CPCの無料問題集（197題）、CPC認定試験参考書

AAPC CPC 問題集

試験コード：CPC

試験名称：Certified Professional Coder (CPC) Exam

最近更新時間：2025-01-21

問題と解答：全197問

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質問 1：
View MR 006399
MR 006399
Operative Report
Preoperative Diagnosis: Chronic otitis media in the right ear
Postoperative Diagnosis: Chronic otitis media in the right ear
Procedure: Eustachian tube inflation
Anesthesia: General
Blood Loss: Minimal
Findings: Serous mucoid fluid
Complications: None
Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.
Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask, and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.
What CPTcoding is reported for this case?
A. 69420-RT
B. 69436-RT
C. 69421-RT
D. 69433-RT
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 2：
Patient is admitted in observation care on 12/2/20XX in the morning for acute asthma exacerbation. The ED physician requires the patient to stay overnight. Next day, 12/3/20XX the patient is discharged from observation care in the afternoon. Patient's total stay in observation was 16 hours.
What E/M categories and code ranges are appropriate to report?
A. Initial Hospital Inpatient or Observation Care (99221-99223) and Hospital Inpatient or Observation Discharge services (99238-99239)
B. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-
99236) and Subsequent Inpatient or Observation Care (99231-99233)
C. Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-
99236) and Hospital Inpatient or Observation Discharge services (99238-99239)
D. Initial Hospital Inpatient or Observation Care (99221-99223) and Subsequent Hospital Inpatient or Observation Care (99231-99233)
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 3：
Eric is buying his first life insurance policy from XYZ Life Insurance Company. The company requires Eric have a physical exam prior to issuance of the policy. Eric sees his primary care provider who completes the required documentation and forms provided by the insurance company.
How does the primary care provider report his services?
A. 99455
B. 99450
C. 99499
D. 99456
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 4：
Regarding the CPTSurgery Guidelines for a surgical code designated as a "Separate Procedure", which statement is FALSE?
A. A service that is commonly carried out as an integral component of a total service or procedure is identified by the inclusion of the term "separate procedure."
B. When a procedure is designated as a separate procedure and carried out independently or considered to be unrelated from the total primary service, it may be reported.
C. To identify a service designated as a "separate procedure" that is reported with an unrelated primary service, append modifier 79 to the code.
D. The codes designated as "separate procedure" should not be reported in addition to the code for the total procedure or service of which it is an integral component.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 5：
View MR 001394
MR 001394
Operative Report
Procedure: Excision of 11 cm back lesion with rotation flap repair.
Preoperative Diagnosis: Basal cell carcinoma
Postoperative Diagnosis: Same
Anesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injected slowly through a 30- gauge needle for the patient's comfort.
Location: Back
Size of Excision: 11 cm
Estimated Blood Loss: Minimal
Complications: None
Specimen: Sent to the lab in saline for frozen section margin control.
Procedure: The patient was taken to our surgical suite, placed in a comfortable position, prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpel blade was used to excise the basal cell carcinoma plus a margin of normal skin in a circular fashion in the natural relaxed skin tension lines as much as possible The lesion was removed full thickness including epidermis, dermis, and partial thickness subcutaneous tissues. The wound was then spot electro desiccated for hemorrhage control. The specimen was sent to the lab on saline for frozen section.
Rotation flap repair of defect created by foil thickness frozen section excision of basal cell carcinoma of the back. We were able to devise a 12 sq cm flap and advance it using rotation flap closure technique. This will prevent infection, dehiscence, and help reconstruct the area to approximate the situation as it was prior to surgical excision diminishing the risk of significant pain and distortion of the anatomy in the area. This was advanced medially to close the defect with 5 0 Vicryl and 6-0 Prolene stitches.
What CPTcoding is reported for this case?
A. 14001
B. 14001, 11606-51
C. 15271
D. 14001, 11606-51, 12034-51
正解：B
解説: (Topexam メンバーにのみ表示されます)

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AAPC CPC 認定試験の出題範囲：

トピック	出題範囲
トピック 1	Provide practical application of coding operative reports and evaluation and management services Understand and apply the official ICD-10-CM coding guidelines
トピック 2	Code a wide variety of patient services using CPT®, ICD-10-CM, and HCPCS Level II codes Explain the determination of the levels of E M services
トピック 3	Identify the information in appendices of the CPT® code book List the major features of HCPCS Level II codes
トピック 4	Apply coding conventions when assigning diagnoses and procedure codes Identify the purpose of the CPT®, ICD-10-CM, and HCPCS Level II code books

参照：https://www.aapc.com/certifications/cpc

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