AAPC Certification Exams Pack
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- Exam Name: Certified Professional Coder (CPC) Exam
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- Total Questions: 453 Q&A's
- Single Choice Questions: 453 Q&A's
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A patient presents to the surgical suite for a planned sterilization procedure via a bilateral excisional vasectomy.
What is the correct CPT® code and diagnosis code for the service?
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A
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Explanation
1. Procedure and CPT® Code Selection: The patient underwent a bilateral excisional vasectomy for sterilization. CPT® Code 55250 represents a bilateral vasectomy with excision, which includes postoperative care. The code already implies a bilateral procedure, so it is not necessary to add the -50 modifier for bilateral designation. 2. Diagnosis and ICD-10-CM Code Selection: ICD-10-CM Code Z30.2 is used for encounter for sterilization and is the correct code to report for a planned sterilization procedure such as a vasectomy. Code Z30.012 is specific to encounter for sterilization of a female patient, which does not apply in this male patient scenario. 3. Rationale for Excluding Other Options: 55250-50 (in options C and D) is unnecessary because the CPT® code 55250 inherently covers a bilateral vasectomy, and applying the -50 modifier is redundant. Z30.012 (options B and D) is incorrect as it pertains to female sterilization procedures, not male. 4. AAPC and CPT® Coding Guidelines: According to AAPC guidelines, 55250 is reported without a bilateral modifier, as the procedure inherently covers both sides. Additionally, Z30.2 is the correct ICD-10-CM code for male sterilization procedures. Thus, the correct answer based on CPT® and ICD-10-CM guidelines is A. 55250, Z30.2. |
A 45-year-old patient presents with right shoulder pain. The provider administers three trigger point injections in the trapezius muscle and two in the pectoralis muscle.
What CPT® coding is reported?
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C
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Explanation
20552 = Injection(s); single or multiple trigger points, 1–2 muscles Total muscles injected = 2 (trapezius + pectoralis) Number of injections does not determine code selection—number of muscles does |
A suppression study includes five glucose tests and five growth hormone tests.
What CPT® coding is reported?
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C
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Explanation
80430 = Growth hormone suppression panel Individual tests are reported with units MEDICINE & CARDIOLOGY |
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