CPC Exam Tutorials | CPC Exam Certification
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AAPC CPC Exam Syllabus Topics:
Topic
Details
Topic 1
Topic 2
Topic 3
Topic 4
Topic 5
Topic 6
Topic 7
Topic 8
Topic 9
Topic 10
Topic 11
2025 AAPC Valid CPC: Certified Professional Coder (CPC) Exam Exam Tutorials
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q94-Q99):
NEW QUESTION # 94
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution. Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
Answer: D
NEW QUESTION # 95
Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?
Answer: D
Explanation:
The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.References: OIG Compliance Program Guidance, AMA's CPT Professional Edition, and healthcare compliance resources.
NEW QUESTION # 96
A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior.
What ICD-10-CM codes are reported for this patient?
Answer: B
NEW QUESTION # 97
A 20-year-old female is being seen for the first time by a primary care physician to have a yearly physical.
During the examination for the physical, the provider discovers non-inflammed lesions on her legs and arms.
The physician performs a complete physical and additional separate documentation for the treatment of the lesions on the bilateral upper and lower extremities. The provider has the patient buy an over-the-counter ointment and will continue to watch them.
What CPT coding is reported for this visit?
Answer: D
Explanation:
CPT code 99385 is used for initial comprehensive preventive medicine evaluation and management of an individual, including a detailed history and examination, and anticipatory guidance. Since additional documentation and treatment for non-inflamed lesions are provided, an additional E/M service code 99203 with modifier -25 (significant, separately identifiable evaluation and management service by the same physician on the same day) is appropriate to indicate both services were rendered. References: CPT Professional Edition (current year), AMA.
NEW QUESTION # 98
Patient with erectile dysfunction is presenting for same day surgery in removal and replacement of an inflatable penile prosthesis.
What CPTcode is reported for this service?
Answer: D
Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the removal and replacement of an inflatable penile prosthesis due to erectile dysfunction.
CPTCode 54416 is specifically used for the removal and replacement of a multi-component inflatable penile prosthesis. This code accurately describes the procedure performed.
2. Rationale for Excluding Other Options:
Code 54401 represents the initial insertion of a multi-component inflatable penile prosthesis but does not cover removal and replacement, making it inappropriate for this scenario.
Code 54400 is for the insertion of a non-inflatable (malleable) penile prosthesis, which does not apply here as the prosthesis is inflatable.
Code 4417 does not exist in the CPTcoding system and is likely a typo or incorrect option.
3. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 54416 is the correct code when an inflatable prosthesis requires both removal and replacement, without the need for additional modifiers for this procedure.
Therefore, the correct answer based on CPTguidelines is D. 54416.
NEW QUESTION # 99
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