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Make Money In The Medical Billing And Coding Niche By Selling This CPC Practice Exam And Study Guide Dear Friend, Let me ask you a question. Are you about to take the AAPC exam for Certified Professional Coder for the first time? Or are you one of the many people who FAILED the exam the first time, and are now looking to retake the test, perhaps for the third or fourth time? It's time to STOP doing what's not working, and get the CPC Practice Exam - fully updated in 2013! Contents of the practice exam: 150 Question CPC Practice Test Answer Key, With Full Rationale Scan Tron Bubble Sheets The Exam Study Guide, including: Common Anatomy Terminology Handouts Common Medical Terminology Prefix, Root Word, and Suffix Handouts The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the exam) "Would I recommend it? YES!" "Outstanding! Worth every penny! I was so nervous about the exam when I ordered this practice one. I took it and wasn't too sure of how I did. My second try on the practice was much better! When I had to take my CPC exam (the real one) I opened the book and it was so similar... no surprises, which was nice. Would I recommend it? YES!" "Very well put together." "I was impressed with the exam when I received it. I am going to use it as my final for the class I teach this fall. Very well put together." As soon as the 2013 coding books were released in late 2012, we went over the entire test with a loupe to make sure all the codes referred to in the answer key hadn't changed since last year. The test is now fully updated for 2013. Already know our CPC medical coding practice exam is exactly what you need? Please click here to place your order. Want to be convinced? Read on... "I was really pleased with how prepared I felt..." "I just sat for the CPC exam on Saturday. I don't know yet if I passed or not but I have to say the exam was very similar to the CPC practice exam I purchased through this site. I actually think the practice exam may have been just a tad harder. The questions were similar, it was laid out the same way, I was really pleased with how prepared I felt while taking the exam. I kept waiting for some "unknown" surprise to pop up but it never did, so thanks." A good practice exam should fully prepare its examinee for the real exam. Knowing what to expect and not being surprised on exam day are important. AAPC's CPC exam is 150 questions and must be completed in 5 hours and 40 minutes or less. There are three main sections to the CPC exam:  Medical Concepts  Surgery and Modifiers  Remaining CPT codes Each of these three sections are then further divided into the following smaller headings. Medical Concepts: **The following sub-divisions are each assigned 5-10 category specific questions**  Guidelines  Payment management  Medical terminology  Anatomy  ICD-9-CM codes  HCPCS codes Surgery and Modifiers: **This section is mainly sub-divided to reflect the surgery section of the CPT book and assigns 5-10 category specific questions to each of the following sub-divisions**  Integumentary  Musculoskeletal  Respiratory  Cardiology  Hemic/Lymphatic systems  Mediastinum/Diaphragham  Digestive  Urinary  Male and Female reproductive organs  Maternity/ Endocrine system  Nervous system  Eyes/Ears Remaining CPT Codes: **This portion of the exam focuses on the remaining CPT codes and assigns 5-10 category specific questions to each of the following sub-division**  Evaluation and Management  Anesthesia  Radiology  Pathology  Medicine Our 150 question CPC practice exam was created using the structure listed above in order to emulate the actual CPC exam as closely as possible. We felt that by doing this examinees would know exactly what to expect on examination day. By utilizing this structure examinees can better prepare for the exam by focusing on category specific questions and identifying areas of weakness. Knowing what to expect in detail also tend to help calm pre-test anxiety. AAPC's CPC exam is 150 questions long. Questions range from true and false, to 1-2 sentences, to full page operative notes. Questions on the CPC exam do not cover just specific medical codes. Questions can be very diverse, testing the examinees knowledge on:  Coding Guidelines  Understanding of Conventions  Correct Modifier Use  Bundling and Global Packages  Medical Terminology and Gross Anatomy We have taken into account the wide spectrum of diversity the CPC exam offers and have constructed the questions on our CPC Practice Exam to reflect those on the actual exam as closely as possible. In addition to our well constructed questions we are also providing a full rationale for each question. These rationales provide the correct answer for each question as well as a full explanation as of why this option is correct, why the other three options are incorrect, and where in the medical coding books the answer can be located. Studying the rationale of an answer may very well be the easiest and most efficient way to learn how to pass the CPC exam. The CPC Practice Exam Is Available Now Priced at only this test is a bargain by any standard. Passing the CPC exam means, on average, a salary increase of $7,000 compared to uncertified coders. This is what our previewers and coding editors had to say: "Felt like the actual CPC Exam" "I was privileged to take the CPC practice exam prior to its release and felt as if I were taking the actual exam. This had every detail right!" "The study guide provided a lot of useful information. Well worth the price!" CPC Practice Exam Sample Questions Example 1: Medical Terminology The term "Salping-Oophorectomy" refers to a. The removal of the fallopian tubes and ovaries b. The surgical sampling or removal of a fertilized egg c. Cutting into the fallopian tubes and ovaries for surgical purposes d. Cutting into a fertilized egg for surgical purposes Rational Answer: A The term "salp" means tube, the term "ooph" refers to the ovary, and the suffix "ectomy" means to surgically remove. Some CPT books (like the professional edition put out by the AMA) contains pages with common medical terms like these in the beginning of the book (prior to the coding guidelines) Example 2: Musculoskeletal OPERATIVE NOTE PREOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6. POSTOPERATIVE DIAGNOSIS: myelopathy secondary to very large disc herniations at C4-C5 and C5-C6. PROCEDURE PERFORMED: 1. Anterior discectomy, C5-C6 2. Arthrodesis, C5-C6 3. Partial corpectomy, C5 4. Machine bone allograft, C5-C6 5. Placement of anterior plate with a Zephyr C6 ANESTHESIA: General ESTIMATED BLOOD LOSS: 60 mL COMPLICATIONS: None INDICATIONS: This is a patient who presents with progressive weakness in the left upper extremity as well as imbalance. He has a very large disc herniation that came behind the body at C5 as well and as well as a large disc herniation at C5-C6. Risks and benefits of the surgery including bleeding, infection, neurologic deficit, nonunion, progressive spondylosis, and lack of improvement were all discussed. He understood and wished to proceed. DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in the supine position. Preoperative antibiotics were given. The patient was placed in the supine position with all pressure points noted and well padded. The patient was prepped and draped in standard fashion. An incision was made approximately above the level of the cricoid. Blunt dissection was used to expose the anterior portion of the spine with carotid moved laterally and trachea and esophagus moved medially. I then placed needle into the disc spaces and was found to be at C5-C6. Distracting pins were placed in the body of C6. The disc was then completely removed at C5-C6. There was very significant compression of the cord. This was carefully removed to avoid any type of pressure on the cord. This was very severe and multiple free fragments noted. This was taken down to the level of ligamentum. Both foramen were then also opened. Part of the body of C5 was taken down to assure that all fragments were removed and that there was no additional constriction. The nerve root was then widely decompressed. Machine bone allograft was placed into C5-C6 and then a Zephyr plate was placed in the body C6 with a metal pin placed into the body at C5. Excellent purchase was obtained. Fluoroscopy showed good placement and meticulous hemostasis was obtained. Fascia was closed with 3-0 Vicryl, subcuticular 3-0 Dermabond for skin. The patient tolerated the procedure well and went to recovery in good condition. a. 22554, 63081, 63082, 20931, 22845 b. 22551, 63081, 20931, 22840 c. 22551, 63081, 63082, 20931, 22845 d. 22554, 63081, 20931, 22840 Rational: Answer: A Per. Paul Cadorette and the American Medical Association article titles, "Coding Guidance for Anterior Cervical Arthrodesis", "When a spinal fusion (arthrodesis) is performed, the first thing a coder needs to recognize is the approach or technique that was utilized. With an anterior (front body approach)to cervical fusion the incision will be made in the patient's neck, so the key terms to look for are platysma, esophagus, carotid, and sternocleidomastoid. These structures will be divided and/or protected during dissection down the vertebral body. After dissection, the procedure can proceed on one of three ways: 1) When the interspace is prepared (minimal discectomy, perforation of endplates) then 22554 would be reported. 2) When a discectomy is performed to decompress the spinal cord and/or nerve root(s) report 22554 for the arthrodesis along with 63075 for the discectomy procedure. 3) When a partial corpectomy (vertebral body resection) is performed at C5 and C6 report CPT code 22554 for the arthrodesis with 63081 and 63082. Two codes are reported because the corpectomy procedure is performed on two vertebral segments (C5 and C6). CPT codes 63081-63091 include a discectomy above and/or below the vertebral segment, so code 63075 (discectomy) would not be reported if performed at the C5-C6 interspace. Once the decompression procedure has been completed, a PEEK cage can be placed within the interspace or a structural bone graft can be fashioned to fit the vertebral defect created by the previous corpectomy. Insertion of the PEEK cage would be reported with a biomechanical device code 22851. This code is only reported one time per level even if two cages are placed at C5-C6. When a structural bone graft is used, determine whether it is an allograft (20931)) or an autograft (20938). The bone graft codes are only reported one time per procedure and not once for each level. Finally, the physician will place an anterior plate with screws (22845) across the C5-C6 interspace to stabilize the area fusion". Some guidance on coding such procedures can also be located in the Spine (vertebral column) coding guidelines (above code 22010). Example 3: ICD-9-CM Jim was at a bonfire when he tripped and fell into the flames. Jim sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third degree burns of his face, second degree burn on his shoulders and forearms, and third degree burns on the fronts of his thighs. a. 941.20, 841.30, 943.25, 943.21, 945.36, 948.42, E897 b. 941.30, 943.29, 945.36, 948.42, E897 c. 941.09, 943.09, 945.09, 948.64, E897 d. 941.30, 943.29, 945.36, 948.64, E897 Rational Answer: B Burn codes always have no less than three codes: A burn code, a total body surface area code (948.XX), and an E code. You can have more than three codes but never less. Burn codes have the following rules (which can be found at the beginning of the ICD-9 book under general guidelines), always code one location to the highest degree (Ex. 1st and 2nd degree burns on the arm, only code 2nd degree). When sequencing burn codes always list the highest degree first (Ex. 1st degree burns to the face and 3rd degree burns to the arm. List the arm burn first and then the face burn). Answer B is the answer because its codes describe the highest degree burn to each anatomical location, it sequences the burn codes in order of highest to lowest degree burns, the 948 (TBSA code) has the correct calculation, and the E code correctly describes the bonfire incident. Example 4: Anesthesia When does anesthesia time begin? a. After the induction of anesthesia is complete b. During the pre-operative exam prior to entering the OR c. When the anesthesiologist begins preparing the patient for the induction of anesthesia d. Once the supervising physician signs over the patient's care to the anesthesiologist Rational Answer: C The answer to this question can be located in the anesthesia coding guidelines under the title "Time Reporting" **We'd like to thank MTSamples.com for providing some of the dictation for our operative report questions as well as the ASC Review for their coding guidance article by the American Medical Association.** "I learned a ton just from reading the rationale while grading my own exam. This is a must have prep. tool for aspiring coders!" "I just found out I passed the CPC exam and earned my CPC-A!!!!! Thanks for this practice exam, it was I hudge help in preparing and was very affordable!" The CPC Medical Coding Practice Exam is delivered as an electronic download (in the PDF format), which means it's instantly accessible after purchase. Even if it's 11 pm and you are taking your exam tomorrow morning! It's priced at only $37. This price includes: 150 Question CPC Practice Exam Answer Key, With Full Rationale Scan Tron Bubble Sheets The Exam Study Guide, including: Common Anatomy Terminology Handouts Common Medical Terminology Prefix, Root Word, and Suffix Handouts The Official AAPC Proctor-to-Examinee Instructions (read out loud on the day of the exam)