLAN: Continue NS at 75 cc/hr. Decrease ZOSYN to 2.25 grams IV Q 6HFollow cultures. Continue tube
feeds. Titrate LEVOPHED to maintain SBP > 90Usual labs ordered for tomorrow.
Critical care time: 35 minutes
What CPT® code(s) is/are reported?
a. 99232
b. 99291
c. 99291, 99292
pg. 3
, d. 99233
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - __100% correct answer as c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - __100% correct answer as a. CPT, HCPCS Level
II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - __100% correct answer as b. 2009
pg. 4
AND ANSWERS UPDATED VERSION
A qualified genetics counselor is working with a child who has been diagnosed with fragile X syndrome.
After extensive research about the condition, she meets with the parents to discuss the features of the
disease and the child's prognosis. The session lasted 45 minutes. What CPT® and ICD-10-CM codes are
reported?
a. 96040, Q99.9
b. 96040 x 2, Q99.2
pg. 1
,c. 96040 x 2, Q99.8
d. 96040, Q99.2 - __100% correct answer as d. 96040, Q99.2
Rationale: In the CPT® Index look for Medical Genetics which directs you to 96040. The genetics
counseling session is reported as face-to-face time per 30 minutes. Report 1 unit for the first 30 minutes.
Since the remaining time is 15 minutes, it is not reported separately per the Medical Genetics and
Genetic Counseling Services guidelines. Fragile X syndrome is a congenital chromosomal anomaly that
may include mental retardation. In the ICD-10-CM Alphabetic Index look for Syndrome/fragile X. The
condition is reported with code Q99.2. Verification in the Tabular List confirms code selection.
d. 29881 - __100% correct answer as This 56-year-old female presented with a degenerative
posteromedial meniscal flap tear of the right knee. After appropriate preoperative evaluation, the
patient was taken to the operating room where general anesthesia was instituted. The patient was
placed supine on the operating table. The right lower extremity was sterilely prepped and draped for
arthroscopic surgery. The leg was exsanguinated and the tourniquet inflated. The arthroscope was
introduced first through the anterolateral portal with medial suprapatellar portal utilized. The lateral
compartment looked fairly good. There were some minimal medial degenerative changes. In the medial
compartment there was a full-thickness area of osteochondral degeneration with a flap of cartilage
noted. It was possible to remove this with a bleeding bony bed with beveled edges of cartilage. The
ligament itself was intact. The retropatellar area was normal with Grade I chondromalacia changes
noted. The medial joint was inspected and there was a tear at the junction of the middle and posterior
portions of the meniscus, a flap tear was based more anteriorly. This was shaved with a combination of
small baskets and punches, and the meniscus debrided back to a smooth stable rim. There was
additional synovitis in the medial aspect of the intercondylar notch and this was removed with the
curved automated meniscal incisor. What CPT® code(s) should be reported?
a. 29880, 29879-51
b. 29882
c. 29881, 29875-59
d. 29881
b. 99291
pg. 2
,Rationale: CPT®: In the CPT Index locate Critical Care Services/Evaluation and Management 99291-
99292. 99291 is used for critical care services 30-74 minutes of duration. The patient is documented as
critically ill with multiple system organ failure indicating a critically ill patient. The age of the patient
requires the use of critical care codes in the 9929199292 range. - __100% correct answer as ICU -
CC: Multi-system organ failure
INTERVAL HISTORY: Patient remains intubated and sedated. Overnight events reviewed. Tolerating tube
feeds. Systolic pressures have been running in the low 90s on LEVOPHED. Cultures remain negative.
Kidney function has worsened, but patient remains non-oliguric.
PHYSICAL EXAM: BP 96/60, Pulse 112, Temp 100.8. Lungs have anterior rhonchi. Heart RRR with no
MRGs. Abdomen is soft with positive bowel sounds. Extremities show moderate edema.
LABS: BUN 89, creatinine 2.6, HGB 10.2, WBC 22,000. ABG:
7.34/100/42 on 50% FiO2. CXR shows RLL infiltrate.
IMPRESSION
Hypoxic respiratory failure
Community acquired pneumonia
Septic shock
Non-oliguric acute renal failure
PLAN: Continue NS at 75 cc/hr. Decrease ZOSYN to 2.25 grams IV Q 6HFollow cultures. Continue tube
feeds. Titrate LEVOPHED to maintain SBP > 90Usual labs ordered for tomorrow.
Critical care time: 35 minutes
What CPT® code(s) is/are reported?
a. 99232
b. 99291
c. 99291, 99292
pg. 3
, d. 99233
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - __100% correct answer as c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - __100% correct answer as a. CPT, HCPCS Level
II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007 - __100% correct answer as b. 2009
pg. 4
