CPC Exam Practice 2024 - Walkthrough of Medical Coding Test Questions and Answers

Contempo Coding

18 Jan 202427:24

EducationalLearning

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TLDRIn this video, medical coding educator Victoria offers a comprehensive guide for preparing for the CPC exam. She emphasizes the importance of practice and provides an overview of eligibility criteria, exam formats, and content, including questions on Anatomy, ICD-10-CM, CPT, HIPAA, and case studies. Victoria also shares tips on using reference materials and notes during the exam, and she tackles specific coding scenarios to illustrate the application of coding principles.

Takeaways

📚 The importance of practice for the CPC exam cannot be overstated, and the video provides practice questions to help prepare for it.
👩‍🏫 Victoria, a medical coding educator and content creator, offers tips and tutorials for a successful medical coding career.
🎯 Eligibility for the CPC exam requires being an active AAPC member and paying the exam fee; no specific educational prerequisites are needed.
📍 Two options for taking the CPC exam are available: at an exam center or via remote live proctoring from a private location.
💻 The CPC exam is fully electronic, with 100 questions covering various topics such as Anatomy, ICD-10-CM, CPT, and case studies.
📈 The exam includes 10 case studies, each with one question based on an operative report or long note.
🔍 For the exam, bring a photo ID and allowed coding books; notes in books must pertain to daily coding activities and not supplement information.
📅 Use the current calendar year or one calendar year prior for books; upcoming or older books are not permitted for exam use.
🌟 The video provides detailed examples of how to approach and answer questions on ICD-10-CM, CPT, and HIPAA coding.
📝 For medical decision-making in E/M coding, consider the number and complexity of problems addressed to determine the level of service.
💡 Practice cases are essential for understanding the application of coding principles and guidelines in real-world scenarios.

Q & A

What is the primary function of the alveoli in the human respiratory system?
-The primary function of the alveoli is to facilitate the exchange of gases between the air and blood.
What are the two eligibility criteria for taking the CPC exam?
-The two eligibility criteria for the CPC exam are being an active member of the AAP and paying for the exam fee.
How has the administration of AAPC in-person exams changed prior to 2024?
-Prior to 2024, the AAPC in-person exams were administered via local chapters and were on paper. Now, the exams are 100% electronic.
What is the current number of questions on the CPC exam?
-There are currently 100 questions on the CPC exam.
What is the correct ICD-10-CM code for a 50-year-old patient with elevated blood pressure but no history of hypertension?
-The correct ICD-10-CM code for this condition is R3.0, which indicates elevated blood pressure reading, incidental or isolated, without a diagnosis of hypertension.
What ICD-10-CM code should be used to represent a 43-year-old patient diagnosed with idiopathic gastroparesis?
-The correct ICD-10-CM code for idiopathic gastroparesis is K31.84.
What CPT code should be used for a 42-year-old male patient undergoing surgical repair of a 4 cm incarcerated umbilical hernia?
-The appropriate CPT code for this procedure is 49594, which corresponds to repair of an umbilical hernia, 3 to 10 cm, incarcerated or strangulated.
What is the best ENM level for a 50-year-old female patient with a persistent cough and mild chest discomfort, diagnosed with bronchitis?
-The best ENM level for this encounter is 99213, which corresponds to an established patient office or other outpatient visit with low medical decision-making.
What is the appropriate CPT code for anesthesia provided during a total knee arthroplasty?
-The appropriate CPT code for anesthesia during a total knee arthroplasty is 0142.
What are the appropriate CPT and ICD-10-CM codes for a 58-year-old patient who underwent an open reduction and internal fixation of a displaced bimalleolar ankle fracture?
-The appropriate CPT code is 27814, and the ICD-10-CM code is S82.844A, which indicates an initial encounter for the open fracture of the right lower leg.
What are the appropriate CPT and ICD-10-CM codes for a 65-year-old patient who underwent a laminectomy with removal of abnormal facets and pars interarticularis at the L4-L5 level for grade 2 spondylolisthesis with significant nerve root compression?
-The appropriate CPT code is 63012, and the ICD-10-CM code is M43.16, which indicates spondylolisthesis of lumbar region, L4-L5, grade 2, with nerve root compression.
What is the appropriate HIPPS code for a patient administered 4 milligrams of IV Zofran for post-surgical nausea and vomiting?
-The appropriate HIPPS code is J2405 * 4, indicating 4 units of Zofran administered intravenously.

Outlines

00:00

📚 Introduction to CPC Exam Preparation

Victoria, a medical coder auditor educator and content creator, introduces the video's purpose: to help prepare for the CPC exam through practice questions. She emphasizes the importance of practice and provides an overview of the exam's basics, eligibility criteria, and testing options. Victoria recommends her medical coding masterclass for further training and outlines the exam's content, including the variety of questions and cases that candidates can expect.

05:02

📘 Eligibility and Exam Structure

The paragraph discusses the eligibility for the CPC exam, which requires being an active AAP member and paying the exam fee. It explains the two options for taking the exam: at a test center or remotely with a live proctor. The latter has specific privacy requirements. The exam's structure is also detailed, including the number of questions and the distribution of topics covered, such as Anatomy, ICD-10-CM, CPT, and case studies. Victoria notes that the exam is entirely electronic and provides a breakdown of the types and numbers of questions in each category.

10:03

📙 ICD-10-CM and CPT Coding Questions

This section focuses on specific ICD-10-CM and CPT coding questions that might be encountered in the CPC exam. Victoria provides examples of questions related to respiratory system functions, elevated blood pressure without hypertension, and gastroparesis. She explains the process of elimination and the importance of using the correct coding books for accurate answers. The paragraph also touches on the use of tabs for organizing coding books and the significance of using the current calendar year's books for the exam.

15:04

📕 CPT and ICD-10-CM Combined Scenarios

Victoria presents combined CPT and ICD-10-CM coding scenarios that candidates may face in the CPC exam. She walks through examples involving chemotherapy for liver cancer, surgical repair of an umbilical hernia, and anesthesia for total knee arthroplasty. The paragraph emphasizes the importance of understanding the correct coding sequences and the use of guidelines for accurate coding. Victoria also discusses the process of elimination and the need to reference coding books for precise answers.

20:05

📖 Encounter and Anesthesia Coding

This paragraph covers the coding of encounters and anesthesia. Victoria explains how to determine the appropriate CPT code for a patient's encounter based on the medical decision-making level and the three key components of medical decision-making. She also discusses the correct CPT code for anesthesia during a total knee arthroplasty. The importance of understanding the context and specifics of each medical scenario is highlighted to ensure accurate coding.

25:06

📍 HIPAA Coding for Medication Administration

In this section, Victoria addresses HIPAA coding for the administration of medication, specifically focusing on the administration of IV Zofran for postsurgical nausea and vomiting. She emphasizes the importance of accurately reporting dosage and units based on the medication's strength. Victoria provides a step-by-step guide on how to identify the correct code from the HIPAA book and calculate the number of units to bill.

Mindmap

Keywords

💡CPC Exam

The CPC (Certified Professional Coder) Exam is a certification test for medical coders, emphasizing the importance of practice for success. In the video, the speaker discusses preparation strategies, eligibility criteria, and the exam's structure, highlighting the value of the certification in advancing a medical coding career.

💡Medical Coding

Medical coding is the process of converting healthcare procedures and diagnoses into standardized codes for billing and record-keeping purposes. The video focuses on preparing for a certification exam that is crucial for those pursuing a career in this field, offering tips and resources to ensure proficiency in medical coding practices.

💡Practice Questions

Practice questions are sample questions that mimic the format and content of the actual exam questions. They are essential for exam preparation as they familiarize candidates with the exam's style and help identify areas of strength and weakness. In the video, the speaker provides practice questions to help prepare for the CPC exam.

💡AAPC

The American Academy of Professional Coders (AAPC) is a professional organization that offers certification for medical coders, including the CPC certification. The video discusses the eligibility criteria for the CPC exam, which includes being an active member of the AAPC and paying the exam fee.

💡Anatomy

Anatomy is the branch of biology that deals with the structure of living organisms, including the human body. In the context of the video, Anatomy is one of the topics covered in the CPC exam, with a focus on understanding the functions of body parts, such as the alveoli in the respiratory system.

💡ICD-10-CM

ICD-10-CM stands for the International Classification of Diseases, 10th Revision, Clinical Modification. It is a coding system used for reporting diseases, symptoms, and procedures in medical records and billing. The video emphasizes the significance of ICD-10-CM in the CPC exam, with several practice questions focusing on assigning the correct ICD-10-CM codes for given diagnoses.

💡CPT Codes

CPT (Current Procedural Terminology) Codes are a standardized set of codes used to report medical procedures and services to health insurance companies. The video script includes practice questions that require the application of CPT codes to specific medical scenarios, such as surgical repair of a hernia.

💡HIPAA

HIPAA, the Health Insurance Portability and Accountability Act, is a US law that provides data privacy and security provisions for safeguarding medical information. While not explicitly mentioned in the video script, HIPAA is relevant to the field of medical coding as it governs the handling of patient information.

💡E/M

E/M stands for Evaluation and Management, which are services provided by physicians to determine a patient's health status and manage their care. In the video, E/M codes are discussed as part of the CPC exam content, with a focus on selecting the appropriate level of service based on the complexity of the patient encounter.

💡Anesthesia Coding

Anesthesia coding involves assigning codes that represent the anesthesia services provided during surgical procedures. The video script includes a practice question about the appropriate CPT code for anesthesia during a total knee arthroplasty, highlighting the specificity required in anesthesia coding.

💡HCPCS

HCPCS stands for Healthcare Common Procedure Coding System, which is a level II coding system used primarily for reporting medical services and procedures not covered by CPT codes. In the video, HCPCS codes, also known as H codes, are discussed in the context of drug administration, such as the administration of IV Zofran.

Highlights

The importance of practice for the CPC exam is emphasized, with a focus on repetition and familiarity with the material.

Victoria, a medical coder auditor educator and content creator, provides tips and tutorials for a successful medical coding career.

The eligibility criteria for the CPC exam include being an active member of the AAP and paying the exam fee, with no other prerequisites.

The CPC exam can be taken at an exam center or remotely with a live proctor, with specific privacy requirements for the remote option.

The CPC exam consists of 100 questions covering a range of topics including Anatomy, ICD-10-CM, CPT, HIPAA, and more.

The exam includes 10 cases with one question each, focusing on operative reports or long notes.

When taking the exam,考生 must bring a photo ID for verification purposes.

Examiners can bring coding books with handwritten notes related to daily coding activities, but not study guide or exam questions.

The AAPC recommends using the current calendar year's books for the exam, as exams are updated in January.

For the exam,考生 are not permitted to use books from more than one calendar year prior.

A detailed breakdown of the types and number of questions by category on the CPC exam is provided, including anatomy, compliance, coding guidelines, and more.

An example question about the primary function of the alveoli in the human respiratory system is given, with the correct answer being gas exchange.

A case study involving a patient with elevated blood pressure but no history of hypertension is used to demonstrate the correct ICD-10-CM coding.

The process of elimination and reference to specific coding books is recommended for answering complex exam questions.

An example involving the correct CPT coding for surgical repair of an umbilical hernia is provided, highlighting the importance of understanding procedure specifics.

The video emphasizes the importance of understanding the guidelines for coding chemotherapy treatments in relation to cancer codes.

A case study about a patient with gastroparesis is used to illustrate the process of identifying the correct ICD-10-CM code.

The video provides an example of how to determine the appropriate CPT code for anesthesia during a total knee arthroplasty.

A combination CPT and ICD-10-CM coding scenario is discussed, involving a patient with a closed ankle fracture and open reduction internal fixation.

The video concludes with a HIPAA coding example involving the administration of IV Zofran for postsurgical nausea and vomiting.

Transcripts

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