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

1. Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes

A) 99213
B) 99215
C) 99212
D) 99214

2. Code the following procedure note:
A 45-year-old female was referred for a urodynamics study due to complaints of bladder pain and weak urination. The provider places a rectal catheter simultaneously with a urethral catheter and begins to fill the bladder with water.
Using calibrated equipment, cytometry was done with a medium fill rate of 40 cc/ minute. A strong desire to void occurred at 84 cc. and the patient is instructed to void. The provider determines that the maximum urinary flow rate is 12 cc per second with a voiding time of 45 seconds and a voided volume of 102 cc. She voided with a sustained detrusor pressure. An abdominal pressure measurement was also taken, indicating no urinary leaking with abdominal straining. EMG patches were placed on the anal sphincter and found to be elevated with increased intra- abdominal pressure. All catheters and EMG patches were removed, and the procedure was completed without complications. A report will be forwarded to the referring provider, who will provide the interpretation of the results to the patient.

A) 51726-TC, 51784-59-TC, 51797-59-TC, 51741-59-TC
B) 51728-TC, 51784-TC, 51797-TC
C) 51726-TC, 51784-51-TC, 51797-51-TC
D) 51728-TC, 51784-TC, 51797-TC, 51741-TC

3. A patient presents to urgent care with complaints of a sore throat, a temperature of 100.2, and pain while urinating. The provider examines the patient and collects a throat swab and urine sample. The following codes are then entered on the patient's claim: R30.9, R07.O, R50.9, N39.O, J03.8, and B95.3. What code(s) should be removed?

A) R30.9, J02.9
B) 395.3
C) R30.9, 102.9 and R50.9
D) N39.O, 103.00

4. A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?

A) K63.5, Z12.11
B) Z12.11
C) Z12.11, K63.5
D) K63.5

5. A new, 29-year-old female patient is seen for a preventative visit and receives counseling that totals 30 minutes about contraceptive management. How would the provider code the CPT code(s) for this visit?

A) 99385, 99417, 99417
B) 99385, 99402-25
C) 99385, 99203-25
D) 99385

Solutions: