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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q150-Q155):

NEW QUESTION # 150
A surgeon performs a craniectomy to excise a meningioma located above the tentorium cerebelli. During the procedure, an extradural hematoma is noted and removed via the same craniectomy site. How should the surgeon report the procedure?

A. 0
B. 61519, 61314-51
C. 61512, 61312-59
D. 61312-22

Answer: A

Explanation:
Surgical procedures on the nervous system are identified by where inside the skull they occur. A meningioma is being excised from above the tentorium cerebelli, otherwise known as supratentorial (CPT 61512). The removal of an extradural hematoma is inclusive to the primary craniectomy code because the finding is incidental and the same surgical site is used for its removal.
If the surgeon had to create a separate incision to access the extradural hematoma, that excision could be reported separately with modifier 59.

NEW QUESTION # 151
Which statement is true regarding the diaphragm?

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

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 # 152
Diagnostic endoscopy is always inclusive to a surgical endoscopy.

A. True
B. False

Answer: A

Explanation:
The statement is true. When multiple endoscopic procedures are performed in the same session, only the most extensive service should be reported. In this case, it would be the surgical endoscopy because it has a higher revenue value.

NEW QUESTION # 153
A low-risk obstetrical patient is told to come in for weekly ultrasounds in her first trimester. This is an example of what?

A. Waste
B. Fraud
C. Abuse
D. Misuse

Answer: A

Explanation:
In this case, the patient is not at risk, and most organs either are not developed and/or cannot be visualized in the first trimester. Thus, this would constitute as waste due to the provider overutilizing services that result in unnecessary cost. AAPC defines fraud as purposely billing "for services that were never given or to bill for a service that has a higher reimbursement than the service provided." Abuse is payment for services "that are billed by mistake by providers."

NEW QUESTION # 154
A physician provides a GIPO 39-weeks twin gestational patient with antepartum care, delivery, and postpartum care. Baby A was delivered vaginally without complications, and Baby B was delivered by Cesarean due to fetal tachycardi a. Assign the correct ICD-IO-CM and CPT codes.

A. 59410, Z37.2 and 59510-51, 076, Z37.2
B. 59510, 076, Z3A39, Z37.o and 59409-51, Z3A39, Z37.o
C. 59409, Z3A.39, Z37.o and 59510-51, 076, Z3A39, Z37.o
D. 59400, Z37.o and 59510-51, 036.8332, Z37.o

Answer: B

Explanation:
The Cesarean delivery (59510) would be sequenced first because this code has the highest RVU and would include the antepartum and postpartum care. The vaginal delivery by itself (59409), without antepartum and postpartum care, would be reported secondary because the charges for the antepartum and postpartum care of the mother have already been included in the Cesarean delivery code.

NEW QUESTION # 155
......

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Latest AAPC-CPC Free Sample Questions - Pass AAPC-CPC Once - Effective Customized AAPC-CPC Lab Simulation

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q150-Q155):

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