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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q118-Q123):

NEW QUESTION # 118
An 8-year year old female is seen by her pediatrician for an allergic reaction to a bee sting. The pediatrician administers 0.3 mg of epinephrine intramuscularly. Which code(s) should be reported?

A. 96372, 10171 (3 units)
B. 99213-25, 96372, (3 units)
C. 99212, J0171
D. 10171 (3 units)

Answer: A

Explanation:
Epinephrine is listed in alphabetical order in the HCPC book under "Table of Common Drugs." The documentation reflects a dosage of 0.3 mg, so three units of 0.1 mg epinephrine 00171) should be reported. The injection of the medication is reported with CPT code 96372 and includes an inherent E/M component unless the provider goes beyond the normal assessment of the patient prior and/or after administration of a drug.

NEW QUESTION # 119
If a patient is receiving hospice care in a physician's office, which place of service code should be reported on the claim?

A. 0
B. 1
C. 2
D. 3

Answer: C

Explanation:
Place of service (POS) codes "specify the entity where service(s) were rendered." In this case, hospice care was provided in an office, which would correspond to POS 11. POS 34 is hospice care provided in a facility, POS 71 is a public health clinic that provides ambulatory medical care, and POS 62 is an outpatient rehabilitation facility providing services that would include physical and occupational therapy.

NEW QUESTION # 120
Which healthcare professional may NOT report medical nutrition therapy?

A. Dietician
B. Registered nurse
C. Endocrinologist
D. Nutritionist

Answer: C

Explanation:
Medical nutrition therapy describes nutritional assessments and interventions in a face-to- face or group patient setting and is reported with CPT codes 97802-97804. These codes are used by nonphysician healthcare professionals only. When a physician provides nutritional advice, a preventative service or evaluation and management code should be reported.

NEW QUESTION # 121
Which is NOT a type of injection through which contrast is administered?

A. Intramuscular
B. Intrathecal
C. Intra-articular
D. Intravascular

Answer: A

Explanation:
Per CPT guidelines, administration of contrast materials is given through the following routes: intravascular, intra-articular, and intrathecal. Alternate routes also include orally and/or rectally; however, the "contrast administration alone does not qualify as a study 'with contrast'"

NEW QUESTION # 122
Which antibody test results indicate a current, acute infection?

A. IgG positive, IgM positive
B. IgG negative, IgM negative
C. IgG positive, IgM positive
D. IgM positive, IgG negative

Answer: D

Explanation:
Understanding immunology and antibody results are imperative to proper code selection and to be able to support any necessary repeat testing. Antibody isotypes IgM assist in attacking infectious pathogens and are indicative of an acute infection. Antibody isotypes IgG are formed as an infection subsides and help the body fight against future attacks from the same bacteria. When the results show IgG positive, it indicates immunity. When a patient has an infection, the results will show IgM positive, but as the IgG antibodies haven't fully formed yet to provide the body with immunity, that result will come back negative.

NEW QUESTION # 123
......

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