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AAPC CPC Exam Syllabus Topics:

Topic
Details

Topic 1

• Design Phase: This section measures the skills of Construction Project Managers in ensuring design quality by examining quality objectives, coordinating functional and non-functional requirements, applying lessons learned, engaging stakeholders, applying QMS in design feedback, participating in constructability reviews, and implementing quality controls in design. It also evaluates the skills of Construction Designers in demonstrating quality during the monitoring of the design and in the documentation process.

Topic 2

• Procurement: This section measures the skills of Construction Quality Engineers in establishing quality requirements for procurement, aligning trade partner requirements, and managing resources for inspections. It also focuses on the skills of Construction Procurement Managers in incorporating material control, resource identification, and mobilization strategies into the resource management process to ensure quality procurement.

Topic 3

• Closeout Phase: This section measures the skills of Construction Quality Engineers in managing project records, reporting on quality performance, conducting lessons learned sessions, and ensuring the completion of all quality-related activities. It also focuses on the skills of Construction Project Managers in finalizing the project and ensuring a successful handover.

Topic 4

• Construction Phase: This section measures the skills of Construction Quality Engineers in implementing quality controls, managing nonconformances, implementing changes, monitoring and measuring quality, managing documentation, and facilitating continuous improvement. It also evaluates the skills of Construction Site Managers in ensuring effective monitoring and management of the construction site, promoting safety, and maintaining quality standards throughout the construction process.

Topic 5

• Planning Phase: This section measures the skills of Construction Quality Engineers in strategic quality planning, encompassing project quality strategy development, integration of sustainable practices, alignment of the quality plan with other project plans, and adherence to industry standards and quality management systems. Also measures the skills of Construction Planners in understanding how to ensure the team is appropriately trained for quality, how to use third-party services and measurement systems, how to assess quality tools, and how to design a plan to audit quality effectively.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q67-Q72):

NEW QUESTION # 67
A patient who was training for a marathon collapsed due to heat exhaustion on a very hot day. The patient is driven by his wife to a non-facility urgent care center for him to be treated. On examination, the physician diagnoses heat exhaustion and dehydration. The physician began IV therapy of normal saline that consists of pre-packaged fluid and electrolytes. The hydration lasts for 1 and 30 minutes.
What CPTcoding is reported?

• A. 96365, 96366
• B. 96360, 96361
• C. 0
• D. 1

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The patient received IV hydration therapy with normal saline, which lasted for 1 hour and 30 minutes.
CPTCode 96360 is used for initial IV hydration for the first hour. This code applies to the first 31-60 minutes of hydration therapy.
CPTCode 96361 is used for each additional hour of IV hydration. Since the hydration lasted 1 hour and 30 minutes, 96361 should be reported once to cover the additional 30 minutes after the initial hour.
2. Rationale for Excluding Other Options:
Code 96365 is for initial IV infusion for therapeutic, prophylactic, or diagnostic purposes, rather than hydration, and is not applicable in this case.
Code 96366 is used for additional therapeutic, prophylactic, or diagnostic infusions and does not apply to hydration services.
Option A (96360) would only cover the initial hour of hydration, missing the additional 30 minutes, which is appropriately coded with 96361.
3. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 96360 should be used for the first hour of IV hydration, and
96361 should be used for each additional hour or portion of an hour beyond the initial 60 minutes.
Therefore, the correct answer is D. 96360, 96361.

NEW QUESTION # 68
Mr. Roland has difficulty breathing and congestion with a productive cough. The physician takes frontal and lateral view chest X-rays in the office (the equipment is owned by the physician group). The physician reads the X-rays and determines a diagnosis of walking pneumonia. The physician's interpretation is placed in the patient's chart.
How does the physician bill for the chest X-ray?

• A. 71046-26
• B. 71046-26-TC
• C. 0
• D. 71046-TC

Answer: C

Explanation:
For a physician who owns the equipment and interprets the chest X-rays (both frontal and lateral views), code
71046 is used. This code includes both the technical and professional components, as the equipment is owned by the physician group and the physician also provides the interpretation.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)

NEW QUESTION # 69
Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eight weeks that is not healing. On the dermatologist's exam of left shoulder blade, there is excoriation and scabbing and the lesion not healing. Patient agrees and wishes to proceed with a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent to pathology. A simple repair is performed at the biopsy site.
What CPT and ICD-10-CM codes are reported?

• A. 11102, L98.9
• B. 11104,12001-51, L98.9
• C. 11102, 12001-51, D49.2
• D. 11104, D49.2

Answer: C

Explanation:
CPT code 11102 is for punch biopsy of skin, including simple closure. CPT code 12001-51 is for simple repair of superficial wounds, with modifier 51 indicating multiple procedures. ICD-10-CM code D49.2 is used for a neoplasm of unspecified behavior of the bone, soft tissue, and skin. This coding accurately reflects the punch biopsy and simple repair performed on the lesion.References: AMA's CPT Professional Edition (current year), ICD-10-CM (current year)

NEW QUESTION # 70
According to the Repair (Closure) CPT guidelines, what type of repair is reported when a single layer closure includes copious irrigation and extensive cleaning to remove particulate matter?

• A. Intermediate repair
• B. Simple repair plus a code for irrigation
• C. Simple repair
• D. Complex repair

Answer: A

Explanation:
According to the CPT guidelines for Repair (Closure), an intermediate repair includes the closure of a wound with one or more layers of subcutaneous tissue and superficial fascia in addition to the skin (epidermal and dermal) closure. It also involves extensive cleaning of the wound, which includes copious irrigation and the removal of particulate matter. This description fits the scenario provided in the question.References:
AMA's CPT Professional Edition, Repair (Closure) guidelines.

NEW QUESTION # 71
A therapeutic colonoscopy is performed, where the scope goes beyond the splenic flexure, but not to the cecum. Using the Colonoscopy Decision Tree illustrated in the CPTcode book, what coding is reported?

• A. :45378-53
• B. 45331-45347
• C. 45379-45398 with modifier 52
• D. 0

Answer: A

Explanation:
When a therapeutic colonoscopy is attempted but does not reach the cecum, it is considered an incomplete procedure. According to the CPTColonoscopy Decision Tree, if the colonoscopy extends beyond the splenic flexure but does not reach the cecum, the appropriate way to code this incomplete colonoscopy is by appending modifier 53 to indicate a discontinued procedure due to extenuating circumstances or risk to the patient.
A: 45378-53 is the correct answer as it designates a diagnostic colonoscopy with modifier 53, signifying that the procedure was started but not completed.
B: 45330 is incorrect as it represents a sigmoidoscopy, which only goes up to the splenic flexure.
C: 45331-45347 refers to therapeutic colonoscopies that were completed to the cecum.
D: 45379-45398 with modifier 52 is incorrect because modifier 52 is used for reduced services, which does not accurately describe an incomplete colonoscopy.
Thus, the correct answer is A. 45378-53.

NEW QUESTION # 72
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