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

1. A mammogram is done on a patient who has a lump on her right breast at 4 0'clock and a lump in her left breast at 6 0'clock. What CPT and ICD-IO-CM code(s) should be reported?

A) 77067, D48.61, D48.62
B) 77066, N63.14, N63.25
C) 77067, D49.3
D) 77065-50, N63.13, N63.20

2. A radiation oncologist reviews the port films, dose delivery, and treatment parameters of a 52-year-old female patient who has received external beam therapy three times in the current week He also spends 15 minutes examining the patient and collecting an intake of her response to the treatment program. Which CPT code(s) should the physician report?

A) 77431
B) 77435, 99213-25
C) 99213-25, 77401x3units
D) 77427

3. The CPT code 76805 requires that multiple elements of the exam be documented, such as the evaluation of the amniotic fluid, umbilical cord insertion site, and placental location. If the provider documents most elements, he/she can bill the CPT code 76805.

A) False
B) True

4. 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

5. 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) 96413, 96413-59, 9641512, 96417
D) 94613, 96415x2, 96417x2

Solutions: