Question 1
Cystoscopy, left ureteroscopy, holmium laser lithotripsy, stone manipulation, stent removal and replacement are performed. The holmium laser was used to break up a cluster of stones at the UP (uteropelvic) junction, which were removed with a basket. Previous CT scan showed stones in the lower pole, it was decided to proceed with ureteroscopy. Left ureteroscope was inserted, confirming multiple stones within the proximal ureter, these were basketed and removed. What CPT® codes are reported for this service?
Correct Answer:
52353, 52332-51, 52352-59
Explanation:
Correct answer: 52353, 52332-51, 52352-59
Question 2
Circumcision with adjacent tissue transfer was performed. What CPT® code(s) is/are reported for this service?
Correct Answer:
14040, 54161-51
Explanation:
Correct answer: 14040, 54161-51
Question 3
The patient is a very pleasant 72-year-old female noted to have bilateral nephrolithiasis. Her left stones were treated ureteroscopically and her right stone was very large. It was treated with an ureteroscopic procedure. She comes in today for her second ureteroscopic procedure to remove the remaining stone fragments. Right ureteroscopy, laser lithotripsy and right ureteral stent exchange were performed. What CPT® codes are reported for this service?
Correct Answer:
52353, 52310, 52332
Explanation:
Rationale: Ureteroscopic procedures have no global period and the use of modifier 58 or 76 would not be appropriate. Though a stent exchange was performed, you do not report removal of the previous stent (52310). You would report the laser lithotripsy (52353) and stent insertion (52332) with no modifier(s) appended. In the Index, look up Lithotripsy/Ureter directing you to 52353. In the Index, look up Cystourethroscopy/Insertion/Indwelling Ureteral Stent directing you to 52332
Question 4
67-year-old gentleman with localized prostate cancer will be receiving brachytherapy treatment. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous placement of 1-125 seeds into the prostate tissue. What CPT® code is reported for needle placement to insert the radioactive seeds into the prostate?
Correct Answer:
55875
Explanation:
Rationale: Brachytherapy is a form of radiation in which radioactive seeds or pellets are implanted directly into the tissue being treated to deliver their dose of radiation in a direct fashion and longer period of time. The placement of the seeds is performed percutaneously (going through the skin by needle). The code is indexed under Prostate/Insertion/Needle guiding you to code 55875
Question 5
A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found she has 5 separate intramural fibroid tumors to be removed. The fibroid tumors are successfully removed, with a total weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and ICD-9-CM codes reported for this service?
Correct Answer:
58545, 218.1
Explanation:
Rationale: Surgical laparoscopy is performed to remove the five fibroid tumors weighing over 250 grams. This procedure is indexed under Laparoscopy/Removal/Leiomyomata referring you to codes 58545-58546. The diagnosis is indexed in the ICD-9-CM Index to Diseases, under Leiomyoma/uterus/intramural guiding you to code 218.1
Question 1
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About this Exam


The AAPC Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings. This rigorous certification validates a coder's proficiency in reviewing and translating documentation into accurate medical codes using CPT, ICD-10-CM, and HCPCS Level II code sets. The CPC examination is specifically designed for individuals who wish to demonstrate their expertise in outpatient coding guidelines and reimbursement processes. Earning this designation signifies to employers that you possess the specialized knowledge required to ensure claims are submitted correctly, supporting the financial health of healthcare organizations.

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What the Course Entails and Exam Details

Preparing for the CPC exam requires a deep understanding of several core domains within the revenue cycle management process. You must master the official ICD-10-CM guidelines for diagnosis coding across all body systems and demonstrate expert application of CPT procedure codes for E/M services, anesthesia, surgery, radiology, pathology, and medicine.

The exam content extends beyond just coding mechanics to include essential healthcare foundational knowledge. Students must possess a strong grasp of medical terminology and anatomy to accurately interpret clinical documentation. Additionally, the exam tests your knowledge of compliance and regulatory issues, including HIPAA, fraud and abuse standards, National Correct Coding Initiative (NCCI) edits, and Medicare payment policies.


What to Expect in the Final Exam

The final CPC certification exam is a challenging, open-book assessment consisting of 100 multiple-choice questions. Test-takers are allocated 4 hours to complete the examination, which requires efficient time management and swift navigation of your approved code books (AMA CPT Professional, and your choice of ICD-10-CM and HCPCS Level II). To achieve the Certified Professional Coder designation, you must earn a passing score of 70% or higher. The questions are broken down into coding scenarios, medical terminology, anatomy, guidelines, and specific code series, testing your ability to apply your knowledge to real-world outpatient chart examples.


How to Study and Exam Centers

Effective preparation for the CPC exam involves a strategic mixture of structured learning and timed practice. Many successful candidates enroll in an official AAPC CPC preparation course, which is proven to significantly increase pass rates. Utilize the official AAPC CPC Study Guide to review core concepts and familiarize yourself with the structure of the exam. The most critical study technique is taking multiple full-length, timed practice exams. These simulations help you build the stamina needed for the 4-hour test and allow you to identify specific weak areas where you need further review. Practice navigating your code books quickly using tabs and annotations to save precious minutes during the actual test.

You have multiple options for where and how to sit for your examination. AAPC offers Live Remote Proctored (LRP) exams, allowing you to take the test securely from your home or office using a webcam and reliable internet connection. Alternatively, you can schedule a physical exam through a local AAPC chapter or at an authorized testing center, such as Pearson VUE. Ensure you schedule your exam at least three weeks in advance and verify that you have the most current, allowed editions of the required code books before test day.


Job Opportunities from the Course

Earning your CPC certification unlocks numerous career paths within the expanding healthcare administration field. Here are some specific job titles available to Certified Professional Coders:

  • Medical Coder
  • Outpatient Coding Specialist
  • Medical Billing and Coding Manager
  • Coding Auditor
  • Revenue Cycle Analyst
  • Health Information Technician
  • Compliance Officer
  • Remote Coding Consultant

 

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