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AAPC CPC Exam Syllabus Topics:

Topic	Details
Topic 1	Construction Phase: This section measures the skills of Construction Quality Engineers in implementing quality controls, managing nonconformances, implementing changes, monitoring and measuring quality, managing documentation, and facilitating continuous improvement. It also evaluates the skills of Construction Site Managers in ensuring effective monitoring and management of the construction site, promoting safety, and maintaining quality standards throughout the construction process.
Topic 2	Closeout Phase: This section measures the skills of Construction Quality Engineers in managing project records, reporting on quality performance, conducting lessons learned sessions, and ensuring the completion of all quality-related activities. It also focuses on the skills of Construction Project Managers in finalizing the project and ensuring a successful handover.
Topic 3	Pre-contract Phase: This section measures the skills of Construction Project Managers in understanding project delivery, contract, and payment models, including identifying client types, contract types, payment models, and necessary documentation. It also measures the skills of Construction Estimators in understanding the project scope, schedule, and necessary resources.
Topic 4	Planning Phase: This section measures the skills of Construction Quality Engineers in strategic quality planning, encompassing project quality strategy development, integration of sustainable practices, alignment of the quality plan with other project plans, and adherence to industry standards and quality management systems. Also measures the skills of Construction Planners in understanding how to ensure the team is appropriately trained for quality, how to use third-party services and measurement systems, how to assess quality tools, and how to design a plan to audit quality effectively.
Topic 5	Procurement: This section measures the skills of Construction Quality Engineers in establishing quality requirements for procurement, aligning trade partner requirements, and managing resources for inspections. It also focuses on the skills of Construction Procurement Managers in incorporating material control, resource identification, and mobilization strategies into the resource management process to ensure quality procurement.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q112-Q117):

NEW QUESTION # 112
A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped, the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon sheath is closed with sutures.
What procedure code is reported for this surgery?

A. 27566-LT
B. 27552-LT
C. 27562-LT
D. 27556-LT

Answer: A

Explanation:
CPT code 27566 involves excision of the patella. Given the surgical description provided, this code is appropriate as the patella was severely damaged and removed entirely.
* Patient's Condition: Dislocated patella with cartilage breakdown and severe damage.
* Surgical Procedure: The surgeon made an incision, dissected through soft tissue, exposed, and completely removed the patella.
* Coding Decision: CPT 27566 is chosen because it specifies excision of the patella. The modifier LT indicates the procedure was performed on the left side.
References:
* AMA's CPT Professional Edition (current year).
* ICD-10-CM for corresponding diagnosis codes if needed.

NEW QUESTION # 113
View MR 099401
MR 099401
Established Patient Office Visit
Chief Complaint: Patient presents with bilateral thyroid nodules.
History of present illness: A 54-year-old patient is here for evaluation of bilateral thyroid nodules. Thyroid ultrasound was done last week which showed multiple thyroid masses likely due to multinodular goiter. Patient stated that she can "feel" the nodules on the left side of her thyroid. Patient denies difficulty swallowing and she denies unexplained weight loss or gain. Patient does have a family history of thyroid cancer in her maternal grandmother. She gives no other problems at this time other than a palpable right-sided thyroid mass.
Review of Systems:
Constitutional: Negative for chills, fever, and unexpected weight change.
HENT: Negative for hearing loss, trouble swallowing and voice change.
Gastrointestinal: Negative for abdominal distention, abdominal pain, anal bleeding, blood in stool, constipation, diarrhea, nausea, rectal pain, and vomiting Endocrine: Negative for cold Intolerance and heat intolerance.
Physical Exam:
Vitals: BP: 140/72, Pulse: 96, Resp: 16, Temp: 97.6 °F (36.4 °C), Temporal SpO2: 97% Weight: 89.8 kg (198 lbs ), Height: 165.1 cm (65") General Appearance: Alert, cooperative, in no acute distress Head: Normocephalic, without obvious abnormality, atraumatic Throat: No oral lesions, no thrush, oral mucosa moist Neck: No adenopathy, supple, trachea midline, thyromegaly is present, no carotid bruit, no JVD Lungs: Clear to auscultation, respirations regular, even, and unlabored Heart: Regular rhythm and normal rate, normal S1 and S2, no murmur, no gallop, no rub, no click Lymph nodes: No palpable adenopathy ASSESSMENT/PLAN:
1) Multinodular goiter - the patient will have a percutaneous biopsy performed (minor procedure).
What E/M code is reported for this encounter?

A. 0
B. 1
C. 2
D. 3

Answer: D

NEW QUESTION # 114
Patient has a 5 cm tumor in the left lower quadrant abdominal wall. A horizontal skin incision is made directly over the tumor in the patient's left lower quadrant and dissection was carried down through the dermis and subcutaneous tissue. The tumor is located and completely excised using electrocautery. The specimen is sent immediately to pathology to rule out cancer. What CPTand ICD-10-CM codes are reported?

A. 22903, D49.2
B. 22901, D49.2
C. 22903, R19.04
D. 22901, C76.2

Answer: A

Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the excision of a 5 cm tumor located in the left lower quadrant of the abdominal wall.
The tumor was excised down to the dermis and subcutaneous layers and removed using electrocautery.
Code 22903 is appropriate for the excision of a soft tissue tumor in the abdominal wall greater than 5 cm, making it the correct CPTcode.
Code 22901 applies to the excision of a soft tissue tumor in the abdominal wall but only for tumors 5 cm or less. Given that the tumor in this case is exactly 5 cm, it meets the threshold for 22903, which is more appropriate here.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code D49.2 is used for a neoplasm of unspecified behavior in the abdominal area, reflecting the fact that the pathology report is pending to determine if the tumor is malignant.
Code C76.2 would be incorrect because it is for malignant neoplasms of unspecified abdominal areas, which we cannot confirm based on the initial excision. Similarly, R19.04 (indicating a mass in the abdominal region) is a symptom code and is not appropriate for a definitive diagnosis when a neoplasm code (D49.2) exists.
3. AAPC and CPTCoding Guidelines:
Per AAPC coding guidelines, the size of the tumor is critical in selecting the correct excision code for abdominal wall neoplasms. Additionally, if the tumor's pathology is not confirmed as malignant, it is coded as a neoplasm of unspecified behavior until further details are known.
Therefore, based on CPTand ICD-10-CM coding guidelines, the verified answer is B. 22903, D49.2.

NEW QUESTION # 115
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care.
What CPT coding is reported for the twin delivery?

A. 59510, 59514, 59515
B. 0
C. 59510, 59515
D. 59510 x 2

Answer: B

Explanation:
* Cesarean Delivery with Antepartum and Postpartum Care: The procedure involved the cesarean section delivery of twins, including antepartum and postpartum care.
* CPT Code 59510: This code is used for routine obstetric care including antepartum care, cesarean delivery, and postpartum care. The code is not reported per fetus but per delivery, even when delivering multiples.
References:
* AMA's CPT Professional Edition (current year)

NEW QUESTION # 116
This 27-year-old male has morbid obesity with a BMI of 45 due to a high calorie diet. He has decided to have an open Roux-en-Y gastric bypass. The patient is brought to the operating room and placed in supine position.
A midline abdominal incision is made. The stomach is mobilized, and the proximal stomach is divided and stapled creating a small proximal pouch in continuity with the esophagus. A short limb of the proximal bowel of 155 cm is divided. It is brought up and anastomosed to the gastric pouch. The other end of the divided bowel is connected back into the distal small bowel to the short limb's gastric anastomosis to restore intestinal continuity. The abdominal incision is closed.
What are the procedure and diagnosis codes for this encounter?

A. 43645, E66.8, Z68.42
B. 43847, E66.01, Z68.42
C. 43847, E66.9, Z68.42
D. 43644, E66.01, Z68.43

Answer: B

Explanation:
* Open Roux-en-Y Gastric Bypass: The procedure involves creating a small gastric pouch and anastomosing it to the jejunum.
* CPT Code 43847: This code describes a surgical gastric restrictive procedure with gastric bypass for morbid obesity, open.
* ICD-10-CM Code E66.01: This code represents morbid (severe) obesity due to excess calories.
* ICD-10-CM Code Z68.42: This code indicates a BMI of 45.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)

NEW QUESTION # 117
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