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

1. A 92-year old female with Medicare part A coverage receives ongoing hospice care due to dementi a. She goes to a physician's office to receive closed treatment of a hip dislocation following a fall. No anesthesia was used. How should the provider submit this claim?

A) 27250, S73.003A, W19XXXA
B) 27250, 99213-25, S73.003A
C) 27250-GW, S73.003A, W19XXXA
D) 27250-GW, 99202-25, S73.003A W19XXYuA

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

3. ICD-IO-CM codes R50.9, R05.9, R53.81, and 102.9 are all symptoms ofJ10.00.

A) True
B) False

4. A patient is in labor with plans to deliver vaginally. An epidural is administered at 17:30. After several hours of pushing, the obstetrician determines that the cervix is swollen, and the baby must be delivered via a c-section. The patient consents, the baby is delivered, and both are discharged to the recovery room at 22:15. What CPT code(s) should the anesthesiologist report?

A) 01967, 01968, 99140
B) 01967, 01968
C) 01967-23, 01968
D) 01967-23, 01968, 99140

5. CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?

A) The two codes can be billed together with an appropriate modifier.
B) The two codes are exclusive of each other and can never be billed together.
C) If being billed together, only report one unit of each.
D) The two codes are inclusive of each other and can never be billed together.

Solutions: