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

1. A physician performs a 6 cm midline celiotomy to remove a patient's enlarged spleen by means of cautery. Abdominal exploration was performed, and the lymph nodes surrounding the inferior mesenteric artery that were noted to be abnormal were also removed. What CPT code(s) describes the surgery performed by the physician?

A) 38100, 38999-59
B) 43631
C) 49000, 38102
D) 38120, 49000-51

2. If a cardiologist bills an electrocardiogram (93010) in the emergency department and then follows up with the patient a week later for arteriosclerosis, he should bill an established patient E/M.

A) False
B) True

3. A female patient with type II diabetes, asthma, and hypertension is admitted with complaints of chest pain. Testing rules out heart attack and other underlying conditions as the cause. Which diagnosis codes should be listed on the discharge note?

A) R07.9
B) Z03.89
C) Z03.89
D) R07.9, Ell.9, J45.909, 110

4. Which procedure uses a thin tube to examine the abdominal organs through a small incision in the belly?

A) Laparotomy
B) Endoscopy
C) Gastroscopy
D) Laparoscopy

5. 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) False
B) True

Solutions: