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

1. A young man is triaged in the emergency room after sustaining multiple injuries in a car accident. The physician performs the following limited exams with image documentation: an abdominal and retroperitoneal ultrasound, a transthoracic echocardiography, and a chest ultrasound. He indicates in his report that all findings are normal. What charges should the provider submit to the insurance company?

A) 93308-26, 76705-26, 76775-26, 76604-26
B) 93304-TC, 76700-TC, 76770-TC, 76604-TC
C) 93308, 76705-59, 76770-59, 76604-59
D) 93304-26, 76705-26, 76775-26, 76604-26

2. A physician provides a GIPO 39-weeks twin gestational patient with antepartum care, delivery, and postpartum care. Baby A was delivered vaginally without complications, and Baby B was delivered by Cesarean due to fetal tachycardi a. Assign the correct ICD-IO-CM and CPT codes.

A) 59510, 076, Z3A39, Z37.o and 59409-51, Z3A39, Z37.o
B) 59410, Z37.2 and 59510-51, 076, Z37.2
C) 59409, Z3A.39, Z37.o and 59510-51, 076, Z3A39, Z37.o
D) 59400, Z37.o and 59510-51, 036.8332, Z37.o

3. A patient develops an infection within the global period of a knee replacement. It is determined that the infection originated from the incision site and needs to be surgically removed. Which modifier should be appended to the secondary surgery?

A) 25
B) 58
C) 78
D) 79

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

5. 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) 78429, 76497-59
B) 78429
C) 78430, 76497-59
D) 78430

Solutions: