CPC Exam Dumps - AAPC Certified Professional Coder Questions and Answers

This encounter includes two reportable endoscopic services:esophagoscopy with dilationand asubmucosal injectionperformed via the endoscope. Balloon dilation of an esophageal stricture/stenosis performed transendoscopically is captured by43220(esophagoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus). The scenario also documents aninjection of Kenalogdelivered endoscopically to the stenotic area; endoscopic injection is reported with43201(esophagoscopy with directed submucosal injection[s]). These services are not mutually exclusive when both are performed and documented, and no separate diagnostic-only esophagoscopy code is reported because the therapeutic codes include the scope. Option D is incorrect because43200is the base diagnostic esophagoscopy and should not be reported in addition to the therapeutic dilation; modifier -59 does not fix that bundling. Options A and B include codes that do not match the described esophagoscopy balloon dilation plus injection combination. Therefore,43220 and 43201is correct.

Procedure: Abdominal aorta catheterization and selective placement in the celiac trunk for angiography.

CPT® Codes:

36246: This code is for the catheter placement in the abdominal aorta.

75726-26: This code represents the abdominal angiography with supervision and interpretation, with the -26 modifier indicating the professional component.

Code Selection Justification: The procedure involves the catheterization of the abdominal aorta and the specific imaging performed with supervision and interpretation.

AMA CPT® Professional Edition (current year)

ICD-10-CM (current year)

HCPCS Level II (current year)

99291: This code is used for the first 30-74 minutes of critical care, evaluation, and management of the critically ill or critically injured patient.

99292: This code is used for each additional 30 minutes of critical care service beyond the first 74 minutes.

The documentation indicates that the patient received a total of 45 minutes of critical care, which involves continuous IV insulin for diabetic ketoacidosis, administration of antiemetics, and admission to the ICU. The critical care time documented justifies the use of 99291 for the first 30-74 minutes and 99292 for each additional 30 minutes.

CPT® Professional Edition, AMA

The scenario describes an emergency basic life support (BLS) ambulance service. The appropriate HCPCS Level II code for BLS emergency transport is A0429.

Modifier QN indicates that the service was provided by an ambulance supplier, and SH indicates the services were provided in an emergency situation.

HCPCS Level II, current year

The scenario involves a secondary repair of two flexor tendons in the forearm. CPT® code 25272 describes the repair of a secondary flexor tendon injury, including a graft, in the forearm and/or wrist, which fits the description provided. This code should be reported once, as the procedure encompasses the repair of multiple tendons.

99285 = High-complexity ED visit

I21.4 = NSTEMI

Chest pain symptoms are not coded once MI is diagnosed

When hypertension and chronic kidney disease (CKD) are documented together, ICD-10-CM assumes a cause-and-effect relationship.

I12.9 = Hypertensive chronic kidney disease with stage 1–4 CKD

N18.2 = CKD stage 2

I12.0 is only for CKD stage 5 or ESRD, which does not apply here.

Therefore, the correct code combination is I12.9, N18.2.

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.

1. Procedure and CPT® Code Selection:

The patient underwent a suppression study involving five glucose tests and five human growth hormone tests.

CPT® Code 80430 represents a suppression panel specifically for growth hormone studies, which includes various assessments for diagnosing abnormal growth.

CPT® Code 82947 is used for each glucose test performed, and since five glucose tests were conducted, it should be coded as 82947 x 5.

CPT® Code 83003 is used for each human growth hormone test performed, and since five tests were conducted, it should be coded as 83003 x 5.

2. Rationale for Excluding Other Options:

Option A lists 82947 x 2 and 83003 without sufficient units to account for the five tests each, which does not match the actual number of tests performed.

Option B omits the suppression panel code 80430, which is necessary for documenting the overall suppression study.

Option D does not provide the correct quantity of glucose and growth hormone tests, which were each performed five times.

3. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, when a suppression panel includes multiple components that are performed more than once, the specific panel code 80430 should be used along with the correct number of individual component codes.

Therefore, the correct answer is C. 80430, 82947 x 5, 83003 x 5.