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

1. A 72 -year-old patient is admitted due to atrial fibrillation. A comprehensive electrophysiology study is completed with fluoroscopic guidance, followed by a cardiac catheter ablation during the same procedure. The procedure took 22 minutes, and the patient was moderately sedated. Which CPT codes should the cardiologist report?

A) 93656, 99152
B) 93650, 93619-26-59, 77001, 99152, 99153
C) 93656, 77001, 99152, 99153
D) 93650, 93619-26-59, 99152

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

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

3. Code the following surgical note:
Patient is seen for an epidural injection into the following three levels: L3-L4, L4-L5 and L5-S1.
A 22 -gauge spinal needle is inserted into the zygapophyseal joint using fluoroscopic guidance. After confirming the needles placement at L3-L4 on the left side, 0.5 cc of a local anesthetic is injected into the joint. The whole process is repeated on the left side at the other two levels. The procedure was completed without any complications.

A) 62323
B) 64493-LT, 64494-LT, 64495-LT
C) 64493-LT, 64494-59-LT, 64495-59u
D) 0216T-LT, 0217T-LT, 0218T-LT

4. If past family and social history is not documented for the evaluation and management of a new patient, what is the highest level of service that can be coded?

A) 99203
B) 99205
C) 99213
D) 99214

5. A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?

A) K63.5
B) Z12.11, K63.5
C) K63.5, Z12.11
D) Z12.11

Solutions: