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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q99-Q104):

NEW QUESTION # 99
In which scenario would the modifier 53 be appended?

A. An IUD removal is not completed because the patient reports severe pain when thespeculum is inserted.
B. The surgeon decides to terminate a routine colonoscopy when the patient becomeshypertensive before receiving anesthesia in the outpatient procedure room.
C. A patient receives an x-ray of one femur when the doctor ordered bilateral views.
D. A surgeon decides to stop a gallbladder removal procedure in the hospital operating roomafter the patient has extensive bleeding at the incision site.

Answer: D

Explanation:
Modifier 53 is used to indicate that a procedure was terminated by the provider after anesthesia was given due to extenuating circumstances that affected the health of the patient.
Although option B is similar, the procedure that was discontinued was done so prior to anesthesia in the outpatient setting, in which case modifier 73 would be appended.

NEW QUESTION # 100
Code the following note:
A 43 -year-old new female patient with a history of type I diabetes was referred to my office by Dr. White, her primary care physician. Patient complains of blurred vision that began 2 weeks ago, however, reports compliance to a strict, healthy diet and to prescribed 10 mg of dexamethasone every day for 1 month. Given that the only change appears to be the dexamethasone, I suspect the blurred vision is an adverse reaction and will decrease the dosage to 5 mg per day. Patient will follow up with me in 1 week if symptoms persist.
Total time spent on todays encounter is 30 minutes.

A. 99204, HS3.8, ElO.9
B. 99203, H53.8, ElO.69
C. 99243, H53.8 ElO.39
D. 99244, H53.8, T38.OX5A, ElO.9

Answer: A

Explanation:
When choosing between an outpatient evaluation and management code or a consultation service code, bear in mind the following four elements: request, reason, report, and intent. Although the first three elements are documented and support a consultation service, the endocrinologist is assuming immediate care of the patienYs condition. In this case, the visit is not a consultation but a new transfer of care, which is encompassed by CPT codes 99202-99205. For this visit, coding based on medical decision-making as opposed to the total time spent on the encounter that day would be more advantageous. This is because coding based on time would lead a coder to report CPT code
99203 or a low level of medical decision making, whereas the medical decision-making is actually moderate, represented by CPT code 99204.
The documentation reflects that the blurry vision is most likely due to the dexamethasone:
therefore, a causal relationship is not assumed betvveen the two conditions and should not be coded as such. Because an adverse reaction is suspected and not confirmed, it should not be coded. This general rule does not apply to inpatient encounters.

NEW QUESTION # 101
Which healthcare professional may NOT report medical nutrition therapy?

A. Dietician
B. Endocrinologist
C. Nutritionist
D. Registered nurse

Answer: B

Explanation:
Medical nutrition therapy describes nutritional assessments and interventions in a face-to- face or group patient setting and is reported with CPT codes 97802-97804. These codes are used by nonphysician healthcare professionals only. When a physician provides nutritional advice, a preventative service or evaluation and management code should be reported.

NEW QUESTION # 102
Which is NOT a type of injection through which contrast is administered?

A. Intramuscular
B. Intra-articular
C. Intravascular
D. Intrathecal

Answer: A

Explanation:
Per CPT guidelines, administration of contrast materials is given through the following routes: intravascular, intra-articular, and intrathecal. Alternate routes also include orally and/or rectally; however, the "contrast administration alone does not qualify as a study 'with contrast'"

NEW QUESTION # 103
Which procedure uses a thin tube to examine the abdominal organs through a small incision in the belly?

A. Laparoscopy
B. Endoscopy
C. Laparotomy
D. Gastroscopy

Answer: A

Explanation:
A gastroscopy is a procedure that uses an endoscope to examine the stomach and some parts of the intestinal tract An endoscopy uses a thin tube through a natural opening in the body to examine the digestive tract. A laparotomy is a large incision in the belly to gain access into the abdominal cavity.

NEW QUESTION # 104
......

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Latest updated AAPC-CPC Certification Materials Spend Your Little Time and Energy to Clear AAPC-CPC exam

2025 High Hit-Rate AAPC-CPC – 100% Free Certification Materials | New AAPC-CPC Exam Question

Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q99-Q104):

100% Pass 2025 Professional Medical Tests AAPC-CPC Certification Materials

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