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Get All Certified Professional Coder (CPC) Exam Questions with Validated Answers
| Vendor: | AAPC |
|---|---|
| Exam Code: | CPC |
| Exam Name: | Certified Professional Coder (CPC) Exam |
| Exam Questions: | 354 |
| Last Updated: | August 23, 2026 |
| Related Certifications: | Certified Professional Coder Certification |
| Exam Tags: | Professional Medical coders |
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A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24% with third-degree burns totaling 10%.
What ICD-10-CM codes are reported, according to 1CD-10-CM coding guidelines?
In coding burns, ICD-10-CM guidelines indicate that each burn site is coded separately, specifying the degree, location, and extent of the burn. Additionally, a code for total body surface area (TBSA) burned is included when burns cover more than 10% of the body. Here's the breakdown:
1. T24.311A: Represents a third-degree burn on the left thigh, initial encounter.
2. T24.312A: Represents a third-degree burn on the right thigh, initial encounter.
3. T21.21XA: Represents a second-degree burn on the anterior chest wall, initial encounter.
4. T21.23XA: Represents a second-degree burn on the upper back, initial encounter.
5. T31.21: Represents burns with 20--29% TBSA involvement, with third-degree burns covering 10--19% of the TBSA.
Explanation of incorrect answers:
A includes an incorrect TBSA code (T31.21).
B has the correct codes but lists an incorrect TBSA code for third-degree burns.
C uses incorrect burn site codes for the areas involved and incorrect TBSA percentages.
Therefore, the correct answer is D. T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21, which accurately captures the burns' degrees, locations, and TBSA.
Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.
What CPT codes are reported for this surgery?
Esotropia of the right eye: Indicates strabismus surgery is required.
Resection of medial rectus horizontal and lateral rectus muscles: Specific muscles addressed during the surgery.
Adjustable sutures: Used in securing the muscles, indicating specific techniques.
Extensive scar tissue from previous surgery: Requires additional work and isolation.
CPT codes 67314 and 67334 are used to report the resection of two muscles with adjustable sutures (67314) and surgery on an extraocular muscle involving extensive scar tissue (67334).
The Medicare program has multiple parts covering different services. Which part provides coverage for outpatient physician charges?
Medicare Part B provides coverage for outpatient services, including physician services, preventive care, outpatient procedures, diagnostic tests, and durable medical equipment. Part B is a key component of Medicare, covering medically necessary services and some preventive services.
A . Part C (Medicare Advantage) includes all benefits and services covered under Parts A and B and often additional services, but it is provided through private insurance companies.
C . Part A covers inpatient hospital care, skilled nursing facility care, hospice, and some home health services.
D . Part D provides coverage for prescription drugs.
Therefore, the correct answer is B. Part B.
A patient arrived at the emergency department experiencing pain in both legs. The ED physician ordered a comprehensive duplex scan of the arteries in both lower extremities to rule out arteriosclerosis.
What CPT and ICD-10-CM codes are reported?
93925 -- Duplex scan of arteries, bilateral lower extremities; complete
Includes both legs do not bill twice
Diagnosis Codes:
M79.604 -- Pain in right leg
M79.605 -- Pain in left leg
Why others are incorrect:
93926 2 -- Unilateral only
I70.303 -- Arteriosclerosis not confirmed
The evisceration of ocular contents was performed using a surgical microscope for enhanced visualization. The procedure was performed on the left eye and an implant was not placed in the ocular cavity.
What CPT coding is reported?
1. Procedure and CPT Code Selection:
The procedure performed was an evisceration of ocular contents without the placement of an implant. The surgical microscope was used for enhanced visualization, but this does not require a separate code if the primary procedure code includes it inherently.
CPT Code 65091 is used for an evisceration of the ocular contents without implant placement. This code correctly describes the procedure performed on the left eye.
2. Modifier:
Modifier LT is added to indicate that the procedure was performed on the left eye.
3. Exclusion of Code 69990:
Code 69990 is for the use of an operating microscope, but it should not be billed separately when it is used as part of a procedure where enhanced visualization is typical or expected, such as an evisceration procedure. According to CPT guidelines, 69990 is not separately reported when the microscope is used for visualization in procedures where its use is considered part of the standard of care.
4. Rationale for Excluding Other Options:
Code 65093 is for an evisceration with implant placement, which does not apply since no implant was used.
Options B and C incorrectly include 69990, which is not separately reportable in this scenario.
5. AAPC and CPT Coding Guidelines:
According to AAPC and CPT coding guidelines, 65091 is sufficient to capture the procedure without the need to add code 69990 for the microscope.
Therefore, the correct answer is D. 65091-LT.
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