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AAPC-CPC Original Questions | Pass-Sure Medical Tests AAPC-CPC: American Academy of Professional Coders: Certified Professional Coder 100% Pass
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q109-Q114):
NEW QUESTION # 109
Code the following physician's note:
A 14-year-old established patient is seen with mother to evaluate five 2 cm superficial lacerations to the left wrist. Patient admits to suicidal thoughts.
Lacerations were treated with Steri-Strips. Patient and mother counseled on suicide prevention and told to follow up with psych.
- A. 12004, S61.512A, R45.851
- B. 99213, S61.512A, R45.8S1
- C. 12004, S61.512A, T14.91XA
- D. 99214, S61.512A, T14.91XA
Answer: B
Explanation:
When the injury is treated with Steri-Strips or bandages, it should be reported with an E/M code and not a procedure code. Within the medical decision making, the number and complexity of problems addressed is low, the amount of data reviewed or analyzed is straightforward, and the risk of complications and/or morbidity or mortality of patient management from the injuries is low.
Therefore, the E/M is a 99213 because the medical decision-making is low. A suicide attempt would not be coded because the documentation is not specific as to whether the lacerations were an attempt at suicide.
NEW QUESTION # 110
Which term describes a migraine that is unmanageable with treatment?
- A. Classical migraine
- B. A migraine with aura
- C. Status migrainosus
- D. Intractable migraine
Answer: D
Explanation:
An intractable migraine is one that is continuous and obstinate to conventional treatment. If a migraine is preceded by symptoms ofvision disturbances and/or transient muscle weakness, those symptoms are collectively known as aura. A migraine with aura is also called a classical migraine. Status migrainosus describes a severe, debilitating migraine that lasts longer than 72 hours and usually results in hospitalization.
NEW QUESTION # 111
An extracapsular cataract extraction procedure was performed on a patient with a clouded and discolored lens. The physician uses iris hooks in the right pupil to ensure safe and controlled access to the cataract and blue staining dye to visualize the capsulorhexis. Using suction, the existing lens capsule is removed, and an intraocular lens is inserted. What should the physician report?
- A. 66984-RT, H26.8
- B. 66982-RT, H27.8
- C. 66984-RT, H18.891
- D. 66982-RT, Q12.8
Answer: B
Explanation:
When deciding between a routine extracapsular cataract removal and a complex extracapsular cataract removal, bear in mind the code descriptor for a complex procedure involves
"devices or techniques not generally used in a routine cataract surgery (e.g., iris expansion device)." Because iris hooks were used, the procedure is complex (CPT 66982). When it comes to the diagnosis, do not get confused with the anatomy of the eye. Although the cornea works with the lens to help refract light, they are anatomically separate, thus eliminating answer B as an acceptable choice. A congenital condition is one that is genetic and/or present from birth. The documentation does not specifiy the origin, nor does it indicate when the lens abnormality began. Symptoms of a cataract include clouded and discolored lenses but should not be reported unless the physician clearly identifies this as the diagnosis. Coding crosswalk for diseases of the lens leads a coder to H27.8 (other specified disorders of lens).
NEW QUESTION # 112
A primary care physician is requesting a second opinion to determine which strain of Ebolavirus the patient has. The specimen is sent to a pathologist, who carefully examines it.
A written report is sent promptly back to the primary care physician, confirming Zaire Ebolavirus and recommending immediate isolation and emergency care. What code should be reported by the pathologist?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: A
Explanation:
A clinical pathology consultation was rendered at the request of the primary care physician.
The consultation is considered high based on the level of medical decision making. The CDC describes Ebola disease as a "rare and often deadly illness." Therefore, the number and complexity of problems addressed is high, as is the management ofthe disease due to the decision to escalate this case to hospital level care. E/M codes can be billed only when a patient themself is evaluated by the provider. In this case, the pathologist only evaluated a specimen.
NEW QUESTION # 113
It is appropriate to use a HCPCS Level II G code, as opposed to a CPT code, to report a screening service performed on an asymptomatic patient.
- A. False
- B. True
Answer: B
Explanation:
The statement is true. G codes apply to various healthcare screenings. If a patient is experiencing any symptoms that initiate the encounter, it then becomes diagnostic, and an appropriate CPT code would be selected instead.
NEW QUESTION # 114
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