Simulations AAPC-CPC Pdf - AAPC-CPC Instant Download

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q45-Q50):

NEW QUESTION # 45
An obstetrical patient carrying twins is seen. The physician performs a fetal non stress test on each fetus. How should the CPT code(s) be reported?

A. 0
B. 59025-76
C. 59025-22
D. 59025, 59025-59

Answer: D

Explanation:
Modifier 76 is used to identify a repeated procedure, but the test was performed on a separate fetus. Modifier 22 indicates increased procedural services: however, the services were not increased. Rather, a separate, identifiable test was rendered, and the modifier 59 would therefore apply to the second fetal nonstress test.

NEW QUESTION # 46
A mammogram is done on a patient who has a lump on her right breast at 4 0'clock and a lump in her left breast at 6 0'clock. What CPT and ICD-IO-CM code(s) should be reported?

A. 77066, N63.14, N63.25
B. 77065-50, N63.13, N63.20
C. 77067, D48.61, D48.62
D. 77067, D49.3

Answer: A

Explanation:
CPT code 77067 is a screening mammogram. In this case, the mammogram would be diagnostic because the purpose is to rule out and/or make a diagnosis based on physical exam findings. Code 77065-50 is an inappropriate use of the modifier because there exists a bilateral procedure code. A breast lump should only be coded to "mass" and not as a neoplasm unless specifically stated in the diagnosis. When deciphering the location of the mass, 12 0'clock is at the top of each breast, and the point of movement is clockwise. Therefore, 4 0'clock in the right breast is equivalent to the lower-inner quadrant, and 6 0'clock in the left breast is in the middle ofthe t".vo lower quadrants.

NEW QUESTION # 47
A 92-year old female with Medicare part A coverage receives ongoing hospice care due to dementi a. She goes to a physician's office to receive closed treatment of a hip dislocation following a fall. No anesthesia was used. How should the provider submit this claim?

A. 27250, S73.003A, W19XXXA
B. 27250-GW, 99202-25, S73.003A W19XXYuA
C. 27250, 99213-25, S73.003A
D. 27250-GW, S73.003A, W19XXXA

Answer: D

Explanation:
When a patient is receiving hospice care, Medicare will not reimburse the physician for services rendered that are unrelated to the terminal illness unless submitted with modifier GW. In Answers C and D, a separate, identifiable E/M is not to be billed because the procedure is considered minor (1- to 10-day global period) and includes an inherent E/M component.

NEW QUESTION # 48
What is the difference between presumptive and definitive testing?

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

Answer: B

Explanation:
A presumptive test reports whether the patient is positive or negative for a specific drug. A definitive test would analyze which specific agent and/or how much of that agent is in the patients' system.

NEW QUESTION # 49
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, 10004-59
B. 60100, 60100-59
C. 10021, 10004
D. 0

Answer: D

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 # 50
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Simulations AAPC-CPC Pdf - AAPC-CPC Instant Download

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q45-Q50):

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