ICD-10-CM Mini-Course

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CPC Practice Exam Sample Questions

Example 1: Medical Terminology
The term "Salping-Oophorectomy" refers to

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

Rational

Answer: A

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)

Example 2: Musculoskeletal

OPERATIVE NOTE

PREOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6.

POSTOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6.

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 for skin. The patient tolerated the procedure well and went to recovery in good condition.

a. 22554, 63081, 63082, 20931, 22845
b. 22551, 63081, 20931, 22840
c. 22551, 63081, 63082, 20931, 22845
d. 22554, 63081, 20931, 22840

Rational:

Answer: A

Per. Paul Cadorette and the American Medical Association article titles, "Coding Guidance for Anterior Cervical Arthrodesis", "When a spinal fusion (arthrodesis) is performed, the first thing a coder needs to recognize is the approach or technique that was utilized. With an anterior (front body approach)to cervical fusion the incision will be made in the patient's neck, so the key terms to look for are platysma, esophagus, carotid, and sternocleidomastoid. These structures will be divided and/or protected during dissection down the vertebral body. After dissection, the procedure can proceed on one of three ways:

1) When the interspace is prepared (minimal discectomy, perforation of endplates) then 22554 would be reported.

2) When a discectomy is performed to decompress the spinal cord and/or nerve root(s) report 22554 for the arthrodesis along with 63075 for the discectomy procedure.

3) When a partial corpectomy (vertebral body resection) is performed at C5 and C6 report CPT code 22554 for the arthrodesis with 63081 and 63082. Two codes are reported because the corpectomy procedure is performed on two vertebral segments (C5 and C6). CPT codes 63081-63091 include a discectomy above and/or below the vertebral segment, so code 63075 (discectomy) would not be reported if performed at the C5-C6 interspace.

Once the decompression procedure has been completed, a PEEK cage can be placed within the interspace or a structural bone graft can be fashioned to fit the vertebral defect created by the previous corpectomy. Insertion of the PEEK cage would be reported with a biomechanical device code 22851. This code is only reported one time per level even if two cages are placed at C5-C6. When a structural bone graft is used, determine whether it is an allograft (20931)) or an autograft (20938). The bone graft codes are only reported one time per procedure and not once for each level. Finally, the physician will place an anterior plate with screws (22845) across the C5-C6 interspace to stabilize the area fusion".

Some guidance on coding such procedures can also be located in the Spine (vertebral column) coding guidelines (above code 22010).

Example 3: ICD-9-CM

Jim was at a bonfire when he tripped and fell into the flames. Jim sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third degree burns of his face, second degree burn on his shoulders and forearms, and third degree burns on the fronts of his thighs.

a. 941.20, 841.30, 943.25, 943.21, 945.36, 948.42, E897
b. 941.30, 943.29, 945.36, 948.42, E897
c. 941.09, 943.09, 945.09, 948.64, E897
d. 941.30, 943.29, 945.36, 948.64, E897

Rational

Answer: B

Burn codes always have no less than three codes: A burn code, a total body surface area code (948.XX), and an E code. You can have more than three codes but never less. Burn codes have the following rules (which can be found at the beginning of the ICD-9 book under general guidelines), always code one location to the highest degree (Ex. 1st and 2nd degree burns on the arm, only code 2nd degree). When sequencing burn codes always list the highest degree first (Ex. 1st degree burns to the face and 3rd degree burns to the arm. List the arm burn first and then the face burn). Answer B is the answer because its codes describe the highest degree burn to each anatomical location, it sequences the burn codes in order of highest to lowest degree burns, the 948 (TBSA code) has the correct calculation, and the E code correctly describes the bonfire incident.

Example 4: Anesthesia

When does anesthesia time begin?

a. After the induction of anesthesia is complete
b. During the pre-operative exam prior to entering the OR
c. When the anesthesiologist begins preparing the patient for the induction of anesthesia
d. Once the supervising physician signs over the patient's care to the anesthesiologist

Rational

Answer: C

The answer to this question can be located in the anesthesia coding guidelines under the title "Time Reporting"

It's time to STOP doing what's not working, and get the CPC Practice Exam - fully updated in 2013!

Contents of the practice exam:

• 150 Question CPC Practice Test
• Answer Key, With Full Rationale
• Scan Tron Bubble Sheets
• The Exam Study Guide, including:
  Common Anatomy Terminology Handouts
  Common Medical Terminology Prefix, Root Word, and Suffix Handouts
• The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the exam)

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:

• Coding Guidelines
• Understanding of Conventions
• Correct Modifier Use
• Bundling and Global Packages
• Medical Terminology and Gross Anatomy

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.

**We'd like to thank MTSamples.com for providing some of the dictation for our operative report questions as well as the ASC Review for their coding guidance article by the American Medical Association.**

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07 Anesthesia Section CPC Exam Prep
08 Radiology Section CPC Exam Prep
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11 Integumentary System CPC Exam Prep
12 Musculoskeletal System CPC Exam Prep
13 Respiratory System CPC Exam Prep
14 Cardiovascular System CPC Exam Prep
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2013 ICD-9-CM for Physicians, Volumes 1 and 2 Professional Edition, 1e

Publication Date: September 5, 2012 | ISBN-10: 1455745723 | ISBN-13: 978-1455745722 | Edition: 1 Spi Pro

Elsevier and the American Medical Association have partnered to co-publish this ICD-9-CM reference by Carol J. Buck! Maximize your efficiency and effectiveness with Carol J. Buck's 2013 ICD-9-CM for Physicians, Volumes 1 & 2 - Professional Edition. Combining Netter's Anatomy artwork and the Official Guidelines for Coding and Reporting (OGCR) with a format designed by coders for coders, this handy, spiral-bound reference gives you easy access to the information you need to stay up to date and ensure the most accurate billing and optimal reimbursement in physician-based coding. Plus, you can take this resource into certification exams for enhanced testing support!

• Exclusive focus on ICD-9-CM, Volumes 1 and 2
• provides clear, concise coverage of physician-based coding essentials.
  
• UNIQUE!
• Full-color Netter's Anatomy artwork
• clarifies complex anatomic information to help you appropriately code related procedures.
  
• Use Additional Digit(s)
• symbol
• in the index identifies codes that require an additional digit to remind you to check the tabular.
  
• The Official Guidelines for Coding and Reporting (OGCR) are listed within the lists of codes and in a separate index for fast, easy access to the coding rules when you need them.
  
• Items
• provide detailed information on common diseases and conditions, helping you code more effectively.
  
• Symbols
• throughout the text alert you to new, revised, and deleted codes and clearly identify codes that require special consideration before assigning symbols, including Not First-Listed Diagnosis, Unspecified Code, Includes and Excludes, and Use Additional.
  
• Additional hints, tips and definitions
• within specific codes provide extra guidance in coding anatomy, pathophysiology, or other coding directions.
  
• References to the American Hospital Association's Coding Clinics^® help you find expanded information about specific codes and their usage.
  
• Age and Sex
• edits
• alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting.
  
• Omit
• and Code Also codes
• highlight government text needing special attention.
• Coding updates
• on the companion codingupdates.com website keep you informed of changes to ICD codes.

2013 ICD-9-CM for Physicians, Volumes 1 and 2 Professional Edition, 1e

HCPCS 2013 Level II Expert (Hcpcs Level II Expert

Publication Date: December 31, 2012 | ISBN-10: 160151669X | ISBN-13: 978-1601516695 | Edition: 2013

This title has not yet been released.
You may pre-order it now and we will deliver it to you when it arrives.
Ships from and sold by Amazon.com. Gift-wrap available.

Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Ingenix HCPCS Level II Expert. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement.
This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS). Key Features: Medically Unlikely Edits (MUEs) appendix. Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units. National average payment tables. Access information to improve claim accuracy and ensure proper reimbursement. Expanded index. Ease code look-up with additional ways to locate codes. Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy. Special appendixes. Get additional information with appendixes for the National Average Payment Table for HCPCS and MUEs; listing of PQRS codes; also includes an appendix with a deleted codes crosswalk. Most complete HCPCS code set available. Find information on codes from sources that generates HCPCS codes, including CMS, OPPS addendum B, and the physician fee schedule. Table of Drugs. Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration. Additional Features: PQRS icons APC status indicators and ASC designation symbols. DMEPOS icon In-depth illustrations AHA Coding Clinic for HCPCS references Color-coded bars and icons User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including the National Coverage Manual and other Pub. 100 references.
 

HCPCS 2013 Level II Expert (Hcpcs Level II Expert (Spiral))

ICD-9-CM for Physicians Volumes 1 & 2 Expert--2013 Edition

ICD-9-CM for Physicians Volumes 1 & 2 Expert--2013 Edition (ICD-9-CM Expert for Physicians, Vol. 1 & 2)
Publication Date: September 6, 2012 | ISBN-10: 1601516185 | ISBN-13: 978-1601516183 | Edition: 2013 Edition Spiral 8.5 x 11

ICD-9-CM Expert for Physicians provides accurate and comprehensive coverage for diagnosis coding and reimbursement. Loaded with innovative features and content to address regulatory changes and coding challenges, Optum experts study industry changes and trends while seeking feedback from coding professionals to ensure your code book provides accurate and up to date information in an easy to use, intuitive format.
Key Features and Benefits:
ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work.
Coding Tables. Reduce time spent on code selection for complex diagnoses that typically require additional research and steps.
10 Steps to Correct Coding. Receive step-by-step instructions to improve coding accuracy and more effectively use ICD-9-CM conventions.
 Highlighted coding instructional and informational notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues quickly with alerts on the same page as the code you need.
AHA s Coding Clinic and official coding guideline tips. Use citations to link to the official coding advice every coder in every health care setting must follow.
Additional digit required symbols. Know when an additional fourth or fifth digit is required for code specificity and validity to avoid invalid code submissions (provided in Index and Tabular Section).
Valid three-digit code list. See at a glance whether a code is valid for claim submission to prevent denied claims due to invalid code usage

ICD-9-CM for Physicians Volumes 1 & 2 Expert--2013 Edition (ICD-9-CM Expert for Physicians, Vol. 1 & 2) ICD-9-CM for Physicians Volumes 1 & 2 Expert--2013 Edition (ICD-9-CM Expert for Physicians, Vol. 1 & 2)

New Medical Coding Books

Step-by-Step Medical Coding 2013 Edition - Text and Workbook Package

Step-by-Step Medical Coding 2013 Edition - Text and Workbook Package No Synopsis Available

Medical Coding Online for Step-by-Step Medical Coding 2012

Medical Coding Online for Step-by-Step Medical Coding 2012 / User Guide / ICD-9-CM 2012, Volumes 1, 2 & 3 Professional Edition / 2012 HCPCS Level II P provides you with the experience, tips, and essential skills necessary to succeed on both the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA) National Coding Exams. This resource presents information on the national organizations, the types of exams offered, associated credentialing, and extensive exam preparation and practice focused on essential medical coding subject areas and test domains. Medical Coding Online for Step-by-Step Medical Coding 2012 / User Guide / ICD-9-CM 2012, Volumes 1, 2 & 3 Professional Edition / 2012 HCPCS Level II P also provides you with information on employment opportunities in medical insurance coding and the professional responsibilities that accompany this profession. In addition to numerous chapter activities, this text contains three written mock exams and three timed electronic exams on the accompanying CD-ROM.

Starting A Successful Medical Billing Service At Home

Let Medical Billing Expert, Vanessa Best, Help You Get Started The Right Way!

How many times have you wanted to start your own business, only to find opportunities that scammed you and stole your money? How many times have you wondered where the legitimate home-based business opportunities are? How many times do you wish you could you tell someone that you were able to succeed by taking advantage of an opportunity you saw on the Internet? How many times...All the time! You probably think it would be a miracle to find something where someone wasn't trying to trick you, or take your money, or otherwise deceive you. In fact, you've probably had this happen to you so many times that you've been brainwashed into thinking there's nothing good left.

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• President and CEO of Precision HealthCare Consultants, a full-service billing consulting firm and HIPAA compliance company that provides on-site and remote consultation and development of healthcare professional office management services including medical billing, billing software, electronic medical records implementation, training and support services
• Over 20 years of medical office experience in areas from claims processing and adjudication to full-service medical practice management
• Successful instructor of billing and medical coding classes at several colleges in the New York metropolitan area, including Long Island University, Molloy College, and Queensborough Community College
• Keynote speaker at the 1999 Nations Bank Entrepreneurs Conference; Certified Coder as credentialed through Academy of Professional Coders (AAPC) and the American Health Information Management (AHIMA); and Member of NAFE (National Association of Female Executives)
• Medical billing business accomplishments featured in Home Business Magazine, Black Enterprise Magazine, and Small Business Opportunities Magazine; Recipient of "2003 40 Under 40 Achievement Award" from the Network Journal

This is a lot of experience! Clearly you can't be steered wrong when you purchase Ms. Best's E-book, "How to Jumpstart A Successful Medical Billing Service", for just $29.99.

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Medical Billing Software Makes Your Business Easier

In the recent times medical billing business is booming. People are very pleased with that medical billing business. These terms of business also give a big opportunity in the international job market. For doing the medical billing business you must use the medical billing software. Today, physician does not have to fret about eternal paperwork and documents that pile up on their desks. By using the medical billing software a biller can do their job easily. You cannot think any medical billing business without software.

Advantages of Medical Billing Software 1

In the recent times you cannot run any medical billing business without billing software. In recent times medical billing tools is able to mix various aspects of the healthcare organization with effortlessness and correctness. Software eliminates the special troubles that can happen due to the unavailability of preferred in order at the desired stain of time in medical billing business. You can keep a clear data base on your PC and check it when it is necessary. Software makes the whole billing process easier. Medical billing software brings a revolutionary change in medical billing business.

Advantages of Medical Billing Software 2

Medical billing software is just like a blessing for the medical billing business. This software reduces human efforts. Every day record-keeping actions are approved out with exactness and at best velocity, thus relieving health professionals from these ordinary everyday jobs. The software of the medical billing software is also developing day by day. The medical billing software can keep the whole records of the hospital its members and also the income and cost. Manual data entry system is not error free. On the other hand if you can operate the medical billing software correctly and input the accurate data then the software keep the data without any missing. This system is hundred times better than the manual data entry medical billing system.

Advantages of Medical software 3

Medical billing software has many significant advantages. Possibly, the most important benefit of billing software is progression automation. The software can calculate any amount more quickly than any person. In the manual process if you find an old report or medical billing history you have to spend a lot of times for it. Sometimes the report can’t be founded. But if you use the software then you can find the history of medical billing easily in a few seconds. Medical billing software systems make easy the electronic submission of insurance claims, tracking of claims’ status, electronic payment posting and efficient management of claims.

So in this time medical billing software is one of the first needed things for this medical industry.

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Medical Billing Job

Medical billing is a new concept of business. In the recent times the medical billing business is increasing. Medical billing is the helping hand of the medical industry. Medical billing business is creating a great opportunity of service. Now people are getting job in the medical billing services. Medical billing job settles down the claim between the three parties – medical institution, insurance company and the patient. In this article we are talking about the medical billing business.

Qualifications for the medical Billing Job

Like any other job medical billing job you must have some qualifications. For the medical billing business you have to complete diploma in medical billing or undergo a medical billing certification and training program offered by professional medical institutes. In the same time you must have the knowledge about medical activities. You can get the training form your nearby medical billing training center. In recent times there are many online medical billing schools or training centers who can teach about the medical billing. After finishing the course of medical billing those online training centers also give you a certificate and that certificate is also acceptable in the medical billing job Market.

Skill for medical billing Job

Experience is a very big factor for getting a good medical billing job. With the educational qualification you must have the skill in medical billing. Educational qualification is not everything in this job. Whether planning for medical billing from home jobs or online, you must have a desire and dedication to work and should be self-disciplined as well.
If you are skilled hen you can get and high payment medical billing job easily. With the medical software you must have a good skill in computer operating. In the same time you should know about the medical billing software. The official work of computer must be needed for getting a medical billing job. With the medical qualification a person must have the quality of computer operating.

Responsibilities for the Medical billing job

Every job has its responsibility. Medical billers are responsible for maintaining records of medical billing and claims, monetary settlements and medical insurance. They should do all of their duties on time.

Working Environment for the Medical Billing Business

Environment is a big factor for every job. Medical billing jobs would give you an opportunity to experience different work settings and environment. A medical biller always maintains sincerity on his work.

Salary of Medical Billing Job

We all know that medical billing job is blooming in recent times. The people who are working in the medical billing centers they also earn well. If you are a good medical biller and work in a prominent medical billing center then you can earn $25,000 to $38,000 per month.
Now people are want to get the medical billing job for the handsome salary and high job status

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