CPC Exam Dumps - AAPC Certified Professional Coder Questions and Answers

99213-25 = E/M with separate procedure

87880 = Rapid strep test

J02.0 = Streptococcal pharyngitis

Symptoms are not reported with definitive diagnosis

The documented study is atransvaginal pelvic ultrasound, which is coded with76830(ultrasound, transvaginal). Because the service is billed by anindependent radiologist providing only the interpretation, the correct reporting is theprofessional componentwith modifier-26(interpretation and report), not the global code. That makes76830-26the correct CPT selection. Code76817is fortransvaginal ultrasound in pregnancy/obstetric contexts, which is not supported here (the patient is menopausal and no pregnancy evaluation is described). For diagnosis, the chief complaint isuterine cramping, and the options provide pelvic pain codes;N94.89(other specified conditions associated with female genital organs and menstrual cycle) is the best match among the choices provided for uterine cramping/pelvic symptom documentation.N94.9is less specific (“unspecified”), so when a more specific option is available in the answer set, selectN94.89. Therefore, the correct combination for the interpreting independent radiologist is76830-26, N94.89.

CPT Code 62290: Discography, lumbar, single or multiple levels, radiological supervision and interpretation

This code accurately describes the procedure performed. The documentation indicates a lumbar discography was performed at a single level (L3-4) with radiological supervision (C-arm visualization).

ICD-10-CM Code M54.50: Low back pain, unspecified

This code is the most appropriate diagnosis based on the documentation. The preoperative diagnosis states "Low back pain possible spinal stenosis L3-4." While spinal stenosis was considered, it was not confirmed. The postoperative diagnosis indicates no evidence of spinal stenosis or discogenic pathology. Therefore, the definitive diagnosis is low back pain.

Why other options are incorrect:

62292: This code is for a discography with injection of contrast and/or medication for therapeutic purposes. The documentation doesn't indicate any therapeutic injection was performed.

M48.061 and M48.07: These codes represent spinal stenosis, which was not confirmed in the postoperative diagnosis.

The operative approach is explicitlyopen surgery, so the correct CPT procedure code is44950(appendectomy; open). Code44970is thelaparoscopicappendectomy code and is not supported because the scenario states “open surgery.” For diagnosis, the physician’s final diagnosis ischronic appendicitis, which is reported withK36(other appendicitis) in the context of this question’s choices;K35.80represents acute appendicitis (unspecified acute) and does not match “chronic.” You also do not report symptom codes (nausea/vomiting/abdominal pain) once a definitive diagnosis is established and documented as the reason for the surgery, unless a guideline or scenario specifically requires them as additional reporting (this question does not). Therefore, the correct pairing is44950withK36only. CPC exam tip: always matchapproach(open vs laparoscopic) and code thefinal confirmed diagnosisrather than presenting symptoms when the definitive diagnosis is known.

00534 = Anesthesia for pacemaker/defibrillator procedures

QZ = CRNA without medical direction

QS = MAC anesthesia

I49.01 = Ventricular fibrillation

1. Procedure and CPT® Code Selection:

The urinalysis performed was non-automated and without microscopy.

CPT® Code 81002 is appropriate for a non-automated urinalysis without microscopy. This code accurately reflects the test performed in the office.

2. Diagnosis and ICD-10-CM Code Selection:

ICD-10-CM Code R30.0 is used for dysuria, which was one of the patient's presenting symptoms.

ICD-10-CM Code R10.30 is used for lower abdominal pain, another presenting symptom.

Since the urinalysis ruled out a urinary tract infection, N39.0 (UTI) is not appropriate as a final diagnosis.

3. Rationale for Excluding Other Options:

Code 81000 (in options A and B) is for a urinalysis with microscopy, which was not performed here.

N39.0 is used when a UTI is confirmed, which is incorrect for this case since the urinalysis was negative, ruling out UTI.

4. AAPC and CPT® Coding Guidelines:

AAPC guidelines recommend coding based on the symptoms when a specific diagnosis (such as UTI) is ruled out. Therefore, R30.0 and R10.30 are appropriate symptom codes for this encounter.

Thus, the correct answer is C. 81002, R30.0, R10.30.

1. Procedure and CPT® Code Selection:

The test ordered is a bile acid quantitation using an enzymatic method. This test measures the total bile acids in a patient with chronic hepatitis.

CPT® Code 82248 is specific for quantitation of bile acids, total, which is the correct code for a bile acid test using any method, including enzymatic.

2. Rationale for Excluding Other Options:

Code 82247 is used for the measurement of bilirubin, not bile acids, making it inappropriate for this test.

Code 82239 is for measuring an amino acid (gamma-glutamyl transferase), which is unrelated to bile acid quantitation.

Code 82252 is for a fecal bile acid screening, which is different from a quantitation of bile acids in serum or plasma.

3. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, 82248 should be selected for total bile acid quantitation regardless of the specific analytical method used.

Therefore, the correct answer is A. 82248.

22514 = Vertebroplasty, lumbar (L5)

22515 = Each additional vertebral body (sacrum)

Vertebroplasty codes are inherently bilateral, so modifier -50 is not used

Procedure: Visual field examination of both eyes using Goldmann perimeter testing with four isopters.

CPT® Code:

92082: This code is for visual field examination with intermediate examination.

ICD-10-CM Code:

G43.009: Migraine without aura, not intractable, without status migrainosus.

Code Selection Justification: The visual field exam method and complexity align with 92082. The patient's diagnosis of non-intractable migraine without aura is coded as G43.009.

AMA CPT® Professional Edition (current year)

ICD-10-CM (current year)

Established patient with moderate MDM

99214 aligns with CPC exam standards