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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q399-Q404):

NEW QUESTION # 399
(The documentation states: "A punch is placed and pushed downward to obtain a tissue sample for a biopsy of thelunula." What anatomical structure is being biopsied?)

Answer: A

Explanation:
Thelunulais the pale, crescent-shaped area visible at the base of some fingernails and toenails (most commonly the thumb). It is part of thenail unit, associated with the nail matrix where nail formation occurs.
Because the lunula is anail structure, a biopsy "of the lunula" is anail biopsy, even though a punch tool is also commonly used in skin biopsies. CPC exam questions frequently test precise anatomical vocabulary, especially for integumentary structures (skin, nail, hair). The distractors "eye" and "brain" are unrelated, and
"skin" is tempting because punch biopsies are typically skin procedures; however, the question specifically identifies thelunula, which is not a skin landmark. Coding and documentation accuracy depend on knowing these terms because nail procedures often have different code families and clinical considerations than routine skin biopsies. Correct identification starts by mapping the term to its anatomical system: lunula # nail apparatus.


NEW QUESTION # 400
A patient with empyema requires a Schede thoracoplasty.
What CPT code is reported for this procedure?

Answer: A


NEW QUESTION # 401
A provider performs a mastoidectomy and complete labyrinthectomy for right-sided peripheral vertigo.
What CPT and ICD-10-CM codes are reported?

Answer: C

Explanation:
69905 = Transmastoid labyrinthectomy
69990 = Operating microscope (separately reportable)
H81.391 = Peripheral vertigo, right ear
R42 (dizziness) is not reported when a definitive diagnosis exists
RADIOLOGY & IMAGING QUESTIONS


NEW QUESTION # 402
An anesthesiologist medically directs two cases during EGD and colonoscopy in a PS III patient with severe bleeding risk.
What CPT codes are reported?

Answer: A

Explanation:
00813 = Anesthesia for colonoscopy
QK = Medical direction of 2-4 cases
99100 = Extreme age
99140 = Emergency anesthesia


NEW QUESTION # 403
A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The procedure was performed using stereotactic imaging.
What CPT codes will be reported?

Answer: A

Explanation:
CPT code 19081 is used for percutaneous biopsy of breast(s) using stereotactic guidance, which includes the placement of a localization device and imaging of the biopsy specimen when performed. This accurately describes the procedure performed on the right breast with the placement of a Gelmark clip using stereotactic imaging. The other codes either describe open biopsies or separate procedures that are not applicable here.References: AMA's CPT Professional Edition (current year)


NEW QUESTION # 404
......

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