100% PASS 2025 MEDICAL TESTS TRUSTABLE UPDATED AAPC-CPC DEMO

100% Pass 2025 Medical Tests Trustable Updated AAPC-CPC Demo

100% Pass 2025 Medical Tests Trustable Updated AAPC-CPC Demo

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q28-Q33):

NEW QUESTION # 28
A patient has an elective bilateral vasectomy under regional anesthesi
a. The procedure is completed within 15 minutes. What CPT and ICD-IO-CM code(s) should the provider report?

  • A. 55250, Z30.2
  • B. 55250-50, Z30.8
  • C. 55250, 89321, Z30.8
  • D. 55250, 00921, Z30.2

Answer: A

Explanation:
A vasectomy includes a sperm analysis and regional anesthesia and should not be unbundled for higher reimbursement. A vasectomy includes both unilateral and bilateral sides, so modifier 50 should never be appended. In this circumstance, CPT 55250 should be billed as a standalone procedure to encompass all services delivered. Additionally, although the documentation does not give a specific diagnosis, it can be inferred from "elective" that the procedure is not to treat an underlying illness or injury. Therefore, Z30.2 (encounter for sterilization) is the evident diagnosis for this type of procedure because the patient is being sterilized. Z30.8 (encounter for other contraceptive management) can be used for an encounter discussing post vasectomy sperm count.


NEW QUESTION # 29
Which is NOT a type of injection through which contrast is administered?

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

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 # 30
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. 99232, 112.0, N18.6, Z99.2
  • C. 90937, 112.0, N18.6, Z99.2
  • D. 90935, N18.6, Z99.2

Answer: B

Explanation:
CPT codes 90935-90937 require the presence of a physician. If a physician visits the patient prior to or after the dialysis treatment but does not document their presence during the hemodialysis services, bill only the appropriate evaluation and management code (CPT 99232).
Additionally, unless otherwise stated, diagnosis selection should reflect the causal relationship that exists bet'.veen hypertension and ESRD (112.-, N18.-)-they should not be reported as unrelated.
ICD-IO-CM Z99.2 is appended to indicate hemodialysis status.


NEW QUESTION # 31
Which patient is receiving critical care services?

  • A. A 47 -year-old female with a history of unrepaired chronic heart disease and anemia has anoxygen saturation level of 80. She is put on a nasal cannula and given a blood transfusion toimprove her oxygen-carrying capacity and oxygen saturation level.
  • B. A 67 -year-old female receives chronic ventilator therapy after a cerebral infarction thatcaused hemorrhage in the brain.
  • C. A 93 -year-old male is admitted to the intensive care unit for monitoring after a coronaryangioplasty procedure that was performed to relieve symptoms of atherosclerosis.
  • D. A 60-year-old male is admitted with an acute chronic heart failure exacerbation causinghypoxic respiratory failure. The patient is intubated, sedated, and started on 50 mg ofertapenem for a potential lung infection.

Answer: D

Explanation:
CPT guidelines define critical care as an illness or injury that acutely impairs one or more vital organ systems, where there is a high probability of imminent or life-threatening deterioration in the patients condition. Additionally, to report a critical care service, the documentation should provide evidence of high-complexity medical decision-making (e.gendotracheal tube insertion, defibrillation, fluid administration for shock, Narcan, etc.). Answer B is the only option listed that contains documentation to support critical care services.
This male patient has Vyvo life-threatening conditions, in which emergent intervention is provided to prevent further deterioration. In ansvver A the female patient may have a life-threatening condition: however, administering oxygen via a nasal cannula and/or transfusing blood does not qualify as critical care. Management of a patient who receives chronic ventilator therapy is also not considered critical care because the medical decision-making involved in the therapy is quite low.
The care a patient receives after having surgery would be considered routine and postoperative, regardless of where they are sent, unless a complication arises in which one or more of the vital organ systems begins to deteriorate in a fashion that poses a threat to life.


NEW QUESTION # 32
A 74-year-old male patient recently had a bone marrow transplant due to aplastic anemi a. At his follow-up visit with the doctor, his blood is drawn and sent to the laboratory to determine if the engraftment was successful. The laboratory evaluates the immature reticulocyte fraction (IRF) using an automated cell counter and total reticulocyte by way of a manual count. What codes should the laboratory report?

  • A. 85046, D61.9, Z79.89
  • B. 85046, 85044, D61.9
  • C. 85046, 85044, D61.9, Z94.81
  • D. 85046, D61.9

Answer: D

Explanation:
When a hematologr procedure that could be billed alone is encompassed in another code, only the most complex of the tvo should be reported. Because CPT 85046 includes the reticulocyte count billing CPT 85044 as secondary despite using a different method would be considered an unbundling of services. Per ICD-IO-CM guidelines, an organ or tissue transplant status code is for use "only if there are no complications or malfunctions of the organ or tissue replaced." As the testing is to determine whether the engraftment was successful, a bone marrow transplant status code would not be appropriate until deemed by the provider.


NEW QUESTION # 33
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