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

1. Code the following surgical note:
54-year-old male is experiencing left-sided weakness and visual disturbance. An MRI revealed a lesion in the brain. He presents today for a biopsy. General anesthesia is given, and the area is shaved and cleaned. The brain lab system is synced with prior MRI images to confirm the accurate placement of burr hole drilling. A cutting needle is inserted into the frontal lobe, and lesion location is confirmed with the brain lab system. A portion of the lesion is obtained without complication. All instruments removed, and the incision is sutured.

A) 61140
B) 61750
C) 61575
D) 61751

2. An established patient presents complaining of clumpy, white discharge for 3 days. A vaginal exam reveals an old tampon, which is removed. Diflucan is sent to the pharmacy, instructions given, and the patient is told to follow up in I week. How would the provider code the visit?

A) 99213, T19.2XXA, N89.8
B) 99213,N89.8, T19.2LXA
C) 57415, T19.2XXA, N89.8
D) 57415, 99212-25, T19.2kVA

3. Which term describes a migraine that is unmanageable with treatment?

A) Status migrainosus
B) A migraine with aura
C) Intractable migraine
D) Classical migraine

4. A female patient experiencing swollen lymph nodes is seen for a follow-up to discuss the results of her open axillary biopsy that occurred last week The results are positive for diffuse large cell lymphom a. The patient is given multiple treatment options, including success rates, risks, and side effects. She opts to begin radiation treatment next week. What CPT and ICD-IO-CM codes should the provider report for this visit?

A) 99214, (285.94
B) 99214-24, 25, 99024, C83.34
C) 99213-24, C83.84
D) 99024, C85.84

5. A patient with a stab wound to the chest was taken to the operating room and put under general anesthesia for a thoracotomy. The anesthesiologist should report CPT 00520 with the total number of time units spent providing face-to-face care with the patient.

A) True
B) False

Solutions: