PASS GUARANTEED MEDICAL TESTS - HIGH HIT-RATE AAPC-CPC PASS4SURE

Pass Guaranteed Medical Tests - High Hit-Rate AAPC-CPC Pass4sure

Pass Guaranteed Medical Tests - High Hit-Rate AAPC-CPC Pass4sure

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q61-Q66):

NEW QUESTION # 61
A patient is admitted for chemical burns caused by a leaky car battery. The physician diagnoses the patient with second- and third-degree burns on the right hand and second- degree burns on the left hand. The physician follows up with the patient 3 days later and performs a detailed examination. His findings include an infection that has developed on the right hand as a result of the burn. The patient is started on antibiotics. Code this encounter.

  • A. 99231, L08.9, T23.701S, T23.662A T54.2XIS
  • B. 99232, T23.701A, T23.662A T54.2XIA, L08.9
  • C. 99231, T23.201A, T23.361A T23.301A, T23.202A T54.2X4A L08.9
  • D. 99232, L08.9, T23.201S, T23.361S, T23.301S, T23.202A T54.2X4A

Answer: B

Explanation:
The physician's level of medical decision-making was moderate in complexity due to the acute, complicated injury/ illness, the minimal amount and complexity of data reviewed, and the issuance of a prescription drug. Because the patient has already been receiving care in a hospital setting for 3 days, the visit would be considered subsequent hospital care, making the level of inpatient service a 99232 and eliminating answers B and D. A burn caused by a chemical would be considered a corrosion because it is not caused by heat, electricity, and/or radiation, thus eliminating the remaining choice of A. Additionally, when multiple burns on the same anatomic location and laterality are being treated, identify and code only the highest degree of burn recorded in the diagnosis. In this case, only the third-degree burns on the right hand and the second-degree burns on the left hand would be reported. Although the skin infection is a sequela, the seventh character in the corrosion code would remain "A" and sequenced first to indicate that the patient is still receiving active treatment for the reason of admission.


NEW QUESTION # 62
A sternal closure using sutures is considered inclusive to CPT 33255 and should not be reported separately.

  • A. True
  • B. False

Answer: A

Explanation:
The statement is true. Regardless of how a sternal closure is performed, it would be considered integral to this, and any other open cardiac procedure, when a sternal approach is used as the method of exposure. If a sternal closure were performed as the only procedure to repair an injury, the closure would then be reported.


NEW QUESTION # 63
V codes are related to which procedures/products?

  • A. Durable medical equipment
  • B. Hearing services
  • C. Enteral therapy
  • D. Orthotic procedures

Answer: B

Explanation:
Durable medical equipment is represented by E codes, orthotic procedures are L codes, and enteral therapy is inclusive to B codes in the HCPC manual.


NEW QUESTION # 64
If in the assessment, the provider reports diabetes and dermatitis due to oils, which diagnosis code(s) should be reported?

  • A. Ell.9, L24.1
  • B. Ell.69, L24.1
  • C. None of the above-query the provider to clarify which type of diabetes the patient has
  • D. Ell.620

Answer: A

Explanation:
When the documentation does not specify which type of diabetes is present, always default to type II. Although there is a causal relationship assumed between diabetes and dermatitis, the documentation reflects that the dermatitis is due to oils, not diabetes. Because the manifestation of dermatitis is not associated with the diabetes, the correct code would be Ell.9: diabetes type II without complications.


NEW QUESTION # 65
What is NOT a condition related to the thyroid gland?

  • A. Toxic adenoma
  • B. Hashimoto,s disease
  • C. Graves, disease
  • D. Acosta disease

Answer: D

Explanation:
Toxic adenoma E05.2- is a thyroid nodule that may secrete hormones into the body that results in an overactive thyroid. Graves' disease E05.0- is an autoimmune disorder that attacks the thyroid, resulting in overactivity. Hashimoto's disease E06.3 is also an autoimmune disorder:
however, it usually results in an underactive thyroid. Acosta disease T 70.29- is altitude sickness.
Even if a coder is unfamiliar with these terms, by locating the ICD-IO-CM code that correlates to the condition, a coder can infer which body system a diagnosis relates to.


NEW QUESTION # 66
......

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