Practice Questions For CPC Exam 2017 -Part 6

Hello Guys!!

This is fifth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 4

Practice Questions For CPC Exam 2017 -Part 5

Continue reading Practice Questions For CPC Exam 2017 -Part 6

Practice Questions For CPC Exam 2017 -Part 5

Hello Guys!!

This is fifth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 4

Continue reading Practice Questions For CPC Exam 2017 -Part 5

Practice Questions For CPC Exam 2017 -Part 4

Hello Guys!!

This is fourth post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2

Practice Questions For CPC Exam 2017 -Part 3 Continue reading Practice Questions For CPC Exam 2017 -Part 4

Practice Questions For CPC Exam 2017 -Part 3

Hello Guys!!

This is third post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous posts, see this :

Practice Questions For CPC Exam 2017 -Part 1

Practice Questions For CPC Exam 2017 -Part 2  Continue reading Practice Questions For CPC Exam 2017 -Part 3

Practice Questions For CPC Exam 2017 -Part 2

Hello Guys!!

This is second post of my next CPC Practice Questions 2017 series post. I will publish more questions in coming days. Do check these. Practice more and more these questions and find answers in the next post.

For previous post, see this :

Practice Questions For CPC Exam 2017 -Part 1

  1. A 56 year old male patient had coronary artery bypass two months ag. He now presents for a re-operation for coronary bypass. Cardiopulmonary bypass machine will be used during this procedure and the patient will be placed under general anesthesia
    A. 00537
    B. 00560
    C. 00530
    D. 00562
  2. A male patient passes out while jogging in the park. Upon examination at the hospital he is found to have a wide complex tachycardia and undergoes and electrophysiologic study and radiofrequency ablation
    A. 00532-P1
    B. 01926-P1
    C. 01922-P1
    D. 00537-P1
  3. A 64 year old fell in the kitchen while mopping the floor and could not get up. The fall resulted in a broken hip. Upon examination of the break, the physician decides a hip replacement is needed. The patient is taken to the operating room where anesthesia is administered for the surgery of a total hip replacement
    A. 01210,99100
    B. 01210
    C. 01214
    D. 01214,99100
  4. A patient presents to the labor delivery department in the first stages of labor. The baby is in breech position so the physician decides to perform an external cephalic version to manipulate the fetus for a head presentation. The patient is taken to the operating room where she received anesthesia for this procedure.
    A. 01963
    B. 01961
    C. 01967, 01968
    D. 01958
  5. A 67 year old female in good physical health is having a cholecystectomy. The anesthesiologist begins to prepare this patient for surgery at 1000. The surgery begins at 10:15 and ends at 11:30. The anesthesiologist releases the patient to the PACU nurses at 11:45.
    A. 1 hr 30mins, 00840
    B. 1 hr 45mins, 00790
    C. 1 hr 15mins, 00790
    D. 2hrs 15mins, 00840
  6. Using ultrasound guidance an anesthesiologist injects an analegesic and a steroid mixture into the parsvertebral facet joint on both the right and left sides at L1-L2 and L2-L3. The procedure is done for pain management for the patient’s persistent pain secondary to spondylosis with myelopathy.
    A. 64493, 64494, 77003-26
    B. 0216T-50, 0217T-50
    C.  64483-50, 64484-50, 77003-26 x2
    D. 64493-50, 64494-50
  7. Patient is coming into surgery for total knee replacement due to worn down cartilage in the knee joint. When patient was taken to the recovery room, he still continued to have postoperative pain during recovery. The anesthesiologist came in and performed a left femoral block, which provided significant post-operative pain relief.
    A. 01402, 64448, 01996
    B. 01400, 64447
    C. 01402, 64447
    D.01401,64450, 01996
  8. A 15 year old male was seen this morning in his pediatrician’s office for controlling a nosebleed with cauterization.  He returns to the office in the afternoon with a nosebleed continuing after initial cautery.  This time the pediatrician uses Surgifoam and extensive cautery anteriorly in the left nose
    A. 30901-78
    B. 30903-52
    C. 30903-59
    D.30903-78
  9. Preoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
    Postoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
    Procedure performed: Placement of an LABP right common femoral artery
    Description of procedure: Patient’s right groin was prepped and draped in the usual sterile fashion. Access was obtained through the groin via opening the femoral artery.  The tip of the balloon catheter was placed and then intra-aortic balloon pump was placed after the right common femoral artery had been dilated with the small dilator.  The ballon pump had good waveform. The balloon pump catheter was secured to his skin after local anesthesia of 2cc of 1% Xylocaine was used to numb the area. 0 silk suture was used to secured the balloon pump. The patient had sterile dressing placed. The patient tolerated the procedure there were no complication.
    A.33970
    B.33975
    C.33967
    D.33973
  10. The cardiothoracic surgeon takes a patient to the operating room to perform an open balloon angioplasty of femoral pepriteal artery.  During the same operative session, the surgeon performs an open transluminal peripheral atherectomy of the visceral artery.
    A. 37224, 75964-26
    B. 37224, 0235T
    C. 37228, 37220
    D. 37228, 0238T
  11. A lymphanglogram is performed on a patient with early onset of cervical cancer. Code the condition as well as the injection procedure with radiological imaging on one side.

    A. 38790-50, 75807, 180.0.. can be this
    B. 38792-50, 78195, 180.8
    C. 38790, 75805, 180.9,
    D. 38792, 76942, 180.0

  12. An eight year old male presents with multiple Ventrical Septai Defects (VSDs) and is in current heart failure. Under general anesthesia, the skin incision is made via median sternotomy.  Cardiopulmonary bypass is initiated. Under epicardial guidance the muscular VSD is located. The guidewire is placed transmyocardially through the VSD. A new technology device is then delivered over guidance to close the VSD, after successful closure the guidewire is removed and the site is repaired.  A chest tube is placed in the sternum.

    A. 33684
    B. 33681
    C. 33999
    D. 33993

  13. An oncologist performs a bone marrow aspiration and a bone marrow biopsy on the right posterior iliac spine. The procedures were performed during the same encounter. Select the appropriate code(s) for a Medicare patient.
    A. 38221, 38220
    B. 38221
    C. 38221, G0364
    D. 38220, G0364
  14. A catheter is placed into aortic arch from a right femoral arterial approach. The catheter is then guided into the right common carotid. Dye is injected and imaging of the ipsilateral extracranial carotid and bilateral external carotid is performed.

    A.36222, 36227-50
    B.36223, 36227-50
    C.75658-26
    D.36224-50

  15. Patient is a 26 year old female new to our group practice. She has symptoms indicative of gastritis with increasing abdominal bloating I have been contracted as a locum tenes to substitute for Dr. Allen while he is on vacation for two weeks.
    A. 99212
    B.  99212-Q6
    C.  99201
    D. 99201-Q6
  16. Patient is a 26 year old female in for one month follow up to our group practice for asthma. My partner Dr. Jones is unavailable today and this patient is new to me. She has no new complaint and no recurrence of dyspnea (see previous note). Blood pressure 120/84, RRR, NBS, lungs  clear to auscultation. All question answered. No scheduled f/u. Return PRN. The MDM was straightforward.
    A. 99201-Q6
    B.  99202
    C.  99211-Q6
    D.  99212
  17. A patient presents to the oncology office for her scheduled chemotherapy. Uring the encounter she receives IV chemo medicationn for two hours and 16 minutes.
    A 96413, 96415
    B. 99211-25, 96413, 96417
    C. 99211, 96413, 96411 X 2
    D. 96413, 96365
  18. A 10 year old child that has regrowth of tonsil tissue is taken to the operating room for a tonsillectomy.
    A. 42835
    B. 42825
    C. 42820
    D. 42826
  19. A 34year old male is taken back to the OR for a takedown of his colostomy and reversal of his small intestines after six months of bowel rest for his colitis.  The patient supine on the operating table and general endotracheal anesthesia is administered.  His abdomen is prepped and draped in the usual sterile manner.  The colostomy stoma was incised and dissected sharply from the abdominal wall.  After the stoma was mobilized and taken down from the abdominal wall, it was closed with 0-0 chronic and 5-0 prolene. The abdominal incisions were closed in the usual fashion.
    A. 44227
    B. 44640
    C. 44625
    D. 44620
  20. A patient undergoes a laparoscopic partial colostomy of the transverse colon, including low pelvic anastomosis, due to cancer of the colon and rectum.

    A. 44146,
    B. 44207
    C. 44208
    D. 99208

Donloadable CPC Practice Exam Questions For 2017

Please do all these questions and ask your queries in the comments section.

Keep Safe!!!

ICD -10 Practice Questions

ICD 10 Practice Questions for CPC Exam 2017

Hello Guys!!

I have prepared few questions based on ICD 10. These are based on previous year questions papers and very useful for CPC Exam 2017 and also for CIC , COC , CRC Exam 2017.

These questions are also very useful for beginner students to practice their ICD 10 coding knowledge and skills.

Here we go…

ICD 10 Practice Questions for CPC Exam 2017

  1. Mrs. Smith had a breast cancer was completely treated with chemotherapy and radiation therapy last year and it has been metastasis to bone.
  2. Metastatic lung
  3. Septic shock with respiratory failure
  4. Oral candidiasis secondary to HIV +ve
  5. Diabetic Neuropathy on long term Insulin
  6. DM, Osteomyelitis
  7. Diabetes and nephropathy
  8. Anemia of CKD
  9. Primary Open Angle Glaucoma
  10. HTN, CKD, CHF
  11. CHF due to diastolic dysfunction
  12. Pressure ulcer of Sacrum
  13. Asthma Exacerbation and Status asthmaticus
  14. Continue reading ICD 10 Practice Questions for CPC Exam 2017

Bunionectomy

How to Code Bunionectomy

Hello Coders!

In this article, I will explain everything about bunion and coding of bunion surgery procedures (bunionectomies) important for AAPC coding Exam 2017. Go through the article, practice CPC exam questions and post your queries in comments section at the end of article.

Bunion or Halux Valgus

What is BUNION :

Halux – great toe

Valgus – angulation of toe away from the midline

  • Bursa formed along the medial aspect of great toe.

bursa

  • Enlargement of bone or tissue around the joint at the bottom of the big toe (known as the metatarsaophalangeal joint).
  • It forms when your big toe pushes against your next toe, forcing joint of big toe to get bigger and stick out.

bunion

Causes :

  • Wearing tight, narrow shoes might cause bunions or make them worse
  • Bunions also can result of an inherited structural defect.
  • Stress on your foot or medical condition, such as arthritis.

What is Bunionectomy :

  • Surgery to excise all the parts of bunion that involves removing soft tissue, tendones and bone and may also involve reallining the toe joint.

bunionectomy

Types of Bunionectomy procedures:

  • There are different types of Bunionectomy procedures and it is very imprtant to know the type of procedure performed to select correct CPT code.
  • Some common bunion procedures includes:
  1. Austin,
  2. Reverse Austin ,
  3. Mitchell,
  4. Chevron,
  5. Kalish,
  6. youngswick,
  7. Reverdin,
  8. Reverdin-Green and
  9. Hohmann procedures,
  10. Akins procedures / phalanx osteotomy procedures.
  • The most commonly performed bunionectomy procedures are the Austin and Akin procedures.

Must Visit this site for more information : http://www.surgerybunion.com/ Continue reading How to Code Bunionectomy

CPC Exam 2017

CPC Previous year Questions for Practice CPC 2017 with Answers -Part 2

Question 26

A healthy 11-month-old patient with bilateral cleft lip and palate undergoes surgery. The surgeon performs a bilateral cleft lip repair, single stage. Code the anesthesia service.

  1. 00170-P1, 99100
  2. 00102-P1
  3. 00102-P1, 99100
  4. 00170-P1

Answer – 00102-P1, 99100

Question 27

A 78-year-old with lower back pain and leg pain is scheduled for a MRI of lumbar spine without contrast. Following the MRI, the patient is diagnosed with spinal stenosis of the lumbar region. What are the procedure and diagnosis codes?

  1. 72020-26, 724.2, 729.5, 724.02
  2. 72149-26, 724.03
  3. 72148-26, 724.02
  4. 72158-26, 724.02, 724.2, 729.5

Answer – 72148-26, 724.02

Question 28

22-year-old driver loss control of her car and crashed into a light pole on the highway.  She arrived to the hospital by ambulance in an unconscious state. She had CT scans without contrast of the brain and chest. She had X-rays of AP and PA views of her left ribs and AP and PA views of her right ribs with a posterioanterior view of the chest. The CT scan of the brain showed a fracture of the skull base with no hemorrhage of the brain. The CT of the lung showed no puncture of the lungs. The X-ray showed fractures in her second, third, and fifth ribs. What CPT® and ICD-9-CM codes should be reported.

  1. 70450-26, 71250-26, 71101-26, 803.02, 807.03, E815.0, E849.5
  2. 70460-26, 71260-26, 71110-26, 801.02, 807.13, E815.0, E849.5
  3. 70450-26, 71250-26, 71111-26, 71010-26, 801.06, 807.03, E815.0, E849.5
  4. 70450-26, 71250-26, 71111-26, 801.06, 807.03, E815.0, E849.5

Answer – 70450-26, 71250-26, 71111-26, 801.06, 807.03, E815.0, E849.5

Donloadable CPC Practice Exam Questions For 2017

CPC exam questions 2017

CPC Previous year Questions for Practice CPC 2017 with Answers -Part 1

Question 1

Indications: 15-year-old boy was burned in a fire and assessed to have received burns to 75 percent of his total body surface area. He was transferred to a burn center for definitive treatment. Once stable, he was brought to the OR. Procedure: Due to extent of the patient’s burns and lack of sufficient donor sites, his full-thickness burns will be excised and covered with xenograft (skin substitute graft), and a split-thickness skin biopsy will be harvested for preparation of autologous grafts to be applied in the coming weeks, when available. After induction of anesthesia, extensive debridement of the full-thickness burns was undertaken. Attention was first directed to the patient’s face, neck, and scalp. A total of 500 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved using electrocautery. Attention was then turned to the trunk. A total of 950 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved. Attention was then turned to the arms and legs. A total of 725 sq cm received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved. Attention was then turned to the hands and feet. A total of 300 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. All involved areas were then covered with xenograft. Finally a split thickness skin graft of 0.015 inches in depth was harvested using a dermatome from a separate donor site. A total of 85 sq cm was recovered. What procedures codes would be reported service?

  1. 15200, 15201 x 123, 15004, 15005, 15002, 15003
  2. 15275, 15276 x 31, 15271, 15272 x 66, 15004, 15005 x 16, 15002, 15003 x 7
  3. 15277, 15278 x 7, 15273, 15274 x 16, 15004, 15005 x 7, 15002, 15003 x 16, 15040
  4. 15130, 15131 x 7, 15135, 15136 x 16, 15004, 15005 x 7, 15002, 15003 x 16

Answer – 15277, 15278 x 7, 15273, 15274 x 16, 15004, 15005 x 7, 15002, 15003 x 16, 15040