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

1. A 39-year-old female patient has developed a diaphragmatic hernia after an episode of domestic violence. The surgeon repairs the hernia through an incision into the abdomen. The patient is later discharged with no complications. How should this encounter be reported?

A) 39541, K44.O, T74.11YA Y07.9
B) 39540,K44.9, T 76.1 IXA
C) 39541, K44.O, T76.1 IXA
D) 39540, K44.9, T74.11XA Y07.9

2. What is the difference between presumptive and definitive testing?

A) Presumptive testing requires additional observation time; definitive testing requires ablood draw.
B) Presumptive testing is based on exhibited signs and/or symptoms; definitive testing isbased on lab results.
C) Presumptive testing confirms the presence of a drug class; definitive testing identifies thequantity or presence of a drug.
D) Presumptive testing assumes a diagnosis; definitive testing confirms a diagnosis.

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

A) An additional code should be reported to fully describe a condition.
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) It may include services that are bundled and cannot be separately billed.

4. A surgeon performs a posterior fusion on the L2-L5 of the spine due to degenerative disc disease. CPT and ICD-IOOI code(s) should be reported?

A) 22612, 22614x 3, M51.36
B) 22612, 22614x2, MSI.36
C) 22533, M51.37
D) 22800, M51.37

5. A 74-year-old male patient recently had a bone marrow transplant due to aplastic anemi a. At his follow-up visit with the doctor, his blood is drawn and sent to the laboratory to determine if the engraftment was successful. The laboratory evaluates the immature reticulocyte fraction (IRF) using an automated cell counter and total reticulocyte by way of a manual count. What codes should the laboratory report?

A) 85046, D61.9, Z79.89
B) 85046, 85044, D61.9
C) 85046, D61.9
D) 85046, 85044, D61.9, Z94.81

Solutions: