AAPC-CPC Test Guide Online | Dumps AAPC-CPC Reviews
AAPC-CPC Test Guide Online | Dumps AAPC-CPC Reviews
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q58-Q63):
NEW QUESTION # 58
What is NOT a function of the kidneys?
- A. Filter blood
- B. Regulate blood pressure
- C. Remove waste
- D. Propel urine
Answer: D
Explanation:
The role ofthe kidneys is to filter blood before it is transported back to the heart, remove waste materials from food and medication, and regulate blood pressure by excreting excess sodium.
The ureters propel urine from the kidneys into the bladder.
NEW QUESTION # 59
A mammogram is done on a patient who has a lump on her right breast at 4 0'clock and a lump in her left breast at 6 0'clock. What CPT and ICD-IO-CM code(s) should be reported?
- A. 77067, D49.3
- B. 77067, D48.61, D48.62
- C. 77066, N63.14, N63.25
- D. 77065-50, N63.13, N63.20
Answer: C
Explanation:
CPT code 77067 is a screening mammogram. In this case, the mammogram would be diagnostic because the purpose is to rule out and/or make a diagnosis based on physical exam findings. Code 77065-50 is an inappropriate use of the modifier because there exists a bilateral procedure code. A breast lump should only be coded to "mass" and not as a neoplasm unless specifically stated in the diagnosis. When deciphering the location of the mass, 12 0'clock is at the top of each breast, and the point of movement is clockwise. Therefore, 4 0'clock in the right breast is equivalent to the lower-inner quadrant, and 6 0'clock in the left breast is in the middle ofthe t".vo lower quadrants.
NEW QUESTION # 60
A radiation oncologist reviews the port films, dose delivery, and treatment parameters of a 52-year-old female patient who has received external beam therapy three times in the current week He also spends 15 minutes examining the patient and collecting an intake of her response to the treatment program. Which CPT code(s) should the physician report?
- A. 99213-25, 77401x3units
- B. 0
- C. 77435, 99213-25
- D. 1
Answer: D
Explanation:
Treatment management of a patient undergoing radiation therapy is reimbursed by reporting CPT codes 77427-77470. Treatment management includes a review ofthe port films, dosimetry, dose delivery, treatment parameters, a physical examination, and related counseling. It would therefore not be appropriate to bill for a separate evaluation and management. CPT 77435 describes treatment management for a course of stereotactic body radiation therapy (SBRT), which the patient is not receiving. CPT 77401 describes the actual radiation and not the evaluation from the physician. CPT 77431 is reported when the entire course of therapy consists of one or nvo treatment sessions: however, a coder can infer from the documentation that the patient in this scenario has or will receive multiple sessions over the course of one or more weeks. Additionally, CPT guidelines advise that only three treatment sessions must occur to support the face-to-face encounter described in CPT 77427.
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. 32550, 193.9
- B. 32550-62, 99156, 193.83
- C. 32551, 193.83
- D. 32551, 99156-59, 193.9
Answer: C
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
A physician provides a GIPO 39-weeks twin gestational patient with antepartum care, delivery, and postpartum care. Baby A was delivered vaginally without complications, and Baby B was delivered by Cesarean due to fetal tachycardi a. Assign the correct ICD-IO-CM and CPT codes.
- A. 59510, 076, Z3A39, Z37.o and 59409-51, Z3A39, Z37.o
- B. 59410, Z37.2 and 59510-51, 076, Z37.2
- C. 59409, Z3A.39, Z37.o and 59510-51, 076, Z3A39, Z37.o
- D. 59400, Z37.o and 59510-51, 036.8332, Z37.o
Answer: A
Explanation:
The Cesarean delivery (59510) would be sequenced first because this code has the highest RVU and would include the antepartum and postpartum care. The vaginal delivery by itself (59409), without antepartum and postpartum care, would be reported secondary because the charges for the antepartum and postpartum care of the mother have already been included in the Cesarean delivery code.
NEW QUESTION # 63
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