As soon as the 2014 coding books were released in late 2013, 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 2014.
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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.
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)
PROCEDURE PERFORMED: 1. Anterior discectomy, C5-C6 2. Arthrodesis, C5-C6 3. Partial corpectomy, C5 4. Machine bone allograft, C5-C6 5. Placement of anterior plate with a Zephyr C6
ANESTHESIA: General ESTIMATED BLOOD LOSS: 60 mL COMPLICATIONS: None
INDICATIONS: This is a patient who presents with progressive weakness in the left upper extremity as well as imbalance. He has a very large disc herniation that came behind the body at C5 as well and as well as a large disc herniation at C5-C6. Risks and benefits of the surgery including bleeding, infection, neurologic deficit, nonunion, progressive spondylosis, and lack of improvement were all discussed. He understood and wished to proceed.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in the supine position. Preoperative antibiotics were given. The patient was placed in the supine position with all pressure points noted and well padded. The patient was prepped and draped in standard fashion. An incision was made approximately above the level of the cricoid. Blunt dissection was used to expose the anterior portion of the spine with carotid moved laterally and trachea and esophagus moved medially. I then placed needle into the disc spaces and was found to be at C5-C6. Distracting pins were placed in the body of C6. The disc was then completely removed at C5-C6. There was very significant compression of the cord. This was carefully removed to avoid any type of pressure on the cord. This was very severe and multiple free fragments noted. This was taken down to the level of ligamentum. Both foramen were then also opened. Part of the body of C5 was taken down to assure that all fragments were removed and that there was no additional constriction. The nerve root was then widely decompressed. Machine bone allograft was placed into C5-C6 and then a Zephyr plate was placed in the body C6 with a metal pin placed into the body at C5. Excellent purchase was obtained. Fluoroscopy showed good placement and meticulous hemostasis was obtained. Fascia was closed with 3-0 Vicryl, subcuticular 3-0 Dermabond… Read more…