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AAPC-CPC Free Pdf Guide | AAPC-CPC Test Preparation

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q116-Q121):

NEW QUESTION # 116
Dr. Black orders a hepatitis panel for a patient who has recently returned from traveling abroad and is now experiencing lower abdominal pain. The laboratory completed a hepatitis A antibody test, hepatitis B core antibody test, and a hepatitis C antibody test. Select the CPT and the ICD-IO-CM codes that the laboratory will report.

A. 80074, RIO.30
B. 80074-52, RIO.30
C. 86709, 86705, 86803, RIO.31, RIO.32
D. 86709, 86705, 86803, RIO.30

Answer: D

Explanation:
The hepatitis B surface antigen test was not performed, so the actual panel code in answer A was not completed, leaving each test to be reported separately. It would not be appropriate to add modifier 52 to 80074 in answer B. Because the provider did not specify which side the lower abdominal pain was on, it would be reported as unspecified with RIO.30, eliminating answer C.

NEW QUESTION # 117
A 15-year-old male patient is seen in the emergency department due to a dislocated left elbow, caused by a fall from his skateboard. The physician performs a comprehensive physical evaluation to check for other injuries before manually realigning the dislocation and placing a splint from the shoulder to wrist. The patient is informed to follow up in 4 weeks. Which CPT and ICD-IO-CM codes should the emergency department report?

A. 99283, 24600-LT, VOO.131A
B. 24600-LT, 29105, S53.195AVOO.131A
C. 99282-57, 24600-LT, S53.105A VOO.131A
D. 24600-LT, S53.105A. VOO.131A

Answer: C

Explanation:
An E/M is always billed when a patient is seen in the emergency department because it is unscheduled and urgent. In this case, the documentation encompasses a straightforward level of decision-making (one acute, uncomplicated injury, minimal or no data reviewed, superficial dressings that result in minimal risk or morbidity of the patient), which lead the coder to 99282.
Modifier 57 is appended to indicate that the decision for surgery was made just prior to the procedure and is not bundled. CPT coding crosswalk confirms that a closed treatment of a dislocated elbow is CPT code 24600. Application ofa splint is represented by CPT code 29105 but is not applicable when performed with a surgery to correct the dislocation. ICD-IO-CM crosswalk for dislocation of left elbow is S53.105A.

NEW QUESTION # 118
What describes a surgical procedure that removes a portion of the vertebral body to relieve pressure on the spinal cord and nerves?

A. Corpectomy
B. Spinal fusion
C. Laminectomy
D. Insertion of interspinous process stabilization device

Answer: A

Explanation:
The insertion of an interspinous process stabilization device is done to increase the space within the neural foramen, release nerve pressure that causes physical pain, and create spinal stabilization. A spinal fusion is a surgical procedure that permanently joins Nto or more vertebrae into one solid bone so that no space exists between them. A laminectomy is a surgical procedure that removes the lamina to enlarge the spinal canal and relieve pressure on the spinal cord and/or nerves.

NEW QUESTION # 119
A young man is triaged in the emergency room after sustaining multiple injuries in a car accident. The physician performs the following limited exams with image documentation: an abdominal and retroperitoneal ultrasound, a transthoracic echocardiography, and a chest ultrasound. He indicates in his report that all findings are normal. What charges should the provider submit to the insurance company?

A. 93304-26, 76705-26, 76775-26, 76604-26
B. 93308, 76705-59, 76770-59, 76604-59
C. 93308-26, 76705-26, 76775-26, 76604-26
D. 93304-TC, 76700-TC, 76770-TC, 76604-TC

Answer: C

Explanation:
CPT code 93304 describes an echocardiography used to evaluate a congenital defect. In this case, the provider is screening for any trauma-related injuries to the heart. Bearing in mind that the study is limited leads you to CPT 93308. Modifier 26 is used on all CPT codes because the procedures are being performed in a hospital setting. Therefore, only the professional component of the service should be billed. Modifier TC is reported by the entity providing the equipment, which in this case would be the hospital. Modifier 59 is not necessary because the procedures are routinely done in conjunction with each other.

NEW QUESTION # 120
What is the main role of the tonsils?

A. Filter lymph and form lymphocytes
B. Secrete antibodies to destroy ingested microbes
C. Trigger the formation of antibodies
D. Remove bacteria that enter the body through the nose and/or mouth

Answer: D

Explanation:
The primary role of the tonsils is to remove bacteria that enter though the oral and nasal cavity. Antigens are molecules located on the surface of pathogens and trigger the formation of antibodies. Lymph nodes filter lymph and form lymphocytes. B cells secrete antibodies that assist in destroying bacterium causing disease.

NEW QUESTION # 121
......

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