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

1. Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes

A) 99212
B) 99215
C) 99213
D) 99214

2. In the Current Procedural Terminology book, how is the icon "Excludes" meant to be interpreted?

A) An additional code should be reported to fully describe a condition.
B) It may include services that are bundled and cannot be separately billed.
C) Acausal relationship should be presumed between the tvo conditions.
D) It may identify services that are not bundled and may lead the user to a more appropriatecode.

3. 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) 90935, N18.6, Z99.2
C) 99232, 112.0, N18.6, Z99.2
D) 90937, 112.0, N18.6, Z99.2

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) 99078
B) 98966
C) 98960
D) 99211

5. CPT code 99135 is an example of a qualifying circumstance.

A) False
B) True

Solutions: