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Actual AAPC-CPC Test - Medical Tests First-grade AAPC-CPC Valid Braindumps Questions 100% Pass
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q82-Q87):
NEW QUESTION # 82
Code the following physician's note:
A 14-year-old established patient is seen with mother to evaluate five 2 cm superficial lacerations to the left wrist. Patient admits to suicidal thoughts.
Lacerations were treated with Steri-Strips. Patient and mother counseled on suicide prevention and told to follow up with psych.
- A. 12004, S61.512A, T14.91XA
- B. 12004, S61.512A, R45.851
- C. 99213, S61.512A, R45.8S1
- D. 99214, S61.512A, T14.91XA
Answer: C
Explanation:
When the injury is treated with Steri-Strips or bandages, it should be reported with an E/M code and not a procedure code. Within the medical decision making, the number and complexity of problems addressed is low, the amount of data reviewed or analyzed is straightforward, and the risk of complications and/or morbidity or mortality of patient management from the injuries is low.
Therefore, the E/M is a 99213 because the medical decision-making is low. A suicide attempt would not be coded because the documentation is not specific as to whether the lacerations were an attempt at suicide.
NEW QUESTION # 83
Which service would NOT be covered under Medicare part A?
- A. Observation hospital care
- B. Hospice care
- C. Inpatient hospital care
- D. Home health care
Answer: A
Explanation:
Observation hospital care is provided to patients who are not sick enough to be admitted.
Therefore, it is considered an outpatient service and is covered under Medicare part B.
NEW QUESTION # 84
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 # 85
Assign the appropriate procedure and diagnosis codes for a biopsy of a posterior mediastinal mass that was obtained through an incision at the base of the neck.
- A. 39401, D49.89
- B. 39000, D38.3
- C. 39000, R22.2
- D. 39401, R22.1
Answer: C
Explanation:
The procedure performed was a mediastinotomy with a biopsy, represented by CPT 39000.
CPT code 39401 is reported for a mediastinoscopy, which is the insertion of a scope through an incision in the notch above the sternum. ICD-IO-CM crosswalk for a mass found on the chest wall is R22.-. Although the approach is cervical, the location ofthe mass is mediastinal, falling under the anatomical site of the trunk
NEW QUESTION # 86
If a provider documents in an assessment that a patient is obese, but the BMI extracted from the chart is consistent with morbid obesity, what should be reported on the claim?
- A. Morbid obesity
- B. Obesity and the appropriate BMI
- C. Obesity
- D. Morbid obesity and the appropriate BMI
Answer: B
Explanation:
The diagnosis is always based on the provider's documentation, which in this case would be obesity. Coding guidelines also state that if there is a reportable diagnosis related to weight, "the BMI can be assigned from documentation of someone other than the patient's provider, such as nursing notes."
NEW QUESTION # 87
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