AAPC Chapter 20: Medicine FREQUENTLY TESTED
ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS
Question 1.
A 35-year-old patient plans to travel to a country with a high incidence of yellow fever. The patient
receives the yellow fever immunization. Select the appropriate procedure codes for this service.
ANSWER
90717, 90471
Rationale: Code for both the vaccine and the administration. Codes 90717 and 90471 describe
the yellow fever vaccine and the immunization administration for 1 vaccine. In the CPT® Index
look for Vaccines and Toxoids/Yellow Fever and Administration/Immunization One
Vaccine/Toxoid.
Question 2.
A patient with long-time stress urinary incontinence undergoes biofeedback training for improvement
of urine leakage. Which CPT® code accurately reports the service?
ANSWER
90911
Rationale: Code 90911 describes biofeedback training for the urethral sphincter. In the CPT®
Index, look for Biofeedback Training/Anorectal.
Question 3.
A dialysis patient undergoes duplex scan of his hemodialysis access site to determine the pattern and
blood flow in his arteries and veins. Select the appropriate CPT® code for reporting this service.
ANSWER
93990
Rationale: Code 93990 describes a scan of hemodialysis access and includes arterial inflow,
body of access and venous outflow. In the CPT® Index, look for Hemodialysis/Duplex Scan of
Access.
,Question 4.
A 4-year-old has not reached the expected developmental milestones for her age group. She was
referred by her pediatrician for extensive developmental testing. The psychologist initiated multiple
function studies, using standardized instruments and reported the results to the child's pediatrician.
Code the psychologist's service.
ANSWER
96111
Rationale: Code 96111 describes extensive testing for developmental assessment, including
interpretation and report. In the CPT® Index, look for Developmental Testing.
Question 5.
A cancer patient will receive chemotherapy by intrathecal delivery. A spinal puncture is necessary to
accommodate the catheter. What is the correct code for this service?
ANSWER
96450
Rationale: Code 96450 describes intrathecal delivery of chemotherapy agents. The code
includes the spinal puncture. The drugs are separately coded using HCPCS II codes. Spinal
catheter placement is included in the technique. In the CPT® Index, look for Spine
Chemotherapy/Administration.
Question 6.
A patient with a long history of mi-
graine headaches decides to try acupuncture in an attempt to reduce the symptoms. The provider
uses acupuncture with electrical stimulation during a 15-minute, face-to-face encounter with the
patient. What is/are the correct code(s)?
ANSWER
97813
Rationale: Code 97813 describes a 15-minute encounter with one-on-one patient contact using
acupuncture with electrical stimulation. In the CPT® Index, look for Acupuncture/with
Electrical Stimulation.
, Question 7.
A patient presents with a complaint of continuing left shoulder pain after falling from her patio onto a
wooden step. No fracture was identified at the time of the fall. After assessing the patient, the
chiropractor manipulates the shoulder region. What is/are the correct code(s)?
ANSWER
98943
Rationale: Code 98943 describes extraspinal manipulation, one or more regions. In the CPT®
Index, look for Manipulation/Chiropractic.
Question 8.
A patient calls her physician to discuss the refill of a current prescription. She speaks with the
registered nurse who discusses the patient's current status and advises that the prescription to be
called into her pharmacy. The call lasts 12 minutes. What is the correct code for this service?
ANSWER
98967
Rationale: Code 98967 describes a telephone discussion with a nonphysician qualified
healthcare professional for 11-20 minutes. The discussion did not lead to an appointment
within the next 24 hours or the soonest available appointment and was not related to an E/M
service within the previous seven days. In the CPT® Index, look for Telephone/Evaluation and
Management/Non-physician.
Question 9.
A physician agrees to meet a patient at the office on Sunday afternoon to assess a repeat problem.
Special equipment in the physician office is needed to evaluate the condition. Normal office hours are
Monday-Friday. What is the correct code for this service?
ANSWER
99050
Rationale: Code 99050 describes services provided on holidays & weekends that are outside of
normal business hours. In the CPT® Index, look for After Hours Medical Services.
ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS
Question 1.
A 35-year-old patient plans to travel to a country with a high incidence of yellow fever. The patient
receives the yellow fever immunization. Select the appropriate procedure codes for this service.
ANSWER
90717, 90471
Rationale: Code for both the vaccine and the administration. Codes 90717 and 90471 describe
the yellow fever vaccine and the immunization administration for 1 vaccine. In the CPT® Index
look for Vaccines and Toxoids/Yellow Fever and Administration/Immunization One
Vaccine/Toxoid.
Question 2.
A patient with long-time stress urinary incontinence undergoes biofeedback training for improvement
of urine leakage. Which CPT® code accurately reports the service?
ANSWER
90911
Rationale: Code 90911 describes biofeedback training for the urethral sphincter. In the CPT®
Index, look for Biofeedback Training/Anorectal.
Question 3.
A dialysis patient undergoes duplex scan of his hemodialysis access site to determine the pattern and
blood flow in his arteries and veins. Select the appropriate CPT® code for reporting this service.
ANSWER
93990
Rationale: Code 93990 describes a scan of hemodialysis access and includes arterial inflow,
body of access and venous outflow. In the CPT® Index, look for Hemodialysis/Duplex Scan of
Access.
,Question 4.
A 4-year-old has not reached the expected developmental milestones for her age group. She was
referred by her pediatrician for extensive developmental testing. The psychologist initiated multiple
function studies, using standardized instruments and reported the results to the child's pediatrician.
Code the psychologist's service.
ANSWER
96111
Rationale: Code 96111 describes extensive testing for developmental assessment, including
interpretation and report. In the CPT® Index, look for Developmental Testing.
Question 5.
A cancer patient will receive chemotherapy by intrathecal delivery. A spinal puncture is necessary to
accommodate the catheter. What is the correct code for this service?
ANSWER
96450
Rationale: Code 96450 describes intrathecal delivery of chemotherapy agents. The code
includes the spinal puncture. The drugs are separately coded using HCPCS II codes. Spinal
catheter placement is included in the technique. In the CPT® Index, look for Spine
Chemotherapy/Administration.
Question 6.
A patient with a long history of mi-
graine headaches decides to try acupuncture in an attempt to reduce the symptoms. The provider
uses acupuncture with electrical stimulation during a 15-minute, face-to-face encounter with the
patient. What is/are the correct code(s)?
ANSWER
97813
Rationale: Code 97813 describes a 15-minute encounter with one-on-one patient contact using
acupuncture with electrical stimulation. In the CPT® Index, look for Acupuncture/with
Electrical Stimulation.
, Question 7.
A patient presents with a complaint of continuing left shoulder pain after falling from her patio onto a
wooden step. No fracture was identified at the time of the fall. After assessing the patient, the
chiropractor manipulates the shoulder region. What is/are the correct code(s)?
ANSWER
98943
Rationale: Code 98943 describes extraspinal manipulation, one or more regions. In the CPT®
Index, look for Manipulation/Chiropractic.
Question 8.
A patient calls her physician to discuss the refill of a current prescription. She speaks with the
registered nurse who discusses the patient's current status and advises that the prescription to be
called into her pharmacy. The call lasts 12 minutes. What is the correct code for this service?
ANSWER
98967
Rationale: Code 98967 describes a telephone discussion with a nonphysician qualified
healthcare professional for 11-20 minutes. The discussion did not lead to an appointment
within the next 24 hours or the soonest available appointment and was not related to an E/M
service within the previous seven days. In the CPT® Index, look for Telephone/Evaluation and
Management/Non-physician.
Question 9.
A physician agrees to meet a patient at the office on Sunday afternoon to assess a repeat problem.
Special equipment in the physician office is needed to evaluate the condition. Normal office hours are
Monday-Friday. What is the correct code for this service?
ANSWER
99050
Rationale: Code 99050 describes services provided on holidays & weekends that are outside of
normal business hours. In the CPT® Index, look for After Hours Medical Services.
