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

1. CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?

A) If being billed together, only report one unit of each.
B) The two codes can be billed together with an appropriate modifier.
C) The two codes are exclusive of each other and can never be billed together.
D) The two codes are inclusive of each other and can never be billed together.

2. Which service is NOT included in the central nervous system assessment?

A) Discussion of suicidal intentions
B) Prescription for an opioid
C) Review of an advance care plan
D) Clinical dementia rating

3. A patient presents to physical therapy status post repair of a complete rotator cuff tear in the right shoulder due to a fall. After applying ice to the shoulder for 8 minutes, the physical therapist performs a soft-tissue massage to the infraspinatus muscle that lasts 23 minutes. Just prior to discharge, the therapist spends 20 minutes instructing the patient on isokinetic exercises to help improve range of motion. Which CPT and ICD-IO-CM code(s) should be used to accurately describe encounter?

A) 97110, 97010, S46.011D, W19,XXXD
B) 97110, 97140, 97010, Z48.89, S46.091A, W19XXXA
C) 97010, 97140x2, 97530, M75.121
D) 97010, 97140, 97530, S46.011A,W19XXXA

4. 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) 10171 (3 units)
C) 99213-25, 96372, (3 units)
D) 99212, J0171

5. A provider documents that he spent 20 minutes with a patient. Based on this, an E/M can be chosen solely based on time.

A) False
B) True

Solutions: