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Pass Guaranteed Quiz AAPC-CPC - American Academy of Professional Coders: Certified Professional Coder Updated Latest Braindumps Ebook
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q93-Q98):
NEW QUESTION # 93
To rule out malignancy, a provider collects two biopsies from the right thyroid nodule using a large bore needle that is inserted through the skin. Which CPT code(s) should be reported?
- A. 10021, 10004
- B. 60100, 60100-59
- C. 0
- D. 10021, 10004-59
Answer: C
Explanation:
Although CPT codes 10021, 10004, and 60100 all represent percutaneous procedures, only CPT 60100 describes the use of a large bore needle to obtain a specimen. When multiple biopsies are taken from the same nodule, only report CPT 60100 once. Ifa separate nodule is biopsied, report 60100 a second time with modifier 59, indicating a procedure on a sperate anatomical site.
NEW QUESTION # 94
A provider documents that he spent 20 minutes with a patient. Based on this, an E/M can be chosen solely based on time.
- A. False
- B. True
Answer: B
Explanation:
The statement is true. According to AMA time documented is considered the minimum time the physician or other qualified health care professional spent on face-to-face and non-face-to-face services. This includes time spent reviewing the patient's medical record, consulting other healthcare professionals, or ordering prescriptions, tests, and/or other services.
NEW QUESTION # 95
Modifier 50 is not an appropriate modifier to append on CPT code 52000.
- A. False
- B. True
Answer: B
Explanation:
The statement is true. In general, modifier 50 is not appended on cystourethroscopies because human anatomy has only one bladder. However, if the descriptor includes "with ureteral catherization," the procedure can be performed tvvice and billed once with modifier 50 because there are two ureters. CPT 52000 does not include this descriptor.
NEW QUESTION # 96
A patient with right knee pain is seen in a physician's office for an x-ray. Anteroposterior and lateral views of the right knee were obtained by the technician, and images confirm right knee pain secondary to degenerative osteoarthritis. Which CPT and ICD-IO-CM code(s) should be reported?
- A. 73560-RT, MI 7.11
- B. 73560-TC-RT, MI 7.11
- C. 73560-26-RT, MI 7.11, M25.561
- D. 73560-TC-RT, MI 7.11, M25.561
Answer: A
Explanation:
The CPT crosswalk for x-ray of knee directs the coder to 73560-73580. Because two views were obtained, the correct code would be 73560 (radiologic examination, knee; I or 2 views).
Modifier TC and modifier 26 indicate only technical and professional components: however, because the x-ray was performed in a physician's office, 73560 would be reported without either because the practice provided both components. In terms of diagnosis, the knee pain would not be reported because it is a symptom of a definitive diagnosis.
NEW QUESTION # 97
A patient is seen with complaints of recurring infections in the foreskin. The physician recommends circumcision to help improve penile hygiene. The patient agrees, a local anesthetic is injected into the penis, and the procedure is completed by clamping the foreskin and trimming the excess skin. How should the physician report the encounter?
- A. 54150-52, Z41.2, Z87.2
- B. 54150, 64450, Z41.2, Z87.2
- C. 54150-52, 64450, N48.89
- D. 54150, N48.29
Answer: D
Explanation:
A circumcision procedure includes a local anesthetic, also known as a ring block. Therefore, an additional anesthesia code (CPT 64450) should not be reported as a secondary code, nor should modifier 52 be appended on the primary procedure. The code notes for ICD-IO-CM code Z41.2 specifically state that this diagnosis should be used only when the procedure is elective and not related to a specific diagnosis. In this case, because the procedure is related to a recurring condition the patient is experiencing. the infection should be the primary diagnosis. The diagnosis crosswalk would be "infection" followed by "penis," which directs the coder to N48.29.
NEW QUESTION # 98
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