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[General] AAPC-CPC Downloadable PDF | Latest AAPC-CPC Dumps Pdf

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【General】 AAPC-CPC Downloadable PDF | Latest AAPC-CPC Dumps Pdf

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q145-Q150):NEW QUESTION # 145
A surgeon performs a posterior fusion on the L2-L5 of the spine due to degenerative disc disease. CPT and ICD-IOOI code(s) should be reported?
  • A. 22533, M51.37
  • B. 22612, 22614x2, MSI.36
  • C. 22800, M51.37
  • D. 22612, 22614x 3, M51.36
Answer: B
Explanation:
The code for a joint fusion using a posterior approach is 22612. In this scenario, there are three fusion levels: L2-L3, L3-L4, and L4-L5. Following the primary code, 22614 would be billed tv;ice and with no modifier because it is an add-on code. ICD-IO-CM code M51.37 is for degenerative discs in the lumbosacral region; however, L2-L5 is considered the lumbar region.

NEW QUESTION # 146
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. 66984-RT, H26.8
  • C. 66982-RT, H27.8
  • D. 66982-RT, Q12.8
Answer: C
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 # 147
A physician performs an esophagogastroduodenoscopy on a patient who has GERD. A single tissue sample is obtained from the upper gastrointestinal tract using biopsy forceps. A reflux test was also done and a bravo capsule temporarily attached to the esophageal wall to monitor pH levels. What procedures should the physician report?
  • A. 43235, 91034
  • B. 43239, 91035
  • C. 43239, 91034
  • D. 43235, 91035
Answer: B
Explanation:
To report an esophagogastroduodenoscopy, see CPT code range 43233-43259. In this scenario, the procedure is not considered diagnostic (43235) because the physician is stating the patient has GERD. Additionally, the tissue sample was obtained by means of biopsy forceps and not by brushing or washing. The secondary procedure is a reflux test and an esophageal pH test by means of a bravo capsule, which evaluates the level of acid refluxing into the esophagus. Although CPT 91035 doesn't specifically state a capsule in the description of the code, it would fall under a
"mucosal attached" placement. A nasal catheter was not used, so reporting CPT 91034 would be incorrect.

NEW QUESTION # 148
Medical necessity has been established if a laboratory runs additional testing on a urine sample to determine the presence of a drug class that was not in question during confirmation testing.
  • A. True
  • B. False
Answer: B
Explanation:
The statement is false. To establish medical necessity, the provider/laboratory must indicate the drug class they are screening for prior to the test.

NEW QUESTION # 149
A patient with right knee pain is seen in a physician's office for an x-ray. Anteroposterior and lateral views of the right knee were obtained by the technician, and images confirm right knee pain secondary to degenerative osteoarthritis. Which CPT and ICD-IO-CM code(s) should be reported?
  • A. 73560-26-RT, MI 7.11, M25.561
  • B. 73560-RT, MI 7.11
  • C. 73560-TC-RT, MI 7.11
  • D. 73560-TC-RT, MI 7.11, M25.561
Answer: B
Explanation:
The CPT crosswalk for x-ray of knee directs the coder to 73560-73580. Because two views were obtained, the correct code would be 73560 (radiologic examination, knee; I or 2 views).
Modifier TC and modifier 26 indicate only technical and professional components: however, because the x-ray was performed in a physician's office, 73560 would be reported without either because the practice provided both components. In terms of diagnosis, the knee pain would not be reported because it is a symptom of a definitive diagnosis.

NEW QUESTION # 150
......
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