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Reliable AAPC-CPC Exam Practice, AAPC-CPC Accurate Answers
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q52-Q57):NEW QUESTION # 52
If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?
- A. Request for services is received for an operation that begins in 1 hour.
- B. Medical history and vital signs for the patient are obtained prior to the surgery.
- C. Propofol is administered to the patient intravenously.
- D. A pulse oximeter is attached to the patient,s finger while in the operating room.
Answer: D
Explanation:
Anesthesia time begins when the provider begins to prepare the patient for anesthesia services. This usually will take place in the operating room or an equivalent area. Although answer B would not be incorrect as a chosen starting point, answer C is more accurate according to the anesthesia time definition. Preoperative evaluations of the patient, such as a history intake, cannot be counted as anesthesia time.
NEW QUESTION # 53
A patient presents to urgent care with complaints of a sore throat, a temperature of 100.2, and pain while urinating. The provider examines the patient and collects a throat swab and urine sample. The following codes are then entered on the patient's claim: R30.9, R07.O, R50.9, N39.O, J03.8, and B95.3. What code(s) should be removed?
- A. 395.3
- B. N39.O, 103.00
- C. R30.9, 102.9 and R50.9
- D. R30.9, J02.9
Answer: C
Explanation:
Pain while urinating 830.9) is a symptom of a urinary tract infection (N39.O), and a sore throat (R07.0) and fever 850.9) are symptoms of acute tonsillitis caused by Streptococcus (103.00).
Neither ofthese three codes should be reported because ICD-IO-CM guidelines stipulate that when a definitive diagnosis is present, signs and/or symptoms should not be additionally listed on the claim.
NEW QUESTION # 54
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. 0
- B. 64493-LT, 64494-59-LT, 64495-59u
- C. 0216T-LT, 0217T-LT, 0218T-LT
- D. 64493-LT, 64494-LT, 64495-LT
Answer: D
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 # 55
A 34-year-old established male patient presents for treatment to his lower back. He reports exacerbated symptoms due to lifting heavy materials at work. The osteopath performs a problem-focused history and exam followed by manipulative treatment to the lumbar and sacral region of the spine. What procedure(s) should the osteopath report?
- A. 0
- B. 99212-25, 97140x2
- C. 1
- D. 99212-25, 98925
Answer: D
Explanation:
Osteopathic manipulation services do not include evaluation and management services.
Although the patient's treatment has already been established, the osteopathic physician has enough supporting documentation to report a separate evaluation and management code.
Manipulation services rendered by an osteopathic physician are reported with CPT codes 98925-
98929. A chiropractor would report manipulative treatment to t'.vo body regions with CPT 98940, and a physical therapist would report CPT 97140.
NEW QUESTION # 56
What would NOT be included in critical care services?
- A. Pulse oximetry
- B. CPR
- C. Gastric intubation
- D. Ventilator management
Answer: B
Explanation:
CPR is not a bundled service to critical care and should be reported separately with CPT code
92950.
NEW QUESTION # 57
......
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