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Medical Tests AAPC-CPC Exam Syllabus Topics:

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

1. A 39-year-old female patient has developed a diaphragmatic hernia after an episode of domestic violence. The surgeon repairs the hernia through an incision into the abdomen. The patient is later discharged with no complications. How should this encounter be reported?

A) 39541, K44.O, T74.11YA Y07.9
B) 39540,K44.9, T 76.1 IXA
C) 39541, K44.O, T76.1 IXA
D) 39540, K44.9, T74.11XA Y07.9

2. A female patient presents to her obstetrical office 32 -weeks pregnant for a bi-weekly ultrasound. Code the following technician's report:
Fetal views obtained via transabdominal ultrasound as follows:
BPD: 32 mm
Femur Length: 63 mm
Head Circumference: 288 mm
Abdominal Circumference: 270 mm
BPP 8/8
NST from 11:15 to 12:17, showing 160 BPM and positive movement activity Doppler shows adequate systolic and diastolic flow velocities of the fetal umbilical artery.

A) 76815-TC, 76819-TC, 76820-TC
B) 76816, 76818, 76820
C) 76816-TC, 76816-TC, 76820-TC
D) 76815, 78819, 76820

3. In which scenario would the modifier 53 be appended?

A) A surgeon decides to stop a gallbladder removal procedure in the hospital operating roomafter the patient has extensive bleeding at the incision site.
B) The surgeon decides to terminate a routine colonoscopy when the patient becomeshypertensive before receiving anesthesia in the outpatient procedure room.
C) An IUD removal is not completed because the patient reports severe pain when thespeculum is inserted.
D) A patient receives an x-ray of one femur when the doctor ordered bilateral views.

4. Age, gender, height, and race are the four key factors in calculating a person's forced vital lung capacity (FVC). If FVC is calculated to be 3.00 L and anything under 80% is abnormal, what would be the cutoff value to a normal FVC?

A) 2.0 L
B) 2.8 L
C) 3.2 L
D) 2.4 L

5. A patient is seen with complaints of recurring infections in the foreskin. The physician recommends circumcision to help improve penile hygiene. The patient agrees, a local anesthetic is injected into the penis, and the procedure is completed by clamping the foreskin and trimming the excess skin. How should the physician report the encounter?

A) 54150-52, Z41.2, Z87.2
B) 54150-52, 64450, N48.89
C) 54150, 64450, Z41.2, Z87.2
D) 54150, N48.29

Solutions: