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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q190-Q195):
NEW QUESTION # 190
A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24% with third-degree burns totaling 10%.
What ICD-10-CM codes are reported, according to 1CD-10-CM coding guidelines?
- A. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21
- B. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31
- C. T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21
- D. T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21
Answer: A
Explanation:
In coding burns, ICD-10-CM guidelines indicate that each burn site is coded separately, specifying the degree, location, and extent of the burn. Additionally, a code for total body surface area (TBSA) burned is included when burns cover more than 10% of the body. Here's the breakdown:
1. T24.311A: Represents a third-degree burn on the left thigh, initial encounter.
2. T24.312A: Represents a third-degree burn on the right thigh, initial encounter.
3. T21.21XA: Represents a second-degree burn on the anterior chest wall, initial encounter.
4. T21.23XA: Represents a second-degree burn on the upper back, initial encounter.
5. T31.21: Represents burns with 20-29% TBSA involvement, with third-degree burns covering 10-19% of the TBSA.
Explanation of incorrect answers:
A includes an incorrect TBSA code (T31.21).
B has the correct codes but lists an incorrect TBSA code for third-degree burns.
C uses incorrect burn site codes for the areas involved and incorrect TBSA percentages.
Therefore, the correct answer is D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21, which accurately captures the burns' degrees, locations, and TBSA.
NEW QUESTION # 191
According to the Application of Cast and Strapping CPTguidelines, what is reported when an orthopedic provider performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the patient will be returning for subsequent fracture care?
- A. 29075-22
- B. 0
- C. 1
- D. 25622, 29075
Answer: C
Explanation:
For initial fracture care of a closed scaphoid fracture, code 25622 is used, which includes treatment and initial casting. The application of the cast is part of the fracture care and is not reported separately. CPTguidelines specify that casting or strapping performed as part of the fracture care is included in the fracture care code.
References: AMA's CPTProfessional Edition (current year), Surgery section, Musculoskeletal System.
NEW QUESTION # 192
In rhinoplasty:
- A. The nose is reconstructed
- B. The lips are reconstructed
- C. The chin is reconstructed
- D. The brow is reconstructed
Answer: A
NEW QUESTION # 193
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
Answer: D
Explanation:
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.
AMA's CPT Professional Edition (current year), Place of Service Codes.
NEW QUESTION # 194
A patient has a 5 cm tumor in the left lower quadrant abdominal wall, excised through dermis and subcutaneous tissue. Pathology is pending to rule out cancer.
What CPT and ICD-10-CM codes are reported?
- A. 22901, D49.2
- B. 22903, D49.2
- C. 22903, R19.04
Answer: B
Explanation:
22903 = Excision of soft tissue tumor, abdominal wall, subcutaneous, 3 cm or greater D49.2 = Neoplasm of unspecified behavior of soft tissue R codes are not used when a neoplasm is documented
NEW QUESTION # 195
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