Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

CPC with 5 years billing experience also. Looking for REMOTE work. Hours negotiable!

Hello!

I am a highly motivated, hard-working individual seeking to continue my love of working in the medical field.

On my attached resume, please note that I am quite familiar with computers, and am able to adapt to new software quickly.

I have held my CPC since 2015 and have done office billing since 2013. I moved to a different town a year ago and miss my job so I am hoping to find remote work.

I have worked in general practices, as well as done billing and coding for colon & rectal surgery, on-call ED, inpatient, outpatient and ASC surgeries. I am skilled at A/R work, appeals, verifying E&B, and obtaining pre-authorizations.

I have worked for clinics that were contracted with multiple insurances and I have had the unique experience of working with a clinic contracted with no insurance companies.

I am more than willing to adjust my schedule to allow our time zones differences to have no issue with my work.

I feel as if I could be a major asset to your team!

** I would be happy to email my full resume with references if you are interested in learning more. [email protected]. Thank you! **

Medical Billing and Coding Forum

should i code for ptca also?

Conclusion

This patient with prior treatment for coronary artery disease status post PCI to left circumflex, OM1, OM 2 in 2005, hypertension, dyslipidemia is having symptoms of exertional angina. He also had a abnormal stress test revealing inferolateral ischemia. Left heart catheterization was recommended.
*
After obtaining informed consent, the patient was prepped and draped in sterile fashion. A 6 French glide sheath was inserted in the right radial artery. Radial cocktail consisting of 2.5 mg of verapamil and 200 mcg of nitroglycerin was administered via right radial artery sheath to prevent radial artery spasm. A 6 French Judkins left and right coronary catheters was used for left and right coronary angiography. TR band was placed on right radial artery access site for patent hemostasis.
*
I attest that moderate conscious sedation was provided under my direct supervision with the sedation trained nurse using 1 mg of intravenous Versed and 50 mcg of fentanyl to sedate the patient. Start time 11:57 AM and end time was 12:40 PM. There were no complications. See nurse’s sedation sheet, for complete pre-and post service details.
*
Hemodynamics:
*
The left ventricular end-diastolic pressure was 19 mmHg. The aortic pressure was 114/61 mmHg.
*
Coronary Angiography:
*
Right coronary artery is a small nondominant artery with severe diffuse disease.
*
Left Main coronary artery is patent.
*
Left anterior descending is a medium to large caliber vessel with proximal 20-30% tubular disease at the bifurcation of diagonal 1, mild mid to distal luminal irregularities. Diagonal 1 and diagonal 2 are small caliber vessels with luminal irregularities.
*
Left circumflex is a large caliber dominant vessel with patent proximal stent with mild to moderate ISR, moderate mid vessel disease and distal luminal irregularities. Obtuse marginal 1 has subtotal occlusion at the ostium with TIMI III flow in the mid to distal vessel. This was likely jailed during OM 2 stent deployment. Obtuse marginal 2 has severe 99% in-stent restenosis extending into the distal vessel. LPDA and LPL have mild luminal irregularities.
*
Left ventriculogram: Left ventricular cavity was entered using guide catheter and LVEDP was measured at 19 mmHg.
*
The patient was then transferred to the recovery area in stable condition:
*
Summary conclusion:
*
1. Coronary disease status post PCI in 2005
2. Abnormal nuclear stress test
3. Angina
4. Hypertension
5. Dyslipidemia
*
Recommendation:
*
Recommend PCI of left circumflex/OM 2 due to evidence of inferolateral ischemia and a dominant circumflex territory.
*
6 French XB 3.5 guide was used to engage left coronary system. Run-through wire was advanced into distal OM 2. A second run through wire was used as a buddy wire and advanced into distal left circumflex. Lesion was predilated using a 2.5 x 15 mm noncompliant balloon. Promus 2.5 x 32 mm stent deployed from left circumflex into OM 2 and postdilated up to 3.0 mm with stent balloon. Post stent deployment there was pinching of true circumflex. Run-through wire was withdrawn and readvanced through the stent struts and left circumflex was unrevealed using a 2.0 x 12 mm semi-compliant balloon. Postprocedure angiography revealed TIMI-3 flow without any evidence of dissection or perforation.
*
Aspirin and Plavix for at least 12 months. Aggressive lipid control management.

Results

Contrast Administered (mL):
Implants

SYSTEM CORONARY STENT 2.5MM 32MM PROMUS PREMIER MONORAIL EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1 ACCESS PORT BALLOON EXPAND INFLATE LUMEN 144CM ACCEPTS .014- IN GUIDEWIRE – S08714729844952 – LOG337003

Inventory item: SYSTEM CORONARY STENT 2.5MM 32MM PROMUS PREMIER MONORAIL EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1 ACCESS PORT BALLOON EXPAND INFLATE LUMEN 144CM ACCEPTS .014- IN GUIDEWIRE Serial no.: 08714729844952 Model/Cat no.: H7493952832250
Implant name: SYSTEM CORONARY STENT 2.5MM 32MM PROMUS PREMIER MONORAIL EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1 ACCESS PORT BALLOON EXPAND INFLATE LUMEN 144CM ACCEPTS .014- IN GUIDEWIRE – S08714729844952 – LOG337003 Laterality: N/A Area: Coronary
Manufacturer: Boston Scientific Corp Action: Implanted Number used: 1

thank you in advance
my question is 93458-xu, c9600-lc should I also do 92920 lc? physician wants to add for his time
*

Medical Billing and Coding Forum

Modifier 90 on Path codes when the treating physician is also the pathologist

One of our providers is a board certified dermatologist AND a board certified dermatopathologist. She sees patients as well as reads all the pathology for our clinics.

We have a Main clinic with a CLIA certified histopathology lab with full Certificate of Compliance and we also have a Satellite clinic with a smaller CLIA certified lab that only has PPMP level of certification.

When a specimen is obtained at the Satellite clinic and sent back to our Main clinic lab to be read and reported on we attach a modifier 90 to the path code to indicate specimen was sent to an outside reference lab- (our Main location lab).

One day a week this physician sees patients at the Satellite clinic. When a specimen is obtained on those days, we have a problem billing our path codes (88304 & 88305) for that provider, as the modifier 90 indicates it is inappropriate usage for the treating or reporting physician to complete the laboratory procedure. If we try to submit the path code without a modifier 90, the scrubber will not allow the claim to release saying the code cannot be billed with the CLIA level of certification for that location…. Anyone else run into this? I’m fairly certain this is not the only dermatologist/dermatopathologist clinic in the U.S! Any advice would really be appreciated!

Medical Billing and Coding Forum

time out procedure, do you just document in the emr or do you also keep a form

I work on a unit the does endoscopy procedures. Before each procedure the staff does a time out to confirm, the correct patient, procedure, allergies, etc. We have been keeping a form to document the time out was done and also documenting in the patient’s electronic medical record. Do we need to keep the form and for how many years or is a statement in the emr sufficient? Thank you for your help.

Medical Billing and Coding Forum

ICD10 J section code also note

At the beginning of the J section in the ICD10-CM book, there is a note to code also, "Where applicable" the smoking status of a patient. I would like to know if anyone has a coding clinic answer as to whether this "where applicable" pertains to where the code also is noted in the tabular or if it pertains to where a smoking status is noted in a record? How are those in the ENT field interpreting this if there isn’t an available coding clinic answer?

Medical Billing and Coding Forum

Staying Positive – Some Thoughts For Job Seekers (And Also, Employers)

I began applying for jobs in August, right before I started training. Based on advice from my friends in the medical field, and experienced coders, I’ve applied for every entry level, "foot in the door" position I could find. Jobs like document scanning, data entry, reception desk, phone switchboard, and even housekeeping. Positions that specifically stated in their postings, "no experience necessary" or "at least one year of customer service", "must have working knowledge of computers", etc. Basic jobs. Between then and now (my training has been complete for about a month) I have applied to nearly 60 different positions, with a strong resume, cover letter, references, and a clear objective. Out of all of those jobs, I have received maybe 40 responses, with some variation of "You are not qualified" or no response at all. I even pushed back the date of my CPC exam, to focus on trying to lock down entry level work. I have posted in the forum before, about how I have two decades of retail management experience. And, anyone who has ever been in that particular field can tell you, you have your hands in everything. From banking, to dealing with sensitive information, HR, taxes and payroll, hiring/training personnel, doing paperwork, taking meetings, scheduling, running office equipment, using every computer software program known to man, answering phones. And, complicated things, like supervising packed stores, dealing with hostile customers, assisting large numbers of people at once, managing a staff of 20+ people sometimes, alone. And yes – housekeeping. It’s a role that always kept me on my toes. A role where customer service was always the biggest component, thus, the main priority. Yet, in the eyes of hiring reps for healthcare jobs, at least in my area, I am not qualified to answer a phone, process a payment, file papers/records, or deal with clients/patients in a customer service related position. As I prepare to finally sit for my CPC exam – which I am very confident about – I do remain concerned about my chances in the job market. I’ve heard horror stories from people with 30 years in billing, who couldn’t find coding work. And, I’ve heard horror stories from people like myself and others on this forum, who are new, and genuinely wanted to make a career change, but were not being considered for one reason or another. I’m trying to fight through the doubt and remain optimistic. The bottom line is, you can’t get that 3-5 years of experience that most employers are looking for, unless someone gives you a chance. And everyone deserves that chance. Especially if they are serious and legitimately care about being in this industry. And, I’d say 99% of us are! I spent nearly 20 years interviewing, hiring, and training people, and while I took their resumes into consideration, I also looked at their potential. I understood that if someone was applying to work for me, it was because they wanted to, and felt as if they had something to contribute. I always hired people who were motivated, willing to learn, and ready to jump in with both feet, no matter how new or scary it may have been for them. More importantly, I always had respect for people who were trying to make a positive change in their lives, by taking on a new challenge. I hope that anyone in my position, who is struggling, certified yet or not, will keep pushing. Knock on doors, apply to everything, until someone finally says "Yes." And, for anyone looking to hire new coders – be it for actual coding, or for an entry level, "foot in the door" job (because we WANT to work, we WILL take it if it’s the right fit!), don’t judge them solely on their background. Look at their experiences, see where they’ve been, where they want to go, and what they could bring to the table. You might come to find out that an ex retail manager, a stay at home mom, or a McDonald’s cashier could be a great addition to your team. Newbies, don’t ever lose sight of the fact that we have all worked hard to train and earn our certifications. Keep going!

Medical Billing and Coding Forum

“code also” or ” buddy codes” required assessment?

morning, need help please!! as a new auditor I’m having difficulty with validating "code also" code that providers are choosing due to the coding convention guidelines. However the problem is when they chose these codes there is no assessment done. for example Hypertension I10 with nicotine dep, cigarette, uncomp F17.210. Social hx shows patient is a smoker. is this enough or do we have to have an assessment of these "buddy codes" as well.
any feedback is greatly appreciated. Thank you

Medical Billing and Coding Forum

Denials for dx Z36 for Multiple Ultrasounds when we also use Z36 for NT Screening

Is anyone else having trouble with Medicaid paying for multiple ultrasounds billed with the Z36 diagnosis when you also use the Z36 diagnosis for an NT Screen as well?

We perform an initial screening ultrasound with the dx of Z36. Then perform an NT Screening with the Z36 and if we can’t see all the fetal anatomy we also perform an additional ultrasound to follow up anatomy.
What diagnosis code are you using for follow up anatomy screening, because the first ultrasound the fetal anatomy can not be viewed? Medicaid is denying this ultrasound when billed with Z36.

I appreciate any advice you can give.

Thanks!

Medical Billing and Coding Forum | AAPC