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AAPC-CPC Real Braindumps, Reliable AAPC-CPC Test Question
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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q53-Q58):
NEW QUESTION # 53
Code a polyp found in the transverse colon.
- A. K51.40
- B. D12.3
- C. D12.6
- D. K63.5
Answer: D
Explanation:
Coding crosswalk for a colon polyp would direct the coder to the benign neoplasm table.
However, careful examination of the guidelines reveals that if the documentation does not specifically state that a polyp was adenomatous and/or benign, or that a polyp was inflammatory, the most appropriate choice selection would be a code from K63.
NEW QUESTION # 54
What would be considered a sequela to an injury?
- A. Chronic pain persisting after an injury has healed
- B. Foreign body removal from a laceration
- C. Removal of an external fixation device
- D. Prescription drug management
Answer: A
Explanation:
Per ICD-IO-CM, a sequela describes "complications or conditions that arise as a direct result of a condition." In this case, the chronic pain would be a condition that resulted from a prior injury.
Removal of a foreign body is active treatment of a laceration. Removal of a fixation device and prescription drug management are both considered routine and subsequent care.
NEW QUESTION # 55
CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?
- A. If being billed together, only report one unit of each.
- B. The two codes can be billed together with an appropriate modifier.
- C. The two codes are inclusive of each other and can never be billed together.
- D. The two codes are exclusive of each other and can never be billed together.
Answer: B
Explanation:
NCCI stands for National Correct Coding Initiative and was created by CMS to prevent unbundling and prevent incorrect payments. Column one represents a correct code when listed next to column two. There are three edits listed with the combination of the two columns: 0, 1, and
9. Edit 0 means that the two codes should never, under any circumstance, be reported together. Edit
1 means that the procedures may be coded together with the use of a modifier. Edit 9 means that the edit does nota I .
NEW QUESTION # 56
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. 99236, 118.9, B20
- B. 99222, B20, 118.9
- C. 99235, B20, 118.9
- D. 99223, 118.9, B20
Answer: B
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 # 57
In the Current Procedural Terminology book, how is the icon "Excludes" meant to be interpreted?
- A. It may include services that are bundled and cannot be separately billed.
- B. It may identify services that are not bundled and may lead the user to a more appropriatecode.
- C. An additional code should be reported to fully describe a condition.
- D. Acausal relationship should be presumed between the tvo conditions.
Answer: B
Explanation:
The "Excludes" note identifies services that are not bundled into a procedure and may be reported in addition to the primary code. It may also lead the user to another code that would be more appropriate for the procedure being reported. Answer B describes "with." Answer C describes the icon "Includes." Answer D describes the "code also" note attached to a diagnosis.
NEW QUESTION # 58
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