AAPC Updated CPC Exam Questions and Answers by lisa

Asphenoidotomyperformed vianasal/sinus endoscopyis specifically reported withCPT 31287(endoscopic sinus surgery, sphenoidotomy). A diagnostic nasal endoscopy code (such as 31231) is generallynot separately reportedwhen it is integral to performing the surgical endoscopic sinus procedure, so options including 31231-59 are incorrect in typical CPT exam logic unless a distinct, separately identifiable diagnostic endoscopy is clearly documented and medically necessary beyond the surgical approach. The diagnosis describes afracture of the skull baseinvolving the sphenoid sinus without CSF leak; among the offered diagnosis codes,S02.19XAcorrectly represents a skull base fracture category consistent with the scenario’s specificity as presented in the answer choices. Code31291represents a different sinus procedure (not sphenoidotomy). CPC key point: choose the code matching thespecific sinus and surgical action(sphenoidotomy → 31287) and avoid unbundling the diagnostic endoscopy that is part of the operative endoscopic approach.

Procedure: Albumin Cobalt Binding (ACB) test to determine ischemic nature of chest pain.

CPT® Code:

83857: This code is used for the Albumin Cobalt Binding test.

Code Selection Justification: The ACB test specifically measures ischemia-modified albumin, making 83857 the appropriate code for this laboratory test.

AMA CPT® Professional Edition (current year)

ICD-10-CM (current year)

HCPCS Level II (current year)

55970 = Female-to-male sex transformation

55980 is for male-to-female transformation

Unlisted codes (58999, 55899) are not used when a specific CPT® code exists

To accurately code a pressure ulcer in ICD-10-CM, the code must reflect the ulcer ' s location and stage. The codes for pressure ulcers specify both the anatomical site and the stage (extent of tissue damage).

L89.613 represents a pressure ulcer on the right heel at stage 3. The stage is critical as it indicates the severity of the ulcer, with stage 3 involving full-thickness skin loss and possibly visible subcutaneous tissue.

A. L89.609 refers to a pressure ulcer on the heel but without specific staging.

C. L89.619 is for a pressure ulcer on the right heel at stage 4, which indicates a more severe level of tissue damage than stage 3.

D. L89.603 represents a stage 3 pressure ulcer but on the left heel, not the right.

Therefore, the correct answer is B. L89.613 for a stage 3 pressure ulcer on the right heel.