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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q144-Q149):

NEW QUESTION # 144
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. 99024, C85.84
• B. 99214-24, 25, 99024, C83.34
• C. 99213-24, C83.84
• D. 99214, (285.94

Answer: B

Explanation:
To determine which services to report for this encounter, it is important to understand which services were rendered on the last. The patient had an open biopsy of the axillary lymph nodes (CPT 38525) last week This procedure has a postoperative 90-day global period. This means that any related services provided to the patient within that time are reported with zero-charge CPT
99024. Services such as biopsy results, follow-up incisional care, and any postoperative complications are all inclusive to this code. As the patient was given biopsy results, CPT 99024 should be reported for this encounter. However, CPT guidelines also state that when it comes to diagnostic procedures, "care of the condition for which the diagnostic procedure was performed...
is not included and may be listed separately." In this case, that care begins with the discussion of treatment options with their identified risks, and the decision to begin radiation. This level of moderate medical decision-making is reported by means of E/M CPT 99214. Modifier 24 is appended to indicate that is it unrelated to postoperative care, and modifier 25 is appended to indicate it is separately identifiable to CPT 99024. ICD-IO-CM crosswalk for lymphoma, diffuse large cell, is C83.34.

 

NEW QUESTION # 145
A male patient is admitted with symptoms of a persistent cough and temperature of 101.2. A skin test reveals that the patient has tuberculosis. His medical history is positive for HIV. Assign the appropriate diagnosis codes for this patient.

• A. B20,A15.9
• B. A18.4, Z21
• C. A15.9,
• D. A18.4, R05.8, R50.9, B20

Answer: A

Explanation:
Tuberculosis (TB) can usually spread from the lungs to another site via the bloodstream.
Because the documentation does not specify whether the TB is primary or secondary, the coder would default to A15.9, as TB unspecified. A cough and fever are symptoms of an underlying illness and would not be coded because a definitive diagnosis of TB is present. Because TB is an HIV- related illness, B20 would be the first listed code.

 

NEW QUESTION # 146
Which healthcare professional may NOT report medical nutrition therapy?

• A. Nutritionist
• B. Registered nurse
• C. Dietician
• D. Endocrinologist

Answer: D

Explanation:
Medical nutrition therapy describes nutritional assessments and interventions in a face-to- face or group patient setting and is reported with CPT codes 97802-97804. These codes are used by nonphysician healthcare professionals only. When a physician provides nutritional advice, a preventative service or evaluation and management code should be reported.

 

NEW QUESTION # 147
A patient receives a positron emission technology (PET) scan at rest, where a metabolic evaluation study, including ventricular wall motion was performed using PET imaging. A computed tomography (CT) was performed at the same time. What CPT code(s) should the radiologist report?

• A. 78429, 76497-59
• B. 0
• C. 1
• D. 78430, 76497-59

Answer: C

Explanation:
PET scans are reported using CPT codes 78429-78434. The documentation specifies that a metabolic study was performed versus a perfusion study, thus eliminating answers B and D. A CT scan is included in the description of CPT 78429, thus making it unable to be separately reportable.

 

NEW QUESTION # 148
A patient presents to urgent care with complaints of a sore throat, a temperature of 100.2, and pain while urinating. The provider examines the patient and collects a throat swab and urine sample. The following codes are then entered on the patient's claim: R30.9, R07.O, R50.9, N39.O, J03.8, and B95.3. What code(s) should be removed?

• A. 395.3
• B. R30.9, 102.9 and R50.9
• C. N39.O, 103.00
• D. R30.9, J02.9

Answer: B

Explanation:
Pain while urinating 830.9) is a symptom of a urinary tract infection (N39.O), and a sore throat (R07.0) and fever 850.9) are symptoms of acute tonsillitis caused by Streptococcus (103.00).
Neither ofthese three codes should be reported because ICD-IO-CM guidelines stipulate that when a definitive diagnosis is present, signs and/or symptoms should not be additionally listed on the claim.

 

NEW QUESTION # 149
......

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