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AAPC CPC Exam Syllabus Topics:

Topic	Details
Topic 1	Construction Phase: This section measures the skills of Construction Quality Engineers in implementing quality controls, managing nonconformances, implementing changes, monitoring and measuring quality, managing documentation, and facilitating continuous improvement. It also evaluates the skills of Construction Site Managers in ensuring effective monitoring and management of the construction site, promoting safety, and maintaining quality standards throughout the construction process.
Topic 2	Planning Phase: This section measures the skills of Construction Quality Engineers in strategic quality planning, encompassing project quality strategy development, integration of sustainable practices, alignment of the quality plan with other project plans, and adherence to industry standards and quality management systems. Also measures the skills of Construction Planners in understanding how to ensure the team is appropriately trained for quality, how to use third-party services and measurement systems, how to assess quality tools, and how to design a plan to audit quality effectively.
Topic 3	Pre-contract Phase: This section measures the skills of Construction Project Managers in understanding project delivery, contract, and payment models, including identifying client types, contract types, payment models, and necessary documentation. It also measures the skills of Construction Estimators in understanding the project scope, schedule, and necessary resources.
Topic 4	Closeout Phase: This section measures the skills of Construction Quality Engineers in managing project records, reporting on quality performance, conducting lessons learned sessions, and ensuring the completion of all quality-related activities. It also focuses on the skills of Construction Project Managers in finalizing the project and ensuring a successful handover.
Topic 5	Design Phase: This section measures the skills of Construction Project Managers in ensuring design quality by examining quality objectives, coordinating functional and non-functional requirements, applying lessons learned, engaging stakeholders, applying QMS in design feedback, participating in constructability reviews, and implementing quality controls in design. It also evaluates the skills of Construction Designers in demonstrating quality during the monitoring of the design and in the documentation process.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q173-Q178):

NEW QUESTION # 173
According to the Application of Cast and Strapping CPT guidelines, what is reported when an orthopedic provider performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the patient will be returning for subsequent fracture care?

A. 0
B. 29075-22
C. 1
D. 25622, 29075

Answer: A

NEW QUESTION # 174
A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.
What CPT coding is reported?

A. 92537-50
B. 92538-50
C. 92537-52
D. 92537-50-52

Answer: A

Explanation:
* Procedure: Caloric vestibular testing performed on both ears with three irrigations.
* CPT Code:
* 92537: Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear).
* Modifier -50: Bilateral procedure.
* Code Selection Justification: The procedure performed was bilateral caloric vestibular testing with bithermal irrigation, appropriately coded with 92537 and modifier -50 for bilateral procedures.
References:
* AMA CPT Professional Edition (current year)

NEW QUESTION # 175
A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4 and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4.
The construct was copiously irrigated and muscle; fascia and skin were closed in layers.
Select the procedure codes for this scenario.

A. 63047, 63048, 22612, 22614 x 3, 22842
B. 63005 x 2, 22612, 22614 x 3, 22842
C. 63017, 63048, 22612, 22808, 22842 x 3
D. 63042, 63043, 22808, 22841 x 3

Answer: A

Explanation:
* Laminectomy and Facetectomy (63047 and 63048): The laminectomies at L4 and L5 with facetectomies fall under CPT codes 63047 (for the initial segment) and 63048 (for each additional segment).
* Posterior Arthrodesis (22612 and 22614 x 3): The posterior arthrodesis from L1-L5 is coded with
22612 for the primary segment (L4-L5) and 22614 for each additional segment (L1-L4).
* Placement of Pedicle Screws (22842): The placement of pedicle screws at L2, L3, and L4 is captured under CPT code 22842 for segmental instrumentation.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)

NEW QUESTION # 176
A patient is seen at the doctor's office for nausea, vomiting, and sharp right lower abdominal pain. CT scan of the abdomen is ordered. Labs come back indicating an increased WBC count with review of the abdominal CT scan. The physician determines the patient has chronic appendicitis. The physician schedules an appendectomy and takes the patient to the operating room. The appendix is severed from the intestines and removed via scope inserted through an umbilical incision. What CPTand diagnosis codes are reported?

A. 44970, K36
B. 44950, K35.80, R11.2, R10.31
C. 44950, K35.80
D. 44970, K36, R11.2, R10.31

Answer: A

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent an appendectomy performed via laparoscopic approach. The procedure involved removal of the appendix using a scope inserted through an umbilical incision.
CPTCode 44970 is specific for a laparoscopic appendectomy, which is the correct code for this procedure.
Code 44950 would be used for an open appendectomy, but since this case was performed laparoscopically,
44970 is appropriate.
2. Diagnosis and ICD-10-CM Code Selection:
The diagnosis given by the physician is chronic appendicitis.
ICD-10-CM Code K36 is used to report chronic appendicitis, which is the definitive diagnosis in this case.
Additional codes for symptoms such as nausea (R11.2) and right lower quadrant pain (R10.31) are not necessary because the primary diagnosis of chronic appendicitis (K36) fully explains the symptoms, according to ICD-10-CM guidelines on coding symptoms when a definitive diagnosis is available.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines indicate that when a definitive diagnosis is established, symptom codes should not be reported separately. The use of 44970 for laparoscopic appendectomy and K36 for chronic appendicitis is fully supported by these coding standards.
Therefore, the correct answer is C. 44970, K36.

NEW QUESTION # 177
The human shoulder is made of which three bones?

A. Clavicle, scapula, humerus
B. Olecranon, radius, ulna
C. Metatarsal, tibia, navicular
D. Carpal, radius, humerus

Answer: A

NEW QUESTION # 178
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