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

1. Code the following note:
A 43 -year-old new female patient with a history of type I diabetes was referred to my office by Dr. White, her primary care physician. Patient complains of blurred vision that began 2 weeks ago, however, reports compliance to a strict, healthy diet and to prescribed 10 mg of dexamethasone every day for 1 month. Given that the only change appears to be the dexamethasone, I suspect the blurred vision is an adverse reaction and will decrease the dosage to 5 mg per day. Patient will follow up with me in 1 week if symptoms persist.
Total time spent on todays encounter is 30 minutes.

A) 99243, H53.8 ElO.39
B) 99203, H53.8, ElO.69
C) 99244, H53.8, T38.OX5A, ElO.9
D) 99204, HS3.8, ElO.9

2. A mammogram is done on a patient who has a lump on her right breast at 4 0'clock and a lump in her left breast at 6 0'clock. What CPT and ICD-IO-CM code(s) should be reported?

A) 77066, N63.14, N63.25
B) 77067, D48.61, D48.62
C) 77065-50, N63.13, N63.20
D) 77067, D49.3

3. Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

A) 39402, 31622-51
B) 39010, 31623-51
C) 39402, 31623-51
D) 39010, 31622-51

4. A patient with a history of colon cancer was treated with radiation therapy. CT scans and blood tests show the malignancy has been eradicated. The patient is directed to take 81 mg of aspirin daily over the course of the next year to help prevent reoccurrence of the malignancy. What ICD-IO-CM code(s) should be reported by the provider on subsequent visits related to this patient's condition?

A) C18.9
B) Z08, Z85.038
C) Z85.038
D) Z48.3, C18.9

5. In the Current Procedural Terminology book, how is the icon "Excludes" meant to be interpreted?

A) It may include services that are bundled and cannot be separately billed.
B) It may identify services that are not bundled and may lead the user to a more appropriatecode.
C) Acausal relationship should be presumed between the tvo conditions.
D) An additional code should be reported to fully describe a condition.

Solutions: