Free AAPC Certified Professional Coder (CPC) Exam CPC Exam Questions

According to the CPT guidelines for Repair (Closure), an intermediate repair includes the closure of a wound with one or more layers of subcutaneous tissue and superficial fascia in addition to the skin (epidermal and dermal) closure. It also involves extensive cleaning of the wound, which includes copious irrigation and the removal of particulate matter. This description fits the scenario provided in the question.

AMA's CPT Professional Edition, Repair (Closure) guidelines.

Procedure Coding (CPT):

59821 -- Induced abortion, by vaginal suppository, amniotic fluid injection, or other medical means

Used for fetal demise at 14 weeks gestation

Labor was medically induced and fetus delivered

Diagnosis Coding (ICD-10-CM):

O36.4XX0 -- Maternal care for intrauterine death, not applicable or unspecified

Correct maternal record diagnosis

Z3A.19 -- 19 weeks gestation

Required per ICD-10-CM guidelines for obstetric encounters

Why Other Options Are Incorrect:

A / D -- ICD-9 code (002.1) is invalid

C -- Missing required gestational age code

A41.52 = Sepsis due to Enterococcus.

When the organism is specified, a combination code is used.

No additional code for severe sepsis is documented.

50236 -- Radical nephrectomy with partial ureterectomy and rib resection, open approach

Includes:

Kidney removal

Partial ureter removal

Rib resection

Correct for renal cell carcinoma

Increased complexity due to prior surgery does not change CPT code, but may support modifier -22

Why Other Options Are Incorrect:

50545 / 50548 -- Laparoscopic/robotic nephrectomy

50225 -- Simple nephrectomy (no ureter or rib resection)

E08.3213 = Diabetes due to underlying condition with mild NPDR with macular edema, bilateral

E24.9 = Cushing's syndrome (underlying condition)

Z79.84 = Long-term use of oral hypoglycemic drugs

Sequencing follows ICD-10-CM guidelines for secondary diabetes.

69642 = Tympanoplasty with mastoidectomy and ossicular chain reconstruction

Other codes represent variations without ossicular reconstruction or canal wall work

The CABG procedure involved multiple bypasses, with the use of autologous saphenous vein grafts and the left internal mammary artery, along with an extensive modified MAZE procedure. CPT code 33535 describes a coronary artery bypass using arterial grafts, including at least three coronary artery bypasses. CPT code 33259-51 is for the MAZE procedure for supraventricular tachycardia, with the -51 modifier indicating multiple procedures. CPT code 33519-51 is for an additional vein graft, and CPT code 33508-51 describes the endoscopic harvesting of the vein.

AMA's CPT Professional Edition (current year), Codes 33535, 33259-51, 33519-51, 33508-51

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

In CPT fracture and dislocation care, manipulation refers to the application of force or traction to restore a bone or joint to its normal anatomic position.

This is a key distinction between with manipulation and without manipulation, which directly affects CPT code selection (e.g., 23505 vs. 23500).

Manipulation may be performed closed (no incision) or open (with incision).

89258 = Thawing of cryopreserved embryos

89250 = Culture of embryos, per day (reported once per encounter)

44970 = Laparoscopic appendectomy

K36 = Chronic appendicitis

Symptoms are not coded once definitive diagnosis is made

Injection of atropine: Atropine is administered to reduce sialorrhea.

Bilateral submandibular salivary glands: The physician administers the injections into the salivary glands.

Total of four glands: Indicates that multiple glands are treated in the same session.

CPT code 64611 accurately represents chemodenervation of the salivary glands, bilateral. The use of -50, -52, or x4 modifiers is not appropriate since CPT guidelines include bilateral procedures in this code without needing additional modifiers or codes.

22514 = Vertebroplasty, lumbar (L5)

22515 = Each additional vertebral body (sacrum)

Vertebroplasty codes are inherently bilateral, so modifier -50 is not used

The procedure described involves the removal of electrodes from the cranial area after making an incision in the scalp and performing a craniectomy.

Procedure Description:

Incision in the scalp.

Craniectomy to access the area with electrodes.

Removal of electrodes.

Closure of the surgical wound.

CPT Coding:

61860: Removal of intracranial neurostimulator electrodes, including burr hole(s) or craniectomy.

AMA's CPT Professional Edition (current year).

CPT Assistant for detailed coding guidelines on neurostimulator procedures.

The spleen is a part of the lymphatic system, which is responsible for filtering blood, removing damaged blood cells, and supporting immune function. The spleen contains lymphocytes that help fight infections and regulate the immune response.

A . Nervous: The nervous system includes the brain, spinal cord, and nerves, unrelated to immune function.

B . Endocrine: The endocrine system regulates hormones through glands like the thyroid and pancreas, not directly involved with blood filtration or immune cell production.

C . Digestive: While the spleen is located near digestive organs, it does not play a role in digestion.

Thus, the correct answer is D. Lymphatic.