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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q73-Q78):
NEW QUESTION # 73
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. 0
- B. 59025-76
- C. 59025-22
- D. 59025, 59025-59
Answer: D
Explanation:
Modifier 76 is used to identify a repeated procedure, but the test was performed on a separate fetus. Modifier 22 indicates increased procedural services: however, the services were not increased. Rather, a separate, identifiable test was rendered, and the modifier 59 would therefore apply to the second fetal nonstress test.
NEW QUESTION # 74
Which service is NOT bundled into pediatric critical care CPT 99475?
- A. A suprapubic aspiration is performed on a 3-year-old patient who has blood in her urine.
- B. The doctor suspects meningitis on a 4-year-old patient and performs a lumbar puncture totest the fluid around the spinal cord.
- C. A blood transfusion is given to a 2-year-old patient with sickle cell disease.
- D. A central line is inserted to stabilize a 5-year-old patient in respiratory arrest.
Answer: D
Explanation:
A blood transfusion (CPT 36430, 36440), lumbar puncture (CPT (62270), and suprapubic aspiration (CPT 51100) are all considered inclusive to pediatric critical care services rendered on patients betvv'een the age of 2 and 5 years old. A complete list of all additional services can be found in the CPT Section Guidelines for Newborn and Pediatric Services. A central line insertion (CPT
36556) is not bundled into critical care services and may be reported separately.
NEW QUESTION # 75
CPT code 99135 is an example of a qualifying circumstance.
- A. False
- B. True
Answer: B
Explanation:
The statement is true. When it comes to reporting anesthesia services, qualifying circumstances are factors that put a patient at an unusually high health risk. A qualifring circumstance is reported with CPT codes 99100-99140, which are listed separately, in addition to the primary anesthesia code. If reporting one of these add-on codes, documentation must be submitted to support the necessity of such services.
NEW QUESTION # 76
What is NOT a function of the kidneys?
- A. Filter blood
- B. Regulate blood pressure
- C. Remove waste
- D. Propel urine
Answer: D
Explanation:
The role ofthe kidneys is to filter blood before it is transported back to the heart, remove waste materials from food and medication, and regulate blood pressure by excreting excess sodium.
The ureters propel urine from the kidneys into the bladder.
NEW QUESTION # 77
A complete pulmonary function test using a body plethysmograph is performed on a patient in conjunction with spirometry. After reviewing the results, a provider suspects the presence of an obstructive disease and administers a bronchodilating medicine just prior to repeating the test to reevaluate the expiratory flow rate. Which code(s) should be reported?
- A. 94726, 94060
- B. 94726, 94060-51
- C. 99212-25, 94726, 94060-76
- D. 99212-25, 94726,94010-51, 94060-51
Answer: A
Explanation:
Answers A and B can be eliminated because the complete pulmonary function test includes interpretation of the test results: therefore, the review ofthis would not be considered separately identifiable. The CPT code 94060 includes spirometry before and after a bronchodilator has been administered, so a separate spirometry code (94010) would be inappropriate. Last, a modifier is not needed because the procedures are routinely done in conjunction with each other.
NEW QUESTION # 78
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