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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q117-Q122):

NEW QUESTION # 117
If the dermatologist removes 17 skin tags from a patient's lumbar using local anesthesia and a sharp blade, which CPT code(s) should be reported?

A. 11200, 11201, 00300
B. 0
C. 11200, 11201-51, 00300
D. 11200, 11201

Answer: D

Explanation:
The CPT code 11201 is an add-on code and would not receive a modifier. Local anesthesia is included in the primary procedure code and would not be reported separately with CPT 00300.

NEW QUESTION # 118
A patient undergoes surgery with anesthesia and is arousable with painful stimulation. What is the level of sedation the patient MOST likely received?

A. Deep sedation
B. General anesthesia
C. Moderate sedation
D. Minimal sedation

Answer: A

Explanation:
Minimal, moderate, and deep sedation all allow the patient to undergo a procedure without pain and without being completely unconscious. If a patient receives minimal sedation, they are responsive after receiving verbal stimulation. Moderate sedation causes a patient to respond only after tactile stimulation. General anesthesia causes the patient to be completely unarousable, even with painful stimulation.

NEW QUESTION # 119
A laboratory receives a pap smear as a screening for a patient's annual gmecological exam. A thin-layer preparation screened by an automated system with manual rescreening is performed. A pathologist interprets the results and confirms a diagnosis of high-grade squamous intraepithelial lesion. What should the laboratory report?

A. 88175, 88141, ZOI.419,R87.613
B. G0148, R87.610
C. G0148, G0141, Z12.4 R8.613
D. 88175, Z12.4

Answer: A

Explanation:
The CPT codes for cytopathologv smears are dependent on the payer and the method used to test the specimen. HCPC II G0148 does accurately describe the test method; however, this code is used for Medicare payers only. As the documentation does not specify that this is the case, it should be assumed that the carrier is non-Medicare. The appropriate non-Medicare CPT for this test method is 88175. CPT 88141 is always reported as a secondary code for the associated physician interpretation. Regarding the diagnosis, the primary ICD-IO-CM code should be synonymous with the reason for the encounter, which in this scenario would be the Omecological exam (ZOI.419).
Although Z12.4 does describe a screening of the cervix, it specifically is excluded from the diagnosis list "when the screening is part of general gynecological examination (ZOI.4-ZOI.42)." Any abnormal findings are reported as secondary and/or tertiary.

NEW QUESTION # 120
Code the following note:
A 43 -year-old new female patient with a history of type I diabetes was referred to my office by Dr. White, her primary care physician. Patient complains of blurred vision that began 2 weeks ago, however, reports compliance to a strict, healthy diet and to prescribed 10 mg of dexamethasone every day for 1 month. Given that the only change appears to be the dexamethasone, I suspect the blurred vision is an adverse reaction and will decrease the dosage to 5 mg per day. Patient will follow up with me in 1 week if symptoms persist.
Total time spent on todays encounter is 30 minutes.

A. 99244, H53.8, T38.OX5A, ElO.9
B. 99204, HS3.8, ElO.9
C. 99243, H53.8 ElO.39
D. 99203, H53.8, ElO.69

Answer: B

Explanation:
When choosing between an outpatient evaluation and management code or a consultation service code, bear in mind the following four elements: request, reason, report, and intent. Although the first three elements are documented and support a consultation service, the endocrinologist is assuming immediate care of the patienYs condition. In this case, the visit is not a consultation but a new transfer of care, which is encompassed by CPT codes 99202-99205. For this visit, coding based on medical decision-making as opposed to the total time spent on the encounter that day would be more advantageous. This is because coding based on time would lead a coder to report CPT code
99203 or a low level of medical decision making, whereas the medical decision-making is actually moderate, represented by CPT code 99204.
The documentation reflects that the blurry vision is most likely due to the dexamethasone:
therefore, a causal relationship is not assumed betvveen the two conditions and should not be coded as such. Because an adverse reaction is suspected and not confirmed, it should not be coded. This general rule does not apply to inpatient encounters.

NEW QUESTION # 121
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. False
B. True

Answer: B

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 # 122
......

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