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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
Topic 2
  • Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
Topic 3
  • Hemic & Lymphatic Systems, Mediastinum, Diaphragm: This section of the exam measures the skills of medical coders and includes procedures related to the spleen, lymph nodes, bone marrow, as well as surgical interventions in the mediastinum and diaphragm. Coders must differentiate procedures by region and system accurately.
Topic 4
  • Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
Topic 5
  • The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.
Topic 6
  • Overview of ICD-10-CM: This section of the exam measures the skills of medical coders and introduces the structure, format, and usage of the ICD-10-CM coding system. It reviews the purpose of ICD-10-CM in diagnosis reporting and prepares candidates to interpret chapters, code ranges, and conventions embedded in the system.
Topic 7
  • Endocrine System and Nervous System: This section of the exam measures the skills of medical coders and assesses the ability to assign codes for surgeries involving glands, the brain, spinal cord, and peripheral nerves. Procedures like resections and electrical stimulation are part of the evaluated content.
Topic 8
  • Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Topic 9
  • Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Topic 10
  • Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Topic 11
  • Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q155-Q160):

NEW QUESTION # 155
The human shoulder is made of which three bones?

Answer: D


NEW QUESTION # 156
A 32-year-old is in the outpatient clinic for an esophagoscopy due to increased difficulty swallowing with his eosinophilic esophagitis. The flexible scope is inserted in the mouth and into the esophagus. Examination of the esophagus noted narrowing in the distal esophagus. Following an injection of Kenalog, a transendoscopic balloon dilation was performed in the area of stenosis. Inflation was repeated eventually reaching 18 mm in diameter. What CPTcoding is reported for this procedure?

Answer: C


NEW QUESTION # 157
(Preoperative diagnoses:Bradycardia.
Postoperative diagnosis:Bradycardia.
Procedure performed:Dual-chamber pacemaker implantation.
Brief history:77-year-old female with recurrent syncope; evaluation revealed first-degree AV block, sinus bradycardia, bundle-branch block; bradyarrhythmia suspected; after discussion with her sister, dual-chamber pacemaker recommended; risks explained; consent obtained.
Procedure details:Taken to cardiac catheterization lab; positioned on cath table; prepped/draped standard; procedure challenging due to agitation despite adequate sedation; left infraclavicular area anesthetized with
0.5 cc Xylocaine; pacemaker pocket created; hemostasis with cautery; 9-French peel-away sheath used to introduce an atrial and a ventricular lead; leads positioned with excellent thresholds; secured with O-silk sutures over sleeves; pulse generator connected; pocket flushed with antibiotic solution; pacemaker/leads placed in pocket; incision closed in two layers; performed under fluoroscopic guidance.
Complication:None.
Plan:Return to recovery; discharge later this evening to nursing home with routine post-pacemaker care.
Question:What CPT coding is reported for this procedure?)

Answer: C

Explanation:
This operative report documents anew permanent dual-chamber pacemaker implantation: creation of a subcutaneouspocket, placement oftwo transvenous leads(oneatrialand oneventricular) via a peel-away sheath, confirmation of thresholds, and connection/insertion of thepulse generatorinto the pocket with layered closure.
CPT pacemaker insertion coding is determined by thenumber of chambers/leads placedduring the session.
33208is the correct code for insertion of adual-chamberpermanent pacemaker system (atrial and ventricular leads with generator).33206is for asingle-chamber ventricularsystem and33207is for asingle-chamber atrialsystem, so neither matches a dual-lead implantation. Reporting 33206 and 33207 together is not correct because CPT provides the single comprehensive dual-chamber code when both leads are placed. The fluoroscopic guidance and catheterization lab setting support how the leads were placed but do not change the CPT selection, and "challenging due to agitation" does not by itself create a separate reportable service.
Therefore, report33208.


NEW QUESTION # 158
A 67-year-old patient has osteomyelitis of the shoulder blade and is in surgery to remove the sequestered section of dead infected fragment bone from surrounding bone.
What CPT code is reported?

Answer: C

Explanation:
The key phrase is "remove the sequestered section of dead infected fragment bone", which is a sequestrectomy performed for osteomyelitis.
23172 describes sequestrectomy of the scapula (shoulder blade).Therefore, C is correct.


NEW QUESTION # 159
A patient presents with 26 skin tags on the neck and shoulder. The provider removes all using a scissoring technique.
What CPT coding is reported?

Answer: A

Explanation:
11200 = removal of up to 15 skin tags
11201 = each additional 10 lesions or part thereof
26 lesions = 15 + 11 → 11201 ×2


NEW QUESTION # 160
......

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