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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q55-Q60):

NEW QUESTION # 55
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 # 56
A 69-year-old patient with a medical history of diabetes is evaluated in the emergency room for a urinary tract infection. After performing a medically appropriate history and exam, the physician prescribes 100 mg of Macrobid every 12 hours and admits the patient to observation status to monitor for sepsis. After seeing an improvement in symptoms, the physician discharges the patient the following day. What CPT and ICD-IO-CM code(s) should be reported for the entirety of the patient's stay?

A. 99234, N39.O, 397.89
B. 99222, 99238, N39.O
C. 99284, 99238, Ell.69, N39.O
D. 99221, 99238, N39.O, Ell.9

Answer: D

Explanation:
When a patient is admitted into observation status from the emergency room, only the observation code is reported for that day. When observation extends past the initial date of service, the initial treatment would be reported with CPT codes 99221-99223. In this scenario, the appropriate level of service would be 99221, based on the moderate level of decision-making.
which can be ascertained by the number and complexity of problems addressed and the risk of complications and/or morbidity or mortality of patient management. Discharge from observation on a separate date is reported with CPT codes 99238-99239.
Because the diabetes is documented and is a coexisting chronic condition during the time of the encounter, it should follow the reason for admission. Due to a lack of specificity in the diabetes diagnosis, a causal relationship with a UTI is not presumed, and Ell.69 should not be coded.

NEW QUESTION # 57
A patient is scheduled for a total knee replacement. The assigned anesthesiologist performs a femoral nerve block using an ultrasound machine just prior to entering the operating room to aid in postoperative pain control. Once in the operating room, general anesthesia is administered to the patient. What CPT code(s) should the anesthesiologist report?

A. 01400, 01991-59
B. 01402
C. 01402,64447_59, 76942
D. 01400, 01991, 76942

Answer: C

Explanation:
CPT crosswalk for anesthesia administered during a total knee replacement is 01402.
Although CPT 01991 does describe a nerve block, it is considered monitored anesthesia care because the patient is awake. However, in this scenario, general anesthesia is being used for the primary procedure, and the femoral nerve block is administered for postoperative pain management. Therefore, the nerve block would be billed as CPT 64447 with modifier 59 to indicate that it is separately reportable from the primary procedure. If, on the other hand, the nerve block was being used as a component of the general anesthesia, CPT 64447 would be considered inclusive to the general anesthesia and not reported separately. Ultrasound guidance is not currently bundled with the administration of a nerve block and, when used, should be reported separately with CPT 76942.

NEW QUESTION # 58
A physician performs an esophagogastroduodenoscopy on a patient who has GERD. A single tissue sample is obtained from the upper gastrointestinal tract using biopsy forceps. A reflux test was also done and a bravo capsule temporarily attached to the esophageal wall to monitor pH levels. What procedures should the physician report?

A. 43235, 91035
B. 43239, 91035
C. 43235, 91034
D. 43239, 91034

Answer: B

Explanation:
To report an esophagogastroduodenoscopy, see CPT code range 43233-43259. In this scenario, the procedure is not considered diagnostic (43235) because the physician is stating the patient has GERD. Additionally, the tissue sample was obtained by means of biopsy forceps and not by brushing or washing. The secondary procedure is a reflux test and an esophageal pH test by means of a bravo capsule, which evaluates the level of acid refluxing into the esophagus. Although CPT 91035 doesn't specifically state a capsule in the description of the code, it would fall under a
"mucosal attached" placement. A nasal catheter was not used, so reporting CPT 91034 would be incorrect.

NEW QUESTION # 59
An established 4-year-old patient is seen by her pediatrician with complaints of pain in her left wrist after falling. The pediatrician determines the wrist is sprained and applies a splint that will keep the wrist from being able to move. The patient's mother is told to follow up if symptoms worsen. What code(s) should be reported for this encounter?

A. 29126, E1805
B. 99212-25, 29125, S8451
C. 29125, S8451
D. 99212-25, 29126, E1805

Answer: A

Explanation:
The "application of casts and strapping" guidelines located in the surgery section of the CPT book explain that a splint is reported when the physician providing the initial service does not perform, or expects to perform, any other treatment. In this case, because the visit was minimal and directed only at the sprain with no intended follow-up care, only the application of the splint would be reported. The application itself is considered static because the wrist is completely immobilized. HCPC crosswalk for a wrist splint, in addition to knowing the difference bet',veen static and dynamic, would immediately lend itself to the correct HCPC: S8451.

NEW QUESTION # 60
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Medical Tests AAPC-CPC Exam Dumps - Reliable Way to Pass Exam Instantly

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q55-Q60):

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