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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q81-Q86):

NEW QUESTION # 81
Which service would NOT be covered under Medicare part A?

• A. Inpatient hospital care
• B. Hospice care
• C. Observation hospital care
• D. Home health care

Answer: C

Explanation:
Observation hospital care is provided to patients who are not sick enough to be admitted.
Therefore, it is considered an outpatient service and is covered under Medicare part B.

 

NEW QUESTION # 82
Which antibody test results indicate a current, acute infection?

• A. IgM positive, IgG negative
• B. IgG positive, IgM positive
• C. IgG positive, IgM positive
• D. IgG negative, IgM negative

Answer: A

Explanation:
Understanding immunology and antibody results are imperative to proper code selection and to be able to support any necessary repeat testing. Antibody isotypes IgM assist in attacking infectious pathogens and are indicative of an acute infection. Antibody isotypes IgG are formed as an infection subsides and help the body fight against future attacks from the same bacteria. When the results show IgG positive, it indicates immunity. When a patient has an infection, the results will show IgM positive, but as the IgG antibodies haven't fully formed yet to provide the body with immunity, that result will come back negative.

 

NEW QUESTION # 83
A physician inserts a chest tube through the right chest wall and into the pleural cavity to release trapped air in a 19-year-old patient with recurring pneumothorax. A second physician assists in providing moderate sedation. In total, the procedure took 8 minutes. What ICD-IO-CM and CPT codes should the provider report?

• A. 32550, 193.9
• B. 32551, 99156-59, 193.9
• C. 32551, 193.83
• D. 32550-62, 99156, 193.83

Answer: C

Explanation:
The code description "tube thoracostomy" is not clearly stated in the documentation, but CPT crosswalk for a 'tube placement" followed by "chest" leads the coder to CPT 32551. CPT 32550 describes the insertion of a catheter that allows the patient to drain pleural fluid in an outpatient setting. Moderate sedation can be separately billed but only by the provider administering the medication. The 193 series is circumstantial (e.g., spontaneous, acute). Even though the term
"recurrent" is not used, it does describe the background of the patient's condition and so would fall into the other specified diagnosis rather than unspecified.

 

NEW QUESTION # 84
A patient undergoes surgery with anesthesia and is arousable with painful stimulation. What is the level of sedation the patient MOST likely received?

• A. Moderate sedation
• B. General anesthesia
• C. Minimal sedation
• D. Deep sedation

Answer: D

Explanation:
Minimal, moderate, and deep sedation all allow the patient to undergo a procedure without pain and without being completely unconscious. If a patient receives minimal sedation, they are responsive after receiving verbal stimulation. Moderate sedation causes a patient to respond only after tactile stimulation. General anesthesia causes the patient to be completely unarousable, even with painful stimulation.

 

NEW QUESTION # 85
Code the following adverse effect:
Initial encounter of drug-induced tremors that was caused by Cyclosporin the patient takes for anemi a. The anemia is caused by a current diagnosis of colon cancer.

• A. D63.O, C18.9, T45.1X5A, G25.1
• B. C18.9, D63.O, G25.1, T45.1X5A
• C. T45.1X5A G25.1, C18.9, D63.O
• D. G25.1, T45.1X5A, C18.9, D63.O

Answer: D

Explanation:
The correct sequencing of the code would be as follows: side effect of the drug. medication that caused the adverse effect and the underlying condition for why the drug is being taken. In this scenario, because the anemia is caused by a malignancy, ICD-IO-CM guidelines state that the malignancy should be the principal diagnosis "followed by the appropriate code for the anemia (such as D63.0, Anemia in neoplastic disease)."

 

NEW QUESTION # 86
......

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