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

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

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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

breast cancer coding

Female patient was diagnosed with a RUO quadrant breast cancer (C50.411) who received chemo-radiation.

A year later she was diagnosed with breast cancer on the left central breast. Will the left central breast cancer be coded also as primary c50.112 or C79.81?

If the documentation stated recurrent left central breast cancer with history of right breast cancer, will C79.81 be the code for the left central breast cancer?

We don’t have pathology report available as this is for radiology department visit. I am quite confused as to when the C79.81 be used.

Per ICD guideline when patient had a lumpectomy due to breast cancer and the cancer appeared on another quadrant this new cancer will still be coded as primary cancer.

Any clarification will be greatly appreciated.

Medical Billing and Coding Forum

Diagnosis Codes for Annual, Pap smear, hysterectomy, hx cancer

Which diagnosis codes do you use for Preventative GYN visit 993xx and 88175 Pap smear, patient has had a hysterectomy due to endometrial cancer and vag Pap is done. Would Z01.419, Z90.710, Z85.42 be correct?

Would the same diagnosis codes used for this for both commercial insurance or Medicare?

Medical Billing and Coding Forum

Improve Ovarian Cancer Coding Through Awareness

Understanding this devastating disease is key to accurate ICD-10-CM code selection. Ovarian cancer ranks fifth in cancer deaths among women in the United States, but is the deadliest of the gynecologic cancers, with a five-year survival rate of 46.5 percent. Because of the location of the ovaries in the body, most ovarian cancers go undiagnosed […]
AAPC Knowledge Center

History of cancer in the inpatient setting – presenting with appendicitis

Hi all,

When is it proper to report the history of cancer Z codes in the inpatient setting when there is no workup done? I thought I had read somewhere that you report the Z codes when it is or could be clinically significant to the patient’s current care only.

If a patient presents with acute appendicitis, confirmed on imaging and p/e and the patient has a history of prostate cancer- no current workup for cancer in the last 4 years- is it still suggested you report the Z code? The physician did not do any work up for the cancer history; it was simply listed in the patient’s PMH section.

This is specific to the inpatient pro-fee side.

Thank you!

Medical Billing and Coding Forum

Codes for Cancer by Staging ‘T1 N1 M1’

Hello, anyone able to help coding metastatic cancer of the duodenum when you have the T staging (ie: T1 N1 M0)? I’m good for my primary and mets codes, but I’m not positive on coding the ‘N1’. I think it should be an intra-abdominal node C77.2, but a little unsure since the staging is the only documentation of a node being affected.

Thanks for any help!

Medical Billing and Coding Forum

Help with Re-excision of margins for breast cancer

I may be over thinking this due to it being late in the day, so I thought I would ask for help

I have a patient in office procedure Margin Re-excision as follows…..

Indication: The patient has a recurrent breast cancer of the skin and subcutaneous tissue of the left breast which wider excision is recommended.

After obtaining informed consent, the skin of the left breast at the 9 o’clock aspect was prepped with Betadine. I then infiltrated 10 cc’s of lidocaine.
I made a 4.0 cm X 2.0 cm elliptical incision around her previous biopsy site and went deep down into the fatty tissue. The lesion was removed. The margins are labeled. The wound was closed in 3 layers.
The deep layer with 3.0 vicryl, the intermediate layer with 3.0 vicryl and the skin with 4.0 monocryl in a running subcuticular fashion.

Should I code this as 19120 due to the depth, or 11606, 12032 or something completely different?

HELP,

Thanks,

Michelle

Medical Billing and Coding Forum

Proton Cancer Treatment Centers: High on Price, Low on Return

Proton beam treatment is a particle therapy that uses a beam of protons to target and destroy cancer tissue. There are 27 proton beam units across the United States, and 20 more are popping up or under construction, including Mayo which has opened two, four-unit proton centers in Minnesota and Arizona. Upside The advantage of proton beam therapy over […]
AAPC Knowledge Center