AAPC-CPC Valid Exam Voucher & AAPC-CPC Exam Tutorials
AAPC-CPC Valid Exam Voucher & AAPC-CPC Exam Tutorials
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q128-Q133):
NEW QUESTION # 128
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 # 129
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
- C. R07.9, Ell.9, J45.909, 110
- D. Z03.89
Answer: C
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 # 130
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. 88175, Z12.4
- B. G0148, G0141, Z12.4 R8.613
- C. 88175, 88141, ZOI.419,R87.613
- D. G0148, R87.610
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 copyright 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 # 131
A patient receives a positron emission technology (PET) scan at rest, where a metabolic evaluation study, including ventricular wall motion was performed using PET imaging. A computed tomography (CT) was performed at the same time. What CPT code(s) should the radiologist report?
- A. 0
- B. 1
- C. 78429, 76497-59
- D. 78430, 76497-59
Answer: B
Explanation:
PET scans are reported using CPT codes 78429-78434. The documentation specifies that a metabolic study was performed versus a perfusion study, thus eliminating answers B and D. A CT scan is included in the description of CPT 78429, thus making it unable to be separately reportable.
NEW QUESTION # 132
Which procedure uses a thin tube to examine the abdominal organs through a small incision in the belly?
- A. Endoscopy
- B. Gastroscopy
- C. Laparoscopy
- D. Laparotomy
Answer: C
Explanation:
A gastroscopy is a procedure that uses an endoscope to examine the stomach and some parts of the intestinal tract An endoscopy uses a thin tube through a natural opening in the body to examine the digestive tract. A laparotomy is a large incision in the belly to gain access into the abdominal cavity.
NEW QUESTION # 133
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