AAPC-CPC VALID TEST PASS4SURE & AAPC-CPC DUMP CHECK

AAPC-CPC Valid Test Pass4sure & AAPC-CPC Dump Check

AAPC-CPC Valid Test Pass4sure & AAPC-CPC Dump Check

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Tags: AAPC-CPC Valid Test Pass4sure, AAPC-CPC Dump Check, AAPC-CPC Valid Test Experience, Sample AAPC-CPC Questions, Study AAPC-CPC Reference

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q147-Q152):

NEW QUESTION # 147
If a physician administers cyclophosphamide over 154 minutes, irinotecan over 72 minutes, and panitumumab over 15 minutes intravenously to a patient with pancreatic cancer, how should this be reported?

  • A. 96413, 96413-59, 9641512, 96417
  • B. 96413, 96413-59x2, 96415, 96417
  • C. 94613, 96415x2, 96417x2
  • D. 96413, 96415x3, 96417x2

Answer: D

Explanation:
Unless a separate IV site is established for a secondary or tertiary administration, CPT
96413 should be reported only once to represent the initial drug infusion. In this case, it is the cyclophosphamide. The remaining 94 minutes are reported with Ovo units of add-on CPT 96415, which may be reported ifthe time spent beyond the first hour is between 31 and 60 minutes. CPT
96417 is reported only once per subsequent infusion of a different drug up to the first hour.
Consequently, the 72 minutes of irinotecan is reported with a single unit of CPT 96417, and the 15 minutes of panitumumab is also reported with one unit ofthat same CPT code.


NEW QUESTION # 148
Which patient is receiving critical care services?

  • A. A 60-year-old male is admitted with an acute chronic heart failure exacerbation causinghypoxic respiratory failure. The patient is intubated, sedated, and started on 50 mg ofertapenem for a potential lung infection.
  • B. A 47 -year-old female with a history of unrepaired chronic heart disease and anemia has anoxygen saturation level of 80. She is put on a nasal cannula and given a blood transfusion toimprove her oxygen-carrying capacity and oxygen saturation level.
  • C. A 67 -year-old female receives chronic ventilator therapy after a cerebral infarction thatcaused hemorrhage in the brain.
  • D. A 93 -year-old male is admitted to the intensive care unit for monitoring after a coronaryangioplasty procedure that was performed to relieve symptoms of atherosclerosis.

Answer: A

Explanation:
CPT guidelines define critical care as an illness or injury that acutely impairs one or more vital organ systems, where there is a high probability of imminent or life-threatening deterioration in the patients condition. Additionally, to report a critical care service, the documentation should provide evidence of high-complexity medical decision-making (e.gendotracheal tube insertion, defibrillation, fluid administration for shock, Narcan, etc.). Answer B is the only option listed that contains documentation to support critical care services.
This male patient has Vyvo life-threatening conditions, in which emergent intervention is provided to prevent further deterioration. In ansvver A the female patient may have a life-threatening condition: however, administering oxygen via a nasal cannula and/or transfusing blood does not qualify as critical care. Management of a patient who receives chronic ventilator therapy is also not considered critical care because the medical decision-making involved in the therapy is quite low.
The care a patient receives after having surgery would be considered routine and postoperative, regardless of where they are sent, unless a complication arises in which one or more of the vital organ systems begins to deteriorate in a fashion that poses a threat to life.


NEW QUESTION # 149
A physician provides a GIPO 39-weeks twin gestational patient with antepartum care, delivery, and postpartum care. Baby A was delivered vaginally without complications, and Baby B was delivered by Cesarean due to fetal tachycardi a. Assign the correct ICD-IO-CM and CPT codes.

  • A. 59409, Z3A.39, Z37.o and 59510-51, 076, Z3A39, Z37.o
  • B. 59510, 076, Z3A39, Z37.o and 59409-51, Z3A39, Z37.o
  • C. 59410, Z37.2 and 59510-51, 076, Z37.2
  • D. 59400, Z37.o and 59510-51, 036.8332, Z37.o

Answer: B

Explanation:
The Cesarean delivery (59510) would be sequenced first because this code has the highest RVU and would include the antepartum and postpartum care. The vaginal delivery by itself (59409), without antepartum and postpartum care, would be reported secondary because the charges for the antepartum and postpartum care of the mother have already been included in the Cesarean delivery code.


NEW QUESTION # 150
A patient opts to replace his semi-rigid penile prosthesis with a multicomponent, inflatable penile prosthesis. What CPT code(s) should the urologist report if this was completed in one encounter?

  • A. 54415, 54405-51
  • B. 0
  • C. 54405, 54415-51
  • D. 1

Answer: B

Explanation:
Penile prosthesis procedure codes are based on the type of prosthesis being used. In this scenario, a semi-rigid prosthesis is being replaced by a multicomponent inflatable one. Currently, there are no CPT codes that encompass the removal of one type of prosthesis and insertion of another type. The most common course of action might be to code the removal and insertion separately and amend a multi-procedural modifier on the secondary code. However, CPT 54415 indicates that the prosthesis removed was not replaced by another, which is an inaccurate description of services rendered. In this case, only the insertion (CPT 54405) should be reported because it has the highest RVU value.


NEW QUESTION # 151
The relative value units of a procedure are based on how much effort is involved, expenses that the practice will incur, and the level of risk associated with it.

  • A. True
  • B. False

Answer: A

Explanation:
The statement is true. An insurance copyright will use these three measures to determine what the RVU of a procedure should be. Then, based on that, a medical coder can determine what the expected payment should be. Generally, the higher the RVU of a procedure is, the higher the payment will be.


NEW QUESTION # 152
......

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