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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q56-Q61):

NEW QUESTION # 56
If a cardiologist bills an electrocardiogram (93010) in the emergency department and then follows up with the patient a week later for arteriosclerosis, he should bill an established patient E/M.

A. False
B. True

Answer: A

Explanation:
The statement is false. According to CPT, a new patient is one who has "not received professional services from the physician." In lieu of this, because the cardiologist only interpreted an electrocardiogram and did not actually provide care to the patient, a new patient E/M service should be billed.

NEW QUESTION # 57
What would NOT be included in critical care services?

A. Ventilator management
B. Pulse oximetry
C. Gastric intubation
D. CPR

Answer: D

Explanation:
CPR is not a bundled service to critical care and should be reported separately with CPT code
92950.

NEW QUESTION # 58
A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?

A. K63.5
B. Z12.11
C. Z12.11, K63.5
D. K63.5, Z12.11

Answer: C

Explanation:
Because the reason for the visit was a routine colonoscopy, the "encounter for screening for malignant neoplasm of colon" (Zl 2.11) would be the first-listed code. ICD-IO-CM guidelines advise that if there is a finding during a screening, the finding may be used as an additional code. In this example, the colon polyp (K63.5) is a physical finding and would be listed as the secondary diagnosis.

NEW QUESTION # 59
Which healthcare professional may NOT report medical nutrition therapy?

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

Answer: B

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 # 60
Which term describes a migraine that is unmanageable with treatment?

A. A migraine with aura
B. Intractable migraine
C. Classical migraine
D. Status migrainosus

Answer: B

Explanation:
An intractable migraine is one that is continuous and obstinate to conventional treatment. If a migraine is preceded by symptoms ofvision disturbances and/or transient muscle weakness, those symptoms are collectively known as aura. A migraine with aura is also called a classical migraine. Status migrainosus describes a severe, debilitating migraine that lasts longer than 72 hours and usually results in hospitalization.

NEW QUESTION # 61
......

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