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AAPC-CPC Exam Score & New Guide AAPC-CPC Files

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q92-Q97):

NEW QUESTION # 92
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. Both anesthesiologists would separately report 4.5 hours of anesthesia time.
C. Anesthesiologist A would 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 carrier.

NEW QUESTION # 93
What is NOT a function of the kidneys?

A. Filter blood
B. Remove waste
C. Regulate blood pressure
D. Propel urine

Answer: D

Explanation:
The role ofthe kidneys is to filter blood before it is transported back to the heart, remove waste materials from food and medication, and regulate blood pressure by excreting excess sodium.
The ureters propel urine from the kidneys into the bladder.

NEW QUESTION # 94
A surgeon performs a posterior fusion on the L2-L5 of the spine due to degenerative disc disease. CPT and ICD-IOOI code(s) should be reported?

A. 22800, M51.37
B. 22612, 22614x2, MSI.36
C. 22533, M51.37
D. 22612, 22614x 3, M51.36

Answer: B

Explanation:
The code for a joint fusion using a posterior approach is 22612. In this scenario, there are three fusion levels: L2-L3, L3-L4, and L4-L5. Following the primary code, 22614 would be billed tv;ice and with no modifier because it is an add-on code. ICD-IO-CM code M51.37 is for degenerative discs in the lumbosacral region; however, L2-L5 is considered the lumbar region.

NEW QUESTION # 95
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. 99222, 99238, N39.O
B. 99221, 99238, N39.O, Ell.9
C. 99234, N39.O, 397.89
D. 99284, 99238, Ell.69, N39.O

Answer: B

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 # 96
Consultation codes 99242-99245 have been deemed as not medically necessary and are no longer reimbursed by Medicare. This decision would fall under which term?

A. Carrier Coding Determination
B. National Coding Determination
C. Governed Coding Determination
D. Local Coding Determination

Answer: B

Explanation:
Decisions regarding coverage are made through evidence-based processes and public opinion. National Coding Determination (NCD) is specific to Medicare coverage nationwide, whereas Local Coding Determination (LDC) is contractor and commercial specific. Carrier and Governed Coding Determinations do not exist.

NEW QUESTION # 97
......

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