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Medical Tests AAPC-CPC Exam Syllabus Topics:

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

2. A physician documents a comprehensive electrophysiologic evaluation with an unsuccessful attempted induction of arrhythmi a. Upon review, the bundle-of-His recording is missing. What code(s) should be reported?

A) 93620-52
B) 93619-52
C) 93620
D) 93610, 93602, 93612, 93603, 93618

3. Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

A) 39402, 31623-51
B) 39010, 31623-51
C) 39402, 31622-51
D) 39010, 31622-51

4. A 74-year-old patient presents with a fever. She is admitted into observational care after her labs confirm a diagnosis of pneumoni a. She has a medical history of being HIV positive. How should this be reported?

A) 99222, B20, 118.9
B) 99236, 118.9, B20
C) 99223, 118.9, B20
D) 99235, B20, 118.9

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

Solutions: