CPC exam prep questions and answers 100% pass

CPC exam prep questions and answers 100% pass What part of Medicare covers prescription drug services ✔✔Part D What is medical coding? ✔✔Translating medical documentation into codes. Which is NOT a covered entity of ...

CPC exam prep questions and answers 100% pass What part of Medicare covers prescription drug services ✔✔Part D What is medical coding? ✔✔Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies ✔✔Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? ✔✔LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? ✔✔when a service is not expected to be covered under medicare The amount on an ABN should be within how much of the cost to a patient? ✔✔$100 or 25% of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? ✔✔Clearinghouse A covered entity does not include: ✔✔patients What is PHI? ✔✔Protected Health Information Intentional billing of services not provided is considered ✔✔fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? ✔✔OIG Work Plan 5 Body cavities ✔✔cranial, spinal, thoracic, abdominal, pelvic 5 types of membranes ✔✔mucous, serous, synovial, meninges, cutaneous 2 layers of the skin ✔✔epidermis and dermis 5 layers of epidermis ✔✔stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale 2 layers of dermis ✔✔papillary and reticular Closed fracture ✔✔broken bone with no open wound compound fracture ✔✔bone breaks through the skin comminuted fracture ✔✔fracture in which the bone is splintered or crushed transverse fracture ✔✔occurs straight across the bone greenstick fracture ✔✔bending and incomplete break of a bone; most often seen in children spiral fracture ✔✔a fracture in which the bone has been twisted apart Colles' fracture ✔✔fracture of the distal radius at the wrist compression fracture ✔✔occurs when the bone is pressed together (compressed) on itself (vertebrae) epiphyseal fracture ✔✔a break at the location of the growth plate, which can affect growth of the bone types of muscle ✔✔skeletal, cardiac, smooth 3 layers of the heart ✔✔epicardium, myocardium, endocardium organs of the lymphatic system ✔✔lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils Central Nervous System (CNS) ✔✔brain and spinal cord Peripheral Nervous System (PNS) ✔✔the sensory and motor neurons that connect the CNS to the rest of the body Components of blood ✔✔plasma, red blood cells, white blood cells, platelets a patient sustaining an injury to her great saphenous vein would have sustained an injury to which anatomical site? ✔✔leg What is a function of the pancreas? ✔✔Supplies digestive enzymes. Sebaceous glands are part of which anatomic system? ✔✔Integumentary What part of the eye refracts light? ✔✔Lens The myocardium is the thickest around which chamber of the heart? ✔✔Left ventricle The tunica vaginalis is part of which system? ✔✔male reproductive Complete the series: Incus, Stapes... ✔✔Malleus Hemiplegia is a disorder caused by a defect i which anatomic system? ✔✔Nervous What is the result of a ureteral blockage? ✔✔Urine will not be able to flow from the kidney to the bladder. What is a term for a renal calculus? ✔✔Nephrolithiasis What year was the AAPC founded? ✔✔1988 Super fascia is in the ✔✔hypodermis Stratum Lucidum is found ✔✔In areas such as the palms and soles (Thicker skin) Arteries ✔✔carry blood away from the heart veins ✔✔Blood vessels that carry blood back to the heart Capillaries ✔✔Smallest blood vessels; site of oxygen and waste exchange 3 layers of the eye ✔✔sclera, choroid, retina anterior segment of eye ✔✔contains aqueous humor posterior segment of eye ✔✔contains vitreous humor Leukocytosis refers to ✔✔increased amount of white blood cells (WBC) what structure of the ear is considered the inner ear? ✔✔labrynth what type of membrane lines the inner walls of the digestive system? ✔✔mucous what structure is an internal organ of the male genital system? ✔✔Cowper's glands The heart receives DEOXYGENATED blood in the right atrium via which vessel? ✔✔Vena Cavae The heart circulates blood thru the lungs and is sent back to the left atrium of the heart via which vessel? ✔✔left/right pulmonary veins Where are the basal ganglia located ✔✔cerebral cortex What is vesicoureteral reflux? ✔✔retrograde flow of bladder urine into the ureters The posterior vaginal fornix and outer cervical os were prepped... what does os stand for ✔✔ostium (opening) Recession of left inferior rectus muscle... what anatomic location is being operated on? ✔✔eye What anatomic location does kyphosis refer to? ✔✔thoracic spine A patient diagnosed with glaucoma has ✔✔Abnormally high intraocular pressure What is affected by myasthenia gravis? ✔✔neuromuscular junction What is significant about an abdominal aneurysm? ✔✔it is a weakness in a large artery and rupture can be deadly What is a myocardial infarction? ✔✔heart attack; lack of oxygen to the heart tissue resulting in tissue death What is the function of the thyroid gland ✔✔It secretes hormones regulating body metabolism and blood calcium Urine is transported from the kidneys to the urinary bladder via the: ✔✔ureter The loop of Henle is located in what structure ✔✔kidney lacrimal glands are responsible for production of ✔✔tears How many lobes does the right lung have? ✔✔3 lobes How many lobes does the left lung have? ✔✔2 lobes What is a sentinel node? ✔✔the first node to receive lymph from an area suspected to be cancerous Excessive potassium in the blood is referred to as: ✔✔hyperkalemia Intrathecal injection is administered into the: ✔✔subarachnoid space Destruction of a nerve or nerve tissue ✔✔neurolysis A procedure for widening a narrowed vessel or obstructed vessel is called ✔✔Angioplasty Term for pain in the ear ✔✔otalgia NEC ✔✔Not elsewhere classifiable - provider documented MORE specific info than there are codes available NOS ✔✔Coder lacks information necessary to a code a more specific diagnosis [ ] Brackets ✔✔enclose synonyms, alternative wording, or explanatory phrases ( ) parenthesis ✔✔supplementary words; do not affect code assignment : colon ✔✔incomplete term, needs modifier Excludes 1 ✔✔not coded here Excludes 2 ✔✔Not included here but may have both separate conditions Inpatient ✔✔ok to code suspected/rule out diagnoses EXCEPT HIV What is the time limit when assigning codes as a sequela? ✔✔There is no time limit on sequela In the ICD-10-CM what is the code next to the main term called? ✔✔Default code The instructions and conventions of the classification take precedence over ✔✔Official coding guidelines BMI codes should be reported as ✔✔secondary code only When it is documented that the patient is both using tobacco and has a dependence on tobacco, how is it reported? ✔✔The dependence is the only code reported When a patient is seen for management of anemia due to malignancy, how it is reported? ✔✔malignancy first then anemia What chapter has sequencing priority over all other chapters? ✔✔Chapter 15 - Pregnancy Category III codes are reported to indicate what type of procedure? ✔✔New and emerging What is the post-operative period included in the surgical global package for a major surgery? ✔✔90 days What agency maintains and distributes HCPCS Level II codes? ✔✔CMS What publications does the AMA copyright and maintain? ✔✔CPT codebook and CPT assistant How are ambulance modifiers used? ✔✔They identify ambulance place of origin and destination. If a CPT code and a HCPCS Level II code exist for the same service, which should you report for Medicare? ✔✔HCPCS Level II What is true for coding carbuncles and furuncles? ✔✔there are separate codes for carbuncles and furuncles What term best describes a mass of hypertrophic scar tissue? ✔✔keloid What is another term for hives? ✔✔urticaria What type of burn is considered corrosion? ✔✔chemical Hallux rigidus is a condition affecting what part of the body? ✔✔foot What is the major muscle used during respiration? ✔✔diaphragm Can a diagnostic thoracoscopy be billed with a surgical thoracoscopy (VATS) under certain circumstances? ✔✔No, diagnostic is always included in the surgical VATS An indirect endoscopic procedure of the larynx means the larynx was viewed with ✔✔mirrors Where in the respiratory system is the carina located? ✔✔Tracheal bifurcation Most nasal passages have how many turbinates present on the lateral wall of each nasal cavity ? ✔✔3 What term refers to a rapid heartbeat? ✔✔tachycardia According to ICD-10 guidelines, which condition has a causal relationship with hypertension? ✔✔Chronic kidney disease What is the term for the divider between the heart chamber walls? ✔✔septum The suffix meaning artificial or surgical opening ✔✔-stomy What are the three categories of teeth? ✔✔Incisors, cuspids, molars What are the two processes of digestion ✔✔mechanical and chemical Where is the vermilion border located ? ✔✔upper lip and lower lips Bile empties into the duodenum through what structures? ✔✔Common Bile duct Urine is expelled from the body through the: ✔✔urethra What modifier is appended to report a bilateral procedure ✔✔-50 or RT and LT What are the reproductive glands that produce male hormones? ✔✔testes What is true about reporting calculi in both the kidney and the ureter? ✔✔One code identifies both the calculi the kidney and the ureter What word means a scope procedure to examine the vagina ✔✔colposcopy The uterine adnexa refers to which two structures of the female rproductive system? ✔✔fallopian tubes and ovaries What part of the brain is affected when one has a stroke and is unable to speak or write? ✔✔parietal lobe The nervous system is composed of what two parts? ✔✔Central and Peripheral What is the term for uncontrolled muscle movements? ✔✔dyskinesia What is a parathyroidectomy? ✔✔Removal of glands on the posterior surface of the thyroid What disease is characterized my enlarged skeletal parts? ✔✔acromegaly What are the three ossicles of the middle ear? ✔✔malleus, incus, stapes What does IOL stand for? ✔✔intraocular lens What is the transparent part of the eye? ✔✔cornea When more than one operation is performed during single anesthesia administration how is it coded? ✔✔The anesthesia code for the most complex procedure is coded When is the start of the anesthesia time? ✔✔when the anesthesiologist begins to prepare the patient What intraperitoneal organs are found in the lower abdomen? ✔✔Appendix, cecum, ileum, sigmoid colon What is an oblique position? ✔✔at an angle The path of the x-ray is known as ✔✔the projection An axillary view might be included in an X-ray of what part of the skeleton? ✔✔shoulder Which plane divides the body into anterior and posterior portions? ✔✔coronal/ frontal HCPCS codes specifically for pathology/laboratory services start with what letter? ✔✔P What modifier must always be applied to Medicare claims for tests performed in a site with a CLIA Waived certificate? ✔✔QW In what section of the Pathology chapter of CPT will a coder find the codes for a FISH test? ✔✔Cytopathology A patient is diagnosed with both acute and chronic tonsillitis, how is it coded? ✔✔Acute first then chronic Which anatomic site would you look under in the CPT index to find carinal reconstruction? ✔✔Trachea When the entry point for a catheterization is the aorta, what order would the right brachial artery be considered? ✔✔Third order branch The provider performed a debridement of an open leg wound. Two days later the provider performed a more extensive debridement of the same wound. What modifier would be reported for the second service? ✔✔-58 Planned return When coding for a surgical service, which of the following is NOT included in the global sergical package? ✔✔a) digital block b) general anesthesia c) Talking with family d) E/M encounter on the day immediately prior to a major procedure B--- general anesthesia is reported separately How often does CMS release updates for HCPCS Level II? ✔✔Quarterly When a service having both a technical and professional component is performed in the hospital, which modifier would be used by the physician? ✔✔-26 Physician can bill for the professional component only Melanocytes exist in which layer of the skin? ✔✔stratum basale (stratum germinativum) Describe psoriasis ✔✔A chronic inflammatory disease, characterized by dry patches covered with silvery scales Muscle is attached to bone by what method? ✔✔Tendons, aponeurosis and directly to bone The term pneumomediastinum describes what condition? ✔✔the presence of air in the mediastinum a respiratory disease characterized by over expansion and destruction of the alveoli is called ✔✔emphysema Which vessel does the tip of the central venous catheter terminate in? ✔✔subclavian vein Which chamber of the heart is the most muscular? ✔✔left ventricle The splenic flexure lies in the upper left quadrant between what two portions of the large intestine? ✔✔the transverse and descending colon a surgical procedure that creates an opening into the jejunum is defined as ✔✔jejunostomy the loop of henle is located in which structure ✔✔kidney The term episiotomy is ✔✔an incision made in the perineum to enlarge the passage for the fetus during delivery If a woman has a pap smear done, what part of the female anatomy would that involve ✔✔cervix Which cells produce hormones to regulate blood sugar ✔✔pancreatic islets What are chemicals which relay, amplify, and modulate signals between a neuron and another cell ✔✔neurotransmitters Where is a retrobulber injection delivered ✔✔eye What are cataracts ✔✔opacities or other defects in the lens of the eye An epidural is considered which type of anesthesia ✔✔regional Which part of the following is separately billable and NOT included in anesthesia services? ✔✔a) Preoperative visits b) blood pressure monitoring c) blood transfusion d) introduction of an arterial line Introduction of an arterial line is not included as it is "unusual" What is a radiographic image of the blood vessels using contrast material? ✔✔angiography What position has the side of the subject next to the film and can be performed erect or decubitus ✔✔lateral What is the study of disease changes within cells or cell types ✔✔cytopathology Coding of surgical pathology speciments ✔✔two speciments requiring individual examination and pathologic diagnosis are coded separately Which system is being examined when the provider documants "Range of motion, strength, and stability" are adequate in both legs ✔✔musculoskeletal The patient complains of epigastric pain. Where is the pain located? ✔✔Upper central region of the abdomen PAD rehabilitative physical exercises are used for what disease/disorder ✔✔