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Study Materials AAPC-CPC Review | Pass AAPC-CPC Guaranteed

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q116-Q121):

NEW QUESTION # 116
An established patient presents complaining of clumpy, white discharge for 3 days. A vaginal exam reveals an old tampon, which is removed. Diflucan is sent to the pharmacy, instructions given, and the patient is told to follow up in I week. How would the provider code the visit?

A. 99213, T19.2XXA, N89.8
B. 57415, T19.2XXA, N89.8
C. 99213,N89.8, T19.2LXA
D. 57415, 99212-25, T19.2kVA

Answer: A

Explanation:
Although a foreign body was removed, 57415 in answers A and B cannot be reported because anesthesia was not used. The documentation supports low-level medical decision making, so the appropriate E/M would be 99213. VVhen comparing answers C and D, bear in mind that ICD-IO-CM requires sequencing "the underlying condition first, followed by the manifestation."

NEW QUESTION # 117
Code the following note:
A male patient with a medical history of chronic obstructive pulmonary disease (COPD) presented to the emergency room 3 days ago with tachycardia and shortness of breath. He was intubated and admitted with acute respiratory failure (ARE) due to an acute exacerbation of COPD. Upon follow-up with the patient today, dark sputum was noted in the intubation tube, and testing confirmed aspiration pneumoni a. I will start him on 875 mg of amoxicillin every 12 hours and follow up tomorrow.

A. 99231, 169.0, 196.00, 144.1
B. 99232, 196.00, 144.1, 169.0
C. 99233, 169.0
D. 99232, 144.1, 196.00, 169.0, ROO.O

Answer: B

Explanation:
This documentation supports a decision-making of moderate complexity (number and complexity of problems addressed: high; amount and/or complexity of data to be reviewed and analyzed: minimal: diagnostic procedures and management examples: moderate), making CPT
99232 the most accurate description of services rendered. Regarding selection and sequencing of the diagnoses, always select the reason for the admission as the primary diagnosis code. In this case, the patient was admitted for ARF 096.00). The secondary code would be the underlying COPD
044.1), and conditions arising after admission would be tertiary and so forth. Tachycardia would not be reported because it is a symptom of ARF and symptoms are not reportable when the underlying disease has been confirmed.

NEW QUESTION # 118
What is the main role of the tonsils?

A. Remove bacteria that enter the body through the nose and/or mouth
B. Filter lymph and form lymphocytes
C. Trigger the formation of antibodies
D. Secrete antibodies to destroy ingested microbes

Answer: A

Explanation:
The primary role of the tonsils is to remove bacteria that enter though the oral and nasal cavity. Antigens are molecules located on the surface of pathogens and trigger the formation of antibodies. Lymph nodes filter lymph and form lymphocytes. B cells secrete antibodies that assist in destroying bacterium causing disease.

NEW QUESTION # 119
Code the following surgical note:
Patient is seen for an epidural injection into the following three levels: L3-L4, L4-L5 and L5-S1.
A 22 -gauge spinal needle is inserted into the zygapophyseal joint using fluoroscopic guidance. After confirming the needles placement at L3-L4 on the left side, 0.5 cc of a local anesthetic is injected into the joint. The whole process is repeated on the left side at the other two levels. The procedure was completed without any complications.

A. 64493-LT, 64494-LT, 64495-LT
B. 0
C. 0216T-LT, 0217T-LT, 0218T-LT
D. 64493-LT, 64494-59-LT, 64495-59u

Answer: A

Explanation:
64493 is used for the initial injection of an anesthetic, followed by 64494 and 64495 as add-on codes for the other Two levels. Because there are two sides of a facet joint, modifier LT would be amended to show the carrier that the procedure occurred on the left side of the spine.
In answer B, CPT codes 0216T-0218T exclude fluoroscopic guidance and refer the biller to codes
64490-64495. In general, modifier 59 would not be used on add-on codes, so answer C can be eliminated. Answer D describes an injection in the interlaminar epidural or subarachnoid space and is not the correct procedure code for this circumstance.

NEW QUESTION # 120
Assign the appropriate CPT codes for the following surgical note: A 15-year-old patient is being treated for obstructive sleep apnea and adenoid tissue hypertrophy. After being placed under general anesthesia, a dental mirror is placed in the oropharynx to allow visualization of the nasopharynx. Suction electrocautery is used to remove the adenoid tissue that regrew after the initial adenoidectomy. Attention is then turned to the tonsils. The plane of tissue between the tonsillar capsule and the underlying muscles are cauterized, and the tonsils are removed. Bleeding is controlled by silver nitrate and gauze packing. Procedure is completed without complications, and patient is discharged to recovery.

A. 42826, 42831-59, 135.2, G47.33
B. 42826, 42836-51, 135.2, G47.33
C. 42821, G47.33, 135.2
D. 42999, 647.33, 135.2

Answer: C

Explanation:
An adenoidectomy and a tonsillectomy were performed in this surgical encounter (the root word -ectomy literally means the surgical removal of an anatomical structure). The adenoidectomy was done first and, if coded alone, would fall under one of Evo categories: primary (CPT 42830-
42831) or secondary (CPT 42835-42836). A primary adenoidectomy refers to the initial removal of the adenoid, whereas a secondary adenoidectomy occurs when adenoid tissue that was once removed has grown back. Because the documentation states that "the adenoid tissue ... regrew after the initial adenoidectomy," a coder can infer that this procedure is secondary. However, distinguishing betvveen the two procedures is not necessary when done in conjunction with a tonsillectomy because the procedures are bundled into two nonspecific CPT codes (42820 and
42821). Billing for an adenoidectomy and a tonsillectomy separately, as shown in answers A and C, is considered unbundling and is not allowed under the Correct Coding Initiative (CCI) edits.
Regarding the sequencing of the diagnoses, ICD-IO-CM guidelines state that when V,vo conditions meet the definition for principal diagnosis, either can be sequenced first In this scenario, J 35.2 or G47.33 could have been first listed because the procedures were to resolve both conditions in the same encounter.

NEW QUESTION # 121
......

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