Download AAPC CERTIFIED PROFESSIONAL CODER EXAM 2024-2025 LATEST UPDATE WITH VERIFIED SOLUTIONS and more Exams Information Integration in PDF only on Docsity!
AAPC CERTIFIED PROFESSIONAL CODER EXAM 2024-
2025 LATEST UPDATE WITH VERIFIED SOLUTIONS
A patient with hypertension is scheduled for same day surgery for removal of her gallbladder due to chronic gallstones. She is examined preoperatively by her cardiologist to be cleared for surgery. What ICD- 10 - CM codes are reported by the cardiologist? D) K80.21, Z01.89, I10 - Answer A A patient is admitted for a simple primary examination of the gastrointestinal system to rule out GI cancer. An Esophagogastroduodenoscopy (EGD) is performed, which includes examination of the esophagus, stomach and portions of the small intestine. During the examination, a stricture of the esophagus is identified and subsequently dilated via balloon dilation (20 mm). What CPT® and ICD- 10 - CM codes are reported? C) 43248, Q39.
A) 43235, K22.
B) 43235, C15.
A) Z01.810, K80.20, I
B) I10, Z01.818, K80.
C) K80.20, I10, Z01.
D) 43249, K22.2 - Answer D A screening colonoscopy is performed on a 50 year-old patient with a family history of colon cancer. Multiple polyps were found during the procedure. Two polyps in the transverse colon were removed with hot forceps cautery. Three polyps in the ascending colon were removed via snare. Portions of all polyp tissues were to be sent to pathology. What are the correct CPT® and ICD- 10 - CM codes for this patient encounter? A) 48584 x2, 45385 x3, K63. B) 45384, 45385 - 59, K63.5, Z12.11, Z80. C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12. D) 45384, 45385 - 59, Z12.11, D12.3, D12.2, Z80.0 - Answer D What CPT® and ICD- 10 - CM codes are reported? A) 43235 - 52, K25.4, K28. B) 43235 - 53, K25.4, K28. C) 43200 - 52, K25.5, K28. A 33 year-old male patient presents to the endoscopy suite to determine if he has an ulcer. The physician performs a diagnostic scope through the esophagus, stomach and into the duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and the physician discontinues the procedure, but not before observing and diagnosing a bleeding ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is planned.
layer suture repair is performed. What CPT® code(s) is/are reported for this service? A) 40510 D) 11442, 40510 - Answer A What is the correct ICD- 10 - CM code for a patient with IBS? D) K59.8 - Answer A What is the correct CPT® coding for a partial distal gastrectomy with Roux-en-Y reconstruction with vagotomy? D) 43633, 43640 - 51 - Answer A What CPT® and ICD- 10 - CM codes are reported for diagnosis of a recurrent unilateral reducible femoral hernia repair?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
A) K58.
B) K59.
C) K58.
B) 11442, 12011 - 51
C) 40510, 12011 - 51
D) 49555, K41.91 - Answer D In ICD- 10 - CM, how is Crohn's disease of the small intestine with intestinal obstruction reported? A) Crohn's disease of the small intestine is reported first with intestinal obstruction reported as a secondary diagnosis. B) Intestinal obstruction is reported first with Crohn's disease of the small intestine is reported as a secondary. C) One combination code is reported to indicate Crohn's disease of the small intestine with intestinal obstruction. D) Crohn's disease of the small intestine is reported as regional enteritis of thesmall intestines. - Answer D
A) 49550, K41.
B) 49555, K41.
C) 49505, K41.
A patient is seen in the gastroenterologist's clinic for a diagnostic colonoscopy. When performing the service, the physician notes suspicious looking polyps and
B) Upper and lower lips C) Stomach lining D) In the esophagus - Answer B What ICD- 10 - CM code is reported for internal hemorrhoids? D) K64.0 - Answer C A 56 year-old patient complains of occasional rectal bleeding. His physician decides to perform a rigid proctosigmoidoscopy. During the procedure, two polyps are found in the rectum. The polyps are removed by a snare. What CPT® and ICD- 10 - CM codes are reported? A) 45309, 45309, K63.
A) K64.
B) K64.
C) K64.
D) 45320, K62.1 - Answer C Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? The same surgeon took her back to the OR as the one who performed the original operation. What CPT® code is reported? D) 49402 - 78 - Answer D An 11 year-old patient is seen in the OR for a secondary palatoplasty for complete unilateral cleft palate. Shortly after general anesthesia is administered, the patient begins to seize. The surgeon quickly terminates the surgery in order to stabilize the patient. What CPT® and ICD- 10 - CM codes are reported for the
A) 49000 - 58
B) 49000 - 77
C) 49402 - 77
B) 45385, K63.
C) 45315, K62.
A 20 year-old patient presented to the hospital for a sigmoidoscopy due to a history of bloody stools for three weeks' duration. The patient was prepped for the sigmoidoscopy and the sigmoidoscope was passed without difficulty to about 40 cm. The entire mucosal lining was erythematosus. There was no friability of the overlying mucosa and no bleeding noted. No pseudo polyps were identified. Biopsies were taken at about 30 cm; these were thought to be representative of the mucosa in general. The scope was retracted; no other abnormalities were seen. What CPT® and ICD- 10 - CM codes are reported? A) 45330, 45331, K62. B) 45333, Z12.11, K62. C) 45331, K92. D) 45305, K92.1 - Answer C A 45 year-old patient with liver cancer is scheduled for a liver transplant. The patient's brother is a perfect match and will be donating a portion of his liver for a graft. Segments II and III will be taken from the brother and then the backbench reconstruction of the graft will be performed, both a venous and arterial anastomosis. The orthotopic allotransplantation will then be performed on the patient. What CPT® codes are reported?
A) 47140, 47146, 47147, 47135
B) 47141, 47146, 47135
C) 47140, 47147, 47146, 47399
D) 47141, 47146, 47399 - Answer A Operative Report This is a repeat evaluation and dilation. Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray. Procedure: With the patient in the left lateral decubitus position, the Olympus GIFXQ10 was inserted into the proximal esophagus and advanced to the Z-line. The esophageal mucosa was unremarkable. Stomach was entered revealing normal gastric mucosa. Mild erythema was seen in the antrum. The pyloric channel was again widened. The ulcer, as previously seen, was well healed with a scar. The pyloric stricture was still present. With some probing, the 11 mm Indications: This is a third follow-up EGD dilation on this 40 year-old patient for a pyloric channel ulcer which has been slow to heal with resulting pyloric stricture.
held retractors were used to assist in surgical exposure. The malignant intra-abdominal tumor was resected from the hepatic flexure into the mid transverse colon. The resection was extended into the left upper quadrant and the attachments were also clamped, cut and suture ligated with 2- 0 silk sutures in a stepwise fashion until mobilization of the tumor mass could be brought medial and hemostasis was obtained. Attempts to find a dissection plane between the malignant tumor mass and the transverse colon were unsuccessful as it appeared the tumor mass was invading into the wall of the bowel with extrinsic compression and distortion of the bowel lumen. Given the mass c - Answer D
A patient suffering from cirrhosis of the liver from alcohol abuse presents with a history of coffee ground emesis (bleeding). The surgeon diagnoses the patient with esophageal gastric varices. Two days later, in the hospital GI lab, the surgeon ligates the varices with bands via an UGI endoscopy. What CPT® and ICD- 10 - CM codes are reported? A) 43400, I85.11, F10.10, K74. B) 43235, I83.008, F10.20, K70. C) 43205, K74.60, I85.01, F10. D) 43244, K70.30, I85.11, F10.10 - Answer D Bile empties into the duodenum through what structure? A) Pyloric sphincter B) Biliary artery C) Common bile duct D) Common hepatic duct - Answer C What is the correct ICD- 10 - CM coding for diverticulosis of the small intestine which has been present since birth? A) K57. B) Q43. C) K57.90, Q43.
D) 47600, K81.0 - Answer C A 12 year-old patient had an adenoidectomy in 2013 and a second adenoidectomy this year. What CPT® code(s) is/are reported for the second adenoidectomy performed this year? C) 42831, 42836 D) 42831 - Answer B What CPT® code(s) is/are reported when a physician makes two separate incisions to perform a laparoscopic appendectomy and laparoscopic cholecystectomy? A) 47562 B) 44960, 47562 C) 47562, 44970 - 51 D) 47562, 44970 - 59 - Answer D What CPT® and ICD- 10 - CM codes are reported for a gastric restriction by placing a gastric band via laparoscopic surgery for an adult patient diagnosed as morbidly
A) 42826
B) 42836
B) 47570, K81.
C) 47562, K81.
obese having a BMI of 43, type 2 uncontrolled diabetes and elevated blood sugar readings daily? A) 43644, E66.9, Z68.41, E10. D) 43771, E66.01, Z68.41, E10.9 - Answer B What CPT® code(s) is/are reported for an endoscopic direct placement of a percutaneous gastrostomy tube for a patient who previously underwent a partial esophagectomy? C) 43246 D) 49440 - Answer C What ICD- 10 - CM code is reported for acute gastritis with bleeding?
A) 49440, 43116 - 51
B) 43246, 43116 - 51
B) 43770, E66.01, Z68.41, E11.
C) 43842, E66.01, Z68.41, E11.
B) Hartmann's procedure C) Whipple procedure D) Kasai procedure - Answer C A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats the patient for dehydration which is documented in the patient's record as the final diagnosis. What ICD- 10 - CM code(s) is/are reported for this encounter? A) R11.2, E86. B) E86. C) R11.10, R11.0, E86. D) R11.14 - Answer B
When reporting an encounter for screening of malignant neoplasms of the intestinal tract, what does the 5th character indicate? A) History of malignancy in the intestinal tract. B) Laterality of the intestinal tract. C) Anatomic location being screened in the intestinal tract. D) Screening codes for malignant neoplasms of the intestinal tract are only reported with four characters. - Answer C What is the term that describes the removal of a portion or all of the stomach? A) Gastrotomy D) Gastric bypass - Answer B CASE 10 Extent of Examination: Proximal sigmoid colon. Reason(s) for Examination: Proctitis. Postoperative assessment: Proctitis. Description of Procedure: Informed consent was obtained with the benefits, risks, including the risk of perforation and alternatives to sigmoidoscopy explained. The patient agreed to proceed. No contraindications were noted on physical exam. Patient was re-examined and no interval changes were noted from B) Gastrectomy C) Gastrostomy
