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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q74-Q79):

NEW QUESTION # 74
Which statement is true regarding the diaphragm?

A. It separates the thoracic cavity from the abdominal cavity.
B. It forms tendons, ligaments, cartilage, and fat.
C. It performs an important function in blood flow.
D. It is a collection of organs held together by connective tissue.

Answer: A

Explanation:
The diaphragm separates the thoracic cavity from the abdominal cavity by means of skeletal muscle. When the diaphragm contracts, air is drawn into the lungs. It therefore plays a key role in respiration. The mediastinum is surrounded by loose connective tissue and contains several anatomical structures including the heart. Connective tissue is distributed throughout the body to form tendons, ligaments, cartilage, and fat.

NEW QUESTION # 75
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 # 76
A 39-year-old female patient has developed a diaphragmatic hernia after an episode of domestic violence. The surgeon repairs the hernia through an incision into the abdomen. The patient is later discharged with no complications. How should this encounter be reported?

A. 39541, K44.O, T76.1 IXA
B. 39541, K44.O, T74.11YA Y07.9
C. 39540,K44.9, T 76.1 IXA
D. 39540, K44.9, T74.11XA Y07.9

Answer: D

Explanation:
Acute trauma results from a single incident, whereas chronic trauma is repeated, usually over the course of months or years. In this scenario, the documentation does not specify, so the coder should assume acute trauma. There is no mention of obstruction, so ICD-IO-CM code selection is K44.9, followed by the cause of the hernia. Vvhen an exam shows evidence of abuse, the abuse is no longer considered suspected but confirmed.

NEW QUESTION # 77
An 88-year-old patient with Medicare comes in for her yearly flu shot. After receiving a 0.5 mL single shot dose of preservative-free Alfuria intramuscularly, the provider observes the patient for 15 minutes to monitor any adverse reactions. How should the provider code for this encounter?

A. 99211-25, 90471, 90656, Z23, Z03.89
B. 96372, 90686 Z23
C. 90471, 90656, Z23
D. G0008, 90656, Z23

Answer: D

Explanation:
The patient has Medicare insurance and therefore requires the use of an HCPC code (G0008) in place of a CPT intramuscular injection code. The use of an E/M code in answer B is not warranted because the provider only administered services related to the vaccination. The appropriate diagnosis code for any vaccination would be Z23.

NEW QUESTION # 78
When it comes to documentation, which of the following is NOT an example of a moderate level of service?

A. Anew patient presents with lymphoma while undergoing treatment for melanoma
B. A physician changes the frequency of chemotherapy
C. A nurse practitioner reviews CBC, CMP, and tumor markers
D. A physician reviews the most recent X-Ray

Answer: D

Explanation:
If a physician were to only review the most recent X-ray, the physician is only meeting one of the nvo categories in the amount and/or complexity of data reviewed and analyzed. Meeting only one ofthe categories contributes to a low level of medical decision-making. On the other hand, altering a drug management program, reviewing several unique tests, and/or addressing an exacerbation of a chronic illness, all contribute to a moderate level of medical decision-making.

NEW QUESTION # 79
......

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