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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q129-Q134):

NEW QUESTION # 129
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. 88331, 88332, 88332
• B. 88331, 88332
• C. 88331, 88331, 88332
• D. 88329, 88331, 88332, 88332

Answer: C

Explanation:
CPT code 88331 is used to report only a single specimen. In this scenario, there are Evo separate specimens being sent to the pathologist. The first specimen, with one frozen section, is reported with CPT code 88331. The second specimen has tv.ro tissue blocks with frozen sections, thus represented by coding 88331 for the first tissue block, followed by 88332 for the additional tissue block CPT code 88329 is inclusive to 88331 and should not be reported separately.

NEW QUESTION # 130
A patient is scheduled for a total knee replacement. The assigned anesthesiologist performs a femoral nerve block using an ultrasound machine just prior to entering the operating room to aid in postoperative pain control. Once in the operating room, general anesthesia is administered to the patient. What CPT code(s) should the anesthesiologist report?

• A. 01400, 01991, 76942
• B. 01402,64447_59, 76942
• C. 01400, 01991-59
• D. 01402

Answer: B

Explanation:
CPT crosswalk for anesthesia administered during a total knee replacement is 01402.
Although CPT 01991 does describe a nerve block, it is considered monitored anesthesia care because the patient is awake. However, in this scenario, general anesthesia is being used for the primary procedure, and the femoral nerve block is administered for postoperative pain management. Therefore, the nerve block would be billed as CPT 64447 with modifier 59 to indicate that it is separately reportable from the primary procedure. If, on the other hand, the nerve block was being used as a component of the general anesthesia, CPT 64447 would be considered inclusive to the general anesthesia and not reported separately. Ultrasound guidance is not currently bundled with the administration of a nerve block and, when used, should be reported separately with CPT 76942.

NEW QUESTION # 131
A physician inserts a chest tube through the right chest wall and into the pleural cavity to release trapped air in a 19-year-old patient with recurring pneumothorax. A second physician assists in providing moderate sedation. In total, the procedure took 8 minutes. What ICD-IO-CM and CPT codes should the provider report?

• A. 32551, 193.83
• B. 32550-62, 99156, 193.83
• C. 32551, 99156-59, 193.9
• D. 32550, 193.9

Answer: A

Explanation:
The code description "tube thoracostomy" is not clearly stated in the documentation, but CPT crosswalk for a 'tube placement" followed by "chest" leads the coder to CPT 32551. CPT 32550 describes the insertion of a catheter that allows the patient to drain pleural fluid in an outpatient setting. Moderate sedation can be separately billed but only by the provider administering the medication. The 193 series is circumstantial (e.g., spontaneous, acute). Even though the term
"recurrent" is not used, it does describe the background of the patient's condition and so would fall into the other specified diagnosis rather than unspecified.

NEW QUESTION # 132
A patient relocates after receiving treatment for an arm fracture. The patient schedules an appointment with a new orthopedist to remove the cast. The orthopedic office should report the fracture diagnosis code with the seventh character A to indicate active treatment.

• A. False
• B. True

Answer: A

Explanation:
The statement is false. When a patient is in the healing and/or recovery phase of an injury, the seventh character would be D to indicate that the care is subsequent-whether the provider has treated the patient in the past or not.

NEW QUESTION # 133
What would NOT be included in critical care services?

• A. CPR
• B. Ventilator management
• C. Gastric intubation
• D. Pulse oximetry

Answer: A

Explanation:
CPR is not a bundled service to critical care and should be reported separately with CPT code
92950.

NEW QUESTION # 134
......

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