AAPC CPC Final Exam 2022 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
This 56-year-old female presented with a degenerative posteromedial meniscal flap tear
of the right knee. After appropriate preoperative evaluation, the patient was taken to the
operating room where general anesthesia was instituted. The patient was placed supine
on the operating table. The right lower extremity was sterilely prepped and draped for
arthroscopic surgery. The leg was exsanguinated and the tourniquet inflated. The
arthroscope was introduced first through the anterolateral portal wi - CORRECT
ANSWER d. 29881
Response Feedback:
Rationale: This was a surgical arthroscopy of the knee. In the CPT® Index look for
Arthroscopy/Surgical/Knee, directing you to 29866-29868, 29871-29889. The medial
meniscectomy and debridement are reported with 29881. In this case the synovectomy,
code 29875, is a separate procedure and bundled with 29881; it is not reported
separately.
Operative Report
Indications: This is a third follow-up EGD dilation on this 40-year-old patient for a pyloric
channel ulcer which has been slow to heal with resulting pyloric stricture. This is a
repeat evaluation and dilation.
Medications: Intravenous Versed 2 mg. Posterior pharyngeal Cetacaine spray.
Procedure: With the patient in the left lateral decubitus position, the Olympus GIFXQ10
was inserted into the proximal esophagus and advanced to the Z-line. The esophageal
mucosa was unremarkable - CORRECT ANSWER a. 43245, 43239-51, K31.1,
Z87.11
Response Feedback:
Rationale: The procedures performed are correctly represented by codes 43245
(balloon dilation) and 43239 (biopsies). In the CPT® Index, look for
Esophagogastroduodenoscopy/Flexible Transoral/Dilation of Gastric/Duodenal Stricture
referring you to 43245. Next look for Esophagogastroduodenoscopy/Flexible
Transoral/Biopsy referring you to 43239. Modifier 51 is reported to indicate multiple
procedures performed on the same day, same session.
In the operative note, the diagnosis codes are reported from the Impressions. ICD-10-
CM codes are K31.1 for the pyloric stricture. In the ICD-10-CM Alphabetic Index look for
Stricture/pylorus. The stricture was acquired due to peptic ulcer disease, which is
healed. Report with history code Z87.11. In the Alphabetic Index, look for
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