CPC Practice Exam
Let me ask you a question.
Are you about to take the AAPC exam for Certified Professional Coder for the first time?
Or are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time?
As soon as the 2022 coding books were released in late 2021, we went over the entire test with a loupe to make sure all the codes referred to in the answer key hadn’t changed since last year. The test is now fully updated for 2022.
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A good practice exam should fully prepare its examinee for the real exam. Knowing what to expect and not being surprised on exam day are important.
AAPC’s CPC exam is 150 questions and must be completed in 5 hours and 40 minutes or less.
There are three main sections to the CPC exam:
AAPC’s CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes.
Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:
We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible.
In addition to our well constructed questions we are also providing a full rationale for each question.
These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located.
Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam.
The term “Salping-Oophorectomy” refers to
a. The removal of the fallopian tubes and ovaries
b. The surgical sampling or removal of a fertilized egg
c. Cutting into the fallopian tubes and ovaries for surgical purposes
d. Cutting into a fertilized egg for surgical purposes
The term “salp” means tube, the term “ooph” refers to the ovary, and the suffix “ectomy” means to surgically remove. Some CPT books (like the professional edition put out by the AMA) contains pages with common medical terms like these in the beginning of the book (prior to the coding guidelines)
Jim was at a bonfire when he tripped and fell into the flames. Jim sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third degree burns of his face, second degree burn on his shoulders and forearms, and third degree burns on the fronts of his thighs.
a. T20.20XA, T20.30XA, T22.259A, T22.219A, T24.319A, T31.42, X03.0XXA
b. T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA
c. T20.09XA, T22.099A, T24.099A, T31.64, X03.0XXA
d. T20.30XA, T22.299A, T24.319A, T31.64, X03.0XXA
Burn codes always have at least three codes: A burn code, a total body surface area code, or T31 category code, and an external cause code. Burn codes have the following rules, which can be found at the beginning of the ICD-10-CM manual under Guideline I.C.19.d Coding of burns and corrosions. Always code one location to the highest degree. For example, for first and second degree burns on the arm, you would only code second degree. When sequencing burn codes, always list the highest degree burn code first and end with the lowest degree burn code. For example, regarding first degree burns to the face and third degree burns to the arm, you would list the arm burn first and then the face burn. For question 33, answer B is correct because its codes describe the highest degree burn to each location and the burn codes are also arranged the in the correct order of highest to lowest degree of burn. To find the codes for the actual burns, we start with the areas with the third degree burns, in this case the face and thigh burns. Look up Burn/ face, and you will find Burn/ head. Burn, head, third degree is T20.30-. Search for Burn, thigh, third degree and you will find T24.319-9-. The second degree burns are for the upper and forearms. In the index, Burn, arm points to Burn, upper, limb. Looking up Burn, upper limb, multiple sites to code for both the upper arm and forearm, you will find that second degree is T22.299-. All of these need seven characters, with the seventh character being A, for initial encounter. The T31.42 (TBSA code) has the correct calculation when using the rule of nine (fourth digit burned to any degree; 9 x 5 = 45; five areas burned are head, arm1, arm2, leg1, leg 2; 5th digit describes only 3rd degree burns which are head (9), leg1 (9), and leg2 (9). 9×3=27). To find the code using the index, look up Burn, extent 40-49 percent with 20-29 percent third degree burns which points to T31.42. The external cause code correctly describes the bonfire incident. In the External Causes Index, look up Exposure, fire, not in building or structure which designates code X03.0. This also requires a seventh character of A, making the code X03.0XXA. Verify all codes in the Tabular.
When does anesthesia time begin?
a. After the induction of anesthesia is complete
b. During the pre-operative exam prior to entering the OR
c. When the anesthesiologist begins preparing the patient for the induction of anesthesia
d. Once the supervising physician signs over the patient’s care to the anesthesiologist
The answer to this question can be located in the anesthesia coding guidelines under the title “Time Reporting”
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