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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q48-Q53):
NEW QUESTION # 48
According to the Application of Cast and Strapping CPT guidelines, what is reported when an orthopedic provider performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the patient will be returning for subsequent fracture care?
Answer: D
NEW QUESTION # 49
A patient who is 37 weeks' gestation is admitted to labor and delivery for a cesarean delivery. An external cephalic version was performed successfully several days ago and she now presents in labor, fully dilated, and the fetus has returned to a footling presentation.
What anesthesia code is reported?
Answer: A
Explanation:
To determine the correct anesthesia code for a cesarean delivery with specific conditions, we review the following codes:
01961 is defined as "Anesthesia for cesarean delivery only," which aligns with this scenario, as the patient is admitted for a cesarean section.
01960 refers to anesthesia for a vaginal delivery, which does not apply here as the delivery is via cesarean.
01967 is for "Anesthesia for planned vaginal delivery," which also does not apply due to the cesarean route.
01958 is used for planned vaginal delivery that may involve a complicated scenario, but since the procedure is a cesarean section, this code is not appropriate.
Given that the patient is in labor for a cesarean section and has had a previous external cephalic version,
01961 is the correct answer.
NEW QUESTION # 50
A patient has swelling in both arms and lymphangitis is suspected. She is in the outpatient radiology department for a lymphangiography of both arms.
What CPTcoding is correct?
Answer: C
Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a lymphangiography of both arms in an outpatient radiology setting to evaluate suspected lymphangitis.
CPTCode 75803 is for bilateral lymphangiography of an extremity. This code covers lymphangiography procedures where multiple images are obtained in the study of lymphatic channels and nodes in an extremity.
2. Modifier for Bilateral Procedure:
Modifier 50 is applied to indicate that the procedure was performed bilaterally (on both arms). This modifier appropriately reflects the bilateral nature of the lymphangiography.
3. Rationale for Excluding Other Options:
Code 75801 is for lymphangiography of a single extremity and does not apply to bilateral procedures.
Code 75801-50 (option B) would indicate bilateral use of a code meant for a single extremity, which is not appropriate when a specific bilateral code, 75803, is available.
Option C, without the bilateral modifier, would not indicate that both arms were examined.
4. AAPC and CPTCoding Guidelines:
AAPC guidelines specify using 75803 for bilateral lymphangiography procedures of extremities, and Modifier 50 is applied for clarity on bilateral involvement.
Therefore, the correct answer is D. 75803-50.
NEW QUESTION # 51
A 60-year-old male has three-vessel disease and supraventricular tachycardia which has been refractory to other management. He previously had pacemaker placement and stenting of LAD coronary artery stenosis, which has failed to solve the problem. He will undergo CABG with autologous saphenous vein and an extensive modified MAZE procedure to treat the tachycardia.
He is brought to the cardiac OR and placed in the supine position on the OR table. He is prepped and draped, and adequate endotracheal anesthesia is assured. A median sternotomy incision is made and cardiopulmonary bypass is initiated. The endoscope is used to harvest an adequate length of saphenous vein from his left leg.
This is uneventful and bleeding is easily controlled. The vein graft is prepared and cut to the appropriate lengths for anastomosis. Two bypasses are performed: one to the circumflex and another to the obtuse marginal. The left internal mammary is then freed up and it is anastomosed to the ramus, the first diagonal, and the LAD. An extensive maze procedure is then performed and the patient is weaned from bypass. At this point, the sternum is closed with wires and the skin is reapproximated with staples. The patient tolerated the procedure without difficulty and was taken to the PACU.
Choose the procedure codes for this surgery.
Answer: D
Explanation:
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. CPTcode 33535 describes a coronary artery bypass using arterial grafts, including at least three coronary artery bypasses.
CPTcode 33259-51 is for the MAZE procedure for supraventricular tachycardia, with the -51 modifier indicating multiple procedures. CPTcode 33519-51 is for an additional vein graft, and CPTcode 33508-
51 describes the endoscopic harvesting of the vein.
References:
* AMA's CPTProfessional Edition (current year), Codes 33535, 33259-51, 33519-51, 33508-51
NEW QUESTION # 52
A catheter was placed into the abdominal aorta via the right common femoral artery access. An abdominal aortography was performed. The right and left renal artery were adequately visualized. The catheter was used to selectively catheterize the right and left renal artery. Selective right and left renal angiography were then performed, demonstrating a widely patent right and left renal artery.
What CPT coding is reported?
Answer: B
Explanation:
CPT code 36252 describes selective catheter placement of the main renal artery with angiography of both kidneys, which matches the procedure of selectively catheterizing the right and left renal arteries and performing angiography. Additionally, CPT code 75625-26 is for an abdominal aortography with interpretation and report. The -26 modifier indicates that the professional component of the service was performed.
References:
* AMA's CPT Professional Edition (current year), Codes 36252, 75625-26
NEW QUESTION # 53
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