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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q194-Q199):

NEW QUESTION # 194
View MR 005398
MR 005398
Operative Report
Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.
Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.
Procedure: Right nephrectomy with partial ureterectomy.
Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fascia. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0 silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well.
What CPT coding is reported for this case?

• A. 0
• B. 1
• C. 2
• D. 3

Answer: B

Explanation:
The procedure involves a right nephrectomy with partial ureterectomy for a nonfunctioning right kidney with ureteral stricture.
* Procedure Description:
* Right nephrectomy (removal of the kidney).
* Partial ureterectomy (removal of part of the ureter).
* CPT Coding:
* 50220: Nephrectomy, including partial ureterectomy, any open approach.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on nephrectomy procedures.

 

NEW QUESTION # 195
A cardiologist performs and interprets a 12-lead ECG in the office.
What CPT coding is reported?

• A. 93000-26
• B. 0
• C. 1
• D. 93010-26

Answer: B

Explanation:
93000 = ECG with tracing, interpretation, and report
93010 = Interpretation only

 

NEW QUESTION # 196
A patient is brought to the operating room with a right-sided peripheral vertigo. The provider makes a postauricular incision and uses an operating microscope to perform a mastoidectomy using a burr. He next destroys the semicircular canals, the utricle, and saccule completely removing the diseased labyrinth structures. The provider sutures the incision.
What CPT code and ICD-10-CM codes are reported?

• A. 69910,69990. H81.391
• B. 69905, 69990-51, R42
• C. 69905, 69990. H81.391
• D. 69910,69990-51, R42

Answer: A

Explanation:
Procedure Coding (CPT):
69910 - Labyrinthectomy, complete; transmastoid approach
Provider performed:
Mastoidectomy
Complete destruction/removal of semicircular canals, utricle, and saccule This is a complete labyrinthectomy, not partial
69990 - Microsurgical techniques, requiring use of operating microscope Separately reportable with otologic procedures Modifier -51 not required (add-on code) Diagnosis Coding (ICD-10-CM):
H81.391 - Peripheral vertigo, right ear
Correct laterality and condition
Why Other Options Are Incorrect:
69905 - Partial labyrinthectomy
R42 - Symptom code (dizziness), not used when definitive diagnosis exists

 

NEW QUESTION # 197
Which is a TRUE statement for Place of Service (POS) codes for professional claims?

• A. Reporting an incorrect POS in where a physician's service was provided may result in a denial of a claim.
• B. Place of service codes are three-digit alphanumeric codes.
• C. Place of service codes are found in the Tabular List of the ICD-10-CM code book.
• D. Place of service codes only denote if a patient is admitted to the intensive care unit in a hospital.

Answer: A

Explanation:
Place of Service (POS) codes are two-digit numeric codes used on professional claims to identify where a service was performed (e.g., office, inpatient hospital, outpatient hospital).
Reporting an incorrect POS can affect reimbursement and may result in claim denial ✔ POS codes are not alphanumeric They describe many locations, not just ICU POS codes are maintained by CMS, not found in the ICD-10-CM code book

 

NEW QUESTION # 198
A 45-year-old patient comes In with chronic sinusitis that has not responded to medication. The physician decides to use a sinus stent implant to help alleviate the patients symptoms.
The physician inserts the implant into the ethmoid sinus using a delivery system. This implant is designed to keep the surgical opening clear, prop open the sinus, and gradually release a corticosteroid with anti-inflammatory properties directly to the sinus lining. The implant is not permanent and will dissolve over time.
What HCPCS Level II code is reported?

• A. C1877
• B. C2617
• C. SI091
• D. C9600

Answer: B

Explanation:
C2617 - Sinus implant, drug-eluting
Described implant:
Ethmoid sinus
Drug-eluting (corticosteroid)
Absorbable
Why others are incorrect:
C1877 - Vascular stent
S1091 - Temporary code
C9600 - Coronary intervention

 

NEW QUESTION # 199
......

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