American Academy of Professional Coders
(AAPC) Certified Professional Coder (CPC)
Chapter 20 Exam Questions and Answers
A patient who has had two recent seizures underwent a 3-hour EEG study. What
CPT® code is reported? - ANSWER>>95813
Rationale: In the CPT® Index look for EEG which directs you to
Electroencephalography (EEG). Under Electroencephalography (EEG)/Monitoring
you are directed to 95812-95813, 95950-95953 and 95956. Code range 95812 -
95813 is based on time. Code 95813 describes an EEG (electroencephalogram),
more than 1 hour. This patient had a 3-hour study which is reported with 95813.
A 15 year-old underwent placement of a cochlear implant 1 year ago. It now
needs to be reprogrammed. What CPT® code is reported for the reprogramming?
- ANSWER>>92604
Rationale: Cochlear implants differ from hearing aids; they bypass the damaged
part of the ear. The use of a cochlear implant involves relearning how to hear and
react to sounds. In the CPT® Index look for Cochlear Device/Programming which
directs you to codes 92602, 92604. The code selection is based on the age of the
patient and whether it is the initial programming or subsequent reprogramming.
Code 92604 describes subsequent reprogramming for a patient age 7 or older.
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the
age and combative behavior of the patient, the provider utilized moderate
sedation while repairing the laceration. The provider gave the child 50 mg of
Ketamine IM. A nurse monitored the patient during the procedure which took 30
, minutes. What CPT® code is reported for moderate sedation? - ANSWER>>99152,
99153
Rationale: Moderate sedation is often used for pediatric patients in situations not
normally requiring sedation. In this case, the provider administered sedation with
a nurse assisting in monitoring the patient. In the CPT® Index look for
Sedation/Moderate/with Independent Observation and you are directed to code
range 99151-99153. Code selection is based on age of the patient and the length
of time. Code 99152 describes an encounter using moderate sedation, and the
physician or other qualified health care professional rendering the diagnostic or
therapeutic service also manages the sedation. This code is specific for the age of
the patient and up to 15 minutes of time. Add-on 99153 is for each additional 15
minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function.
What CPT® code(s) is/are reported for this service? - ANSWER>>94667
Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of
Chest Wall or Chest Wall/Manipulation which directs you to 94667-94668. 94667
is the correct code since it includes the patient's first time, and it includes the
evaluation.
A patient was brought to the emergency department in cardiac arrest. The
physician immediately initiated CPR. What CPT® code is reported for CPR? -
ANSWER>>92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR)
which provides artificial breathing and chest compressions for a person in cardiac
arrest. In the CPT® Index you can look for either CPR or Cardiopulmonary
Resuscitation or Resuscitation/Cardiopulmonary. All indexed items direct you to
code 92950.
(AAPC) Certified Professional Coder (CPC)
Chapter 20 Exam Questions and Answers
A patient who has had two recent seizures underwent a 3-hour EEG study. What
CPT® code is reported? - ANSWER>>95813
Rationale: In the CPT® Index look for EEG which directs you to
Electroencephalography (EEG). Under Electroencephalography (EEG)/Monitoring
you are directed to 95812-95813, 95950-95953 and 95956. Code range 95812 -
95813 is based on time. Code 95813 describes an EEG (electroencephalogram),
more than 1 hour. This patient had a 3-hour study which is reported with 95813.
A 15 year-old underwent placement of a cochlear implant 1 year ago. It now
needs to be reprogrammed. What CPT® code is reported for the reprogramming?
- ANSWER>>92604
Rationale: Cochlear implants differ from hearing aids; they bypass the damaged
part of the ear. The use of a cochlear implant involves relearning how to hear and
react to sounds. In the CPT® Index look for Cochlear Device/Programming which
directs you to codes 92602, 92604. The code selection is based on the age of the
patient and whether it is the initial programming or subsequent reprogramming.
Code 92604 describes subsequent reprogramming for a patient age 7 or older.
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the
age and combative behavior of the patient, the provider utilized moderate
sedation while repairing the laceration. The provider gave the child 50 mg of
Ketamine IM. A nurse monitored the patient during the procedure which took 30
, minutes. What CPT® code is reported for moderate sedation? - ANSWER>>99152,
99153
Rationale: Moderate sedation is often used for pediatric patients in situations not
normally requiring sedation. In this case, the provider administered sedation with
a nurse assisting in monitoring the patient. In the CPT® Index look for
Sedation/Moderate/with Independent Observation and you are directed to code
range 99151-99153. Code selection is based on age of the patient and the length
of time. Code 99152 describes an encounter using moderate sedation, and the
physician or other qualified health care professional rendering the diagnostic or
therapeutic service also manages the sedation. This code is specific for the age of
the patient and up to 15 minutes of time. Add-on 99153 is for each additional 15
minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function.
What CPT® code(s) is/are reported for this service? - ANSWER>>94667
Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of
Chest Wall or Chest Wall/Manipulation which directs you to 94667-94668. 94667
is the correct code since it includes the patient's first time, and it includes the
evaluation.
A patient was brought to the emergency department in cardiac arrest. The
physician immediately initiated CPR. What CPT® code is reported for CPR? -
ANSWER>>92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR)
which provides artificial breathing and chest compressions for a person in cardiac
arrest. In the CPT® Index you can look for either CPR or Cardiopulmonary
Resuscitation or Resuscitation/Cardiopulmonary. All indexed items direct you to
code 92950.
