AAPC-CPC Online Practice Questions and Answers

A comatose patient is seen in the ER. The patient has a history of depression. Drug testing confirm she overdosed on tricyclic antidepressant drugs doxepin, amoxapine, and clomipramine.

What CPT?code is reported?

A. 80366

B. 80335

C. 80332

D. 80338

Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved.

What CPT?coding is reported?

A. 63045, 63048

B. 63040-50, 63043, 63043

C. 63050-50

D. 63015

A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.

How does each surgeon report their portion of the surgery?

A. 63090-66, 63091-66

B. 63087-62, 63088-62

C. 63090-80, 63091-80

D. 63085-62, 63086-62

View MR 099401

MR 099401

Established Patient Office Visit

Chief Complaint: Patient presents with bilateral thyroid nodules.

History of present illness: A 54-year-old patient is here for evaluation of bilateral thyroid nodules. Thyroid ultrasound was done last week which showed multiple thyroid masses likely due to multinodular goiter. Patient stated that she can "feel"

the nodules on the left side of her thyroid. Patient denies difficulty swallowing and she denies unexplained weight loss or gain. Patient does have a family history of thyroid cancer in her maternal grandmother. She gives no other problems at

this time other than a palpable right-sided thyroid mass.

Review of Systems:

Constitutional: Negative for chills, fever, and unexpected weight change.

HENT: Negative for hearing loss, trouble swallowing and voice change.

Gastrointestinal: Negative for abdominal distention, abdominal pain, anal bleeding, blood in stool, constipation, diarrhea, nausea, rectal pain, and vomiting

Endocrine: Negative for cold Intolerance and heat intolerance.

Physical Exam:

Vitals: BP: 140/72, Pulse: 96, Resp: 16, Temp: 97.6 (36.4 ), Temporal SpO2: 97%

Weight: 89.8 kg (198 lbs ), Height: 165.1 cm (65")

General Appearance: Alert, cooperative, in no acute distress

Head: Normocephalic, without obvious abnormality, atraumatic

Throat: No oral lesions, no thrush, oral mucosa moist

Neck: No adenopathy, supple, trachea midline, thyromegaly is present, no carotid bruit, no JVD

Lungs: Clear to auscultation, respirations regular, even, and unlabored

Heart: Regular rhythm and normal rate, normal S1 and S2, no murmur, no gallop, no rub, no click

Lymph nodes: No palpable adenopathy

ASSESSMENT/PLAN:

1) Multinodular goiter - the patient will have a percutaneous biopsy performed (minor procedure).

What E/M code is reported for this encounter?

A. 99212

B. 99214

C. 99213

D. 99215

A 45-year-old female presents to the ED with chest pain. The provider has an Albumin Cobalt Binding Test to determine if the chest pain is ischemic in nature.

That lab test is reported?

A. 83857

B. 84134

C. 82043

D. 82045

Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.

What diagnosis coding is reported for the second colonoscopy?

A. Z09, Z86.010

B. K63.5

C. Z86.010, K63.5

D. Z09, K63.5

A patient was brought to the operating room to repair a meniscal tear. An arthroscope is inserted into the trocar to examine the knee. Tibial plateau was in good condition. The posterior horn of the medial meniscus showed a complex tear. Using basket forceps and a full radius resector, the tear is debrided back to a healthy peripheral rim. The lateral meniscus was intact without evidence of tears.

What CPT?code is reported for the repair?

A. 29881

B. 27405

C. 29880

D. 27403

A patient with lymphocytic leukemia is in the oncology office for her scheduled chemotherapy. She is administered Rituximab IV for 2 hours and 30 minutes. Then a sequential IV infusion of Fludarabine is given for 45 minutes. What CPT?coding is reported?

A. 96413, 96415 x 2, 96411

B. 96413, 96415-51 x 2, 96417-51

C. 96413, 96415, 96417

D. 96413, 96415-51, 96411-51