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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
When a provider's documentation refers to use, abuse, and dependence of the same substance (e.g. alcohol), which statement is correct?

A. If use, abuse, and dependence are documented, report all three codes separately.
B. If both use and dependence are documented, assign only the code for dependence.
C. If both use and abuse are documented, assign abuse as the first code and use as the additional code.
D. If both abuse and dependence are documented, assign only the code for abuse.

Answer: B

Explanation:
According to ICD-10-CM coding guidelines for substance use, abuse, and dependence, when multiple levels (use, abuse, and dependence) of the same substance are documented, only the highest level of severity is coded. The hierarchy is as follows: dependence > abuse > use.
D: If both use and dependence are documented, assign only the code for dependence is correct, as dependence represents the highest severity level and supersedes both use and abuse.
A: is incorrect because if both use and abuse are documented without dependence, only abuse would be coded as it is of a higher severity than use.
B: is incorrect because all three codes (use, abuse, dependence) should not be reported together; only the highest level should be coded.
C: is incorrect because if both abuse and dependence are documented, only dependence (the higher severity level) should be coded, not abuse.
Therefore, the correct answer is D. If both use and dependence are documented, assign only the code for dependence.

NEW QUESTION # 29
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers.
The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?

A. 01820
B. 01810
C. 01830
D. 01840

Answer: C

Explanation:
* The anesthesia code for an axillary block for procedures on the upper arm and elbow, which includes the monitoring by the anesthesiologist throughout the procedure, is 01830. This code is appropriate for anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.
References:
* CPT Professional Edition, AMA
* Anesthesia Coding Guidelines

NEW QUESTION # 30
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required # limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition.
There were no complications.
What CPT codes are reported?

A. 35876-RT, 75710-26
B. 35875-RT, 75716-26
C. 35875-RT, 75710-26
D. 37184-RT, 75716-26

Answer: C

Explanation:
35875 = Thrombectomy, femoral-popliteal artery
RT = Right side
75710-26 = Angiography, extremity, unilateral, professional component

NEW QUESTION # 31
A patient presents with fever, cough, SOB, and fatigue. PCR test is positive for COVID-19. Final diagnosis:
pneumonia due to COVID-19. What ICD-10-CM coding is reported?

A. U07.1, J20.9
B. U07.1, J20.8
C. U07.1, J18.9
D. U07.1, J12.82

Answer: D

Explanation:
U07.1 = COVID-19
J12.82 = Pneumonia due to COVID-19This follows COVID-19 coding guidelines for confirmed cases.

NEW QUESTION # 32
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?

A. 01961
B. 01967
C. 01958
D. 01960

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 # 33
......

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Professional CPC Valid Test Prep - Pass CPC Exam

Test CPC Simulator | Training CPC Online

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q28-Q33):

Certified Professional Coder (CPC) Exam latest braindumps & CPC sure pass torrent & Certified Professional Coder (CPC) Exam free exam pdf