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Medical Tests AAPC-CPC Reliable Exam Simulations & Latest AAPC-CPC Version
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q30-Q35):
NEW QUESTION # 30
During surgery to remove a malignant melanoma from the intestinal tract, one frozen section is sent for pathological consultation to confirm an adequate excision of the margins. A second specimen is also sent, which requires frozen sections on two tissue blocks. What CPT code(s) should the pathologist report?
- A. 88331, 88332, 88332
- B. 88331, 88332
- C. 88331, 88331, 88332
- D. 88329, 88331, 88332, 88332
Answer: C
Explanation:
CPT code 88331 is used to report only a single specimen. In this scenario, there are Evo separate specimens being sent to the pathologist. The first specimen, with one frozen section, is reported with CPT code 88331. The second specimen has tv.ro tissue blocks with frozen sections, thus represented by coding 88331 for the first tissue block, followed by 88332 for the additional tissue block CPT code 88329 is inclusive to 88331 and should not be reported separately.
NEW QUESTION # 31
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: B
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 # 32
Assign the appropriate procedure and diagnosis codes for a biopsy of a posterior mediastinal mass that was obtained through an incision at the base of the neck.
- A. 39401, D49.89
- B. 39000, R22.2
- C. 39000, D38.3
- D. 39401, R22.1
Answer: B
Explanation:
The procedure performed was a mediastinotomy with a biopsy, represented by CPT 39000.
CPT code 39401 is reported for a mediastinoscopy, which is the insertion of a scope through an incision in the notch above the sternum. ICD-IO-CM crosswalk for a mass found on the chest wall is R22.-. Although the approach is cervical, the location ofthe mass is mediastinal, falling under the anatomical site of the trunk
NEW QUESTION # 33
ICD-IO-CM codes R50.9, R05.9, R53.81, and 102.9 are all symptoms ofJ10.00.
- A. False
- B. True
Answer: B
Explanation:
The statement is true. In general, R codes are descriptive of a patient's signs and symptoms.
ICD-IO-CM crosswalk for an unspecified sore throat is 102.9 (acute pharyngitis) and is also considered a symptom of the influenza and pneumonia. Being that there is a definitive diagnosis of an influenza, these symptoms would not be reported to an insurance carrier with Jl 0.00.
NEW QUESTION # 34
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 # 35
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