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
Exam overview

About this Exam

The AAPC Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings. This practice exam, specifically focusing on the 50000 series of the Current Procedural Terminology (CPT) code set, is a crucial step for aspiring medical coders looking to validate their expertise. It is designed for individuals who have a foundational understanding of medical terminology, anatomy, and coding guidelines and are preparing to take the full CPC certification exam. By simulating the actual testing environment, this practice tool helps you identify knowledge gaps and build confidence for success.

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What the Course Entails and Exam Details

While this is a specific practice test, the full CPC exam preparation encompasses a broad syllabus. However, the AAPC CPC Exam 50000 Series CPT Practice Test focuses intensely on a targeted segment of surgical procedures. Specifically, you will be tested on your ability to correctly assign CPT codes from the 50000–59999 numerical range. This crucial domain covers complex procedural areas including the:

  • Urinary System

  • Male Genital System

  • Female Genital System

  • Maternity Care and Delivery

  • Endocrine System

A strong understanding of procedural specificity, modifiers, and the corresponding anatomy for these systems is required to answer these questions accurately.


What to Expect in the Final Exam

When you move from the practice test to the official AAPC CPC certification exam, you can expect a rigorous evaluation. The final exam consists of 100 multiple-choice questions, which must be completed within a single, four-hour sitting. The passing score is 70%, meaning you must answer at least 70 questions correctly. The questions are designed to test not only your memorization of codes but also your ability to apply coding guidelines, understand medical documentation, and make sound coding decisions in a real-world context.


How to Study and Exam Centers

Effective study for the CPC exam involves a multi-faceted approach. First, leverage the practice exam repeatedly to get comfortable with the pacing and question format. Focus heavily on mastering the CPT Professional Edition code book, specifically the 50000 series guidelines and parenthetical notes. AAPC offers comprehensive study guides and official CPC preparation courses that provide in-depth training. For the actual exam, you have flexibility. AAPC allows you to take the CPC exam in a physical, proctored environment at an authorized local chapter or school. Alternatively, they offer a convenient, secure online option using a live remote proctor, which has become highly popular for its accessibility.


Job Opportunities from the Course

Achieving the CPC designation unlocks a wide range of rewarding career paths in the healthcare industry. Many employers specifically look for the CPC certification when hiring for these roles. Here are several specific job titles and career paths you can pursue once certified:

  • Certified Professional Coder (CPC)

  • Medical Coder

  • Outpatient Coder

  • Physician Coder

  • Coding Auditor

  • Medical Coding Educator

  • Coding Manager

  • Healthcare Documentation Specialist

  • HIM (Health Information Management) Coder

  • Revenue Cycle Specialist

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