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

1. Medical necessity has been established if a laboratory runs additional testing on a urine sample to determine the presence of a drug class that was not in question during confirmation testing.

A) True
B) False

2. In the Current Procedural Terminology book, how is the icon "Excludes" meant to be interpreted?

A) It may identify services that are not bundled and may lead the user to a more appropriatecode.
B) It may include services that are bundled and cannot be separately billed.
C) Acausal relationship should be presumed between the tvo conditions.
D) An additional code should be reported to fully describe a condition.

3. If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?

A) Request for services is received for an operation that begins in 1 hour.
B) A pulse oximeter is attached to the patient,s finger while in the operating room.
C) Propofol is administered to the patient intravenously.
D) Medical history and vital signs for the patient are obtained prior to the surgery.

4. Which term describes a migraine that is unmanageable with treatment?

A) Status migrainosus
B) A migraine with aura
C) Classical migraine
D) Intractable migraine

5. Assign the appropriate CPT codes for the following surgical note: A 15-year-old patient is being treated for obstructive sleep apnea and adenoid tissue hypertrophy. After being placed under general anesthesia, a dental mirror is placed in the oropharynx to allow visualization of the nasopharynx. Suction electrocautery is used to remove the adenoid tissue that regrew after the initial adenoidectomy. Attention is then turned to the tonsils. The plane of tissue between the tonsillar capsule and the underlying muscles are cauterized, and the tonsils are removed. Bleeding is controlled by silver nitrate and gauze packing. Procedure is completed without complications, and patient is discharged to recovery.

A) 42821, G47.33, 135.2
B) 42999, 647.33, 135.2
C) 42826, 42836-51, 135.2, G47.33
D) 42826, 42831-59, 135.2, G47.33

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