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

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CPC Practice Exam and Study Guide Package

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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”

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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

Upcoming HCPCS (DELETED/REVISED) Code Changes Effective from October 1, 2019

Deleted Codes:

J1942 Injection, aripiprazole lauroxil, 1 mg
S1090 Mometasone furoate sinus implant, 370 micrograms

Revised Codes:

J0641 Inj., levoleucovorin, 0.5 mg
J2794 Inj., risperdal consta, 0.5 mg
J7311 Inj., retisert, 0.01 mg
J7313 Inj., iluvien, 0.01 mg
Q4122 Dermacell, awm, porous sq cm
Q4165 Keramatrix, Kerasorb sq cm
Q4184 Cellesta or duo per sq cm


Coding Ahead

Upcoming HCPCS (NEW) Code Changes Effective from October 1, 2019

New Codes:

J0121 Injection, omadacycline, 1 mg
J0122 Injection, eravacycline, 1 mg
J0222 Injection, Patisiran, 0.1 mg
J0291 Injection, plazomicin, 5 mg
J0593 Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)
J1096 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
J1097 phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
J1303 Injection, ravulizumab-cwvz, 10 mg
J1943 Injection, aripiprazole lauroxil, (aristada initio), 1 mg
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg
J2798 Injection, risperidone, (perseris), 0.5 mg
J3031 Injection, fremanezumab-vfrm, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)
J3111 Injection, romosozumab-aqqg, 1 mg
J7314 Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg
J7332 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg
J7401 Mometasone furoate sinus implant, 10 micrograms
J9118 Injection, calaspargase pegol-mknl, 10 units
J9119 Injection, cemiplimab-rwlc, 1 mg
J9204 Injection, mogamulizumab-kpkc, 1 mg
J9210 Injection, emapalumab-lzsg, 1 mg
J9269 Injection, tagraxofusp-erzs, 10 micrograms
J9313 Injection, moxetumomab pasudotox-tdfk, 0.01 mg
Q4205 Membrane graft or membrane wrap, per square centimeter
Q4206 Fluid flow or fluid GF, 1 cc
Q4208 Novafix, per square cenitmeter
Q4209 Surgraft, per square centimeter
Q4210 Axolotl graft or axolotl dualgraft, per square centimeter
Q4211 Amnion bio or Axobiomembrane, per square centimeter
Q4212 Allogen, per cc
Q4213 Ascent, 0.5 mg
Q4214 Cellesta cord, per square centimeter
Q4215 Axolotl ambient or axolotl cryo, 0.1 mg
Q4216 Artacent cord, per square centimeter
Q4217 Woundfix, BioWound, Woundfix Plus, BioWound Plus, Woundfix Xplus or BioWound Xplus, per square centimeter
Q4218 Surgicord, per square centimeter
Q4219 Surgigraft-dual, per square centimeter
Q4220 BellaCell HD or Surederm, per square centimeter
Q4221 Amniowrap2, per square centimeter
Q4222 Progenamatrix, per square centimeter
Q4226 MyOwn skin, includes harvesting and preparation procedures, per square centimeter
Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
Q5118 Injection, bevacizumab-bvcr, biosimilar, (Zirabev), 10 mg


Coding Ahead

Upcoming CPT (DELETED) Code Changes Effective from October 1, 2019

Deleted Codes:


0104U Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with MRNA analytics to resolve variants of unknown significance when indicated (32 genes[sequencing and deletion/duplication], EPCAM and GREM1 [deletion/duplication only])

90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use


Coding Ahead

Upcoming CPT (NEW) Code Changes Effective from October 1, 2019

New Codes:


0105U Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KIM-1) combined with longitudinal clinical data, including APOL1 genotype if available, and plasma (isolated fresh or frozen), algorithm reported as probability score for rapid kidney function decline (RKFD)
0106U Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rate of 13CO2 excretion
0107U Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method
0108U Gastroenterology (Barrett’s esophagus), whole slide–digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-2, CD45RO, HIF1a, HER-2, K20) and morphology, formalin-fixed paraffin-embedded tissue, algorithm reported as risk of progression to high-grade dysplasia or cancer
0109U Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting of presence or absence of each species
0110U Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry with chromatography, serum or plasma from capillary blood or venous blood, quantitative report with steady-state range for the prescribed drug(s) when detected
0111U Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis utilizing formalin-fixed paraffin-embedded tissue
0112U Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene
0113U Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score
0114U Gastroenterology (Barrett’s esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett’s esophagus
0115U Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected
0116U Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications
0117U Pain management, analysis of 11 endogenous analytes (methylmalonic acid, xanthurenic acid, homocysteine, pyroglutamic acid, vanilmandelate, 5-hydroxyindoleacetic acid, hydroxymethylglutarate, ethylmalonate, 3-hydroxypropyl mercapturic acid (3-HPMA), quinolinic acid, kynurenic acid), LC-MS/MS, urine, algorithm reported as a pain-index score with likelihood of atypical biochemical function associated with pain
0118U Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA
0119U Cardiology, ceramides by liquid chromatography–tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events
0120U Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissue, algorithm reported as likelihood for primary mediastinal B-cell lymphoma (PMBCL) and diffuse large B-cell lymphoma (DLBCL) with cell of origin subtyping in the latter
0121U Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood
0122U Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood
0123U Mechanical fragility, RBC, shear stress and spectral analysis profiling
0124U Fetal congenital abnormalities, biochemical assays of 3 analytes (free beta-hCG, PAPP-A, AFP), time-resolved fluorescence immunoassay, maternal dried-blood spot, algorithm reported as risk scores for fetal trisomies 13/18 and 21
0125U Fetal congenital abnormalities and perinatal complications, biochemical assays of 5 analytes (free beta-hCG, PAPP-A, AFP, placental growth factor, and inhibin-A), time-resolved fluorescence immunoassay, maternal serum, algorithm reported as risk scores for fetal trisomies 13/18, 21, and preeclampsia
0126U Fetal congenital abnormalities and perinatal complications, biochemical assays of 5 analytes (free beta-hCG, PAPP-A, AFP, placental growth factor, and inhibin-A), time-resolved fluorescence immunoassay, includes qualitative assessment of Y chromosome in cell-free fetal DNA, maternal serum and plasma, predictive algorithm reported as a risk scores for fetal trisomies 13/18, 21, and preeclampsia
0127U Obstetrics (preeclampsia), biochemical assays of 3 analytes (PAPP-A, AFP, and placental growth factor), time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia
0128U Obstetrics (preeclampsia), biochemical assays of 3 analytes (PAPP-A, AFP, and placental growth factor), time-resolved fluorescence immunoassay, includes qualitative assessment of Y chromosome in cell-free fetal DNA, maternal serum and plasma, predictive algorithm reported as a risk score for preeclampsia
0129U Hereditary breast cancer–related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and deletion/duplication analysis panel (ATM, BRCA1, BRCA2, CDH1, CHEK2, PALB2, PTEN, and TP53)
0130U Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, MSH6, MUTYH, PMS2, PTEN, and TP53) (List separately in addition to code for primary procedure)
0131U Hereditary breast cancer–related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (13 genes) (List separately in addition to code for primary procedure)
0132U Hereditary ovarian cancer–related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (17 genes) (List separately in addition to code for primary procedure)
0133U Hereditary prostate cancer–related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)
0134U Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addition to code for primary procedure)
0135U Hereditary gynecological cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (12 genes) (List separately in addition to code for primary procedure)
0136U ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)
0137U PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)
0138U BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)

See Deleted Codes


Coding Ahead

Query letters for my 2018 CANPC coding study guide and upcoming 2019 coding book

Vino C. Mody Jr., M.D., Lic., Ph.D.
6154 Black Mallard Place
El Paso, TX 79932
678-427-6511 cell; 915-642-4269 home
[email protected]

February 2, 2018
Dear Agent:

Please allow me to introduce my recently completed non-fiction book—CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Management—a self-help book aimed at readers who are pursuing a career in anesthesia and pain management coding. The primary target audience is those who are about to take the Certified Anesthesia and Pain Management Coder (CANPCTM) examination, but the book is expected to be a useful and relevant reference book for coders already working in this field.
CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Management weighs in at approximately 23,000 words and is fully complete. My previous publications include 100 conference abstracts and 25 original scientific papers published during my eight-year tenure as a clinical researcher at the Karolinska Institutet in Sweden. I also served as editor of three different clinical research journals while at Karolinska.

I have worked in the healthcare field for 15 years at different hospitals in the U.S. and Sweden. I have valid medical coding specialist certificates from the University of Georgia and U.S. Career Institute and several important coding and billing certifications (COC, CPC, CCS-P, CANPC, CCVTC, 4Med CICP, CMAA, and CBCS). I taught coding and worked as a coder for three years in health care institutes and with coding consultants in El Paso, Texas, and I worked in the medical administration department at Mesa Hills Hospital in El Paso, Texas, where I resolved billing issues by performing coding (including surgery coding), medical auditing, medical transcription, and quality data analysis. I have a medical degree from Emory University School of Medicine in Atlanta, Georgia, and received training from Yale-New Haven Hospital (Waterbury, CT) and Brown University/Lifespan. I have a Licentiate degree and Ph.D. from Karolinska Institutet in Stockholm, Sweden, and eight years of experience in ophthalmology research and teaching in ophthalmology, surgery, medicine, and pediatrics. I have drawn heavily on both my coding and teaching experience in developing CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Management as a training and teaching tool for future anesthesia coders.

I have researched the work and interests of your agency, and I believe that my book fits well with the type of published works that you promote. I have therefore included an outline, a synopsis, and a copy of the completed manuscript for your perusal.

I thank you for your time and consideration.
Sincerely,

Vino C. Mody Jr.
——————————————————————————————————————————————————————————————-
Vino C. Mody Jr.
6154 Black Mallard Place
El Paso, TX 79932
678-427-6511
[email protected]

Ernst E. Roberts, President
El Paso Community College
9050 Viscount Boulevard
El Paso, TX 79925

May 1, 2019

Dear Agent:

Please allow me to introduce my recently completed non-fiction book—A Medical Study Guide and Training Tool—a training guide aimed at readers who are pursuing a career in medical coding. The primary target audience is those who are about to take the Certified Anesthesia and Pain Management Coder (CANPCTM) examination, but the book is expected to be a useful and relevant reference book for coders already working in this field.
A Medical Study Guide and Training Tool is approximately 45,000 words in length and is fully complete. It is intended as a 2019 update of my previous book CANPC Essentials for Accurate Efficient Medical Coding for Anesthesia and Pain Management and includes important strategies for Medicare coding. My previous publications include 25 original scientific papers and 100 conference abstracts. I also served as editor of three different clinical research journals while working at the Karolinska Institutet in Sweden, where I obtained my Licentiate degree and PhD conducting research in ophthalmology, surgery, medicine, and pediatrics.

I have worked in the healthcare field for 15 years at different hospitals in the U.S. and Sweden. I have valid medical coding specialist certificates from the University of Georgia and U.S. Career Institute and several important coding and billing certifications (COC, CPC, CCS-P, CANPC, CCVTC, CEDC, 4Med CICP, RMC, CMAA, CBCS, CNPR, CRMC). I taught coding and have three years of experience as a coder and consultant in several health care institutes. I am a CANPC/CCVTC coding lecturer for American Academy of Professional Coders currently. My previous employment was in the medical administration department at Mesa Hills Hospital in El Paso, Texas, where I resolve billing issues involving coding, medical auditing, medical transcription, and quality data analysis. I have capitalized on both my coding and teaching experience in developing A Medical Study Guide and Training Tool as a training and teaching tool for future medical coders.

I have researched the work and interests of your agency, and I believe that my book fits well with the type of published works that you promote. I have therefore included an outline, a synopsis, and a copy of the completed manuscript for your perusal.

I thank you for your time and consideration.

Sincerely,

Vino C. Mody Jr.

Medical Billing and Coding Forum

Upcoming Celebrations in May

APRIL 2019 E-NEWS Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO, CPMA, CEMA, AAPC Fellow Upcoming Celebrations in May With the month of May quickly approaching, we think of May MAYnia, HEALTHCON, warmer temperatures (especially for those in the snow belt), and that magical time where we no longer have to look out for […]

The post Upcoming Celebrations in May appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

counseling a patient about an upcoming surgery

If a patient comes into the ophthalmology clinic and sits with a tech who goes over a scheduled cataract surgery, reviewing paperwork and documents that describe the surgery and what to expect, how to prepare, etc, I am thinking that I can code this at 99211 with the appropriate cataract diagnosis code. Is there someone out there with similar thoughts or experience with this?

Medical Billing and Coding Forum