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AAPC CPC Exam Syllabus Topics:

Topic	Details
Topic 1	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 2	Procurement: This section measures the skills of Construction Quality Engineers in establishing quality requirements for procurement, aligning trade partner requirements, and managing resources for inspections. It also focuses on the skills of Construction Procurement Managers in incorporating material control, resource identification, and mobilization strategies into the resource management process to ensure quality procurement.
Topic 3	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.
Topic 4	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.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q188-Q193):

NEW QUESTION # 188
A 45-year-old female presents to the ED with chest pain. The provider has an Albumin Cobalt Binding Test to determine if the chest pain is ischemic in nature.
That lab test is reported?

A. 0
B. 1
C. 2
D. 3

Answer: A

NEW QUESTION # 189
View MR 001394
MR 001394
Operative Report
Procedure: Excision of 11 cm back lesion with rotation flap repair.
Preoperative Diagnosis: Basal cell carcinoma
Postoperative Diagnosis: Same
Anesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injected slowly through a 30-gauge needle for the patient's comfort.
Location: Back
Size of Excision: 11 cm
Estimated Blood Loss: Minimal
Complications: None
Specimen: Sent to the lab in saline for frozen section margin control.
Procedure: The patient was taken to our surgical suite, placed in a comfortable position, prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpel blade was used to excise the basal cell carcinoma plus a margin of normal skin in a circular fashion in the natural relaxed skin tension lines as much as possible The lesion was removed full thickness including epidermis, dermis, and partial thickness subcutaneous tissues. The wound was then spot electro desiccated for hemorrhage control. The specimen was sent to the lab on saline for frozen section.
Rotation flap repair of defect created by foil thickness frozen section excision of basal cell carcinoma of the back. We were able to devise a 12 sq cm flap and advance it using rotation flap closure technique. This will prevent infection, dehiscence, and help reconstruct the area to approximate the situation as it was prior to surgical excision diminishing the risk of significant pain and distortion of the anatomy in the area. This was advanced medially to close the defect with 5 0 Vicryl and 6-0 Prolene stitches.
What CPT coding is reported for this case?

A. 14001, 11606-51, 12034-51
B. 0
C. 14001, 11606-51
D. 1

Answer: D

NEW QUESTION # 190
Patient is diagnosed with dacryocystitis, which is the inflammation of?

A. Eardrum
B. Cornea
C. Fingernail
D. Lacrimal sac

Answer: D

Explanation:
Dacryocystitis is the inflammation of the lacrimal sac, which is part of the tear drainage system located in the inner corner of the eye. The lacrimal sac is connected to the nasolacrimal duct, which drains tears into the nasal cavity. Inflammation in this area can cause pain, redness, and swelling near the inner corner of the eye.References: ICD-10-CM, medical dictionaries

NEW QUESTION # 191
Patient has a 5 cm tumor in the left lower quadrant abdominal wall. A horizontal skin incision is made directly over the tumor in the patient's left lower quadrant and dissection was carried down through the dermis and subcutaneous tissue. The tumor is located and completely excised using electrocautery. The specimen is sent immediately to pathology to rule out cancer. What CPTand ICD-10-CM codes are reported?

A. 22903, R19.04
B. 22903, D49.2
C. 22901, C76.2
D. 22901, D49.2

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the excision of a 5 cm tumor located in the left lower quadrant of the abdominal wall.
The tumor was excised down to the dermis and subcutaneous layers and removed using electrocautery.
Code 22903 is appropriate for the excision of a soft tissue tumor in the abdominal wall greater than 5 cm, making it the correct CPTcode.
Code 22901 applies to the excision of a soft tissue tumor in the abdominal wall but only for tumors 5 cm or less. Given that the tumor in this case is exactly 5 cm, it meets the threshold for 22903, which is more appropriate here.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code D49.2 is used for a neoplasm of unspecified behavior in the abdominal area, reflecting the fact that the pathology report is pending to determine if the tumor is malignant.
Code C76.2 would be incorrect because it is for malignant neoplasms of unspecified abdominal areas, which we cannot confirm based on the initial excision. Similarly, R19.04 (indicating a mass in the abdominal region) is a symptom code and is not appropriate for a definitive diagnosis when a neoplasm code (D49.2) exists.
3. AAPC and CPTCoding Guidelines:
Per AAPC coding guidelines, the size of the tumor is critical in selecting the correct excision code for abdominal wall neoplasms. Additionally, if the tumor's pathology is not confirmed as malignant, it is coded as a neoplasm of unspecified behavior until further details are known.
Therefore, based on CPTand ICD-10-CM coding guidelines, the verified answer is B. 22903, D49.2.

NEW QUESTION # 192
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?

A. 10006 x 3
B. 10005, 10006 x 2
C. 10021, 10004 x 2, 76942
D. 10005, 10006 x 2, 76942

Answer: B

Explanation:
The CPT code 10005 is for fine needle aspiration biopsy, including ultrasound guidance, for the first lesion.
CPT code 10006 is for each additional lesion with ultrasound guidance. Since the provider aspirated tissue from three nodules, the coding should be 10005 for the first nodule and 10006 x 2 for the additional two nodules.References: AMA's CPT Professional Edition (current year)

NEW QUESTION # 193
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