Sample test questions for the CPC exam

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1 Sample test questions for the CPC exam The following 20 questions were developed by Lisa Rae Roper, MHA, MS, PCS, CPC, CPC-I, CCS-P, an adjunct instructor for HCPro s Certified Coder Boot Camp, for preparation of the Certified Professional Coder (CPC) exam. Unless the question states otherwise, assume that a physician documented all the information provided. You have two minutes to complete each question. You may not use any outside materials for this exam other than the 2013 CPT, ICD-9-CM, and HCPCS Level II manuals. JustCoding Platinum members have access to a 150-question practice exam. To learn how to become a Platinum member, click on the tab See Pricing Plans. 1. Dr. Jess removed a 4.5 cm (excised diameter) cystic lesion from Amy s forehead. The ulcerated lesion was anesthetized with 20 mg of 1% Lidocaine and then elliptically excised. The wound was closed with a layered suture technique and a sterile dressing applied. The wound closure, according to Dr. Jess s documentation, was 5.3 cm. How would you report this procedure? a , b , c , J2001 x 2, d , How should you code an excision of a lesion when completed with an adjacent tissue transfer or rearrangement? a. The excision is always reported in addition to the adjacent tissue transfer or rearrangement. b. The excision is not separately reported with adjacent tissue transfer or rearrangement codes. c. Code only malignant lesions in addition to the adjacent tissue transfer or rearrangement codes. d. Code the lesion with a modifier -51 and code in addition to the adjacent tissue transfer or rearrangement codes. 3. Sally suffered a burst fracture to her lumbar spine during a skiing accident. Dr. Phyllis performed a partial corpectomy to L2 by a transperitoneal approach followed by anterior arthrodesis of L1-L3. She also positioned anterior instrumentation and placed a structural allograft to L1-L3. How would Dr. Phyllis report this procedure? a , , 22585, 22845, b , 22533, , c x 2, 22808, , d , , ,

2 4. What modifier should you report when the same physician provided a re-reduction of a fracture? a. -76 b. -59 c. -77 d While playing in his front yard at home, Riley fell from a tree and dislocated his patella. The surgeon documented an open dislocation. Riley underwent a closed treatment under anesthesia. How would you report the treatment and diagnoses? a , b , 836.4, E884.9, E849.0 c , , 836.3, E884.9 d , What code would you report for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy? a b c d Dr. Sacra performed a CABG surgery on Fred five months ago. Today, Dr. Sacra completed another coronary artery bypass using three venous grafts with harvesting of a femoropopliteal vein segment. How would Dr. Sacra report her work for the current surgery? a , , b , , c , 33530, d , 33519, , Mrs. Reyes had a temporary ventricular pacemaker placed at the start of a procedure. This temporary system was used as support during the procedure only. How would you report the temporary system? a b c d , , An 88-year-old male patient suffering from dementia accidentally pulled out his gastrostomy tube during the night. Dr. Reid, an interventional radiologist, takes him

3 into an angiography suite, administers moderate sedation (an independent observer was present during the procedure), probes the site with a catheter and injects contrast medium for assessment and tube placement. Dr. Reid finds that the entry site remains open and replaced the tube into the proper position. The intra-service time for the procedure took 45 minutes. How would Dr. Reid report his services? a , 99149, b , c , 99144, d Tom was placed under general anesthesia (by an anesthesiologist) for an excision of a local lesion of the epididymis. How would you report the surgeon s services? a b c , d An infant born at 33-weeks underwent five photocoagulation treatments to both eyes due to retinopathy of prematurity at six months of age.the physician used an operating microscope during these procedures.these treatments occurred once per day for a defined treatment period of five days. How would you report all of these services? a b x 5 c , d Andrea, a 52-year-old patient, had a hysterectomy on Monday morning. That afternoon, after returning to her hospital room, she suffered a cardiac arrest. A cardiologist responded to the call and delivered one hour and 35 minutes of critical care. During this time the cardiologist ordered a single view chest x-ray and provided ventilation management. How should you report the cardiologist s services? a , b , 99292, 71010, c , 94002, d , 99292, How does the CPT Professional Edition define an emergency department? a. An organized hospital-based facility for the provision of unscheduled episodic services to patients who present for immediate medical attention. The facility must be available 24 hours a day.

4 b. An organized hospital-based facility for the provision of scheduled episodic services to patients who present for immediate medical attention. The facility must be available 24 hours a day. c. An organized hospital-based facility for the care and treatment of chronically ill patients who present for services. The facility must be available on weekends and holidays. d. An organized outpatient-based facility for the care and treatment of unscheduled patient who present for immediate medical attention. The facility must be available 24 hours a day. 14. An anesthesiologist provides general anesthesia for a 72-year-old patient with mild systemic disease who is undergoing a ventral hernia repair. How would you report the anesthesia service? a AA-P2, b AA-P2, c , QX-P3, d QX-P3 15. Which service is not included with anesthesia services? a. Swan-Ganz monitoring b. Administration of blood c. Blood pressure d. Mass spectrometry 16. Sally had a DXA bone density study for her hips, pelvis, and spine. The procedure was performed in a hospital. How would you report for the professional services of this study? a , b c d , Which modifier would you use to report with code if the test was looking for hereditary breast cancer? a. -OB b. -59 c. -91 d. -OA 18. Blepharoplasty describes what type of a procedure? a. Surgical reduction of the upper/lower eyelids to remove excess fat, skin,

5 and muscle. b. Treatment for spider veins with injections of sclerosing solution. c. Replacement of damaged skin with healthy tissue taken from a donor. d. Destruction of tissue by burning or freezing. 19. Which term does not refer to a level of consciousness? a. Syncope b. Stupor c. Coma d. Sciatica 20. Cynthia is 28 years old and pregnant. She presents to the emergency room complaining of diarrhea with watery bowel movements with incontinence, cramps, nausea, and vomiting for the past 12 hours. She is unable to keep anything down, including liquids. She has been eating a healthy diet and does not feel this problem is based on something she ate. After testing, she was found to have enteritis due to Clostridium difficile. She was admitted for hydration and further treatment. In what order should you report the diagnoses codes for Cynthia s condition? a. There are no sequencing rules that would apply to code this case. b. Symptoms, Signs, and Ill-Defined Conditions codes only (Chapter 16). c. Complications of Pregnancy, Childbirth and Puerperium (Chapter 11) codes first, followed by Infectious and Parasitic codes (Chapter 1). d. Infectious and Parasitic codes (Chapter 1), followed by Complications of Pregnancy, Childbirth and Puerperium (Chapter 11) codes.

6 Answers to 20 sample test questions for the CPC exam 1. A. You would report this excision to a benign lesion.in the CPT Professional Edition under the heading Excision Benign Lesions, cystic lesion is given as an example, (layered) intermediate closure should be reported in addition to the excision. The local anesthesia is included per the CPT Surgery section guidelines. 2. B. The CPT Professional Edition subcategory guidelines for Adjacent Tissue Transfer or Rearrangement procedures under the Surgery/Integumentary System guidelines indicate that excision (including lesion) is not separately reportable with adjacent tissue transfer or rearrangement codes 3. A. The primary procedure is a partial corpectomy. You can find this in the CPT Professional Edition index under Corpectomy. An arthrodesis procedure was done in addition to the definitive procedure; therefore modifier -51 is necessary (you can find this in the subcategory guidelines under Arthrodesis). Do not attach modifier -51 to add-on codes (see Appendix A for this definition). Additionally, you would report the code for a structural allograft without a modifier A. You can find this answer in the CPT Professional Edition in the main section guidelines for the Musculoskeletal System. 5. B. Refer to the index of the CPT Professional Edition under Dislocation/Patella/closed treatment for a code range. It is necessary to look up the code range and read the descriptions to select the correct code. You can find the ICD-9-CM codes under Dislocation/Patella/Open. The E code Alphabetic listing is in Volume 2, Section 3 in this index look up Fall, (from off), tree; the second code, look up Accident, (occurring at in), house. 6. B. Code is a cervical approach; code reports a transthoracic approach. 7. C. The codes and are add-on codes and should not have modifier 51 appended. Review modifier -51 in Appendix A of the CPT Professional Edition for this note. 8. A. The code reports a temporary transvenous single chamber pacemaker. There is not enough information in this question to code for the placement of the permanent system. 9. C. This is a replacement procedure via the same access site. The same provider completed the procedure and the moderate sedation. The procedure code does not include moderate sedation; therefore, codes for the sedation would be reported. You can find the guidelines for moderate sedation in Appendix G of the CPT Professional Edition. 10. D. You can find this answer in the CPT Professional Edition index under

7 Excision/Lesion/Epididymis. Be careful with the index in this section and follow down to lesion or you may report an incorrect code adjacent tissue transfer or rearrangement codes. 11. A. In the CPT Professional Edition the note under Prophylaxis indicate that these services are repetitive, performed in multiple sessions, and are intended to include all services in a defined treatment period. The parenthetical note under code states to use modifier -50 for a bilateral procedure. The operating microscope is bundled into this procedure. Refer to code for a list of bundled codes. 12. A. See the critical care guidelines in the CPT Professional Edition or a list of included services. These services are not separately reported in addition to critical care codes when services are performed by the physician providing the critical care. 13. A. You can find this definition in the CPT Professional Edition under the subcategory guidelines for Emergency Department Services. 14. B. You should report the anesthesia service with modifiers -AA (indicates anesthesiologist preformed the anesthesia) and -P2 (for mild systemic disease). The addon code for qualifying circumstances is reported due to the patient s age. 15. A. According to the Anesthesia Guidelines in the CPT Professional Edition, Swan- Ganz monitoring is not included. 16. B. You can find this study in the index of the CPT Professional Edition under DXA (with a cross reference). This study was completed on the axial skeleton. 17. A. Genetic Testing Modifiers are listed in Appendix I of the CPT Professional Edition. The note in the CPT Professional Edition under the subcategory Cytogenetic Studies refers coders to Appendix I. 18. A. You can find this answer in the index of the CPT Professional Edition under Blepharoplasty. Once you locate the term, cross reference the code(s) to determine the type of procedure. 19. D. Sciatica is an inflammation of the sciatic nerve that results in pain, burning, and tingling along the course of the nerve through the thigh and leg. You could find the answer to this question by looking up each term in the ICD-9-CM index. 20. C. You can find this answer in the ICD-9-CM coding guidelines under Chapter 11, a, 1. Codes from Chapter 11states,... Chapter 11 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with Chapter 11 codes to further specify conditions.