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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q124-Q129):

NEW QUESTION # 124
A physician performs a 6 cm midline celiotomy to remove a patient's enlarged spleen by means of cautery. Abdominal exploration was performed, and the lymph nodes surrounding the inferior mesenteric artery that were noted to be abnormal were also removed. What CPT code(s) describes the surgery performed by the physician?

• A. 38100, 38999-59
• B. 0
• C. 49000, 38102
• D. 38120, 49000-51

Answer: A

Explanation:
CPT 38120 is the removal of the spleen by means of a laparoscope. The physician performed a midline celiotomy (an abdominal incision), which is an open procedure, eliminating this option. CPT 43631 describes the removal of certain portions of the stomach and was not the procedure performed. An exploratory laparotomy (or abdominal exploration) is inclusive to a splenectomy procedure and should not be reported separately. Additionally, CPT 38102 is reported when the spleen is involved in an extensive disease such as malignancy. On the other hand, CPT
38100 fully describes the open splenectomy, and CPT 38999 is used for the removal of mesenteric lymph nodes because there is no specific code for this procedure.

 

NEW QUESTION # 125
Which is NOT considered inclusive to hydration services?

• A. Subcutaneous catheter access
• B. Catheter declotting
• C. Flush solution
• D. Catheter flush

Answer: B

Explanation:
Catheter access, standard supplies such as a flush solution, and the flush at the end of the infusion are all considered necessary to facilitate the infusion and are inclusive to CPT codes
96360-96361. Declotting a catheter involves the injection of a thrombolytic agent to dissolve the clot and is separately reportable with CPT 36593.

 

NEW QUESTION # 126
CPT code 99135 is an example of a qualifying circumstance.

• A. False
• B. True

Answer: B

Explanation:
The statement is true. When it comes to reporting anesthesia services, qualifying circumstances are factors that put a patient at an unusually high health risk. A qualifring circumstance is reported with CPT codes 99100-99140, which are listed separately, in addition to the primary anesthesia code. If reporting one of these add-on codes, documentation must be submitted to support the necessity of such services.

 

NEW QUESTION # 127
Which of the four chambers in the heart receives deoxygenated blood from the body through the vena cava?

• A. Right atrium
• B. Left ventricle
• C. Left atrium
• D. Right ventricle

Answer: A

Explanation:
After receiving deoxygenated blood from the body through the vena cava, the right atrium pumps blood into the right ventricle. The right ventricle sends the blood to the lungs to be oxygenated. The left atrium receives blood from the lungs through the pulmonary veins and pumps it into the left ventricle via the mitral valve. The left ventricle then distributes oxygenated blood to tissues throughout the body.

 

NEW QUESTION # 128
What is/are the code(s) for the repair of an incarcerated hernia in the inner groin requiring mesh placement on a 32-year-old female patient?

• A. 0
• B. 1
• C. 2
• D. 3

Answer: A

Explanation:
There are several different types ofhernias that are categorized by their location. A hernia located in the inner groin is inguinal, and a hernia located on the outer groin is femoral. The repair of an incarcerated inguinal hernia on a 32 -year-old patient is coded to CPT 49507. Hernia mesh is used to reduce the risk of recurrence, and implantation of it is inclusive to an inguinal, umbilical, femoral, and laparoscopic hernia repair.

 

NEW QUESTION # 129
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