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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q58-Q63):

NEW QUESTION # 58
If in the assessment, the provider reports diabetes and dermatitis due to oils, which diagnosis code(s) should be reported?

A. Ell.69, L24.1
B. None of the above-query the provider to clarify which type of diabetes the patient has
C. Ell.620
D. Ell.9, L24.1

Answer: D

Explanation:
When the documentation does not specify which type of diabetes is present, always default to type II. Although there is a causal relationship assumed between diabetes and dermatitis, the documentation reflects that the dermatitis is due to oils, not diabetes. Because the manifestation of dermatitis is not associated with the diabetes, the correct code would be Ell.9: diabetes type II without complications.

NEW QUESTION # 59
Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

A. 39402, 31623-51
B. 39010, 31622-51
C. 39402, 31622-51
D. 39010, 31623-51

Answer: B

Explanation:
The first procedure documented is a bronchoscopy, reported with CPT codes 31622-31654.
Because the procedure was specifically aimed at confirming a diagnosis based off a previously confirmed malignancy, the bronchoscopy would be considered diagnostic (CPT 31622). The second procedure performed is a mediastinotomy with removal of cancerous tissue. An incision made into the parasternal intercostal space is considered transthoracic, making the correct procedure code
39010. Sequencing is based off the highest RVU value, and modifier 51 is appended to the bronchoscopy procedure code to indicate that multiple procedures were performed in the same session.

NEW QUESTION # 60
A patient with preexisting hypertension presents to the office at 23-weeks' gestation for prenatal care. Her blood pressure is slightly elevated, and a transabdominal ultrasound shows the fetus is small for dates. The provider advises rest and to follow up as normal. How would the provider code the visit if the patient has an insurance that accepts the global obstetrical package?

A. 99213-25, 76816, 010.012, Z3A. 23
B. 0502F, 76815, 010.012, 036.5920, Z3A 23
C. 0502F, 76816, 010.012, Z3A. 23
D. 99213-25, 76815, 010.012, 036.5920, Z3A. 23

Answer: C

Explanation:
The global obstetrical package includes routine prenatal care visits and blood pressure checks, so a placeholder code (0500F-0503F) is used to report that a visit occurred instead of an E/M code. CPT 76816 is reported when biometric measurements are taken ofthe fetus, whereas CPT 76815 is limited to one element of the fetus, such as the position or heartbeat. Per ICD-IO-CM, codes beginning with 035- and 036- are reported only "when the fetal condition is actually responsible for modifying the management of the mother."

NEW QUESTION # 61
Which antibody test results indicate a current, acute infection?

A. IgG positive, IgM positive
B. IgG negative, IgM negative
C. IgG positive, IgM positive
D. IgM positive, IgG negative

Answer: D

Explanation:
Understanding immunology and antibody results are imperative to proper code selection and to be able to support any necessary repeat testing. Antibody isotypes IgM assist in attacking infectious pathogens and are indicative of an acute infection. Antibody isotypes IgG are formed as an infection subsides and help the body fight against future attacks from the same bacteria. When the results show IgG positive, it indicates immunity. When a patient has an infection, the results will show IgM positive, but as the IgG antibodies haven't fully formed yet to provide the body with immunity, that result will come back negative.

NEW QUESTION # 62
A 34-year-old established male patient presents for treatment to his lower back. He reports exacerbated symptoms due to lifting heavy materials at work. The osteopath performs a problem-focused history and exam followed by manipulative treatment to the lumbar and sacral region of the spine. What procedure(s) should the osteopath report?

A. 99212-25, 97140x2
B. 99212-25, 98925
C. 0
D. 1

Answer: B

Explanation:
Osteopathic manipulation services do not include evaluation and management services.
Although the patient's treatment has already been established, the osteopathic physician has enough supporting documentation to report a separate evaluation and management code.
Manipulation services rendered by an osteopathic physician are reported with CPT codes 98925-
98929. A chiropractor would report manipulative treatment to t'.vo body regions with CPT 98940, and a physical therapist would report CPT 97140.

NEW QUESTION # 63
......

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Clearer AAPC-CPC Explanation & Valid AAPC-CPC Practice Questions

Medical Tests Clearer AAPC-CPC Explanation: American Academy of Professional Coders: Certified Professional Coder - Pass4SureQuiz Assist you to Pass One Time

Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q58-Q63):

Medical Tests AAPC-CPC Exam Questions Come With Free 12 Months Updates