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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

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 5

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.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q49-Q54):

NEW QUESTION # 49
A patient presents with keratosis lesions on her left cheek, above the left eyebrow, and on the chin area. The dermatologist treats those areas by lightly sanding the surface of a total of 5 lesions.
What CPTcoding is reported?

A. 15787 x 5
B. 15786, 15787
C. 15786, 15787 x 4
D. 15786 x 5

Answer: D

Explanation:
CPTcode 15786 is used for abrasion treatment of a single lesion (e.g., for keratosis) through techniques like dermabrasion (lightly sanding the skin's surface). When treating multiple lesions in this manner, each lesion treated should be coded individually.
Since the patient has 5 keratosis lesions treated through sanding, 15786 x 5 accurately represents the procedure for each lesion.
Explanation of other options:
A: 15787 x 5: Incorrect because 15787 is designated for dermabrasion of "additional lesions" and would be used in conjunction with 15786, not alone.
B: 15786, 15787: Incorrect, as it does not account for all five lesions treated.
C: 15786, 15787 x 4: Incorrect, as 15787 is used only when performed in addition to 15786, not as a replacement for each additional lesion.
Therefore, the correct answer is D. 15786 x 5, which accurately reports the treatment of all five lesions.

NEW QUESTION # 50
Which one of the following is a commercial or private payer?

A. Medicaid
B. Veterans Health Administration (VHA)
C. Blue Cross Blue Shield
D. Medicare

Answer: C

Explanation:
Blue Cross Blue Shield is a commercial or private payer, which means it is an insurance company that provides health insurance plans to individuals and groups. In contrast, Medicare and Medicaid are government programs, and the Veterans Health Administration (VHA) is a federal healthcare system for military veterans.References: AMA's CPT Professional Edition (current year), Appendix B: Payers and Reimbursement.

NEW QUESTION # 51
A patient is having a thyroidectomy for malignancy on the right lobe. During the procedure, a lesion was found on the left lower side of the parathyroid gland and is suspected for malignancy.
The total right lobe of the thyroid and the parathyroid gland are removed.
What is the CPTcodes are reported for this encounter?

A. 60505,60240-59
B. 60505, 60220-59
C. 60500, 60220-59
D. 60500, 60210-59

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The patient underwent a thyroidectomy for malignancy in the right lobe, as well as the removal of the parathyroid gland due to a suspected malignant lesion.
CPTCode 60505 is for the parathyroidectomy with exploration of parathyroid glands and is appropriate for the removal of the parathyroid gland due to a suspected malignancy.
CPTCode 60220 represents a thyroid lobectomy (total removal of one lobe of the thyroid), which applies to the removal of the right thyroid lobe in this case.
2. Modifier 59:
Modifier 59 is added to 60220 to indicate that the thyroid lobectomy is a distinct procedure from the parathyroidectomy, performed in a separate anatomical site during the same surgical session.
3. Rationale for Excluding Other Options:
Code 60500 (in options A and C) is for a parathyroid exploration only, not including the actual removal of the parathyroid gland, so it does not apply here.
Code 60240 (in option D) is for a total thyroidectomy, which involves removal of the entire thyroid gland.
Since only the right lobe was removed, 60220 (thyroid lobectomy) is correct.
4. AAPC and CPTCoding Guidelines:
Per AAPC guidelines, 60505 is the appropriate code for parathyroidectomy procedures involving exploration or suspected malignancy, and 60220 with Modifier 59 accurately reflects the separate and distinct thyroid lobectomy procedure.
Thus, the correct answer is B. 60505, 60220-59.

NEW QUESTION # 52
View MR 007400
MR 007400
Radiology Report
Patient: J. Lowe Date of Service: 06/10/XX
Age: 45
MR#: 4589799
Account #: 3216770
Location: ABC Imaging Center
Study: Mammogram bilateral screening, all views, producing direct digital image Reason: Screen Bilateral digital mammography with computer-aided detection (CAD) No previous mammograms are available for comparison.
Clinical history: The patient has a positive family history (mother and sister) of breast cancer.
Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system.
Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable.
What CPT coding is reported for this case?

A. 77067-50, Z80.3, Z12.31
B. 77066-50, Z12.31, Z80.3
C. 77066, Z80.3, Z12.31
D. 77067, Z12.31, Z80.3

Answer: D

NEW QUESTION # 53
A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum with ossicular chain reconstruction.
What CPTcode is reported for this surgery?

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

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The procedure involves a tympanoplasty with a radical mastoidectomy to remove a cholesteatoma in the middle ear. Additionally, the procedure includes ossicular chain reconstruction and grafting to repair the eardrum.
CPTCode 69646 is appropriate for tympanoplasty with a radical mastoidectomy, including removal of the cholesteatoma and ossicular chain reconstruction. This code accurately describes the combination of tympanoplasty, radical mastoidectomy, and ossicular chain reconstruction, making it the correct choice.
2. Rationale for Excluding Other Options:
Code 69643 describes a tympanoplasty with a simple mastoidectomy, which is not appropriate since a radical mastoidectomy was performed.
Code 69645 covers a tympanoplasty with radical mastoidectomy but does not include ossicular chain reconstruction, which was part of this procedure.
Code 69641 is for a tympanoplasty without mastoidectomy, making it incorrect for this case.
3. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 69646 is the appropriate code when a tympanoplasty includes a radical mastoidectomy with ossicular chain reconstruction, as documented in this case.
Therefore, the correct answer based on CPTguidelines is D. 69646.

NEW QUESTION # 54
......

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