AAPC-CPC Online Practice Questions and Answers

View MR 005398 MR 005398 Operative Report Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture. Procedure: Right nephrectomy with partial ureterectomy. Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th

ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fascia. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The

right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0

silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding

noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain

was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well.

What CPT?coding is reported for this case?

A. 50234

B. 50220

C. 50230

D. 50240

A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.

What CPT?code should be reported for the surgical procedure?

A. 20610-LT

B. 20611-LT, 76942

C. 20611-LT

D. 20610-LT, 76942

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 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.

What CPT?code is reported?

A. 88028

B. 88012

C. 88029

D. 88014

Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?

A. Centers for Medicare and Medicaid Services (CMS)

B. American Medical Association (AMA)

C. Office of Inspector General (OIG)

D. Office for Civil Rights (OCR)

A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT?code is reported for this procedure?

A. 50220

B. 50548

C. 50543

D. 50546

This 27-year-old male has morbid obesity with a BMI of 45 due to a high calorie diet. He has decided to have an open Roux-en-Y gastric bypass. The patient is brought to the operating room and placed in supine position. A midline abdominal incision is made. The stomach is mobilized, and the proximal stomach is divided and stapled creating a small proximal pouch in continuity with the esophagus. A short limb of the proximal bowel of 155 cm is divided. It is brought up and anastomosed to the gastric pouch. The other end of the divided bowel is connected back into the distal small bowel to the short limb's gastric anastomosis to restore intestinal continuity. The abdominal incision is closed.

What are the procedure and diagnosis codes for this encounter?

A. 43847, E66.01, Z68.42

B. 43644, E66.01, Z68.43

C. 43847, E66.9, Z68.42

D. 43645, E66.8, Z68.42

The outermost protective layer of skin is called the:

A. Epidermis

B. Hypodermis

C. Subcutaneous tissue

D. Dermis

A mother expressed concern about the hearing of her 4-year-old. The provider performed a hearing screening with the child wearing headphones to listen to a series of tones. The child is instructed to raise either hand when a tone is heard.

What CPT?code is reported?

A. 92552

B. 92551

C. 92550

D. 92553

During the course of a hospital admission, Dr. Miller requests an orthopedist see his patient for osteoporosis. The orthopedist sees the patient on day 3 of admission. He performs a history and exam. He evaluates the patient's osteoporosis. He orders a bone density study and prescribes Boniva for the patient.

What CPT?code is reported by the orthopedist?

A. 99223

B. 99232

C. 99253

D. 99221