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

1. What must the documentation for a consultation include?

A) Who requested the consultation, the consulting providers, professional opinion, and awritten report that is provided to the referring physician
B) Which family member prompted the consultation, a written report ofthe physical findings/recommendations, and the time spent discussing the recommended treatment plan
C) The reason for the consultation, the time spent discussing the recommended treatmentplan, and a medical decision-making of moderate complexity
D) Documentation of assumption of care, who requested the consultation, and the consultingproviders, professional opinion

2. A provider places a catheter on the right side of the heart chamber via an incision made on the lower left side of the patient's chest while performing a transcatheter mitral valve replacement. How should this encounter be coded?

A) 0484T, 93451-59
B) 0484T
C) 33430
D) 0483T, 93451

3. 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) 99212-25, 98925
B) 99212-25, 97140x2
C) 98940
D) 98925

4. 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) 99304
B) 99309
C) 99305
D) 99310

5. 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
B) 01967, 01968, 99140
C) 01967-23, 01968, 99140
D) 01967-23, 01968

Solutions: