PDF AAPC-CPC Download, Exam AAPC-CPC Course
PDF AAPC-CPC Download, Exam AAPC-CPC Course
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q129-Q134):
NEW QUESTION # 129
Which healthcare professional may NOT report medical nutrition therapy?
- A. Dietician
- B. Registered nurse
- C. Endocrinologist
- D. Nutritionist
Answer: C
Explanation:
Medical nutrition therapy describes nutritional assessments and interventions in a face-to- face or group patient setting and is reported with CPT codes 97802-97804. These codes are used by nonphysician healthcare professionals only. When a physician provides nutritional advice, a preventative service or evaluation and management code should be reported.
NEW QUESTION # 130
A patient is referred to a radiology clinic with a diagnosis of chest bruising. A radiologist who works for the clinic performs a 3-view x-ray on the patient's ribcage bilaterally. The radiologist interprets images and determines that there is a right-sided stress fracture to one rib. Which ICD-IO-CM and CPT codes should be reported for this encounter?
- A. 71110-26, S22.31Y.A
- B. 71110, M84.48XA
- C. 71110, S22.31Y.4
- D. 71110-26, M84.48XA
Answer: B
Explanation:
Modifier 26, indicating only a professional component ofthe study, would be inappropriate because the radiologist who obtained the images and interpreted the results works for the clinic that owns the x-ray machines, By reporting the procedure without a modifier, the clinic is requesting 100% reimbursement of the study, which includes the technical and professional components. When searching the index in the ICD-IO-CM book a stress fracture is related to fatigue and is coded as a bone disorder as opposed to an injury.
NEW QUESTION # 131
An obstetrical patient carrying twins is seen. The physician performs a fetal non stress test on each fetus. How should the CPT code(s) be reported?
- A. 59025-76
- B. 59025, 59025-59
- C. 0
- D. 59025-22
Answer: B
Explanation:
Modifier 76 is used to identify a repeated procedure, but the test was performed on a separate fetus. Modifier 22 indicates increased procedural services: however, the services were not increased. Rather, a separate, identifiable test was rendered, and the modifier 59 would therefore apply to the second fetal nonstress test.
NEW QUESTION # 132
Anesthesiologist A begins providing services at 7:02 but is relieved at 8:47 by Anesthesiologist Z. If the recorded end time for anesthesia services is 11:32, which statement is be true?
- A. Anesthesiologist A would report 1.75 hours, and Anesthesiologist Z would report 2.75 hours of anesthesia time.
- B. Anesthesiologist A would report 4.5 hours of anesthesia time.
- C. Both anesthesiologists would separately report 4.5 hours of anesthesia time.
- D. Anesthesiologist Z would report 4.5 hours of anesthesia time.
Answer: D
Explanation:
When splitting/providing relief in the middle of a procedure, the anesthesiologist who provides services for the longest amount of time bills for the anesthesia services in their entirety. In this scenario, Anesthesiologist Z provided 60 minutes more than Anesthesiologist A and so would bill for the entire 4.5 hours. Even though Anesthesiologist A provided 1.75 hours, they would not submit any coding to the insurance copyright.
NEW QUESTION # 133
If past family and social history is not documented for the evaluation and management of a new patient, what is the highest level of service that can be coded?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
Explanation:
Effective January I, 2023, new evaluation and management (E/ M) guidelines were implemented for inpatient, outpatient, home health, and preventative medicine services. These new guidelines remove the Patients' history and examination as elements in selecting the level of code.
Instead, E/M services are leveled based on the medical decision-making process. Therefore, in this scenario, the highest level of service that can be billed for a new patient with no documented past medical, family, and social history is 99205, CPT codes 99213 and 99214 are reported for established patients.
NEW QUESTION # 134
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