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

1. A 79-year-old female patient is admitted to a skilled nursing facility for continued monitoring as she completes her course of antibiotics for bronchitis. Upon admission, a nurse practitioner spends 20 minutes with the patient, performing an evaluation of recovery and rebuilding of stamin a. On day 3, the patient's physician completes an initial comprehensive assessment and determines the patient is recovering well on her current dosage of antibiotics. What CPT code should be reported on day 3?

A) 99309
B) 99305
C) 99304
D) 99310

2. A 69-year-old patient with a medical history of diabetes is evaluated in the emergency room for a urinary tract infection. After performing a medically appropriate history and exam, the physician prescribes 100 mg of Macrobid every 12 hours and admits the patient to observation status to monitor for sepsis. After seeing an improvement in symptoms, the physician discharges the patient the following day. What CPT and ICD-IO-CM code(s) should be reported for the entirety of the patient's stay?

A) 99234, N39.O, 397.89
B) 99221, 99238, N39.O, Ell.9
C) 99284, 99238, Ell.69, N39.O
D) 99222, 99238, N39.O

3. Code the following physician's note:
A 14-year-old established patient is seen with mother to evaluate five 2 cm superficial lacerations to the left wrist. Patient admits to suicidal thoughts.
Lacerations were treated with Steri-Strips. Patient and mother counseled on suicide prevention and told to follow up with psych.

A) 12004, S61.512A, R45.851
B) 99214, S61.512A, T14.91XA
C) 12004, S61.512A, T14.91XA
D) 99213, S61.512A, R45.8S1

4. A 34-year-old established male patient presents for treatment to his lower back. He reports exacerbated symptoms due to lifting heavy materials at work. The osteopath performs a problem-focused history and exam followed by manipulative treatment to the lumbar and sacral region of the spine. What procedure(s) should the osteopath report?

A) 98940
B) 98925
C) 99212-25, 97140x2
D) 99212-25, 98925

5. Which service would NOT be covered under Medicare part A?

A) Observation hospital care
B) Home health care
C) Hospice care
D) Inpatient hospital care

Solutions: