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

1. 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) 33430
B) 0483T, 93451
C) 0484T
D) 0484T, 93451-59

2. A 55-year-old patient is admitted into the hospital for dialysis to treat ESRD. On day 13, the admitting physician spends 25 minutes discussing new management options for the patient's hypertension before sending a nurse to initiate the hemodialysis procedure. What CPT and ICD-IO-CM codes should be reported?

A) 90937, 99232, 110, N18.6, Z99.2
B) 90935, N18.6, Z99.2
C) 90937, 112.0, N18.6, Z99.2
D) 99232, 112.0, N18.6, Z99.2

3. Code the following procedure note:
A selective catheter is placed into the thoracic aorta, where it is then manipulated into the left coronary artery and followed through into the right common carotid artery. Contrast injections are made, and digital imaging is performed. Upon completion, the catheter is removed, pressure is applied at the puncture site, and the patient is discharged.

A) 36215, 36216-59
B) 36216
C) 36200, 36215, 36216-59
D) 36217

4. During surgery to remove a malignant melanoma from the intestinal tract, one frozen section is sent for pathological consultation to confirm an adequate excision of the margins. A second specimen is also sent, which requires frozen sections on two tissue blocks. What CPT code(s) should the pathologist report?

A) 88329, 88331, 88332, 88332
B) 88331, 88332
C) 88331, 88332, 88332
D) 88331, 88331, 88332

5. What describes a surgical procedure that removes a portion of the vertebral body to relieve pressure on the spinal cord and nerves?

A) Insertion of interspinous process stabilization device
B) Spinal fusion
C) Laminectomy
D) Corpectomy

Solutions: