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Free PDF Quiz Medical Tests - AAPC-CPC Authoritative Hot Spot Questions
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q119-Q124):NEW QUESTION # 119
Which option would best fall under a level II HCPC code?
- A. Diagnostic colonoscopy
- B. A malignant neoplasm
- C. Advanced life support
- D. Radiation treatment management
Answer: C
Explanation:
A level II HCPC code describes medical devices, supplies, medication, and/or other services that a provider and/or entity used during a service provided to a patient. Advanced life support (ALS) fits this description because it is a set of life-saving protocols administered in transit.
Radiation treatment management and a diagnostic colonoscopy describe a level I HCPC code, otherwise known as a CPT code. If the patient was asymptomatic and the colonoscopy was for screening purposes only, a level II HCPC code could be assigned. However, a diagnostic procedure implies a past medical/family history that puts the patient at risk and/or symptoms that warrant the procedure. A malignant neoplasm describes an ICD-IO-CM code because it is a diagnosis.
NEW QUESTION # 120
A young man is triaged in the emergency room after sustaining multiple injuries in a car accident. The physician performs the following limited exams with image documentation: an abdominal and retroperitoneal ultrasound, a transthoracic echocardiography, and a chest ultrasound. He indicates in his report that all findings are normal. What charges should the provider submit to the insurance company?
- A. 93308-26, 76705-26, 76775-26, 76604-26
- B. 93304-TC, 76700-TC, 76770-TC, 76604-TC
- C. 93308, 76705-59, 76770-59, 76604-59
- D. 93304-26, 76705-26, 76775-26, 76604-26
Answer: A
Explanation:
CPT code 93304 describes an echocardiography used to evaluate a congenital defect. In this case, the provider is screening for any trauma-related injuries to the heart. Bearing in mind that the study is limited leads you to CPT 93308. Modifier 26 is used on all CPT codes because the procedures are being performed in a hospital setting. Therefore, only the professional component of the service should be billed. Modifier TC is reported by the entity providing the equipment, which in this case would be the hospital. Modifier 59 is not necessary because the procedures are routinely done in conjunction with each other.
NEW QUESTION # 121
A 74-year-old male patient recently had a bone marrow transplant due to aplastic anemi a. At his follow-up visit with the doctor, his blood is drawn and sent to the laboratory to determine if the engraftment was successful. The laboratory evaluates the immature reticulocyte fraction (IRF) using an automated cell counter and total reticulocyte by way of a manual count. What codes should the laboratory report?
- A. 85046, D61.9
- B. 85046, 85044, D61.9
- C. 85046, 85044, D61.9, Z94.81
- D. 85046, D61.9, Z79.89
Answer: A
Explanation:
When a hematologr procedure that could be billed alone is encompassed in another code, only the most complex of the tvo should be reported. Because CPT 85046 includes the reticulocyte count billing CPT 85044 as secondary despite using a different method would be considered an unbundling of services. Per ICD-IO-CM guidelines, an organ or tissue transplant status code is for use "only if there are no complications or malfunctions of the organ or tissue replaced." As the testing is to determine whether the engraftment was successful, a bone marrow transplant status code would not be appropriate until deemed by the provider.
NEW QUESTION # 122
Age, gender, height, and race are the four key factors in calculating a person's forced vital lung capacity (FVC). If FVC is calculated to be 3.00 L and anything under 80% is abnormal, what would be the cutoff value to a normal FVC?
- A. 2.8 L
- B. 3.2 L
- C. 2.4 L
- D. 2.0 L
Answer: C
Explanation:
A forced vital capacity test is the maximum amount of air that can be exhaled from the lungs and is used to determine whether there is an obstruction in the lungs. To calculate the abnormality, take 0.8 (80%), and multiply it by 3.00 (liters). Anything less than 2.4 L would be considered an abnormal result in this scenario.
NEW QUESTION # 123
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. 99212, J0171
- B. 10171 (3 units)
- C. 96372, 10171 (3 units)
- D. 99213-25, 96372, (3 units)
Answer: C
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 # 124
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