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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q31-Q36):

NEW QUESTION # 31
A female patient with type II diabetes, asthma, and hypertension is admitted with complaints of chest pain. Testing rules out heart attack and other underlying conditions as the cause. Which diagnosis codes should be listed on the discharge note?

A. Z03.89
B. R07.9, Ell.9, J45.909, 110
C. Z03.89
D. R07.9

Answer: B

Explanation:
The primary diagnosis on an inpatient record would be the primary reason the patient was admitted. In this case, because a definitive diagnosis could not be confirmed, the symptom of chest pain would be selected instead. The previously confirmed chronic conditions would also be coded because they affect the management of inpatient care. Diabetes would be coded to an unspecified code because the term "with" implies a causal relationship between the conditions that is not implicitly documented. Per ICD-IO-CM guidelines, a rule-out code is not assigned when "any signs or symptoms related to the suspected condition are present."

NEW QUESTION # 32
If a physician administers cyclophosphamide over 154 minutes, irinotecan over 72 minutes, and panitumumab over 15 minutes intravenously to a patient with pancreatic cancer, how should this be reported?

A. 96413, 96413-59, 9641512, 96417
B. 94613, 96415x2, 96417x2
C. 96413, 96415x3, 96417x2
D. 96413, 96413-59x2, 96415, 96417

Answer: C

Explanation:
Unless a separate IV site is established for a secondary or tertiary administration, CPT
96413 should be reported only once to represent the initial drug infusion. In this case, it is the cyclophosphamide. The remaining 94 minutes are reported with Ovo units of add-on CPT 96415, which may be reported ifthe time spent beyond the first hour is between 31 and 60 minutes. CPT
96417 is reported only once per subsequent infusion of a different drug up to the first hour.
Consequently, the 72 minutes of irinotecan is reported with a single unit of CPT 96417, and the 15 minutes of panitumumab is also reported with one unit ofthat same CPT code.

NEW QUESTION # 33
What describes a surgical procedure that removes a portion of the vertebral body to relieve pressure on the spinal cord and nerves?

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

Answer: B

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 # 34
A patient has an elective bilateral vasectomy under regional anesthesi
a. The procedure is completed within 15 minutes. What CPT and ICD-IO-CM code(s) should the provider report?

A. 55250, 00921, Z30.2
B. 55250-50, Z30.8
C. 55250, 89321, Z30.8
D. 55250, Z30.2

Answer: D

Explanation:
A vasectomy includes a sperm analysis and regional anesthesia and should not be unbundled for higher reimbursement. A vasectomy includes both unilateral and bilateral sides, so modifier 50 should never be appended. In this circumstance, CPT 55250 should be billed as a standalone procedure to encompass all services delivered. Additionally, although the documentation does not give a specific diagnosis, it can be inferred from "elective" that the procedure is not to treat an underlying illness or injury. Therefore, Z30.2 (encounter for sterilization) is the evident diagnosis for this type of procedure because the patient is being sterilized. Z30.8 (encounter for other contraceptive management) can be used for an encounter discussing post vasectomy sperm count.

NEW QUESTION # 35
A 55-year-old patient is admitted into the hospital for dialysis to treat ESRD. On day 13, the admitting physician spends 25 minutes discussing new management options for the patient's hypertension before sending a nurse to initiate the hemodialysis procedure. What CPT and ICD-IO-CM codes should be reported?

A. 90937, 99232, 110, N18.6, Z99.2
B. 99232, 112.0, N18.6, Z99.2
C. 90937, 112.0, N18.6, Z99.2
D. 90935, N18.6, Z99.2

Answer: B

Explanation:
CPT codes 90935-90937 require the presence of a physician. If a physician visits the patient prior to or after the dialysis treatment but does not document their presence during the hemodialysis services, bill only the appropriate evaluation and management code (CPT 99232).
Additionally, unless otherwise stated, diagnosis selection should reflect the causal relationship that exists bet'.veen hypertension and ESRD (112.-, N18.-)-they should not be reported as unrelated.
ICD-IO-CM Z99.2 is appended to indicate hemodialysis status.

NEW QUESTION # 36
......

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Reliable AAPC-CPC Dumps Pdf & Reliable AAPC-CPC Learning Materials

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q31-Q36):

Selecting The Reliable AAPC-CPC Dumps Pdf Means that You Have Passed American Academy of Professional Coders: Certified Professional Coder