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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q78-Q83):
NEW QUESTION # 78
An 8-year year old female is seen by her pediatrician for an allergic reaction to a bee sting. The pediatrician administers 0.3 mg of epinephrine intramuscularly. Which code(s) should be reported?
Answer: B
Explanation:
Epinephrine is listed in alphabetical order in the HCPC book under "Table of Common Drugs." The documentation reflects a dosage of 0.3 mg, so three units of 0.1 mg epinephrine 00171) should be reported. The injection of the medication is reported with CPT code 96372 and includes an inherent E/M component unless the provider goes beyond the normal assessment of the patient prior and/or after administration of a drug.
NEW QUESTION # 79
A male patient with cancerous cells in his right bronchus is given 150 mg of porfimer sodium via a single and slow intravenous injection and told to return to the office in 3 days.
Upon his return, the physician enters the right bronchus by means of a bronchoscope and activates LED for a total of 38 minutes to destroy the cancer cells. What should the physician report?
Answer: B
Explanation:
Photodynamic therapy applies a photosensitizing agent by either an external or endoscopic application. An external application is applied directly onto a patient's lesions, whereas an endoscopic application is an injection into the bloodstream, where it is absorbed by cells all over the body. Based on this differentiation, the documentation supports only an endoscopic application.
The code notes for CPT 96570 and 96571 indicate they are add-on codes to the bronchoscopy procedure, which is represented by CPT 31641. Any drug administration is inclusive to photodynamic therapy, making CPT 96409 not separately billable.
NEW QUESTION # 80
Which of the four chambers in the heart receives deoxygenated blood from the body through the vena cava?
Answer: B
Explanation:
After receiving deoxygenated blood from the body through the vena cava, the right atrium pumps blood into the right ventricle. The right ventricle sends the blood to the lungs to be oxygenated. The left atrium receives blood from the lungs through the pulmonary veins and pumps it into the left ventricle via the mitral valve. The left ventricle then distributes oxygenated blood to tissues throughout the body.
NEW QUESTION # 81
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 # 82
ICD-IO-CM codes R50.9, R05.9, R53.81, and 102.9 are all symptoms ofJ10.00.
Answer: B
Explanation:
The statement is true. In general, R codes are descriptive of a patient's signs and symptoms.
ICD-IO-CM crosswalk for an unspecified sore throat is 102.9 (acute pharyngitis) and is also considered a symptom of the influenza and pneumonia. Being that there is a definitive diagnosis of an influenza, these symptoms would not be reported to an insurance carrier with Jl 0.00.
NEW QUESTION # 83
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