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

1. Code the following note:
A 43 -year-old new female patient with a history of type I diabetes was referred to my office by Dr. White, her primary care physician. Patient complains of blurred vision that began 2 weeks ago, however, reports compliance to a strict, healthy diet and to prescribed 10 mg of dexamethasone every day for 1 month. Given that the only change appears to be the dexamethasone, I suspect the blurred vision is an adverse reaction and will decrease the dosage to 5 mg per day. Patient will follow up with me in 1 week if symptoms persist.
Total time spent on todays encounter is 30 minutes.

A) 99203, H53.8, ElO.69
B) 99243, H53.8 ElO.39
C) 99244, H53.8, T38.OX5A, ElO.9
D) 99204, HS3.8, ElO.9

2. If all the following statements were documented by the anesthesiologist in one record, which would be chosen as the start time for anesthesia services?

A) Propofol is administered to the patient intravenously.
B) Request for services is received for an operation that begins in 1 hour.
C) Medical history and vital signs for the patient are obtained prior to the surgery.
D) A pulse oximeter is attached to the patient,s finger while in the operating room.

3. The appendix is removed through an abdominal incision due to metastatic colon malignancy. How should this be reported?

A) 44970, C78.5
B) 44950, C78.5
C) 44950, C78.5, C18.9
D) 44970, C18.9, C78.5

4. Code the following physician's note:
A 14-year-old established patient is seen with mother to evaluate five 2 cm superficial lacerations to the left wrist. Patient admits to suicidal thoughts.
Lacerations were treated with Steri-Strips. Patient and mother counseled on suicide prevention and told to follow up with psych.

A) 99214, S61.512A, T14.91XA
B) 12004, S61.512A, T14.91XA
C) 12004, S61.512A, R45.851
D) 99213, S61.512A, R45.8S1

5. Which patient is receiving critical care services?

A) 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.
B) 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.
C) A 67 -year-old female receives chronic ventilator therapy after a cerebral infarction thatcaused hemorrhage in the brain.
D) 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.

Solutions: