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[General] AAPC-CPC Prep Guide - AAPC-CPC Guide Torrent & AAPC-CPC Exam Torrent

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【General】 AAPC-CPC Prep Guide - AAPC-CPC Guide Torrent & AAPC-CPC Exam Torrent

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q137-Q142):NEW QUESTION # 137
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-RT, MI 7.11
  • B. 73560-TC-RT, MI 7.11
  • C. 73560-TC-RT, MI 7.11, M25.561
  • D. 73560-26-RT, MI 7.11, M25.561
Answer: A
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 # 138
Which form is used to make a patient aware of the potential monetary liability they will have if their procedure is not likely to be covered by Medicare?
  • A. Payment Plan Contract
  • B. Health Insurance Portability and Accountability Act (HIPAA) Release
  • C. Advance Beneficiary Notice
  • D. National Coverage Determination
Answer: C
Explanation:
National Coverage Determination is a reference guide for physicians to determine which services are covered by Medicare. The HIPAA Release is a form that must be signed by the patient prior to release of medical records and can be revoked at any time. The HIPAA Privacy Rule is in place to protect the patien& health information.

NEW QUESTION # 139
The relative value units of a procedure are based on how much effort is involved, expenses that the practice will incur, and the level of risk associated with it.
  • A. True
  • B. False
Answer: A
Explanation:
The statement is true. An insurance carrier will use these three measures to determine what the RVU of a procedure should be. Then, based on that, a medical coder can determine what the expected payment should be. Generally, the higher the RVU of a procedure is, the higher the payment will be.

NEW QUESTION # 140
The laboratory collected blood to test the patient's carbon dioxide, chloride, potassium, sodium, and glucose levels. Select the CPT codes that the laboratory will report.
  • A. 80051, 80053
  • B. 80051, 82947
  • C. 80051, 82947-59
  • D. 80053-52
Answer: B
Explanation:
It would not be appropriate to add modifier 52 to 80053 in answer A In answer C, 80051 and
80053 would not be reported together because CPT guidelines state that "when or more panel codes include the same tests, report the panel with the highest number of tests in common." Because the glucose test is not included in 80051, 82947 would be added to 80051, with no modifier 59, because the procedures are routinely billed together, thus eliminating answer D.

NEW QUESTION # 141
When seen next to a diagnosis code, the term "Excludes 20 indicates that the condition excluded is not part of the condition represented by the code and that the patient may have both conditions simultaneously.
  • A. True
  • B. b False
Answer: A
Explanation:
The statement is true. The term "Excludes 2" shows that two seemingly related conditions can be billed in the same encounter. See Section I of the Coding Guidelines in the ICD-IO-CM 2020 edition for reference.

NEW QUESTION # 142
......
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