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Posted on: 05/23/25

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q86-Q91):

NEW QUESTION # 86
Health behavior assessment and intervention codes capture services related to mental health.

  • A. False
  • B. True

Answer: A

Explanation:
The statement is false. Health behavior assessment and intervention codes capture services related to a patient's physical health and can be used only when the patient has a physical health diagnosis as the primary reason for treatment-not a mental disorder. Although assessing factors related to the patierXs mental state, it is done to promote functional improvement and lessen any obstacles to a patients recovery.


NEW QUESTION # 87
Code a polyp found in the transverse colon.

  • A. D12.6
  • B. K63.5
  • C. K51.40
  • D. D12.3

Answer: B

Explanation:
Coding crosswalk for a colon polyp would direct the coder to the benign neoplasm table.
However, careful examination of the guidelines reveals that if the documentation does not specifically state that a polyp was adenomatous and/or benign, or that a polyp was inflammatory, the most appropriate choice selection would be a code from K63.


NEW QUESTION # 88
A patient develops an infection within the global period of a knee replacement. It is determined that the infection originated from the incision site and needs to be surgically removed. Which modifier should be appended to the secondary surgery?

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: A

Explanation:
Modifier 78 represents an additional, unplanned surgery during the global period for a complication arising for the initial procedure. In this case, the complication would be the infection.
Modifier 58 is generally used when a secondary procedure is planned prior to or during the time of the initial procedure. Modifier 79 is used to indicate two unrelated procedures. Modifier 25 is for use on E/M codes only.


NEW QUESTION # 89
A 69-year-old patient with a medical history of diabetes is evaluated in the emergency room for a urinary tract infection. After performing a medically appropriate history and exam, the physician prescribes 100 mg of Macrobid every 12 hours and admits the patient to observation status to monitor for sepsis. After seeing an improvement in symptoms, the physician discharges the patient the following day. What CPT and ICD-IO-CM code(s) should be reported for the entirety of the patient's stay?

  • A. 99221, 99238, N39.O, Ell.9
  • B. 99234, N39.O, 397.89
  • C. 99222, 99238, N39.O
  • D. 99284, 99238, Ell.69, N39.O

Answer: A

Explanation:
When a patient is admitted into observation status from the emergency room, only the observation code is reported for that day. When observation extends past the initial date of service, the initial treatment would be reported with CPT codes 99221-99223. In this scenario, the appropriate level of service would be 99221, based on the moderate level of decision-making.
which can be ascertained by the number and complexity of problems addressed and the risk of complications and/or morbidity or mortality of patient management. Discharge from observation on a separate date is reported with CPT codes 99238-99239.
Because the diabetes is documented and is a coexisting chronic condition during the time of the encounter, it should follow the reason for admission. Due to a lack of specificity in the diabetes diagnosis, a causal relationship with a UTI is not presumed, and Ell.69 should not be coded.


NEW QUESTION # 90
A patient is seen with complaints of recurring infections in the foreskin. The physician recommends circumcision to help improve penile hygiene. The patient agrees, a local anesthetic is injected into the penis, and the procedure is completed by clamping the foreskin and trimming the excess skin. How should the physician report the encounter?

  • A. 54150, 64450, Z41.2, Z87.2
  • B. 54150-52, 64450, N48.89
  • C. 54150, N48.29
  • D. 54150-52, Z41.2, Z87.2

Answer: C

Explanation:
A circumcision procedure includes a local anesthetic, also known as a ring block. Therefore, an additional anesthesia code (CPT 64450) should not be reported as a secondary code, nor should modifier 52 be appended on the primary procedure. The code notes for ICD-IO-CM code Z41.2 specifically state that this diagnosis should be used only when the procedure is elective and not related to a specific diagnosis. In this case, because the procedure is related to a recurring condition the patient is experiencing. the infection should be the primary diagnosis. The diagnosis crosswalk would be "infection" followed by "penis," which directs the coder to N48.29.


NEW QUESTION # 91
......

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