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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q118-Q123):
NEW QUESTION # 118
Code the following adverse effect:
Initial encounter of drug-induced tremors that was caused by Cyclosporin the patient takes for anemi a. The anemia is caused by a current diagnosis of colon cancer.
Answer: D
Explanation:
The correct sequencing of the code would be as follows: side effect of the drug. medication that caused the adverse effect and the underlying condition for why the drug is being taken. In this scenario, because the anemia is caused by a malignancy, ICD-IO-CM guidelines state that the malignancy should be the principal diagnosis "followed by the appropriate code for the anemia (such as D63.0, Anemia in neoplastic disease)."
NEW QUESTION # 119
A male patient is admitted with symptoms of a persistent cough and temperature of 101.2. A skin test reveals that the patient has tuberculosis. His medical history is positive for HIV. Assign the appropriate diagnosis codes for this patient.
Answer: B
Explanation:
Tuberculosis (TB) can usually spread from the lungs to another site via the bloodstream.
Because the documentation does not specify whether the TB is primary or secondary, the coder would default to A15.9, as TB unspecified. A cough and fever are symptoms of an underlying illness and would not be coded because a definitive diagnosis of TB is present. Because TB is an HIV- related illness, B20 would be the first listed code.
NEW QUESTION # 120
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?
Answer: C
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 # 121
Anesthesiologist A begins providing services at 7:02 but is relieved at 8:47 by Anesthesiologist Z. If the recorded end time for anesthesia services is 11:32, which statement is be true?
Answer: C
Explanation:
When splitting/providing relief in the middle of a procedure, the anesthesiologist who provides services for the longest amount of time bills for the anesthesia services in their entirety. In this scenario, Anesthesiologist Z provided 60 minutes more than Anesthesiologist A and so would bill for the entire 4.5 hours. Even though Anesthesiologist A provided 1.75 hours, they would not submit any coding to the insurance carrier.
NEW QUESTION # 122
Dr. Black orders a hepatitis panel for a patient who has recently returned from traveling abroad and is now experiencing lower abdominal pain. The laboratory completed a hepatitis A antibody test, hepatitis B core antibody test, and a hepatitis C antibody test. Select the CPT and the ICD-IO-CM codes that the laboratory will report.
Answer: A
Explanation:
The hepatitis B surface antigen test was not performed, so the actual panel code in answer A was not completed, leaving each test to be reported separately. It would not be appropriate to add modifier 52 to 80074 in answer B. Because the provider did not specify which side the lower abdominal pain was on, it would be reported as unspecified with RIO.30, eliminating answer C.
NEW QUESTION # 123
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