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

1. Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes

A) 99213
B) 99212
C) 99215
D) 99214

2. An 8-year year old female is seen by her pediatrician for an allergic reaction to a bee sting. The pediatrician administers 0.3 mg of epinephrine intramuscularly. Which code(s) should be reported?

A) 99212, J0171
B) 99213-25, 96372, (3 units)
C) 10171 (3 units)
D) 96372, 10171 (3 units)

3. CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?

A) The two codes can be billed together with an appropriate modifier.
B) The two codes are exclusive of each other and can never be billed together.
C) The two codes are inclusive of each other and can never be billed together.
D) If being billed together, only report one unit of each.

4. Code the excision of a large goiter extending into the chest cavity using a transthoracic approach.

A) 32900
B) 60270
C) 21602
D) 32140

5. A patient is referred to a radiology clinic with a diagnosis of chest bruising. A radiologist who works for the clinic performs a 3-view x-ray on the patient's ribcage bilaterally. The radiologist interprets images and determines that there is a right-sided stress fracture to one rib. Which ICD-IO-CM and CPT codes should be reported for this encounter?

A) 71110, S22.31Y.4
B) 71110-26, S22.31Y.A
C) 71110-26, M84.48XA
D) 71110, M84.48XA

Solutions: