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AAPC CPC Exam Syllabus Topics:

Topic	Details
Topic 1	Pre-contract Phase: This section measures the skills of Construction Project Managers in understanding project delivery, contract, and payment models, including identifying client types, contract types, payment models, and necessary documentation. It also measures the skills of Construction Estimators in understanding the project scope, schedule, and necessary resources.
Topic 2	Closeout Phase: This section measures the skills of Construction Quality Engineers in managing project records, reporting on quality performance, conducting lessons learned sessions, and ensuring the completion of all quality-related activities. It also focuses on the skills of Construction Project Managers in finalizing the project and ensuring a successful handover.
Topic 3	Procurement: This section measures the skills of Construction Quality Engineers in establishing quality requirements for procurement, aligning trade partner requirements, and managing resources for inspections. It also focuses on the skills of Construction Procurement Managers in incorporating material control, resource identification, and mobilization strategies into the resource management process to ensure quality procurement.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q113-Q118):

NEW QUESTION # 113
View MR 001394
MR 001394
Operative Report
Procedure: Excision of 11 cm back lesion with rotation flap repair.
Preoperative Diagnosis: Basal cell carcinoma
Postoperative Diagnosis: Same
Anesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injected slowly through a
30-gauge needle for the patient's comfort.
Location: Back
Size of Excision: 11 cm
Estimated Blood Loss: Minimal
Complications: None
Specimen: Sent to the lab in saline for frozen section margin control.
Procedure: The patient was taken to our surgical suite, placed in a comfortable position, prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpel blade was used to excise the basal cell carcinoma plus a margin of normal skin in a circular fashion in the natural relaxed skin tension lines as much as possible The lesion was removed full thickness including epidermis, dermis, and partial thickness subcutaneous tissues. The wound was then spot electro desiccated for hemorrhage control. The specimen was sent to the lab on saline for frozen section.
Rotation flap repair of defect created by foil thickness frozen section excision of basal cell carcinoma of the back. We were able to devise a 12 sq cm flap and advance it using rotation flap closure technique. This will prevent infection, dehiscence, and help reconstruct the area to approximate the situation as it was prior to surgical excision diminishing the risk of significant pain and distortion of the anatomy in the area. This was advanced medially to close the defect with 5 0 Vicryl and 6-0 Prolene stitches.
What CPT coding is reported for this case?

A. 0
B. 14001, 11606-51
C. 1
D. 14001, 11606-51, 12034-51

Answer: B

Explanation:
For the excision of an 11 cm lesion with a rotation flap repair, the appropriate CPT codes are 14001 for the adjacent tissue transfer or rearrangement (12 sq cm flap) and 11606-51 for the excision of a malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm. Modifier 51 indicates multiple procedures. The detailed operative report specifies the lesion size and the technique used, justifying these codes.References: CPT Professional Edition (current year), AMA.

NEW QUESTION # 114
Which circumstance supports medical necessity for a payment by the insurance company?

A. Second rhinoplasty for a smaller nose.
B. Removing excess skin in losing weight from a gastric bypass.
C. Speech therapy for a lisp.
D. Tummy tuck after a pregnancy.

Answer: B

Explanation:
Medical necessity is determined by whether a procedure or treatment is necessary to treat or manage a health condition. Removing excess skin after significant weight loss from a gastric bypass often meets medical necessity criteria because excess skin can lead to physical complications, such as infections, rashes, and mobility issues. Insurance companies are more likely to cover this procedure when it's needed to alleviate health issues rather than for cosmetic purposes.
A: Speech therapy for a lisp: Typically, therapy for minor speech impediments like a lisp may not be deemed medically necessary unless it severely affects communication or daily functioning.
B: Tummy tuck after a pregnancy: This procedure is generally classified as cosmetic and not medically necessary, as it is often done to improve appearance rather than address a health condition.
C: Second rhinoplasty for a smaller nose: This would likely be considered elective and cosmetic, especially if it is solely for aesthetic preference without any health-related issues.
Thus, the correct answer is D. Removing excess skin in losing weight from a gastric bypass, as it can be essential for physical health and quality of life.

NEW QUESTION # 115
A patient who has colon adenocarcinoma undergoes an open partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?

A. 44205, C18.9
B. 44204, C18.2
C. 44140, C18.9
D. 44160, C18.2

Answer: D

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent an open partial colectomy involving the removal of the proximal colon and terminal ileum with reconnection of the distal ileum to the remaining colon.
CPTCode 44160 is specific for an open partial colectomy with removal of a portion of the colon and the terminal ileum with an ileocolostomy (reconnection of the ileum to the colon). This accurately describes the procedure performed.
Code 44140 is for a partial colectomy without removal of the terminal ileum, making it inappropriate in this case.
Codes 44205 and 44204 involve laparoscopic approaches for colectomy procedures, but since this procedure was open, these codes are not suitable.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code C18.2 is for a malignant neoplasm of the ascending colon, which is specified in this case as colon adenocarcinoma.
Code C18.9 represents an unspecified malignant neoplasm of the colon, which is less specific than C18.2.
Therefore, C18.2 is the most accurate choice based on the location of the adenocarcinoma.
3. AAPC and CPTCoding Guidelines:
Per AAPC guidelines, selecting the correct colectomy code involves identifying the specific approach (open vs. laparoscopic) and anatomical structures resected, both of which align with 44160 for this open ileocolic resection.
Thus, the correct answer, based on CPTand ICD-10-CM guidelines, is D. 44160, C18.2.

NEW QUESTION # 116
A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped, the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon sheath is closed with sutures.
What procedure code is reported for this surgery?

A. 27556-LT
B. 27566-LT
C. 27562-LT
D. 27552-LT

Answer: B

Explanation:
CPT code 27566 involves excision of the patella. Given the surgical description provided, this code is appropriate as the patella was severely damaged and removed entirely.
* Patient's Condition: Dislocated patella with cartilage breakdown and severe damage.
* Surgical Procedure: The surgeon made an incision, dissected through soft tissue, exposed, and completely removed the patella.
* Coding Decision: CPT 27566 is chosen because it specifies excision of the patella. The modifier LT indicates the procedure was performed on the left side.
References:
* AMA's CPT Professional Edition (current year).
* ICD-10-CM for corresponding diagnosis codes if needed.

NEW QUESTION # 117
A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4. The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.

A. 63005 x 2, 22612, 22614 x 3, 22842
B. 63042, 63043, 22808, 22841 x 3
C. 63047, 63048, 22612, 22614 x 3, 22842
D. 63017, 63048, 22612, 22808, 22842 x 3

Answer: C

NEW QUESTION # 118
......

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EXAM CRAM CPC PDF, FREE CPC EXAM QUESTIONS

Exam Cram CPC Pdf, Free CPC Exam Questions