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CPC復習内容 & CPC的中関連問題
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AAPC CPC 認定試験の出題範囲:
トピック
出題範囲
トピック 1
- 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.
トピック 2
- Pre-contract Phase: This section measures the skills of Construction Project Managers in understanding project delivery, contract, and payment models, including identifying client types, contract types, payment models, and necessary documentation. It also measures the skills of Construction Estimators in understanding the project scope, schedule, and necessary resources.
トピック 3
- 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.
トピック 4
- 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.
トピック 5
- 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.
CPC的中関連問題、CPC資格模擬
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AAPC Certified Professional Coder (CPC) Exam 認定 CPC 試験問題 (Q160-Q165):
質問 # 160
A couple presents to the freestanding fertility clinic to start in vitro fertilization. Under radiologic guidance, an aspiration needle is inserted (by aid of a superimposed guiding-line) puncturing the ovary and preovulatory follicle and withdrawing fluid from the follicle containing the egg.
What is the correct CPT code for this procedure?
- A. 0
- B. 1
- C. 2
- D. 3
正解:C
質問 # 161
Patient has a 5 cm tumor in the left lower quadrant abdominal wall. A horizontal skin incision is made directly over the tumor in the patient's left lower quadrant and dissection was carried down through the dermis and subcutaneous tissue. The tumor is located and completely excised using electrocautery. The specimen is sent immediately to pathology to rule out cancer. What CPTand ICD-10-CM codes are reported?
- A. 22901, C76.2
- B. 22901, D49.2
- C. 22903, R19.04
- D. 22903, D49.2
正解:D
解説:
1. Procedure and CPTCode Selection:
The scenario describes the excision of a 5 cm tumor located in the left lower quadrant of the abdominal wall.
The tumor was excised down to the dermis and subcutaneous layers and removed using electrocautery.
Code 22903 is appropriate for the excision of a soft tissue tumor in the abdominal wall greater than 5 cm, making it the correct CPTcode.
Code 22901 applies to the excision of a soft tissue tumor in the abdominal wall but only for tumors 5 cm or less. Given that the tumor in this case is exactly 5 cm, it meets the threshold for 22903, which is more appropriate here.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code D49.2 is used for a neoplasm of unspecified behavior in the abdominal area, reflecting the fact that the pathology report is pending to determine if the tumor is malignant.
Code C76.2 would be incorrect because it is for malignant neoplasms of unspecified abdominal areas, which we cannot confirm based on the initial excision. Similarly, R19.04 (indicating a mass in the abdominal region) is a symptom code and is not appropriate for a definitive diagnosis when a neoplasm code (D49.2) exists.
3. AAPC and CPTCoding Guidelines:
Per AAPC coding guidelines, the size of the tumor is critical in selecting the correct excision code for abdominal wall neoplasms. Additionally, if the tumor's pathology is not confirmed as malignant, it is coded as a neoplasm of unspecified behavior until further details are known.
Therefore, based on CPTand ICD-10-CM coding guidelines, the verified answer is B. 22903, D49.2.
質問 # 162
A patient is diagnosed with a pressure ulcer on her right heel that is currently being treated.
What ICD-10-CM code is reported?
- A. L89.619
- B. L89.603
- C. L89.613
- D. L89.609
正解:C
解説:
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.
質問 # 163
The outermost protective layer of skin is called the:
- A. Epidermis
- B. Hypodermis
- C. Dermis
- D. Subcutaneous tissue
正解:A
解説:
The outermost protective layer of the skin is called the epidermis. It serves as a barrier to protect the body against environmental elements, pathogens, and helps to retain moisture. The epidermis itself is composed of several sub-layers, with the stratum corneum being the outermost layer.References: ICD-10-CM (current year), Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99).
質問 # 164
A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine.
Which codes are used for reporting the testing and confirmation?
- A. 80305, 80353
- B. 80306 x 2, 80353
- C. 80306, 80375
- D. 80305 x 2, 80353
正解:A
解説:
For drug testing for cocaine and methamphetamines with a single analysis using direct optical observation and a subsequent confirmation for cocaine, the appropriate codes are:
* 80305 for the initial drug test (presumptive).
* 80353 for the confirmation test of cocaine.
References:
* AMA's CPT Professional Edition (current year)
質問 # 165
......
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