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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions:

1. A patient is in labor with plans to deliver vaginally. An epidural is administered at 17:30. After several hours of pushing, the obstetrician determines that the cervix is swollen, and the baby must be delivered via a c-section. The patient consents, the baby is delivered, and both are discharged to the recovery room at 22:15. What CPT code(s) should the anesthesiologist report?

A) 01967-23, 01968, 99140
B) 01967, 01968
C) 01967-23, 01968
D) 01967, 01968, 99140

2. 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) National Coding Determination
B) Carrier Coding Determination
C) Governed Coding Determination
D) Local Coding Determination

3. What must the documentation for a consultation include?

A) Documentation of assumption of care, who requested the consultation, and the consultingproviders, professional opinion
B) The reason for the consultation, the time spent discussing the recommended treatmentplan, and a medical decision-making of moderate complexity
C) Which family member prompted the consultation, a written report ofthe physical findings/recommendations, and the time spent discussing the recommended treatment plan
D) Who requested the consultation, the consulting providers, professional opinion, and awritten report that is provided to the referring physician

4. Which patient is receiving critical care services?

A) A 47 -year-old female with a history of unrepaired chronic heart disease and anemia has anoxygen saturation level of 80. She is put on a nasal cannula and given a blood transfusion toimprove her oxygen-carrying capacity and oxygen saturation level.
B) A 60-year-old male is admitted with an acute chronic heart failure exacerbation causinghypoxic respiratory failure. The patient is intubated, sedated, and started on 50 mg ofertapenem for a potential lung infection.
C) A 93 -year-old male is admitted to the intensive care unit for monitoring after a coronaryangioplasty procedure that was performed to relieve symptoms of atherosclerosis.
D) A 67 -year-old female receives chronic ventilator therapy after a cerebral infarction thatcaused hemorrhage in the brain.

5. A physician performs a thyroidectomy on a 26-year-old female patient with thyroid cancer. A radical neck dissection with a partial parathyroidectomy and autotransplantation of two parathyroid glands is also completed in the same session. W'hat CPT code(s) should the physician report?

A) 60254
B) 60254, 60512-52
C) 60254, 60500-51, 60512-51
D) 60254, 60500-51, 60512

Solutions: