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

1. A young man is triaged in the emergency room after sustaining multiple injuries in a car accident. The physician performs the following limited exams with image documentation: an abdominal and retroperitoneal ultrasound, a transthoracic echocardiography, and a chest ultrasound. He indicates in his report that all findings are normal. What charges should the provider submit to the insurance company?

A) 93308, 76705-59, 76770-59, 76604-59
B) 93308-26, 76705-26, 76775-26, 76604-26
C) 93304-26, 76705-26, 76775-26, 76604-26
D) 93304-TC, 76700-TC, 76770-TC, 76604-TC

2. 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) 39540,K44.9, T 76.1 IXA
B) 39541, K44.O, T76.1 IXA
C) 39541, K44.O, T74.11YA Y07.9
D) 39540, K44.9, T74.11XA Y07.9

3. Code the excision of a large goiter extending into the chest cavity using a transthoracic approach.

A) 60270
B) 32140
C) 21602
D) 32900

4. A 74-year-old male patient recently had a bone marrow transplant due to aplastic anemi a. At his follow-up visit with the doctor, his blood is drawn and sent to the laboratory to determine if the engraftment was successful. The laboratory evaluates the immature reticulocyte fraction (IRF) using an automated cell counter and total reticulocyte by way of a manual count. What codes should the laboratory report?

A) 85046, D61.9, Z79.89
B) 85046, 85044, D61.9
C) 85046, 85044, D61.9, Z94.81
D) 85046, D61.9

5. An obstetrical patient carrying twins is seen. The physician performs a fetal non stress test on each fetus. How should the CPT code(s) be reported?

A) 59025-76
B) 59025
C) 59025, 59025-59
D) 59025-22

Solutions: