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AAPC CPC Exam Syllabus Topics:

Topic	Details
Topic 1	Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Topic 2	Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Topic 3	Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
Topic 4	Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Topic 5	Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
Topic 6	The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.
Topic 7	Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
Topic 8	Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:
Topic 9	Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
Topic 10	Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
Topic 11	Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
Topic 12	Evaluation & Management Services: This section of the exam measures the skills of coding specialists and covers office visits, hospital care, consultations, and other E M services. It tests the understanding of time-based coding, medical decision-making, and history exam components per current CMS guidelines.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q71-Q76):

NEW QUESTION # 71
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. 22510-50, 22512-50 x 2
B. 22513-50, 22513-50
C. 22513, 22515
D. 22510, 22512 x 2

Answer: A

Explanation:
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.

NEW QUESTION # 72
The patient has a ruptured aneurysm in the popliteal artery. The provider makes an incision below the knee and dissects down and around the popliteal artery. After clamping the distal and proximal ends of the artery, the provider cuts out the defect, sutures the remaining ends of the artery together, and places a patch graft to fill the gap. What is the correct CPTcode for the aneurysm repair?

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

Answer: A

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a repair of a ruptured aneurysm in the popliteal artery, involving incision, dissection, clamping, removal of the aneurysmal section, and patch grafting.
Code 35151 is the correct CPTcode for the repair of an aneurysm in the popliteal artery, as it specifically describes aneurysm repair in this location.
Code 35081 applies to aneurysm repair in the abdominal aorta, which does not pertain to the popliteal artery location.
Code 35152 is for an aneurysm repair involving the popliteal artery with vein graft, but there is no mention of a vein graft in this scenario, only a patch graft.
Code 35045 is used for repair of an aneurysm in the brachial artery and does not apply to the popliteal artery.
2. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, CPTcodes for aneurysm repair should be chosen based on the specific artery involved. Code 35151 is precisely for popliteal artery aneurysm repair without a vein graft, making it the most accurate choice.
Thus, based on CPTguidelines and procedural details, the verified answer is B. 35151.

NEW QUESTION # 73
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

Answer: C

NEW QUESTION # 74
Mrs. Wilder presents with right and left leg swelling. Venous thrombosis imaging of each leg is done and shows deep venous embolism and thrombosis in each leg.
What CPTand ICD-10-CM codes are reported?

A. 78458, 182.403
B. 78457-50, 182.403
C. 78457-RT, 78457-LT, 182.401, 182.402
D. 74858-50, 182.401, 182.402

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent venous thrombosis imaging of each leg to assess for deep venous thrombosis (DVT).
CPTCode 78457 is used for a venous thrombosis imaging study. This code is appropriate for imaging to detect DVT.
Modifier 50 is applied to indicate a bilateral procedure, as imaging was performed on both legs.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code I82.403 is used for acute embolism and thrombosis of unspecified deep veins of bilateral lower extremities. This code accurately describes the finding of DVT in both legs.
Other ICD-10-CM options, such as I82.401 and I82.402, specify unilateral lower extremity involvement, which does not accurately reflect the bilateral findings in this case.
3. Rationale for Excluding Other Options:
Code 78458 (in options A and D) is for a more comprehensive study, often cardiac or whole-body blood pool imaging, and is not specific to leg venous thrombosis.
Option C, which lists 78457 with individual RT and LT modifiers, is incorrect as Modifier 50 is appropriate for bilateral imaging on both legs.
4. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 78457 with Modifier 50 should be used for bilateral venous imaging studies, and I82.403 correctly captures bilateral DVT.
Thus, the correct answer is B. 78457-50, I82.403.

NEW QUESTION # 75
A patient is diagnosed with sepsis and associated acute respiratory failure.
What ICD-10-CM code selection is reported?

A. A41.9, R65.21, J96.00
B. A41.9, J96.00
C. A41.9
D. A41.9, R65.20, J96.00

Answer: A

Explanation:
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)

NEW QUESTION # 76
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Valid Test CPC Tips | Latest CPC Exam Topics

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