Preparing for the CPC (Certified Professional Coder) exam? Procedures is one of the areas our deck drills hardest: 430 of its 1041 flashcards focus on procedures, covering topics like VP. Try the sample questions below — every card is a real question-and-answer pair from the full deck.
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A patient is picked up at their private residence and transported via ambulance to the hospital emergency department. Which HCPCS Level II modifier combination correctly identifies the origin and destination for this trip?
Show answer →The correct modifier is RH. In HCPCS Level II ambulance coding, the first character represents the origin and the second character represents the destination. \n\nKey Origin/Destination Symbols:\nR = Residence\nH = Hospital\nS = Scene of Accident or Acute Event\nD = Diagnostic or Therapeutic Site (non-hospital)\nE = Residential, Domiciliary, or Custodial Facility\nP = Physician's Office\nN = Skilled Nursing Facility (SNF)\n\nExam Tip: AAPC frequently tests these modifiers. Remember Origin First, Destination Second. If the patient was returning from the hospital to their home, the modifier would be HR.
A 55-year-old undergoes a Smith-Petersen osteotomy (posterior technique) of three lumbar segments to correct kyphosis. How should this be coded?
Show answer →22214 for the first segment and 22216 x 2 for the additional two segments. CPT 22214 describes Osteotomy of spine, posterior or posterolateral approach, 1 interspace; lumbar. 22216 is the add-on code for each additional interspace. Osteotomies involve the removal of bone to realign the spine and are much more extensive than a laminectomy. AAPC Tip: Ensure the osteotomy is not bundled into a more comprehensive deformity correction code (22800-22819) if applicable.
Surgeon performs CABG using a LIMA to the LAD and two saphenous vein grafts to the diagonal and circumflex. How should this be reported?
Show answer →Report 33533 (Arterial graft, single) and 33518 (Venous graft, two coronary venous grafts). Key Rule: When both arterial and venous grafts are used, you must report the arterial graft as the primary code (33533-33536) and the venous graft as an add-on code (33517-33523). Never use 33510-33516 with 33533-33536.
A patient undergoes a diagnostic anoscopy. During the procedure, the physician identifies a suspicious lesion and performs a biopsy. How is this coded?
Show answer →The correct code is 46606 (Anoscopy; with biopsy, single or multiple). Rationale: When a diagnostic anoscopy (46600) results in a biopsy, the diagnostic procedure is bundled into the surgical/biopsy procedure. Exam Strategy: In CPT, the surgical version of an endoscopy (including anoscopy) always includes the diagnostic version. Do not report 46600 with 46606.
A surgeon replaces a previously placed ventriculoperitoneal (VP) shunt because the valve has malfunctioned. Which CPT code is most appropriate?
Show answer →Use code 62230 for the replacement or revision of a cerebrospinal fluid (CSF) shunt. Code 62223 is for the initial placement of a VP shunt. Exam Strategy: Distinguish between initial and replacement/revision. If only the valve is replaced, 62230 still applies as it covers the shunt system components.
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The full CPC deck contains 1041 flashcards, and 430 of them focus on procedures. This page shows 5 free samples.
Our CPC deck dedicates 430 of 1041 cards (41%) to procedures — always cross-check the official AAPC exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the CPC preview page has 30 more free cards. Full access to all 1041 cards is a one-time $7.