AAPC CPC Exam – Flashcards
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What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician?
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Physician Assistant (PA)
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The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare
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National Coverage Determinations
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LCD's only have jurisdiction in their ____ area.
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Regional
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ABN stands for
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Advance Beneficiary Notice
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HIPPA was made into law in what year?
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1996
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What will the scope is a compliance program depend on?
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Size and resources of the physician's practice
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According to the OIG, internal monitoring and auditing should be performed by what means?
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Periodic audits
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AAPC has what to determine current year's coder salaries?
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Salary survey
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The ASPC offers over 440 local chapters across the country and in the Bahamas for the purpose of
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Networking
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An abdominal aortic aneurysm is significant because
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It is a weakness in a large artery and rupture could be deadly
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What distinguishes a "sentinel" node from the lymph nodes?
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A sentinel node is the first lymph node in a group of nodes to be reached by metastasizing cancer cells
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The mediastinum contains all of the following except
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Lungs
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The term "pneumomediastinum" describes what condition?
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The presence of air in the mediastinum
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The structure of the male anatomy carrying sperm out of the epididymis is called:
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Vas deferens
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The term "episiotomy" best describes a procedure of what type?
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An incision made in the perineum to enlarge the passage for the fetus during delivery
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Which gland is located on the superior surface of the kidney?
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Adrenal gland
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What is the function of the thyroid gland?
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It secretes hormones regulating body metabolism and blood calcium
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Which of the following is true about the tympanic membrane?
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It separates the external ear from the middle ear
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Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow collected from a close relative is:
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Allogenic
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Removal of waste products from the blood is:
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Hemodialysis
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A condition where the thyroid is overactive is called:
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Thyrotoxicosis
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Who are the parties responsible for overseeing changes and modifications to ICD - 9?
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NCHS and CMS
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What is the meaning of "provider "in the ICD - nine guidelines refer to?
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The physician
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Category code 387, otosclerosis, includes what other disorder?
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Otospongiosis
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What is an example of an injury that would be considered a superficial injury?
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Blister
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When a patient has a condition that is both acute and chronic in their separate entries for both, how is it reported?
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Code both sequencing the cute first
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When the type of diabetes mellitus is not documented in the medical note, what is used as a default type?
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Type II
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What type of fracture is considered Traumatic?
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Compound fracture
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Under what circumstances would an external cause code be reported?
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Causes of injury, poisoning, and other adverse affects
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What does the abbreviation CKD stand for?
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Chronic kidney disease
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Per CPT guidelines, what should professional coder seek out first when preparing to code an operative report/physician note?
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Procedure or service
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What are services provided in the home by an agency considered?
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Nonfacility
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A covered entity may obtain consent of the individual to use or disclose protected health information to carry out all but what of the following?
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For public use
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Healthcare providers are responsible for developing ____ and policies and procedures regarding privacy in their practices.
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Notices of privacy practices
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Which provider is not a mid-level provider?
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Anesthesiologist
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According to AAPC's code of ethics, a member shall use only ____ and ____ means in all professional dealings.
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Legal and ethical
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The minimum necessary rule applies to
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Covered entities taking responsible steps
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The mediastinum contains all of the following except:
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Lungs
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Which chamber of the heart is considered the one working the hardest?
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Left ventricle
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An ectopic pregnancy is a complication in which a fertilized ovum is implanted in any tissue other than the ____.
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You uterine wall
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The term for pain in the ear is:
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Otalgia
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Pronation is turning the hand have the palm face:
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Downward
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What does ICD - 9 - CM stand for?
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International classification of diseases - 9th revision - clinical modification
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What are two sense organs included in chapter 6: diseases of nervous system and sense organs?
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Eyes and ears
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How are new additions and revisions indicated in CPT code but each year?
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Green print
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If a CPT code and HCPCS Level II code exist for the same service, which should you report?
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It depends on the payer
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How often is HCPCS level two permanent national codes updated?
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Annually
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What term best describes a mass of hyperplastic scar tissue?
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Keloid
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Repair of a coronary vessel is called:
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Angioplasty
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What is the term that describes the removal of a portion or all of the stomach?
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Gastrectomy
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What are the reproductive glands that produce male hormones?
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Testes
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I surgeon performed a cataract surgery with an interocular lens implant on the right eye of a Medicare patient. What modifiers would be reported?
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RT
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What are the services in the reproductive medicine procedure section of the pathology and laboratory chapter of the CPT report?
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Services related to in vitro fertilization
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The collection of sweat by Iontophoresis can be found in what section the path ologies chapter of CPT?
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Other procedures
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A virus is identified by observing growth patterns on a culture media. What is the type of identification called?
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Presumptive
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Which elements of the HPI are met in the statement? Patient complains of headache and blurry vision for the past three days.
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Location, quality and duration
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Medicare program is made up of several parts. Which part is affected by the centers for Medicare and Medicaid services - hierarchal condition categories CMS - HCC?
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Part C
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How many components should be included in an effective compliance plan?
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7
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Medicare part D is what type of insurance?
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Prescription drug coverage available to all Medicare beneficiaries
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Which option below is not a covered entity under HIPPA?
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Worker's Compensation
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Muscle is attached to the bone by what method?
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Tendons, aponeurosis and directly to the bone
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What is affected by myasthenia gravis?
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Neuromuscular junction
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Which respiratory structure is comprised of cartilage and ligaments?
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Trachea
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Upon leaving the last portion of the small intestine, nutrients move through the large intestine in what order?
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Cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus
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What are chemicals which relay, amplify and modulate signals between a neuron and another cell?
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Neurotransmitters
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A surgeon performs an "escharotomy". This procedure is best described as:
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Removal of scar tissue resulting from burns or other injuries
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The drum-shaped muscle under the lungs flattening during inspiration is the:
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Diaphragm
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A thin membrane lining the chambers of the heart and valves is called the:
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Endocardium
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A vesiculotomy is defined as:
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Surgical cutting into the seminal vessels
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Destruction of lesions of the vulva can be done with "cryosurgery." This method uses:
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Extreme cold
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What term describes a woman in her first pregnancy?
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Primigravida
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A form of milk produced the first few days after giving birth is:
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Colostrum
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The root for pertaining to pancreatic islet cells is:
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Insul/o
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Sialography is an x-ray of:
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Salivary glands
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When can you use the code for HIV (042)?
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The test result is confirmed by the physician's diagnostic statement
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What are some examples of fracture aftercare?
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Cast change; medication adjustment
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Instructions and conventions of the classification take precedence over
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Official coding guidelines
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What does MRSA stand for?
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Methicillin resistant staphylococcus aureus
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What chapter contains codes for diseases and disorders of the nails?
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Chapter 12: diseases of the skin and subcutaneous tissue
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What three components are considered when relative value units are established?
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Physician work, practice expense, malpractice insurance
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CPT category III codes are reimbursable at what level of reimbursement?
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Reimbursement, if any, is determined by the payer
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HCPCS level II include code ranges which consist of what type of codes?
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Permanent national codes, miscellaneous codes, dental codes, and temporary national codes
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What is commonly known as a boil of the skin?
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Furuncle
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What is the acromion?
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Extension of the scapula
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In ICD-9, what do you look for in the alphabetic index, to code a tear of the surpraspinatus muscles of the shoulder?
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Tear, rotator cuff
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What part of the cardiovascular system is responsible for the one-way flow of blood through the chambers of the heart?
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Heart valves
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Which main coronary artery bifurcates into two smaller ones?
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Left
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What is included in all vascular injection procedures?
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Necessary local anesthesia, introduction of needles are catheters, injection of contrast media with or without automatic power injection, and or necessary pre-and post injection care specifically related to the injection procedure.
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What is the root word for vagina?
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Colp/o
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Vulvar cancer in situ can also be documented as:
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VIN III
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What does the abbreviation IVF mean?
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In vitro fertilization
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A pregnant patient presents with the baby in a breech position. During the delivery the doctor attempts to turn the baby while it is still in the uterus. The baby turns but then immediately resumes his previous position. Can the service be billed? If so, what is the code?
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Yes, since the doctor did the work, even though the outcome was unsuccessful. Report this procedure with code 59412
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What are the four lobes of the brain?
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Frontal, parietal, temporal, occipital
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What disease is characterized by and large skeletal parts?
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Acromegaly
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What is the term for paralysis affecting one side of the body?
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Hemiplegia
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What does IOL stand for?
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Intraocular lens
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A cRNA is personally performing a case, with medical direction from anesthesiologist. What modifiers appropriately reported for the cRNA services?
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QX
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In what section of pathology chapter CPT what a coder find codes for a FISH test?
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Cytopathology
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What category of code should be used to reporting evaluation and management service provided to a patient in a psychiatric residential treatment center?
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Nursing facility services
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Which of the following statements is true for reporting E codes?
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E codes for child and adult abuse take priority over all other E codes
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Which is not included in CPT surgical package?
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Returning to the operating room the next day for a complication resulting from the initial procedure
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What statement is true when reporting pregnancy codes (630 - 679):
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These codes have sequencing priority over codes from other chapters
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When a patient is having a tenotomy performed on the abductor hallucis muscle, where is the muscle located?
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Foot
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Fracturing the acetabulum involves what area?
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Pelvis
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Ventral, umbilical, spigelian and incisional are types of:
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Hernias
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What is the difference between entropion and ectropion?
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Entropion is the inward turning of the eyelid and ectropion is the outward turning of the eyelid
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What is the term used for inflammation of the bone and bone marrow?
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Osteomyelitis
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The root word trich/o means:
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Hair
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A patient is having pyeloplasty performed to treat a uretero-pelvic junction obstruction. What is being performed?
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Surgical repair of the renal pelvis
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Which statement is true about V codes:
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V codes may be used as primary or secondary code
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Which of the following is an example of electronic data?
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A digital x-ray
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Guidelines from which of the following code sets are included as part of the code set requirements under HIPPA?
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ICD-9
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Which of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?
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If the patient has an underside of insulin due to an insulin pump malfunction
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Glomerulonephritis is an inflammation affecting which system?
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Urinary
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Is a ST elevation myocardial infarction (STEMI) converts to a non STEMI (NSTEMI) due to theombolytic therapy, how is reported, according to ICD-9 guidelines?
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As STEMI
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When a patient has fractured the proximal en of his humerus, where is the fracture located?
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Upper end of the arm
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What is another term for when a physician performs a reduction on a displaced fracture?
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Manipulation
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What does oligospermia mean?
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Deficiency is sperm in semen
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Thoracentesis is removing fluid or air from the:
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Chest cavity
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An angiogram is a study to look inside:
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Blood vessels
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When a person has labyrinthitis what has the inflammation?
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Inner ear
