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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q106-Q111):
NEW QUESTION # 106
If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?
Answer: A
Explanation:
Anesthesia time begins when the provider begins to prepare the patient for anesthesia services. This usually will take place in the operating room or an equivalent area. Although answer B would not be incorrect as a chosen starting point, answer C is more accurate according to the anesthesia time definition. Preoperative evaluations of the patient, such as a history intake, cannot be counted as anesthesia time.
NEW QUESTION # 107
A patient receives a positron emission technology (PET) scan at rest, where a metabolic evaluation study, including ventricular wall motion was performed using PET imaging. A computed tomography (CT) was performed at the same time. What CPT code(s) should the radiologist report?
Answer: D
Explanation:
PET scans are reported using CPT codes 78429-78434. The documentation specifies that a metabolic study was performed versus a perfusion study, thus eliminating answers B and D. A CT scan is included in the description of CPT 78429, thus making it unable to be separately reportable.
NEW QUESTION # 108
A 72 -year-old patient is admitted due to atrial fibrillation. A comprehensive electrophysiology study is completed with fluoroscopic guidance, followed by a cardiac catheter ablation during the same procedure. The procedure took 22 minutes, and the patient was moderately sedated. Which CPT codes should the cardiologist report?
Answer: B
Explanation:
It is common practice to perform both an electrophysiology (EP) study and a cardiac ablation procedure in the same session. These procedures have been bundled in the CPC manual, and the coding of such is dependent on the type of arrhythmia being treated. The EP study and cardiac ablation are not to be reported separately. In this scenario, the patient has atrial fibrillation, which is reported with CPT 93656. When fluoroscopy is used for guidance rather than for diagnostic imaging, it is usually not reported separately from the primary procedure. Moderate sedation can be reported when used, and selection is based on time. CPT 99152 and 99153 are counted in 15-minute intervals. lvVhen the procedure does not fall on a 15-minute interval, it must at least meet the halfway point of the time stated to be reported.
NEW QUESTION # 109
Medical necessity has been established if a laboratory runs additional testing on a urine sample to determine the presence of a drug class that was not in question during confirmation testing.
Answer: B
Explanation:
The statement is false. To establish medical necessity, the provider/laboratory must indicate the drug class they are screening for prior to the test.
NEW QUESTION # 110
What would be considered a sequela to an injury?
Answer: A
Explanation:
Per ICD-IO-CM, a sequela describes "complications or conditions that arise as a direct result of a condition." In this case, the chronic pain would be a condition that resulted from a prior injury.
Removal of a foreign body is active treatment of a laceration. Removal of a fixation device and prescription drug management are both considered routine and subsequent care.
NEW QUESTION # 111
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