2025年最新のCPC問題集の無料PDFゲットせよ！最近更新された問題
CPC認定試験問題集には197練習テスト問題
AAPC CPC 認定試験の出題範囲：
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質問 # 109
A patient is diagnosed with compression fractures of the C6, C7 and T1 vertebrae. The patient agrees to have vertebroplasty. Bone cement is injected in the vertebral space until each of the two whole vertebral body is filled. The procedure is performed bilaterally.
What CPTcoding is reported?
- A. 22513, 22515
- B. 22510-50, 22512-50 x 2
- C. 22513-50, 22513-50
- D. 22510, 22512 x 2
正解：B
解説：
1. Procedure Type and CPTCode Selection:
The physician performed an injection into the wrist joint for degenerative osteoarthritis management using Synvisc (a viscosupplementation product).
Code 20606 is the correct CPTcode for an arthrocentesis, aspiration, and/or injection procedure in an intermediate joint, such as the wrist. This code specifically includes the use of ultrasound guidance, which is often standard in such injections.
Code 20551 (injection of a single tendon origin) and 20526 (injection into a carpal tunnel) are incorrect here as they do not apply to intra-articular injections for joint osteoarthritis management.
2. Diagnosis Code Selection (ICD-10-CM):
The diagnosis is degenerative osteoarthritis in the right wrist.
ICD-10-CM Code M19.231 is used for primary osteoarthritis of the right wrist. This code directly reflects the diagnosis of primary osteoarthritis affecting this specific joint.
M19.031 would represent primary osteoarthritis in the wrist but does not specify laterality; therefore, it is less accurate than M19.231, which denotes the right wrist.
3. Summary of Code Application:
The correct CPTand ICD-10-CM codes are 20606 for the injection procedure and M19.231 for primary osteoarthritis of the right wrist.
4. AAPC and CPTCoding Guidelines:
According to AAPC CPC guidelines, proper joint injection codes require specific identification of the joint location and guidance if used. Additionally, selecting the most specific ICD-10-CM code for laterality is essential for accuracy in musculoskeletal diagnoses.
Thus, based on CPTand ICD-10-CM coding guidelines, the verified answer is B. 20606, M19.231.
質問 # 110
Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?
- A. 0
- B. 1
- C. 2
- D. 3
正解：C
解説：
The place of service code 22 is used for services performed in an outpatient hospital setting, including outpatient surgical floors. This code indicates that the procedure was done in a hospital but not requiring an inpatient admission.References: AMA's CPT Professional Edition (current year), Place of Service Codes.
質問 # 111
View MR 005398
MR 005398
Operative Report
Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.
Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.
Procedure: Right nephrectomy with partial ureterectomy.
Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fascia. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0 silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well.
What CPT coding is reported for this case?
- A. 0
- B. 1
- C. 2
- D. 3
正解：A
質問 # 112
Patient is diagnosed with dacryocystitis, which is the inflammation of?
- A. Fingernail
- B. Cornea
- C. Eardrum
- D. Lacrimal sac
正解：D
質問 # 113
A patient is taken to the radiology department for a radiological cardiac catheterization. An acute MI of the left anterior descending coronary artery is found. The cardiologist performs a suction thrombectomy, followed by atherectomy and a stent to the artery. A CRNA provides MAC for this patient, who is status P5.
What code/modifier combination would you report for the services of the CRNA?
- A. 01925-QZ-QS-P5
- B. 01925-QZ-P5
- C. 00520-QZ-P5
- D. 00520-QX-QS-P5
正解：D
解説：
The patient is undergoing a cardiac catheterization with a CRNA providing monitored anesthesia care (MAC).
Code 00520 is for anesthesia for heart catheterization procedures. Modifier QX indicates CRNA service with medical direction by a physician, QS indicates MAC, and P5 indicates a patient with a severe systemic disease that is a constant threat to life. Thus, the correct code and modifier combination is
00520-QX-QS-P5.References: CPT Professional Edition (current year), AMA.
質問 # 114
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution. Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
正解：C
質問 # 115
View MR 007400
MR 007400
Radiology Report
Patient: J. Lowe Date of Service: 06/10/XX
Age: 45
MR#: 4589799
Account #: 3216770
Location: ABC Imaging Center
Study: Mammogram bilateral screening, all views, producing direct digital image Reason: Screen Bilateral digital mammography with computer-aided detection (CAD) No previous mammograms are available for comparison.
Clinical history: The patient has a positive family history (mother and sister) of breast cancer.
Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system.
Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable.
What CPT coding is reported for this case?
- A. 77067-50, Z80.3, Z12.31
- B. 77066-50, Z12.31, Z80.3
- C. 77067, Z12.31, Z80.3
- D. 77066, Z80.3, Z12.31
正解：C
質問 # 116
Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7.
Bilateral decompression of the nerve roots is achieved.
What CPT coding is reported?
- A. 63040-50, 63043, 63043
- B. 0
- C. 63045, 63048
- D. 63050-50
正解：C
解説：
* Cervical spondylosis with myelopathy: Condition requiring decompressive surgery.
* Bilateral posterior laminectomy, facetectomies, foraminotomies: Procedures performed to decompress nerve roots.
* Interspaces C5-C6 and C6-C7: Specific levels where the procedures were performed.
CPT code 63045 is used for the initial cervical laminectomy, and 63048 is for each additional segment. The combination covers the decompression across two interspaces.
References: AMA's CPT Professional Edition (current year)
質問 # 117
A surgeon performed Mohs micrographic surgery on a lesion on the right arm. This required one stage with six tissue blocks.
What CPT@ codes are reported for the Mohs surgery?
- A. 17313, 17314, 17315
- B. 17313, 17315
- C. 17311, 17315
- D. 17311, 17312, 17315
- E. 85B2-335
正解：C
解説：
For Mohs micrographic surgery, CPTcoding is based on the anatomic location of the lesion, the number of stages, and the number of tissue blocks per stage.
17311: This code is used for Mohs surgery on body areas such as the trunk, arms, or legs for the first stage.
17315: This is an add-on code used when more than five tissue blocks are examined in a single stage. Since this case involved six tissue blocks, 17315 is appropriate.
Explanation of incorrect answers:
A: 17313, 17314, 17315: Incorrect, as 17313 applies to the head, neck, hands, feet, or genitalia, not the arm.
C: 17313, 17315: Incorrect, as 17313 is not appropriate for the arm.
D: 17311, 17312, 17315: 17312 is used for additional stages beyond the first, which is not applicable here since only one stage was performed.
E: 85B2-335 is not a valid CPT code for Mohs surgery.
Thus, the correct answer is B. 17311, 17315, which accurately reflects a single-stage Mohs surgery with six tissue blocks on the arm.
質問 # 118
A surgeon performs midface LeFort I reconstruction on a patient's facial bones to correct a congenital deformity. The reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the maxilla of the mid face.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
正解：A
質問 # 119 
Refer to the supplemental information when answering this question:
View MR 874276
What E/M code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
正解：A
解説：
To accurately code this emergency department visit, we need to assess the three key components: history, examination, and medical decision making (MDM).
* History:
* The documentation supports an expanded problem-focused history. This includes a chief complaint, a brief history of present illness (HPI), a review of systems (ROS) with pertinent positives and negatives, and a past medical history.
* Examination:
* The examination is also expanded problem-focused. The physician focused on the relevant systems (constitutional, HENT, respiratory) and documented specific findings related to the chief complaint (appears tired).
* Medical Decision Making:
* The MDM complexity is low. The physician is assessing a new problem (shortness of breath and weakness) with a low level of risk. No further testing or treatment is documented in this encounter.
Based on these components, 99283 is the most appropriate code.
Why other options are incorrect:
* 99282: Requires a problem-focused history and examination, which is less comprehensive than what was documented.
* 99284 and 99285: Require a higher level of MDM (moderate or high complexity) and/or a more detailed examination. The documentation doesn't support this level of service.
References:
* CPT Codes 99281-99285: Emergency department visits
* 1995 and 1997 Documentation Guidelines for Evaluation and Management Services: These guidelines provide detailed criteria for selecting the appropriate E/M code based on history, examination, and MDM.
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
質問 # 120
A 74-year-old arrived at the ED experiencing bright red rectal bleeding when using the toilet. She does not have any abdominal pain, no nausea or vomiting. She has been undergoing dialysis for years due to end-stage renal failure and has a diagnosis of myelodysplastic syndrome with a platelet count of just 3,000. Her hemoglobin level, which was 10 at her dialysis session the previous day, dropped to 7. Abdominal films are negative. An urgent esophagogastroduodenoscopy (EGD) was performed, and no active bleeding was found in the esophagus or the stomach.
However, the scope was passed into the upper duodenum which did reveal some oozing, and was controlled with cautery. Next, the patient was then positioned on her left side for a colonoscopy that extended from the colon to the ileum and into the lower duodenum, but no definitive sources of bleeding were found. Again, no outright bleeding sources were identified. A CRNA performed the anesthesia and documented PS III.
What CPTcodes are reported for the CRNA?
- A. 00731-QK-P3, 99140
- B. 00813-AA-P3, 99140
- C. 00731-QX-P3, 99100, 99140
- D. 00813-QZ-P3, 99100, 99140
正解：D
解説：
In this case, a CRNA provided anesthesia for an urgent endoscopic procedure. To select the appropriate codes, we consider both the anesthesia code for the procedures performed and the modifiers relevant to the CRNA's role and the patient's physical status:
1. 00813: This CPTcode covers "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum," which is appropriate since the colonoscopy extended to the ileum and into the lower duodenum. 00731 (anesthesia for upper GI endoscopy) would not fully apply, as the main procedure targeted lower intestinal areas as well.
2. QZ Modifier: Indicates the anesthesia was performed by a CRNA without medical direction by an anesthesiologist, which aligns with the scenario where the CRNA independently administered anesthesia.
3. P3 Modifier: Reflects the physical status of "severe systemic disease" for this patient, as she has both end- stage renal failure and myelodysplastic syndrome.
4. 99100: This code is added to reflect "special anesthesia circumstances" given the patient's extreme frailty (platelet count of 3,000), which warrants additional consideration.
5. 99140: Used for emergency conditions, which applies here due to the urgent nature of the bleeding investigation.
Thus, 00813-QZ-P3, 99100, 99140 accurately reflects the anesthesia services provided by the CRNA in this emergency scenario.
質問 # 121
An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?
- A. I21.3, R06.02
- B. I20.0, R06.02
- C. R06.02
- D. I20.0
正解：A
解説：
Impending myocardial infarction is reported with I21.3 for a myocardial infarction (acute). The shortness of breath, which is a symptom, is coded separately as R06.02. According to ICD-10-CM guidelines, when a definitive diagnosis is established, the diagnosis code is sequenced first followed by symptom codes.References: ICD-10-CM (current year), Chapter 9: Diseases of the Circulatory System (I00-I99), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.9.e.4.
質問 # 122
The Medicare program has multiple parts covering different services. Which part provides coverage for outpatient physician charges?
- A. Part D
- B. Part C
- C. Part A
- D. Part B
正解：D
解説：
Medicare Part B provides coverage for outpatient services, including physician services, preventive care, outpatient procedures, diagnostic tests, and durable medical equipment. Part B is a key component of Medicare, covering medically necessary services and some preventive services.
A: Part C (Medicare Advantage) includes all benefits and services covered under Parts A and B and often additional services, but it is provided through private insurance companies.
C: Part A covers inpatient hospital care, skilled nursing facility care, hospice, and some home health services.
D: Part D provides coverage for prescription drugs.
Therefore, the correct answer is B. Part B.
質問 # 123
A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
- A. 44140, C18.9
- B. 44160, C18.2
- C. 44205, C18.9
- D. 44204, C18.2
正解：C
質問 # 124
View MR 003396
MR 003396
Operative Report
Preoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease Postoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease Procedure Performed: Placement of an intra-aortic balloon pump (IABP) right common femoral artery Description of Procedure: Patient's right groin was prepped and draped in the usual sterile fashion. Right common femoral artery is found, and an incision is made over the artery exposing it. The artery is opened transversely, and the tip of the balloon catheter was placed in the right common femoral artery. The balloon pump had good waveform. The balloon pump catheter is secured to his skin after local anesthesia of 2 cc of
1% Xylocaine is used to numb the area. The balloon pump is secured with a 0-silk suture. The patient has sterile dressing placed. The patient tolerated the procedure. There were no complications.
What CPT coding is reported for this case?
- A. 0
- B. 1
- C. 2
- D. 3
正解：B
解説：
The procedure involved the placement of an intra-aortic balloon pump (IABP) through the right common femoral artery for a patient with acute MI and severe left main arteriosclerotic coronary artery disease.
* Procedure Description:
* Placement of an intra-aortic balloon pump (IABP).
* Right common femoral artery approach.
* Confirmation of good waveform and securement of the catheter.
* CPT Coding:
* 33975: Insertion of intra-aortic balloon assist device, percutaneous.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on cardiac procedures.
質問 # 125
An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist who conducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?
- A. 92081, G43.009
- B. 92083, G43.019
- C. 92082, G43.009
- D. 92082, G43.019
正解：C
質問 # 126
When a patient has ESRD, which system is affected?
- A. Respiratory
- B. Cardiovascular
- C. Neurologic
- D. Genitourinary
正解：D
解説：
End-Stage Renal Disease (ESRD) is a condition in which the kidneys fail to work effectively to remove waste products and excess fluids from the blood. This primarily affects the genitourinary system, which includes the kidneys, ureters, bladder, and urethra. Patients with ESRD often require dialysis or a kidney transplant.
References: ICD-10-CM (current year), Chapter 14: Diseases of the Genitourinary System (N00-N99).
質問 # 127
Patient has undergone open surgery for a left total knee arthroplasty. While in the recovery room, he continued to have severe postoperative pain. The surgeon ordered a femoral block for postoperative pain. The anesthesiologist evaluated the patient and performed a left femoral block, which provided significant post-operative pain relief.
What CPT coding is reported?
- A. 01402, 64447-59-LT
- B. 01402, 64448-59-LT, 01996
- C. 01380, 64447-59-LT
- D. 01404, 64450, 01996
正解：B
質問 # 128
A mother brings her 2-year-old son to the pediatrician's office because he stuck a bead up his left nostril. The pediatrician uses a nasal decongestant to open the blocked nostril and removes the bead with nasal forceps.
What CPT coding is reported?
- A. 30210-50
- B. 0
- C. 30300-50
- D. 1
正解：B
質問 # 129
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?
- A. Open
- B. Percutaneous
- C. Laparoscopic
- D. Cannot determine based on the documentation
正解：A
解説：
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.References:
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)
質問 # 130
A 60-year-old male has three-vessel disease and supraventricular tachycardia which has been refractory to other management. He previously had pacemaker placement and stenting of LAD coronary artery stenosis, which has failed to solve the problem. He will undergo CABG with autologous saphenous vein and an extensive modified MAZE procedure to treat the tachycardia.
He is brought to the cardiac OR and placed in the supine position on the OR table. He is prepped and draped, and adequate endotracheal anesthesia is assured. A median sternotomy incision is made and cardiopulmonary bypass is initiated. The endoscope is used to harvest an adequate length of saphenous vein from his left leg.
This is uneventful and bleeding is easily controlled. The vein graft is prepared and cut to the appropriate lengths for anastomosis. Two bypasses are performed: one to the circumflex and another to the obtuse marginal. The left internal mammary is then freed up and it is anastomosed to the ramus, the first diagonal, and the LAD. An extensive maze procedure is then performed and the patient is weaned from bypass. At this point, the sternum is closed with wires and the skin is reapproximated with staples. The patient tolerated the procedure without difficulty and was taken to the PACU.
Choose the procedure codes for this surgery.
- A. 33535, 33259, 33519, 33508
- B. 33533, 33257-51, 33519-51, 33508-51
- C. 33535, 33259 51, 33519-51, 33508-51
- D. 33533, 33257, 33519, 33508
正解：C
解説：
The CABG procedure involved multiple bypasses, with the use of autologous saphenous vein grafts and the left internal mammary artery, along with an extensive modified MAZE procedure. CPT code 33535 describes a coronary artery bypass using arterial grafts, including at least three coronary artery bypasses.
CPT code 33259-51 is for the MAZE procedure for supraventricular tachycardia, with the -51 modifier indicating multiple procedures. CPT code 33519-51 is for an additional vein graft, and CPT code 33508-51 describes the endoscopic harvesting of the vein.
References:
* AMA's CPT Professional Edition (current year), Codes 33535, 33259-51, 33519-51, 33508-51
質問 # 131
A patient is diagnosed with sepsis and associated acute respiratory failure.
What ICD-10-CM code selection is reported?
- A. A41.9, R65.20, J96.00
- B. A41.9
- C. A41.9, J96.00
- D. A41.9, R65.21, J96.00
正解：D
解説：
For a patient diagnosed with sepsis and associated acute respiratory failure, the ICD-10-CM codes are:
* A41.9: Sepsis, unspecified organism.
* R65.21: Severe sepsis with septic shock.
* J96.00: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia.
These codes appropriately capture the severity of the sepsis and the presence of acute respiratory failure.
References:
* ICD-10-CM guidelines
* AMA's CPT Professional Edition (current year)
質問 # 132
Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?
- A. Centers for Medicare & Medicaid Services (CMS)
- B. Office of Inspector General (OIG)
- C. Office for Civil Rights (OCR)
- D. American Medical Association (AMA)
正解：B
解説：
The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.
References: OIG Compliance Program Guidance, AMA's CPTProfessional Edition, and healthcare compliance resources.
質問 # 133
The gynecologist performs a colposcopy of the cervix including biopsy and endocervical curettage.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
正解：C
解説：
* Colposcopy of the Cervix: This involves a visual examination of the cervix using a colposcope.
* Biopsy and Endocervical Curettage: The procedures performed include taking a biopsy and scraping the lining of the cervical canal.
* CPT Code 57454: This code represents a colposcopy of the cervix with biopsy and endocervical curettage.
References:
* AMA's CPT Professional Edition (current year)
質問 # 134
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