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

1. A physician performs an esophagogastroduodenoscopy on a patient who has GERD. A single tissue sample is obtained from the upper gastrointestinal tract using biopsy forceps. A reflux test was also done and a bravo capsule temporarily attached to the esophageal wall to monitor pH levels. What procedures should the physician report?

A) 43239, 91034
B) 43235, 91034
C) 43239, 91035
D) 43235, 91035

2. Assign the appropriate CPT codes for the following surgical note: A 15-year-old patient is being treated for obstructive sleep apnea and adenoid tissue hypertrophy. After being placed under general anesthesia, a dental mirror is placed in the oropharynx to allow visualization of the nasopharynx. Suction electrocautery is used to remove the adenoid tissue that regrew after the initial adenoidectomy. Attention is then turned to the tonsils. The plane of tissue between the tonsillar capsule and the underlying muscles are cauterized, and the tonsils are removed. Bleeding is controlled by silver nitrate and gauze packing. Procedure is completed without complications, and patient is discharged to recovery.

A) 42826, 42831-59, 135.2, G47.33
B) 42821, G47.33, 135.2
C) 42999, 647.33, 135.2
D) 42826, 42836-51, 135.2, G47.33

3. Which form is used to make a patient aware of the potential monetary liability they will have if their procedure is not likely to be covered by Medicare?

A) National Coverage Determination
B) Payment Plan Contract
C) Advance Beneficiary Notice
D) Health Insurance Portability and Accountability Act (HIPAA) Release

4. 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) 99213-25, 96372, (3 units)
B) 99212, J0171
C) 10171 (3 units)
D) 96372, 10171 (3 units)

5. The physician suspects malignancy and decides to remove two lesions from the patient's back to confirm. The size of the first lesion has a diameter of 0.5 cm, and the excised diameter is 1.0 cm. The size of the second lesion has a diameter of 0.3 cm, and the excised diameter is 1.5 cm. Which CPT code(s) should be reported?

A) 11401, 11402-51
B) 11401, 11402-59
C) 11402, 11401-59
D) 11600, 11600-51

Solutions: