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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q107-Q112):

NEW QUESTION # 107
An established 27-year-old female patient is seen with complaints of fatigue and muscle aches that began 3 days ago. The physician draws two vials of blood, collects a urine sample, and performs a pregnancy test. The patient is instructed to drink 8 ounces of water daily, rest, and follow up in 3 days for her results. What CPT codes should be reported for this encounter?

A. 99212, 81025, 36416, 81007
B. 99213, 81025, 36410, 81005
C. 99212, 81025, 36410x2, 99000, 81020
D. 99213, 81025, 36415, 81002

Answer: D

Explanation:
The documentation demonstrates that the number and complexity of problems addressed is low (fatigue and muscle aches are self-limited problems), the amount or complexity of data to be reviewed and analyzed is moderate (three unique tests), and the risk of complications, morbidity, or mortality of patient management is minimal (the patient was advised to drink more water). (To determine the final level of medical decision making, choose the lowest of the highest two elements. In this scenario, the final level of medical decision making is low, and the CPT code is
99213. Vihen reporting a routine venipuncture, use CPT code 36415. CPT code 36410(a) is reported when it is medically necessary for the physician to draw a patient's blood, and 36416 describes capillary blood collected through a skin prick-certainly not enough to fill two vials. CPT code 99000 can be used to report a specimen being transported to an outside laboratory, but that is unknown in this scenario. A generic urinalysis is reported with CPT code 81002 unless specifically stated that an automated analyzer (81005), a commercial kit (81007), and/or an agar test (81020) was utilized.

NEW QUESTION # 108
Diagnostic endoscopy is always inclusive to a surgical endoscopy.

A. True
B. False

Answer: A

Explanation:
The statement is true. When multiple endoscopic procedures are performed in the same session, only the most extensive service should be reported. In this case, it would be the surgical endoscopy because it has a higher revenue value.

NEW QUESTION # 109
What is the main role of the tonsils?

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

Answer: D

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 # 110
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?

A. 10171 (3 units)
B. 96372, 10171 (3 units)
C. 99213-25, 96372, (3 units)
D. 99212, J0171

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 # 111
What would NOT be included in a global obstetrical package?

A. Sutures are removed from a first-degree perineal laceration during the delivery.
B. A patient with anemia comes in to check hemoglobin levels.
C. Contraception following delivery is discussed at length.
D. A patient complains of flu-like symptoms and is prescribed an antibiotic.

Answer: D

Explanation:
The treatment of flu-like symptoms is considered a non-obstetric service, and a separate E/M can be billed for reimbursement. All other answer choices would be included in the global obstetrical package as routine care.

NEW QUESTION # 112
......

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