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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q124-Q129):

NEW QUESTION # 124
A urologist performs a laparoscopic adrenalectomy and excises a retroperitoneal mass in the same session. How should this be coded?

A. 60650-22
B. 60650, 49203-51
C. 0
D. 1

Answer: A

Explanation:
CPT 60650 describes a laparoscopic adrenalectomy with a biopsy but not the complete removal of a retroperitoneal mass. In contrast, adding modifier 22 indicates increased work and complexity and can be used because there is no CPT to describe a laparoscopic retroperitoneal mass resection. CPT 49329 represents an unlisted laparoscopy procedure that can be used to describe the removal of a retroperitoneal mass but would have to be used in conjunction with CPT
60650 to describe the adrenalectomy procedure. CPT 60545 describes an adrenalectomy with excision ofa retroperitoneal mass by means of an abdominal or posterior incision. CPT 49203 also does not describe the procedure because it involves an open excision of an intra-abdominal tumor.

NEW QUESTION # 125
A 15-year-old male patient is seen in the emergency department due to a dislocated left elbow, caused by a fall from his skateboard. The physician performs a comprehensive physical evaluation to check for other injuries before manually realigning the dislocation and placing a splint from the shoulder to wrist. The patient is informed to follow up in 4 weeks. Which CPT and ICD-IO-CM codes should the emergency department report?

A. 24600-LT, 29105, S53.195AVOO.131A
B. 24600-LT, S53.105A. VOO.131A
C. 99282-57, 24600-LT, S53.105A VOO.131A
D. 99283, 24600-LT, VOO.131A

Answer: C

Explanation:
An E/M is always billed when a patient is seen in the emergency department because it is unscheduled and urgent. In this case, the documentation encompasses a straightforward level of decision-making (one acute, uncomplicated injury, minimal or no data reviewed, superficial dressings that result in minimal risk or morbidity of the patient), which lead the coder to 99282.
Modifier 57 is appended to indicate that the decision for surgery was made just prior to the procedure and is not bundled. CPT coding crosswalk confirms that a closed treatment of a dislocated elbow is CPT code 24600. Application ofa splint is represented by CPT code 29105 but is not applicable when performed with a surgery to correct the dislocation. ICD-IO-CM crosswalk for dislocation of left elbow is S53.105A.

NEW QUESTION # 126
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. Medical history and vital signs for the patient are obtained prior to the surgery.
B. Propofol is administered to the patient intravenously.
C. A pulse oximeter is attached to the patient,s finger while in the operating room.
D. Request for services is received for an operation that begins in 1 hour.

Answer: C

Explanation:
Anesthesia time begins when the provider begins to prepare the patient for anesthesia services. This usually will take place in the operating room or an equivalent area. Although answer B would not be incorrect as a chosen starting point, answer C is more accurate according to the anesthesia time definition. Preoperative evaluations of the patient, such as a history intake, cannot be counted as anesthesia time.

NEW QUESTION # 127
Which is NOT a violation of Health Insurance Portability and Accountability Act (HIPAA)?

A. An office does not perform a risk assessment of electronic health information.
B. A hospital with a multilayered cybersecurity defense experiences a data breach by acybercriminal.
C. An employee drops off patient records on a physician,s porch.
D. An encrypted laptop is stolen from a physician,s vehicle.

Answer: B

Explanation:
HIPAA is in place to reduce the level of risk associated with a potential violation and/or breach. In answer C, even though a breach has occurred, the hospital has appropriate preventative measures in place and is not in violation of HIPAA. Leaving a laptop in an unattended vehicle or medical records outside is high-risk behavior that gives opportunity for an unauthorized person to access protected health information (PHI) and/or electronic protected health. In answer D, a medical practice is required to perform a risk analysis to PHI and/or ePHI and recti$ any failures within a timely manner.

NEW QUESTION # 128
Which is NOT considered inclusive to hydration services?

A. Catheter flush
B. Catheter declotting
C. Flush solution
D. Subcutaneous catheter access

Answer: B

Explanation:
Catheter access, standard supplies such as a flush solution, and the flush at the end of the infusion are all considered necessary to facilitate the infusion and are inclusive to CPT codes
96360-96361. Declotting a catheter involves the injection of a thrombolytic agent to dissolve the clot and is separately reportable with CPT 36593.

NEW QUESTION # 129
......

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