COVERS 100% COMPOSITE EXAMS AAPC-CPC CRITICAL INFORMATION

Covers 100% Composite Exams AAPC-CPC Critical Information

Covers 100% Composite Exams AAPC-CPC Critical Information

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q66-Q71):

NEW QUESTION # 66
Which of the four chambers in the heart receives deoxygenated blood from the body through the vena cava?

  • A. Left ventricle
  • B. Right atrium
  • C. Left atrium
  • D. Right ventricle

Answer: B

Explanation:
After receiving deoxygenated blood from the body through the vena cava, the right atrium pumps blood into the right ventricle. The right ventricle sends the blood to the lungs to be oxygenated. The left atrium receives blood from the lungs through the pulmonary veins and pumps it into the left ventricle via the mitral valve. The left ventricle then distributes oxygenated blood to tissues throughout the body.


NEW QUESTION # 67
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. 64493-LT, 64494-59-LT, 64495-59u
  • B. 64493-LT, 64494-LT, 64495-LT
  • C. 0216T-LT, 0217T-LT, 0218T-LT
  • D. 0

Answer: B

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 copyright 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 # 68
Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

  • A. 39402, 31622-51
  • B. 39010, 31623-51
  • C. 39402, 31623-51
  • D. 39010, 31622-51

Answer: D

Explanation:
The first procedure documented is a bronchoscopy, reported with CPT codes 31622-31654.
Because the procedure was specifically aimed at confirming a diagnosis based off a previously confirmed malignancy, the bronchoscopy would be considered diagnostic (CPT 31622). The second procedure performed is a mediastinotomy with removal of cancerous tissue. An incision made into the parasternal intercostal space is considered transthoracic, making the correct procedure code
39010. Sequencing is based off the highest RVU value, and modifier 51 is appended to the bronchoscopy procedure code to indicate that multiple procedures were performed in the same session.


NEW QUESTION # 69
A patient is having difficulties breast-feeding and receives a lactation consultation by a certified lactation consultant under the general supervision of a mid-level practitioner. How should this service be reported?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: A

Explanation:
CPT 98960 is used by nonphysician healthcare professionals who provide education to patients that enable them to self-manage established conditions. CPT 99078 could also be used to report lactation services, but these are specifically rendered in a group setting. CPT 98966 is used for healthcare management via the telephone, and CPT 99211 is not considered the most appropriate descriptor for services rendered in this instance.


NEW QUESTION # 70
What would NOT be included in critical care services?

  • A. CPR
  • B. Gastric intubation
  • C. Ventilator management
  • D. Pulse oximetry

Answer: A

Explanation:
CPR is not a bundled service to critical care and should be reported separately with CPT code
92950.


NEW QUESTION # 71
......

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