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

1. If a physician administers cyclophosphamide over 154 minutes, irinotecan over 72 minutes, and panitumumab over 15 minutes intravenously to a patient with pancreatic cancer, how should this be reported?

A) 96413, 96413-59x2, 96415, 96417
B) 96413, 96415x3, 96417x2
C) 94613, 96415x2, 96417x2
D) 96413, 96413-59, 9641512, 96417

2. Code the following surgical note:
54-year-old male is experiencing left-sided weakness and visual disturbance. An MRI revealed a lesion in the brain. He presents today for a biopsy. General anesthesia is given, and the area is shaved and cleaned. The brain lab system is synced with prior MRI images to confirm the accurate placement of burr hole drilling. A cutting needle is inserted into the frontal lobe, and lesion location is confirmed with the brain lab system. A portion of the lesion is obtained without complication. All instruments removed, and the incision is sutured.

A) 61751
B) 61575
C) 61140
D) 61750

3. A 72 -year-old patient is admitted due to atrial fibrillation. A comprehensive electrophysiology study is completed with fluoroscopic guidance, followed by a cardiac catheter ablation during the same procedure. The procedure took 22 minutes, and the patient was moderately sedated. Which CPT codes should the cardiologist report?

A) 93650, 93619-26-59, 99152
B) 93650, 93619-26-59, 77001, 99152, 99153
C) 93656, 77001, 99152, 99153
D) 93656, 99152

4. Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

A) 39010, 31622-51
B) 39010, 31623-51
C) 39402, 31622-51
D) 39402, 31623-51

5. A patient has a colonoscopy in which the provider removes three polyps from the transverse colon. The first polyp is removed by means of a hot snare technique, and the following two polyps are removed using hot biopsy forceps. What CPT code(s) should be reported for this encounter?

A) 45385, 45384-59, 45384-59
B) 45388
C) 45385, 45384-59
D) 45385

Solutions: