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2025 The Best AAPC-CPC Official Study Guide | 100% Free AAPC-CPC Valid Real Exam

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q39-Q44):

NEW QUESTION # 39
A patient receives a positron emission technology (PET) scan at rest, where a metabolic evaluation study, including ventricular wall motion was performed using PET imaging. A computed tomography (CT) was performed at the same time. What CPT code(s) should the radiologist report?

A. 78430, 76497-59
B. 0
C. 78429, 76497-59
D. 1

Answer: B

Explanation:
PET scans are reported using CPT codes 78429-78434. The documentation specifies that a metabolic study was performed versus a perfusion study, thus eliminating answers B and D. A CT scan is included in the description of CPT 78429, thus making it unable to be separately reportable.

NEW QUESTION # 40
A patient tests positive for coronavirus (SARS-CoV-2) and bronchitis after presenting with a cough. What diagnosis code(s) should be reported?

A. U07.1,J40, Z20.828
B. 140, 897.29, R05.9
C. U07.1,J40
D. J40,B97.29, Z20.828

Answer: C

Explanation:
The underlying condition should always be first listed, which in this case would be the SARS- COV-2 infection (U07.1). The description of the code then prompts the biller to list the manifestations, which would be the unspecified bronchitis 040). In answer A. cough would not be coded as a symptom because the patients illness is confirmed. Answers C and D, which include a suspected exposure code, can also be eliminated because this code is used only when the existence ofthe illness in the patient is unknown or negative.

NEW QUESTION # 41
A patient is scheduled for a total knee replacement. The assigned anesthesiologist performs a femoral nerve block using an ultrasound machine just prior to entering the operating room to aid in postoperative pain control. Once in the operating room, general anesthesia is administered to the patient. What CPT code(s) should the anesthesiologist report?

A. 01402
B. 01400, 01991, 76942
C. 01402,64447_59, 76942
D. 01400, 01991-59

Answer: C

Explanation:
CPT crosswalk for anesthesia administered during a total knee replacement is 01402.
Although CPT 01991 does describe a nerve block, it is considered monitored anesthesia care because the patient is awake. However, in this scenario, general anesthesia is being used for the primary procedure, and the femoral nerve block is administered for postoperative pain management. Therefore, the nerve block would be billed as CPT 64447 with modifier 59 to indicate that it is separately reportable from the primary procedure. If, on the other hand, the nerve block was being used as a component of the general anesthesia, CPT 64447 would be considered inclusive to the general anesthesia and not reported separately. Ultrasound guidance is not currently bundled with the administration of a nerve block and, when used, should be reported separately with CPT 76942.

NEW QUESTION # 42
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. 99235, B20, 118.9
C. 99223, 118.9, B20
D. 99236, 118.9, B20

Answer: A

Explanation:
Hospital inpatient and observation care services (99221-99236) are selected based on the level of medical decision-making. In this scenario, reporting a code from the initial hospital inpatient and observation care services would be most appropriate (99221-99223), as the documentation indicates the patient is being admitted. When leveling this service, consider that the patient has an acute illness with systemic symptoms (pneumonia) and a stable, chronic illness (HIV). Labs were reviewed to confirm the diagnosis, and a decision was made to admit the patient into observation. Therefore, the final level of medical decision-making is moderate, making the E/M code 99222. Even though pneumonia is the reason for admission, ICD-IO-CM guidelines stipulate that a confirmed HIV diagnosis takes precedence in sequencing when the reason for admission is HIV related.

NEW QUESTION # 43
A 55-year-old patient is admitted into the hospital for dialysis to treat ESRD. On day 13, the admitting physician spends 25 minutes discussing new management options for the patient's hypertension before sending a nurse to initiate the hemodialysis procedure. What CPT and ICD-IO-CM codes should be reported?

A. 90937, 99232, 110, N18.6, Z99.2
B. 90937, 112.0, N18.6, Z99.2
C. 90935, N18.6, Z99.2
D. 99232, 112.0, N18.6, Z99.2

Answer: D

Explanation:
CPT codes 90935-90937 require the presence of a physician. If a physician visits the patient prior to or after the dialysis treatment but does not document their presence during the hemodialysis services, bill only the appropriate evaluation and management code (CPT 99232).
Additionally, unless otherwise stated, diagnosis selection should reflect the causal relationship that exists bet'.veen hypertension and ESRD (112.-, N18.-)-they should not be reported as unrelated.
ICD-IO-CM Z99.2 is appended to indicate hemodialysis status.

NEW QUESTION # 44
......

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