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

1. Code the following surgical note:
Patient is seen for an epidural injection into the following three levels: L3-L4, L4-L5 and L5-S1.
A 22 -gauge spinal needle is inserted into the zygapophyseal joint using fluoroscopic guidance. After confirming the needles placement at L3-L4 on the left side, 0.5 cc of a local anesthetic is injected into the joint. The whole process is repeated on the left side at the other two levels. The procedure was completed without any complications.

A) 64493-LT, 64494-59-LT, 64495-59u
B) 62323
C) 64493-LT, 64494-LT, 64495-LT
D) 0216T-LT, 0217T-LT, 0218T-LT

2. A primary care physician is requesting a second opinion to determine which strain of Ebolavirus the patient has. The specimen is sent to a pathologist, who carefully examines it.
A written report is sent promptly back to the primary care physician, confirming Zaire Ebolavirus and recommending immediate isolation and emergency care. What code should be reported by the pathologist?

A) 80504
B) 99245
C) 80505
D) 99204

3. A physician performs a thyroidectomy on a 26-year-old female patient with thyroid cancer. A radical neck dissection with a partial parathyroidectomy and autotransplantation of two parathyroid glands is also completed in the same session. W'hat CPT code(s) should the physician report?

A) 60254, 60512-52
B) 60254, 60500-51, 60512
C) 60254
D) 60254, 60500-51, 60512-51

4. A patient is having difficulties breast-feeding and receives a lactation consultation by a certified lactation consultant under the general supervision of a mid-level practitioner. How should this service be reported?

A) 99211
B) 98960
C) 98966
D) 99078

5. If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?

A) Propofol is administered to the patient intravenously.
B) A pulse oximeter is attached to the patient,s finger while in the operating room.
C) Medical history and vital signs for the patient are obtained prior to the surgery.
D) Request for services is received for an operation that begins in 1 hour.

Solutions: