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CPC Practice Test | CPC Reliable Test Book

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q111-Q116):

NEW QUESTION # 111
A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and was returned to recovery in good condition. What CPT coding is reported for this procedure?

A. 0
B. 22857, 22860
C. 1
D. 22857 x 2

Answer: B

NEW QUESTION # 112
A 6-French sheath and catheter is placed into the coronary artery and is advanced to the left side of the heart into the ventricle. Ventriculography is performed using power injection of contrast agent. Pressures in the left heart are obtained. The coronary arteries are also selected and imaged.
What CPT code is reported?

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

Answer: B

Explanation:
For a procedure involving the placement of a 6-French sheath and catheter into the coronary artery, advancing to the left ventricle, performing ventriculography with power injection of contrast agent, obtaining pressures in the left heart, and imaging the coronary arteries, the correct CPT code is 93458. This code includes all the components of the described procedure.
References:
* AMA's CPT Professional Edition (current year)

NEW QUESTION # 113
The patient has a ruptured aneurysm in the popliteal artery. The provider makes an incision below the knee and dissects down and around the popliteal artery. After clamping the distal and proximal ends of the artery, the provider cuts out the defect, sutures the remaining ends of the artery together, and places a patch graft to fill the gap. What is the correct CPTcode for the aneurysm repair?

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

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a repair of a ruptured aneurysm in the popliteal artery, involving incision, dissection, clamping, removal of the aneurysmal section, and patch grafting.
Code 35151 is the correct CPTcode for the repair of an aneurysm in the popliteal artery, as it specifically describes aneurysm repair in this location.
Code 35081 applies to aneurysm repair in the abdominal aorta, which does not pertain to the popliteal artery location.
Code 35152 is for an aneurysm repair involving the popliteal artery with vein graft, but there is no mention of a vein graft in this scenario, only a patch graft.
Code 35045 is used for repair of an aneurysm in the brachial artery and does not apply to the popliteal artery.
2. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, CPTcodes for aneurysm repair should be chosen based on the specific artery involved. Code 35151 is precisely for popliteal artery aneurysm repair without a vein graft, making it the most accurate choice.
Thus, based on CPTguidelines and procedural details, the verified answer is B. 35151.

NEW QUESTION # 114
A 57-year-old woman with a physical status of 3 received general endotracheal anesthesia for a panniculectomy. The anesthesiologist personally performed the entire anesthesia service.
What CPT@ coding is reported for the anesthesia?

A. 00800-P3, 99140-P3
B. 00802, 99140-AA-P3
C. 00800-AA-P3
D. 00802-AA-P3

Answer: C

Explanation:
To code for anesthesia services, we select the correct CPTanesthesia code based on the procedure, modifiers, and physical status of the patient:
00800 represents "Anesthesia for procedures on the lower abdomen not otherwise specified," which includes procedures like a panniculectomy. The code 00802 is not appropriate here because it is used for lower abdominal procedures involving "major lower abdominal vessels," which does not apply to a panniculectomy.
AA Modifier indicates that the anesthesia services were personally performed by the anesthesiologist, as stated in the scenario.
P3 Modifier reflects a physical status of 3, which indicates a patient with a "severe systemic disease," matching the patient's documented condition.
The emergency modifier 99140 is not appropriate here, as there is no indication that the procedure was performed under emergency conditions.
Thus, the correct answer is 00800-AA-P3.

NEW QUESTION # 115
View MR 001394
MR 001394
Operative Report
Procedure: Excision of 11 cm back lesion with rotation flap repair.
Preoperative Diagnosis: Basal cell carcinoma
Postoperative Diagnosis: Same
Anesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injected slowly through a 30- gauge needle for the patient's comfort.
Location: Back
Size of Excision: 11 cm
Estimated Blood Loss: Minimal
Complications: None
Specimen: Sent to the lab in saline for frozen section margin control.
Procedure: The patient was taken to our surgical suite, placed in a comfortable position, prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpel blade was used to excise the basal cell carcinoma plus a margin of normal skin in a circular fashion in the natural relaxed skin tension lines as much as possible The lesion was removed full thickness including epidermis, dermis, and partial thickness subcutaneous tissues. The wound was then spot electro desiccated for hemorrhage control. The specimen was sent to the lab on saline for frozen section.
Rotation flap repair of defect created by foil thickness frozen section excision of basal cell carcinoma of the back. We were able to devise a 12 sq cm flap and advance it using rotation flap closure technique. This will prevent infection, dehiscence, and help reconstruct the area to approximate the situation as it was prior to surgical excision diminishing the risk of significant pain and distortion of the anatomy in the area. This was advanced medially to close the defect with 5 0 Vicryl and 6-0 Prolene stitches.
What CPTcoding is reported for this case?

A. 14001, 11606-51, 12034-51
B. 0
C. 14001, 11606-51
D. 1

Answer: C

Explanation:
For the excision of an 11 cm lesion with a rotation flap repair, the appropriate CPT codes are 14001 for the adjacent tissue transfer or rearrangement (12 sq cm flap) and 11606-51 for the excision of a malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm. Modifier 51 indicates multiple procedures. The detailed operative report specifies the lesion size and the technique used, justifying these codes.References: CPTProfessional Edition (current year), AMA.

NEW QUESTION # 116
......

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