Medical Tests AAPC-CPC Free Demo
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q11-Q16):
NEW QUESTION # 11
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: C
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 # 12
What must the documentation for a consultation include?
Answer: A
Explanation:
Per CPT guidelines, the Office of Inspector General, and Medicare, a consultation must include who requested the consultation, the consulting provider's professional opinion, and a written report of the findings, which is provided to the referring physician. Time can be used to select the level of E/M; however, it is not required if all three components of the documentation are met (history, exam, and medical decision-making). Additionally, once the provider assumes care, a subsequent code appropriate for that place of service would be reported (e.g., 99211-99215) and not a consultation code.
NEW QUESTION # 13
An 88-year-old patient with Medicare comes in for her yearly flu shot. After receiving a 0.5 mL single shot dose of preservative-free Alfuria intramuscularly, the provider observes the patient for 15 minutes to monitor any adverse reactions. How should the provider code for this encounter?
Answer: D
Explanation:
The patient has Medicare insurance and therefore requires the use of an HCPC code (G0008) in place of a CPT intramuscular injection code. The use of an E/M code in answer B is not warranted because the provider only administered services related to the vaccination. The appropriate diagnosis code for any vaccination would be Z23.
NEW QUESTION # 14
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?
Answer: D
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 # 15
A 55-year-old patient is admitted into the hospital for dialysis to treat ESRD. On day 13, the admitting physician spends 25 minutes discussing new management options for the patient's hypertension before sending a nurse to initiate the hemodialysis procedure. What CPT and ICD-IO-CM codes should be reported?
Answer: D
Explanation:
CPT codes 90935-90937 require the presence of a physician. If a physician visits the patient prior to or after the dialysis treatment but does not document their presence during the hemodialysis services, bill only the appropriate evaluation and management code (CPT 99232).
Additionally, unless otherwise stated, diagnosis selection should reflect the causal relationship that exists bet'.veen hypertension and ESRD (112.-, N18.-)-they should not be reported as unrelated.
ICD-IO-CM Z99.2 is appended to indicate hemodialysis status.
NEW QUESTION # 16
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