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Pass Guaranteed Quiz 2026 Medical Tests Perfect AAPC-CPC Sample Exam
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q41-Q46):NEW QUESTION # 41
During surgery to remove a malignant melanoma from the intestinal tract, one frozen section is sent for pathological consultation to confirm an adequate excision of the margins. A second specimen is also sent, which requires frozen sections on two tissue blocks. What CPT code(s) should the pathologist report?
- A. 88331, 88331, 88332
- B. 88331, 88332, 88332
- C. 88331, 88332
- D. 88329, 88331, 88332, 88332
Answer: A
Explanation:
CPT code 88331 is used to report only a single specimen. In this scenario, there are Evo separate specimens being sent to the pathologist. The first specimen, with one frozen section, is reported with CPT code 88331. The second specimen has tv.ro tissue blocks with frozen sections, thus represented by coding 88331 for the first tissue block, followed by 88332 for the additional tissue block CPT code 88329 is inclusive to 88331 and should not be reported separately.
NEW QUESTION # 42
What is the main role of the tonsils?
- A. Filter lymph and form lymphocytes
- B. Secrete antibodies to destroy ingested microbes
- C. Trigger the formation of antibodies
- 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 # 43
A patient is seen with complaints of recurring infections in the foreskin. The physician recommends circumcision to help improve penile hygiene. The patient agrees, a local anesthetic is injected into the penis, and the procedure is completed by clamping the foreskin and trimming the excess skin. How should the physician report the encounter?
- A. 54150-52, 64450, N48.89
- B. 54150, N48.29
- C. 54150-52, Z41.2, Z87.2
- D. 54150, 64450, Z41.2, Z87.2
Answer: B
Explanation:
A circumcision procedure includes a local anesthetic, also known as a ring block. Therefore, an additional anesthesia code (CPT 64450) should not be reported as a secondary code, nor should modifier 52 be appended on the primary procedure. The code notes for ICD-IO-CM code Z41.2 specifically state that this diagnosis should be used only when the procedure is elective and not related to a specific diagnosis. In this case, because the procedure is related to a recurring condition the patient is experiencing. the infection should be the primary diagnosis. The diagnosis crosswalk would be "infection" followed by "penis," which directs the coder to N48.29.
NEW QUESTION # 44
A female patient with type II diabetes, asthma, and hypertension is admitted with complaints of chest pain. Testing rules out heart attack and other underlying conditions as the cause. Which diagnosis codes should be listed on the discharge note?
- A. Z03.89
- B. R07.9, Ell.9, J45.909, 110
- C. R07.9
- D. Z03.89
Answer: B
Explanation:
The primary diagnosis on an inpatient record would be the primary reason the patient was admitted. In this case, because a definitive diagnosis could not be confirmed, the symptom of chest pain would be selected instead. The previously confirmed chronic conditions would also be coded because they affect the management of inpatient care. Diabetes would be coded to an unspecified code because the term "with" implies a causal relationship between the conditions that is not implicitly documented. Per ICD-IO-CM guidelines, a rule-out code is not assigned when "any signs or symptoms related to the suspected condition are present."
NEW QUESTION # 45
An extracapsular cataract extraction procedure was performed on a patient with a clouded and discolored lens. The physician uses iris hooks in the right pupil to ensure safe and controlled access to the cataract and blue staining dye to visualize the capsulorhexis. Using suction, the existing lens capsule is removed, and an intraocular lens is inserted. What should the physician report?
- A. 66984-RT, H18.891
- B. 66982-RT, H27.8
- C. 66984-RT, H26.8
- D. 66982-RT, Q12.8
Answer: B
Explanation:
When deciding between a routine extracapsular cataract removal and a complex extracapsular cataract removal, bear in mind the code descriptor for a complex procedure involves
"devices or techniques not generally used in a routine cataract surgery (e.g., iris expansion device)." Because iris hooks were used, the procedure is complex (CPT 66982). When it comes to the diagnosis, do not get confused with the anatomy of the eye. Although the cornea works with the lens to help refract light, they are anatomically separate, thus eliminating answer B as an acceptable choice. A congenital condition is one that is genetic and/or present from birth. The documentation does not specifiy the origin, nor does it indicate when the lens abnormality began. Symptoms of a cataract include clouded and discolored lenses but should not be reported unless the physician clearly identifies this as the diagnosis. Coding crosswalk for diseases of the lens leads a coder to H27.8 (other specified disorders of lens).
NEW QUESTION # 46
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