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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q140-Q145):

NEW QUESTION # 140
An interventional radiologist performs an abdominal paracentesis in his office utilizing ultrasonic imaging guidance to remove excess fluid. What CPT coding is reported?

A. 49082, 76942-26
B. 49083, 76942-26
C. 0
D. 49082, 76942

Answer: C

NEW QUESTION # 141
A patient is having X-ray imaging of his abdomen following a traumatic episode. A decubitus, supine, and erect views are performed on the abdomen.
What CPTis reported?

A. 74022-26
B. 74019-26
C. 74021-26
D. 74018-26

Answer: A

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent X-ray imaging of the abdomen with multiple views: decubitus, supine, and erect. This is a comprehensive study that includes different positioning to evaluate the abdomen.
CPTCode 74022 is appropriate for an abdominal X-ray with a minimum of three views. This code accurately reflects the multiple views taken in this scenario.
2. Modifier 26:
Modifier 26 is applied to indicate the professional component of the service if the radiologist is only interpreting the images and not providing the technical component.
3. Rationale for Excluding Other Options:
Code 74018 (in option A) is for a single view of the abdomen, which does not apply here since multiple views were taken.
Code 74019 (in option C) covers two views of the abdomen, which is insufficient for this three-view study.
Code 74021 (in option D) represents an abdominal X-ray with more limited or focused views and does not align with the comprehensive three-view study described.
4. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 74022 is the correct code when an abdominal X-ray study involves at least three views, capturing various positions for a thorough examination.
Therefore, the correct answer is B. 74022-26.

NEW QUESTION # 142
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?

A. 80156, R56.9
B. 80156, G40.909
C. 80157, G40.909
D. 80157, R56.9

Answer: B

Explanation:
The correct CPT code for a therapeutic drug test to monitor the total level of carbamazepine is 80156. The ICD-10-CM code G40.909 is used for epileptic seizures, not otherwise specified, which aligns with the patient's condition being treated for seizures.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)

NEW QUESTION # 143
The pulmonologist performs a bronchoscopy with fluoroscopic guidance. The scope is introduced into the right nostril and advanced to the vocal cords and into the trachea. The scope is advanced to the right upper lobe and a lung nodule is noted. An endobronchial biopsy is performed.
What CPT code is reported for the procedure?

A. 0
B. 1
C. 2
D. 3

Answer: C

NEW QUESTION # 144
A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24% with third-degree burns totaling 10%.
What ICD-10-CM codes are reported, according to 1CD-10-CM coding guidelines?

A. T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21
B. T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21
C. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31
D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21

Answer: D

Explanation:
In coding burns, ICD-10-CM guidelines indicate that each burn site is coded separately, specifying the degree, location, and extent of the burn. Additionally, a code for total body surface area (TBSA) burned is included when burns cover more than 10% of the body. Here's the breakdown:
1. T24.311A: Represents a third-degree burn on the left thigh, initial encounter.
2. T24.312A: Represents a third-degree burn on the right thigh, initial encounter.
3. T21.21XA: Represents a second-degree burn on the anterior chest wall, initial encounter.
4. T21.23XA: Represents a second-degree burn on the upper back, initial encounter.
5. T31.21: Represents burns with 20-29% TBSA involvement, with third-degree burns covering 10-19% of the TBSA.
Explanation of incorrect answers:
A includes an incorrect TBSA code (T31.21).
B has the correct codes but lists an incorrect TBSA code for third-degree burns.
C uses incorrect burn site codes for the areas involved and incorrect TBSA percentages.
Therefore, the correct answer is D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21, which accurately captures the burns' degrees, locations, and TBSA.

NEW QUESTION # 145
......

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AAPC CPC Reliable Test Online, Exam CPC Learning

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q140-Q145):

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