Ace Your CPC Exam: Expert Breakdown of Practice Questions
TLDRVictoria Mull, a medical coding educator, shares valuable tips for acing the CPC exam. She emphasizes the importance of exam strategy, such as scanning questions for specifics, using the process of elimination, and understanding the guidelines. She also highlights common areas where test-takers struggle, like evaluation and management, obstetrics, and fracture care. Through practice cases, she demonstrates how to apply these strategies effectively, stressing the need for practice and resource utilization for exam success.
Takeaways
- π Victoria Mull, a medical coder, auditor, educator, and content creator, offers valuable insights for acing the CPC exam through practice cases, emphasizing not just code memorization but also exam strategy.
- π₯οΈ Highlighting the importance of understanding what a question is specifically asking in the CPC exam to save time and focus efforts efficiently.
- π Emphasizes the use of the process of elimination as a key strategy in answering questions effectively, particularly in identifying clearly incorrect options to narrow down choices.
- π¨ Discusses the evolution of the CPC exam to test problem-solving, analytical skills, and the application of coding guidelines, beyond simple code lookup.
- π Points out common areas where exam takers often make mistakes, such as evaluation and management, obstetrics, fracture care, and external causes, advising focused study on these topics.
- π Advises on the necessity of understanding Medicare program parts and other healthcare terminology beyond anatomy for the CPC exam.
- π Offers specific coding examples and methodologies for tackling various types of questions, from simple to complex scenarios, demonstrating how to approach each step for accuracy and efficiency.
- π Emphasizes the importance of knowing the default codes for conditions without complications and advises on verifying codes in the tabular list as part of exam strategy.
- π₯ Highlights the significance of side specificity in coding, particularly for conditions affecting bilateral body parts, urging careful attention to detail.
- π Provides insights into procedural coding scenarios, discussing the selection between simple and comprehensive codes based on the documented procedures and conditions.
Q & A
What is the key strategy emphasized for success in the CPC exam?
-The key strategy emphasized is not just memorizing codes but also understanding exam strategy, such as quickly identifying the specific questions asked, potential answers, and using the process of elimination to speed up the exam.
What is the importance of scanning the case questions in the CPC exam?
-Scanning the case questions is important to understand what is specifically being asked and to identify potential answers, which helps in focusing on relevant information and avoiding unnecessary time spent on reading and coding.
How does the process of elimination work in the CPC exam?
-The process of elimination involves quickly identifying and ruling out one or two possible answers based on the question and provided options, narrowing down the choices and focusing on the most likely correct answers.
What are some common areas where people tend to get questions wrong on the CPC exam?
-Common areas include evaluation and management (especially EM), obstetrics (complicated OB cases), fracture care, and external causes, which often trip people up.
What is the significance of Chapter 15 guidelines in coding?
-Chapter 15 guidelines are significant because they take precedence over other codes. It's common for the CPC exam to test knowledge on these guidelines, especially in complicated OB cases.
Which part of the Medicare program covers prescription drugs?
-Part D of Medicare covers the prescription drug program.
What is the correct ICD-10-CM code for a patient with type 2 diabetes undergoing a comprehensive foot exam?
-The correct ICD-10-CM code is E11.9, which represents type 2 diabetes mellitus without complications.
How do you determine the correct code for a malignant neoplasm of the upper outer quadrant of the left breast?
-The correct code is determined by looking up the specific location (upper outer quadrant) and side (left) in the ICD-10-CM table for neoplasms, which leads to the code C50.412.
What is the correct ICD-10-CM code for a patient diagnosed with acute bronchitis due to mycoplasma pneumonia?
-The correct ICD-10-CM code is J20.0, which represents acute bronchitis due to mycoplasma pneumonia.
What is the correct ICD-10-CM code for a patient with a closed fracture of the orbital floor on the right side?
-The correct ICD-10-CM code is S02.312A, which represents a closed fracture of the orbital floor, right side, with an initial encounter for a closed fracture.
How is the prophylactic removal of the left breast coded in a patient with a history of breast cancer?
-The prophylactic removal is coded with ICD-10-CM Z85.3 for personal history of breast cancer and Z3.01 for encounter for prophylactic removal of the breast.
What are the correct CPT and ICD-10-CM codes for a 65-year-old female with hypertension and hyperlipidemia who experiences an acute transmural myocardial infarction and undergoes percutaneous transluminal coronary angioplasty in the left anterior descending artery?
-The correct CPT code is 92920, and the ICD-10-CM codes are I21.02 for the myocardial infarction and I10 and E78.5 for hypertension and hyperlipidemia, respectively.
Outlines
π Introduction to Medical Coding and CPC Exam Strategy
This paragraph introduces the topic of medical coding, specifically focusing on strategies for acing the CPC (Certified Professional Coder) exam. Victoria Mull, a medical coder, auditor, educator, and content creator, offers advice on exam preparation. She emphasizes the importance of not just memorizing codes but also understanding the exam's structure and using effective test-taking strategies. Techniques such as scanning the question to identify what's being asked, using the process of elimination, and understanding the guidelines are highlighted. The paragraph also mentions common areas where test-takers may struggle, such as evaluation and management (E/M), obstetrics, and fracture care, urging test-takers to focus on these areas in their studies.
π‘ Medicare Program Overview and Coding Scenarios
This section provides an overview of the Medicare program, detailing its different parts (A, B, C, and D) and what each part covers. It then delves into specific coding scenarios, such as a patient with type 2 diabetes undergoing a foot exam and a patient diagnosed with malignant neoplasm of the breast. The speaker explains how to identify the correct ICD-10-CM codes for these scenarios, highlighting the importance of understanding the context of the medical condition and the specifics of the procedure. The paragraph also touches on the concept of risk assessment in coding, where the coder must decide whether to look up every detail or trust their knowledge to save time.
π©Ί Coding for Acute Bronchitis and Fracture Cases
This paragraph continues the discussion on coding, focusing on cases like acute bronchitis due to mycoplasma pneumonia and a closed fracture of the orbital floor. The speaker guides the audience through the process of identifying the correct ICD-10-CM codes for these conditions, emphasizing the importance of focusing on the main term and using the alphabetic index effectively. The section also covers how to handle coding for a prophylactic mastectomy, which is a preventive measure rather than a treatment for active cancer, and how to differentiate this in coding from an active cancer case.
π Management of Myocardial Infarction and Prophylactic Procedures
The paragraph discusses the coding for a patient with acute transmural myocardial infarction who undergoes percutaneous transluminal coronary angioplasty. The speaker explains the process of identifying the correct CPT and ICD-10-CM codes for this scenario, including the use of resequenced codes and the distinction between different types of coronary artery procedures. The summary also touches on the coding for a prophylactic removal of the breast in a patient with a history of breast cancer, highlighting the difference between active cancer and preventive measures.
π Resources and Encouragement for Aspiring CPCs
In the final paragraph, the speaker encourages practice and continued learning for those preparing for the CPC exam. She offers resources such as a comprehensive CPC review and practice exam available on her website, as well as a free playlist covering various aspects of medical coding. The paragraph concludes with a motivational note, urging viewers to keep practicing their coding skills and assuring them that they are on the right path to becoming coding professionals.
Mindmap
Keywords
π‘CPC Exam
π‘Medical Coding
π‘Practice Cases
π‘Exam Strategy
π‘ICD-10-CM Codes
π‘Modifier
π‘Problem Solving
π‘Guidelines
π‘Terminology
π‘Analytical Skills
Highlights
Victoria Mull shares tips for acing the CPC exam.
The CPC exam is not just about memorizing codes but also involves exam strategy.
For longer case questions, scan down to understand what's specifically being asked.
Use the process of elimination to quickly narrow down potential answers.
The CPC exam has evolved to test problem-solving, analytical skills, and understanding of guidelines.
Common missed concepts in the CPC exam include evaluation and management, obstetrics, and fracture care.
Medicare is composed of several parts: A, B, C, and D, each covering different aspects of healthcare.
For a patient with type 2 diabetes undergoing a foot exam, the default code for type 2 diabetes is used.
In coding for a malignant neoplasm of the breast, ensure the correct side and specific quadrant are coded.
For acute bronchitis due to mycoplasma pneumonia, the main term to focus on is bronchitis.
A closed fracture of the orbital floor is coded with the appropriate seventh character extension for new diagnosis.
Prophylactic removal of the breast is coded differently from a cancer-related mastectomy.
For a patient with hypertension and hyperlipidemia presenting with chest pain, the correct codes are determined by the specifics of the condition.
Practicing is key to success in the CPC exam.
Victoria Mull offers a comprehensive CPC review with practice exam on her website.
There are free resources available for CPC exam preparation, including playlists and training sessions.
Understanding terminology and applying guidelines to scenarios is crucial for the CPC exam.
The exam tests knowledge of different parts of Medicare and their coverage specifics.
Coding accuracy is important, and attention to detail such as the correct side of the body is essential.
Risk assessment in exam strategy can help save time, but always consider the potential need for verification.
Transcripts
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