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

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

Practice Exam

CPC Practice Exam and Study Guide Package

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

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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

Changes in Bypass Payment Edits (3-days and 1-day) For Donor Post-Kidney Transplant


The MACs to implement logic that ensures they bypass payment window edits (3-days and 1-day) when processing claims for donor post-kidney transplant complications services. MACs will hold certain claims, as noted below, until Medicare’s Common Working File (CWF) system edits these claims correctly.

3-Day Payment Window Edits:

  • 7109: Outpatient Diagnostic Service against Inpatient in history
  • 7113: Inpatient against Outpatient Diagnostic Service in history
  • 7114: Outpatient Therapeutic Service against Inpatient in history
  • 7115: Inpatient against Outpatient Therapeutic Service

1-Day Payment Window Edits:

  • 7119: Outpatient Diagnostic Services against Inpatient in history
  • 7120: Inpatient against Outpatient Diagnostic Services in history
  • 7121: Outpatient Therapeutic Services against Inpatient in history
  • 7122: Inpatient against Outpatient Therapeutic Services in history


Coding Ahead

Left femoral artery and vein cutdown for cardiopulmonary bypass.

Physician a femoral artery and vein cutdown for cardiopulmonary bypass during minimally invasive valve repairs. What is the correct billable CPT code for the femoral artery and vein cutdown? 34714 is the suggested the problem is we are not creating a conduit a member on our team suggested (34812 ).

This is the part of the providers note. Our attention was turned towards the left groin where femoral artery and vein cutdown were performed, 5000 units of heparin were given and using a Seldinger technique and echocardiographic guidance, a left femoral arterial cannula 18-French was placed and a 25-French femoral venous cannula was placed. The femoral venous cannula was advanced so that the tip was in the superior vena cava right atrial junction.

thank you!

Medical Billing and Coding Forum

gastric bypass

Have a patient that has had a Nissen fundoplication for Barretts which has failed. Dr wants to do a gastric bypass but patients insurance had a rider denying gastric bypass-what, if any, chance will I have in order to get the surgery approved? Patient is within body weight and BMI is in normal range. Will it do me any good to even try????

Medical Billing and Coding Forum

reversal of gastric bypass code??

ive seen revisions but not a reversal so im a little confused
ATTEMPTED ROBOTIC REVERSAL OF GASTRIC BYPASS, UPPER ENDOSCOPY, CHOLECYSTECTOMY, INSERTION OF J TUBE AND G TUBE, SMALL BOWEL RESECTION, GASTROGASTROSTOMY, REVERSAL OF GASTRIC BYPASS. LYSIS OF ADHESIONS (Modified

if anyone is willing to help id appreciate and post op note-but I never seem to get a response when I originally post a lengthy note…:p lol thank you!

Medical Billing and Coding Forum | AAPC