Exam AAPC-CPC Vce Format, AAPC-CPC Latest Exam Notes

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q129-Q134):

NEW QUESTION # 129
A female patient with type II diabetes, asthma, and hypertension is admitted with complaints of chest pain. Testing rules out heart attack and other underlying conditions as the cause. Which diagnosis codes should be listed on the discharge note?

A. R07.9
B. Z03.89
C. Z03.89
D. R07.9, Ell.9, J45.909, 110

Answer: D

Explanation:
The primary diagnosis on an inpatient record would be the primary reason the patient was admitted. In this case, because a definitive diagnosis could not be confirmed, the symptom of chest pain would be selected instead. The previously confirmed chronic conditions would also be coded because they affect the management of inpatient care. Diabetes would be coded to an unspecified code because the term "with" implies a causal relationship between the conditions that is not implicitly documented. Per ICD-IO-CM guidelines, a rule-out code is not assigned when "any signs or symptoms related to the suspected condition are present."

NEW QUESTION # 130
Which is NOT a type of injection through which contrast is administered?

A. Intravascular
B. Intra-articular
C. Intrathecal
D. Intramuscular

Answer: D

Explanation:
Per CPT guidelines, administration of contrast materials is given through the following routes: intravascular, intra-articular, and intrathecal. Alternate routes also include orally and/or rectally; however, the "contrast administration alone does not qualify as a study 'with contrast'"

NEW QUESTION # 131
A surgeon performs a posterior fusion on the L2-L5 of the spine due to degenerative disc disease. CPT and ICD-IOOI code(s) should be reported?

A. 22800, M51.37
B. 22612, 22614x2, MSI.36
C. 22612, 22614x 3, M51.36
D. 22533, M51.37

Answer: B

Explanation:
The code for a joint fusion using a posterior approach is 22612. In this scenario, there are three fusion levels: L2-L3, L3-L4, and L4-L5. Following the primary code, 22614 would be billed tv;ice and with no modifier because it is an add-on code. ICD-IO-CM code M51.37 is for degenerative discs in the lumbosacral region; however, L2-L5 is considered the lumbar region.

NEW QUESTION # 132
A patient is referred to a radiology clinic with a diagnosis of chest bruising. A radiologist who works for the clinic performs a 3-view x-ray on the patient's ribcage bilaterally. The radiologist interprets images and determines that there is a right-sided stress fracture to one rib. Which ICD-IO-CM and CPT codes should be reported for this encounter?

A. 71110-26, M84.48XA
B. 71110, S22.31Y.4
C. 71110-26, S22.31Y.A
D. 71110, M84.48XA

Answer: D

Explanation:
Modifier 26, indicating only a professional component ofthe study, would be inappropriate because the radiologist who obtained the images and interpreted the results works for the clinic that owns the x-ray machines, By reporting the procedure without a modifier, the clinic is requesting 100% reimbursement of the study, which includes the technical and professional components. When searching the index in the ICD-IO-CM book a stress fracture is related to fatigue and is coded as a bone disorder as opposed to an injury.

NEW QUESTION # 133
A gastroenterologist performs a gastric bypass surgery on an obese patient with a body mass index of 52. During the procedure, the size of the stomach is reduced by 77%; the intestine is bypassed from the duodenum and then attached to the ileum. The pylorus is preserved and left intact. Which CPT code best describes the surgery performed?

A. 0
B. 1
C. 2
D. 3

Answer: B

Explanation:
In this scenario, the gastroenterologist performed a procedure known as a biliopancreatic diversion with duodenal switch (BPD/DS). A BPD/DS removes a portion of the stomach and transfers parts of the duodenum and small intestine to the lower end of the large intestine in an effort to limit intestinal absorption for weight loss. CPT codes 43842-43843 describe gastric restrictive procedures without gastric bypass. However, gastric bypass was done in rearranging the small intestine to connect to the ileum.

NEW QUESTION # 134
......

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Exam AAPC-CPC Vce Format, AAPC-CPC Latest Exam Notes

100% Pass Quiz 2025 Latest AAPC-CPC: Exam American Academy of Professional Coders: Certified Professional Coder Vce Format

Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q129-Q134):

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