Medical Tests AAPC-CPC New Exam Bootcamp & Examcollection AAPC-CPC Vce

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q20-Q25):

NEW QUESTION # 20
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. 54150-52, Z41.2, Z87.2
B. 54150, 64450, Z41.2, Z87.2
C. 54150, N48.29
D. 54150-52, 64450, N48.89

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 # 21
A physician performs an esophagogastroduodenoscopy on a patient who has GERD. A single tissue sample is obtained from the upper gastrointestinal tract using biopsy forceps. A reflux test was also done and a bravo capsule temporarily attached to the esophageal wall to monitor pH levels. What procedures should the physician report?

A. 43239, 91035
B. 43235, 91035
C. 43235, 91034
D. 43239, 91034

Answer: A

Explanation:
To report an esophagogastroduodenoscopy, see CPT code range 43233-43259. In this scenario, the procedure is not considered diagnostic (43235) because the physician is stating the patient has GERD. Additionally, the tissue sample was obtained by means of biopsy forceps and not by brushing or washing. The secondary procedure is a reflux test and an esophageal pH test by means of a bravo capsule, which evaluates the level of acid refluxing into the esophagus. Although CPT 91035 doesn't specifically state a capsule in the description of the code, it would fall under a
"mucosal attached" placement. A nasal catheter was not used, so reporting CPT 91034 would be incorrect.

NEW QUESTION # 22
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. 86709, 86705, 86803, RIO.30
B. 80074-52, RIO.30
C. 80074, RIO.30
D. 86709, 86705, 86803, RIO.31, RIO.32

Answer: A

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 # 23
If a provider documents in an assessment that a patient is obese, but the BMI extracted from the chart is consistent with morbid obesity, what should be reported on the claim?

A. Obesity
B. Morbid obesity
C. Morbid obesity and the appropriate BMI
D. Obesity and the appropriate BMI

Answer: D

Explanation:
The diagnosis is always based on the provider's documentation, which in this case would be obesity. Coding guidelines also state that if there is a reportable diagnosis related to weight, "the BMI can be assigned from documentation of someone other than the patient's provider, such as nursing notes."

NEW QUESTION # 24
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. G0148, R87.610
B. 88175, Z12.4
C. 88175, 88141, ZOI.419,R87.613
D. G0148, G0141, Z12.4 R8.613

Answer: C

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 # 25
......

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Medical Tests AAPC-CPC New Exam Bootcamp & Examcollection AAPC-CPC Vce

Marvelous AAPC-CPC New Exam Bootcamp Help You to Get Acquainted with Real AAPC-CPC Exam Simulation

Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q20-Q25):

100% Pass Medical Tests AAPC-CPC - Marvelous American Academy of Professional Coders: Certified Professional Coder New Exam Bootcamp

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