AAPC CPC Exam With Confidence Using Practice Dumps

1. Procedure and CPT® Code Selection:

The test ordered is a bile acid quantitation using an enzymatic method. This test measures the total bile acids in a patient with chronic hepatitis.

CPT® Code 82248 is specific for quantitation of bile acids, total, which is the correct code for a bile acid test using any method, including enzymatic.

2. Rationale for Excluding Other Options:

Code 82247 is used for the measurement of bilirubin, not bile acids, making it inappropriate for this test.

Code 82239 is for measuring an amino acid (gamma-glutamyl transferase), which is unrelated to bile acid quantitation.

Code 82252 is for a fecal bile acid screening, which is different from a quantitation of bile acids in serum or plasma.

3. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, 82248 should be selected for total bile acid quantitation regardless of the specific analytical method used.

Therefore, the correct answer is A. 82248.

1. Procedure and CPT® Code Selection:

The patient underwent a pulmonary function test that included spirometry, vital capacity, breathing capacity, and flow volume measurements before and after bronchodilator administration.

CPT® Code 94060 is for spirometry, including the bronchodilator responsiveness testing, which involves capturing pre- and post-bronchodilator measurements. This code accurately reflects the testing performed.

CPT® Code 94010 is for spirometry testing without bronchodilator, which might be considered redundant in this case since 94060 encompasses spirometry testing with and without bronchodilator. However, some practices may code both, but generally, 94060 alone should suffice.

2. Diagnosis and ICD-10-CM Code Selection:

ICD-10-CM Code J45.901 is used for unspecified asthma with acute exacerbation. This code is appropriate given that the diagnosis indicates intermittent asthma with exacerbation.

J45.21 represents mild intermittent asthma without the specification of exacerbation, making it less accurate than J45.901 in this context.

3. Rationale for Excluding Other Options:

Code 94070 (options B and C) is for bronchospasm provocation testing, which does not apply to standard pulmonary function testing with bronchodilator responsiveness.

Option D includes J45.21, which does not capture the exacerbation aspect and is therefore incorrect.

4. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, 94060 should be used when pre- and post-bronchodilator spirometry is performed, and J45.901 is appropriate for asthma with exacerbation.

Therefore, the correct answer is A. 94060, 94010, J45.901.

Procedure Coding (CPT®):

31287 – Nasal/sinus endoscopy, surgical; with sphenoidotomy

Correct because the surgeon performed a surgical endoscopic sphenoidotomy to evaluate and treat sphenoid sinus injury.

No CSF leak repair was performed, so codes 31290–31291 are not appropriate.

31231-59 – Nasal endoscopy, diagnostic

Diagnostic endoscopy is separately reportable because:

It was performed to evaluate traumatic injury

It is not bundled into the surgical service when it provides distinct diagnostic information

Modifier -59 indicates a separate and distinct service per NCCI edits.

Diagnosis Coding (ICD-10-CM):

S02.109A – Unspecified fracture of base of skull, initial encounter for closed fracture

The anterior cranial fossa fracture with sphenoid sinus involvement qualifies as a skull base fracture

No CSF leak is documented

Correct 7th character “A” for initial encounter

Why Other Options Are Incorrect:

A – Incorrect format and duplicated CPT logic

B – 31267 = maxillary sinus, wrong sinus

D – 31291 includes CSF leak repair, which was not performed