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Practice AAPC-CPC Test Engine & AAPC-CPC Online Training Materials

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

NEW QUESTION # 58
Which term describes a procedure in which real-time moving images of an organ are displayed on a screen so that a physician can examine its function and/or structure?

A. Fluoroscopy
B. Magnetic resonance imaging
C. Computed tomography
D. Tomography

Answer: A

Explanation:
Magnetic resonance imaging (MRI) uses magnets, radio waves, and a computer to display detailed pictures of the inside of the body. Tomography uses waves of energy to create three- dimensional, computer-generated images of any internal structure. Computed tomography is cross- sectional images of the body obtained by a narrow beam of x-rays that quickly rotates around the body.

NEW QUESTION # 59
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. 99213, S61.512A, R45.8S1
B. 99214, S61.512A, T14.91XA
C. 12004, S61.512A, T14.91XA
D. 12004, S61.512A, R45.851

Answer: A

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 # 60
A patient develops an infection within the global period of a knee replacement. It is determined that the infection originated from the incision site and needs to be surgically removed. Which modifier should be appended to the secondary surgery?

A. 0
B. 1
C. 2
D. 3

Answer: B

Explanation:
Modifier 78 represents an additional, unplanned surgery during the global period for a complication arising for the initial procedure. In this case, the complication would be the infection.
Modifier 58 is generally used when a secondary procedure is planned prior to or during the time of the initial procedure. Modifier 79 is used to indicate two unrelated procedures. Modifier 25 is for use on E/M codes only.

NEW QUESTION # 61
A physician inserts a chest tube through the right chest wall and into the pleural cavity to release trapped air in a 19-year-old patient with recurring pneumothorax. A second physician assists in providing moderate sedation. In total, the procedure took 8 minutes. What ICD-IO-CM and CPT codes should the provider report?

A. 32551, 193.83
B. 32551, 99156-59, 193.9
C. 32550-62, 99156, 193.83
D. 32550, 193.9

Answer: A

Explanation:
The code description "tube thoracostomy" is not clearly stated in the documentation, but CPT crosswalk for a 'tube placement" followed by "chest" leads the coder to CPT 32551. CPT 32550 describes the insertion of a catheter that allows the patient to drain pleural fluid in an outpatient setting. Moderate sedation can be separately billed but only by the provider administering the medication. The 193 series is circumstantial (e.g., spontaneous, acute). Even though the term
"recurrent" is not used, it does describe the background of the patient's condition and so would fall into the other specified diagnosis rather than unspecified.

NEW QUESTION # 62
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 # 63
......

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