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

1. A patient is seen in the emergency room with a thermal burn to the left thigh because of a fire. The patient denies feelings of hypothermi a. Vitals are obtained, and a physical examination reveals that approximately 4% of the body is affected by second-degree burns, and nonviable tissue needs to be removed to avoid the risk of infection. After consent is obtained, the physician debrides the wound, cleanses the area, and applies a gauze. The patient is discharged and told to follow up with their primary care physician in 2 days. What CPT code(s) should be reported for this encounter?

A) 99282-25, 16020
B) 16020
C) 16020, 99282
D) 99283-25, 16020

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

3. The appendix is removed through an abdominal incision due to metastatic colon malignancy. How should this be reported?

A) 44970, C78.5
B) 44950, C78.5, C18.9
C) 44950, C78.5
D) 44970, C18.9, C78.5

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. Code the following physician's note:
A 14-year-old established patient is seen with mother to evaluate five 2 cm superficial lacerations to the left wrist. Patient admits to suicidal thoughts.
Lacerations were treated with Steri-Strips. Patient and mother counseled on suicide prevention and told to follow up with psych.

A) 12004, S61.512A, R45.851
B) 99213, S61.512A, R45.8S1
C) 12004, S61.512A, T14.91XA
D) 99214, S61.512A, T14.91XA

Solutions: