MEDICAL CODING

What  is medical coding ??

Medical Coding is  a process in which medical coder will assign the codes for the procedures and the diagnosis of the patients reports which are transcribed by the medical transcriptionist for the Doctors, Hospitals and Insurance companies. 

Types of medical coding certifications: 

CCA(Certified Coding Associate)

CCS (Certified Coding Specialist)

CPC(Certified Professional Coder)

CPC-P(Certified Professional Coder-Payer)

CPC-H(Certified Professional Coder-Out Patient Hospital)

CIRCC(Certified Interventional Radiology Cardiovascular Coder)

Note: CCA & CCS  are credited by AHIMA and CPC, CPC-P, CPC-H, CIRCC are credited by AAPC organization.

                         What is CPC ??

Certified professional coder(CPC) is a 150 multiple choice based exam with a time limit of 5 hours and 40 minutes and 1 free retake.

It qualifies that you have full knowledge of anatomy, physiology, medical terminology and coding guidelines including compliance and reimbursement.

It also qualifies that you have expertise in reviewing charts and assigning appopriate codes for procedures and diagnosis specially in physician ofiice settings.

CPC exam mainly covers :

Anesthesia

Integumentary

ICD-9-CM

Respiratory  

Radiology

Musculoskeletal

HCPCS Level II

Pathology

Nervous

Hemic & Lymphatic

Coding Guidelines

Laboratory

Urinary

Maternity & Delivery

Medical Terminology 

Medicine

Male/Female Genital

Practice Management

Endocrine

Eye & Ocular Adnexa

Anatomy and Physiology

Digestive

Mediastinum & Diaphragm

Evaluation and Management 

                   

                           CPC model questions for practice 

1) If physician doing bunionectomy with chevron osteotomy of the first metatarsal neck, what is the correct cpt code for this procedure ?

A)28290

B)28290

C)28293

D)28296

2) If physician doing open reduction and internal fixation of distal radius intraarticular fracture with fixation of three fragments, what is the correct cpt code for  this procedure?

A)25608

B)25609

C)25622

D)25624

3) If physician releasing thenar muscle for thumb contracture, what is the correct cpt code for  this procedure?

A)26508

B)26510

C)26516

D)26517

4) If physician doing excision of 5cm soft tissue  tumor from subfascia level of knee, what is the correct cpt code for  this procedure?

A)27328

B)27339

C)27329

D)27335

5) If physician doing arthodesis of C3-C4 anterior interbody with discectomy and decompression of nerve roots, what is the correct cpt code for  this procedure?

A)22551

B)22554

C)22558

D)22590

6) If physician doing total knee arthroplasty, what is the correct cpt code for  this procedure?

A)27446

B)27447

C)27448

D)27450

7) If physician doing carpometacarpal arthroplasty with tendon interposition, what is the correct cpt code for  this procedure?

A)22551

B)25447

C)25449

D)25450

8) If physician doing total hip arthroplasty, what is the correct cpt code for  this procedure?

A)27120

B)27125

C)27130

D)27132

 9) If physician doing arthodesis of L2-L5 posterior interbody with discectomy, insertion of PEEK cages and instrumentation of three  levels , what is the correct cpt code for  this procedure?

A)22630, 22632, 22632-59, 22851 & 22842

B) 22630, 22632, 22632-59, 22850 & 22840

C) 22630, 22632, 22632-59, 22852 & 22842

D) 22630, 22632, 22632-59, 22845 & 22840

10) If physician doing L2-L3 hemilaminotomy with excision of inter vertebral disc and decompression of nerve roots, what is the correct cpt code for  this procedure?

A)63020

B)63030

C)63045

D)63047

11) If physician doing mamaplasty, agumentation with prosthetic implant, what is the correct cpt code for  this procedure?

A)19324

B)19325

C)19328

D)19330

12) If physician doing mamaplasty, agumentation with prosthetic implant, what is the correct cpt code for  this procedure?

A)19324

B)19325

C)19328

D)19330

13) If physician doing extraction of cataract with implantation  of intra ocular lens with phacoemulsification technique, what is the correct cpt code for  this procedure?

A)66982

B)66984

C)66985

D)66986

14) A 25 year old male patient underwent insertion of peripherally inserted central venous access device with subcutaneous port, what is the correct cpt code for  this procedure?

A)36569

B)36570

C)36571

D)36572

15) A  patient underwent a  nasal septoplasty and submucous resection of inferior turbinates, what is the correct cpt code for this surgery?

A) 30520 & 30140

B) 30540 & 30130

C) 30580 & 30150

D) 30630 & 30160

16) A patient underwent a  excision of inferior turbinate and lysis of intra nasal synichia, what is the correct cpt code for this surgery?

A) 30140 & 30580

B) 30150 & 30600

C) 30130 & 30560

D) 30160 & 30630

17) A patient underwent a  endoscopic partial anterior ethmoidectomy and maxillary antrostomy, what is the correct cpt code for this surgery?

A) 31254 & 31256

B) 31255 & 31267

C) 31240 & 31276

D) 31287 & 31290

18) A patient underwent a  endoscopic anterior and posterior ethmoidectomy and maxillary antrostomy with the removal of the polypoid tissue from maxillary sinus, what is the correct cpt code available for this procedure?

A) 30520 & 30140

B) 31254 & 31267

C) 31278 & 30630

D) 31255 & 31267

19) A patient underwent a  endoscopic dilation of maxillary sinus ostium with the balloon dilator through canine fossa & nasofrontal recess clearance, what is the correct cpt code for this procedure ?

A) 31294 & 30140

B) 31295 & 31276

C) 31296 & 30520

D) 31297 & 30630

20) A patient underwent a  rhinoplasty with the elevation of nasal tip and repair of the nasal vestibular stenosis, what is the correct cpt code for this procedure ?

A) 30400 & 30465

B) 30430 & 30460

C) 30120 & 30150

D) 30410 & 30430

21) A patient underwent an outfracture of inferior turbinates. what is the correct cpt code for this surgery?

A) 30130

B) 30140

C) 30930

D) 30801

22) A patient underwent a  endoscopic nasofrontal sinus exploration with removal of tissue. what is the correct cpt code for this surgery?

A) 31254

B) 31276

C) 31287

D) 31288

23) A patient underwent pterigomaxillary fossa surgery, what is the correct cpt code for this surgery?

A) 31000

B) 31002

C) 31040

D) 31050

24) A physician performed left knee arthroscopy with partial medial menisectomy, what is the correct cpt code for this procedure ?

A) 29879

B) 29880

C) 29881

D) 29882

25) A physician performed right knee arthroscopy with partial medial and lateral menisectomy, what is the correct cpt code for this procedure ?

A) 29879

B) 29880

C) 29881

D) 29882

26) A physician performed left knee arthroscopy with lateral retinacular release, what is the correct cpt code for this procedure ?

A) 29873

B) 29879

C) 29882

D) 29883

27) A physician performed right knee arthroscopy with the chondroplasty of the patella, what is the correct cpt code for this procedure ?

A) 29873

B) 29877

C) 29879

D) 29880

28) A physician performed right knee arthroscopy with ACL reconstruction using allograft, what is the correct cpt code for this procedure ?

A) 29879

B) 29880

C) 29883

D) 29888

29)A physician performed right knee arthroscopy with posterior cruciate ligament reconstruction using allograft, what is the correct cpt code for this procedure ?

A) 29880

B) 29881

C) 29882

D) 29889

30) A physician performed left knee arthroscopy with partial medial menisectomy and plica resection of the suprapatellar compartment, what is the correct cpt codes for this procedures ?

A) 29881 & 29875

B) 29880 & 29877

C) 29882 & 29888

D) 29873 & 29879

31) A physician performed right knee arthroscopy with medial and lateral meniscal repair and removal of loose body of approximately 0.8 cm of patella compartment, what is the correct cpt codes for this procedures ?

A) 29873 & 29877

B) 29880 & 29888

C) 29883 & 29874

D) 29879 & 29889

32) A  physician performed arthroscopic bankart repair of the superior labrum with capsulorrhaphy, what is the correct cpt code for this procedure ?

A) 29826

B) 29806

C) 29820

D) 29821

33) A physician performed arthroscopic rotator cuff repair and subacromial decompression with acromioplasty, what is the correct cpt codes for this procedures ?

A) 29806 & 29822

B) 29824 & 29825

C) 29827 & 29826

D) 29824 & 29828

34) A physician performed arthroscopic distal clavicle excision and lysis of adhesion, what is the correct cpt codes for this procedures ?

A) 29806 & 29807

B) 29823 & 29824

C) 29824 & 29825

D) 29827 & 29826

35) A  physician performed arthroscopic SLAP lesion repair with partial synovectomy, what is the correct cpt code for this procedure ?

A) 29806 & 29807

B) 29807 & 29820

C) 29824 & 29825

D) 29827 & 29828

36) A physician performed arthroscopic biceps tenodesis and debrediment of anterior labrum, what is the correct cpt code for this procedure ?

A) 29828 & 29822

B) 29824 & 29825

C) 29825 & 29826

D) 29827 & 29826

37) A patient  underwent the open carpal tunnel release, what is the correct cpt code for this procedure?

A)  64718

B) 64719

C) 64721

D) 64722

38) A patient underwent the open release of  the ulnar nerve at wrist, what is the correct cpt code for this procedure?

A) 64716

B) 64718

C) 64719

D) 64721

39) A patient underwent the open release of  the ulnar nerve at elbow, what is the correct cpt code for this procedure?

A) 64714

B) 64716

C) 64718

D) 64719

40) A pateint underwent the excision of the ganglion cyst from the volar aspect of the wrist, what is hte correct cpt code for this procedure?

A) 25110

B) 25111

C) 25112

D) 25115

41) A patient underwent the excison of the reccurent excison of the ganglion cyst from the dorsal aspect of the wrist, what is the correct cpt code for this procedure?

A) 25110

B) 25111

C) 25112

D) 25115

42) A patient underwent the arthrotomy with synovectomy of  the wrist joint, what is the correct cpt code for this procedure?

A) 25101

B) 25105

C) 25107

D) 25109

43) A patient came for the esophagogastroduodenoscopy, what is the correct cpt code for this procedure?

A) 43235

B) 43237

C) 43238

D) 43239

44) A patient came for esophagogastroduodenoscopy and the biopsy of antrum was taken, what is the correct cpt code for this procedure ?

A) 43235

B) 43237

C) 43238

D) 43239

45)A patient came for esophagogastroduodenoscopy, there is a single 2 mm polyp found in the duodenum and it is removed by snare polypectomy, what is the correct cpt code for this procedure ?

A) 43249

B) 43251

C) 43258

D) 43241

46) A patient came for esophagogastroduodenoscopy, physician inserts a guide wire followed by the dilation of esophagus, what is the correct cpt code for this procedure ?

A) 43241

B) 43239

C) 43248

D) 43249

47) A patient came for only diagnostic colonoscopy, what is the correct cpt code for this procedure ?

A) 45380

B) 45378

C) 45384

D) 45385

48) A patient came for colonoscopy, there is a single 2 mm polyp found in the transverse colon and it is removed by the cold biopsy forceps and biopsy was taken, what is the correct cpt code for this procedure ?

A) 45380

B) 45382

C) 45384

D) 45385

49) A patient came for colonoscopy, there are two polyps found first in the ascending colon and second in transverse colon and both were removed by hot biopsy forceps, what would be the appropriate cpt code for this procedure ?

A) 45378

B) 45380

C) 45384

D) 45385

50) A patient came for colonoscopy, there are three polyps found first in the ascending, second in descending and third in the transverse colon, all three are removed by the snare polypectomy technique, what would be the correct cpt code for this procedure ?

A) 45378

B) 45380

C) 45384

D) 45385

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