AAPC Chapter 20 - Medicine - Check Your
Understanding Quiz 2022 Latest Update
A child was bitten by a dog that tested positive for rabies and is seen for an
injection of rabies immune globulin. What are the appropriate procedure codes
for this service?
A.90396, 96365
B.90375, 96372
C.90384, 96369
D.90389, 90471 - ANSWER Answer: B. 90375, 96372
Rationale: Code for the product and the administration of rabies immune
globulin. In the CPT® Index, see Immune Globulins/rabies, you are directed to
90375-90376. Because there is no mention of heat-treated, 90375 is the
appropriate code. Reading the guidelines for immune globulins, a code from
96365-96372, 96374, or 96375 is reported as appropriate for the administration.
This is an injection, and 96372 is the appropriate code. In the CPT® Index, look
for Injection/Intramuscular/Therapeutic.
A diabetic patient visited a neighborhood clinic to receive influenza and
pneumonia intramuscular immunizations. The patient received the influenza,
trivalent (IIV3) spilt virus 0.5 mL and pneumococcal polysaccharide vaccine, 23-
valent (PPSV23). What are the appropriate procedure codes for this service?
A.90658, 90732, 90471, 90472
B.90660, 90732, 90472
C.90736, 90657, 90471, 90472
D.90660, 90732, 90471 - ANSWER Answer: A. 90658, 90732, 90471, 90472
Rationale: The patient received two vaccines: influenza and pneumonia. Each is
charged separately. In the CPT® Index, look for Vaccines and
Toxiods/Influenza/for Intramuscular Use. A review of the code choices indicates
90658 is the correct code. For the pneumonia vaccine look in the index for
Vaccines/and Toxoids/Pneumococcal/23-valent (PPSV23). Code 90471
describes injection of one vaccine. The add-on code +90472 describes each
additional vaccine. Add-on codes (+) may not be reported independently but are
a composite of the basic code. In the CPT® Index look for
Administration/Immunization One Vaccine/Toxoid and
Administration/Immunization/Each Additional/Vaccine/Toxoid.
,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. What are the
appropriate procedure codes for this service?
A.90717, 90471
B.90749, 90472
C.90717, 90460
D.90749, 90471 - ANSWER Answer: A. 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
one vaccine. In the CPT® Index look for Vaccines and Toxoids/Yellow Fever and
Administration/Immunization One Vaccine/Toxoid.
A patient is referred to a psychiatrist for management after displaying erratic
and unusual behavior at work. The patient discloses a difficult family situation.
The psychiatrist meets with the family and the patient for 50 minutes. What is the
correct code for the family psychotherapy session?
A.90849
B.90833
C.90847
D.90853 - ANSWER Answer: C. 90847
Rationale: A family therapy session with patient present is reported with 90847.
The payer may request documentation of those present and areas of discussion.
In the CPT® Index look for Psychotherapy/Family of Patient. Code choice is
based on with or without the patient present, and time.
A patient receiving psychotherapy is ready to begin mainstream efforts into the
community. The psychiatrist discusses the patient's mental health history with a
social agency that assists in locating employment and living arrangements.
What is the correct code for this service?
A.90887
B.90882
C.90889
D.90875 - ANSWER Answer: B. 90882
Rationale: The services performed by the psychotherapist include
environmental interventions by communicating with the social agency. In the
CPT® Index locate Psychiatric Treatment/Environmental Intervention. Code
90882 describes intervention on a psychiatric patient's behalf with agencies,
employers, or institutions.
, A patient experienced a stressful personal event and meets with her psychiatrist
in his office for 45 minutes for the purpose of evaluating her potential to return to
work. Which CPT® code accurately reports the service?
A.90839
B.90845
C.90792
D.90834 - ANSWER Answer: D. 90834
Rationale: Code 90834 describes a 45-minute outpatient/office encounter for
psychotherapy. In the CPT® Index look for Psychotherapy/Individual Patient.
A patient with long-time stress urinary incontinence undergoes biofeedback
training for improvement of urine leakage. The physician spends 15 minutes
one-on-one with the patient. Which CPT® code(s) accurately report(s) the
service?
A.90912
B.90901
C.53899
D.90912, 90913 - ANSWER Answer: A. 90912
Rationale: Code 90912 describes biofeedback training for the urethral sphincter
for the initial 15 minutes of provider time. In the CPT® Index, look for
Biofeedback Training/Anorectal.
An inpatient with ESRD is placed on a regular schedule of hemodialysis
treatments. The patient receives dialysis at the hospital and is re-evaluated once
by the physician for possible revision of the prescribed treatments. On re-
evaluation, the physician determines no change in regimen is needed. What is
the correct code for the dialysis and physician re-evaluation?
A.90937
B.90940
C.90945
D.90947 - ANSWER Answer: A. 90937
Rationale: Code 90937 describes hemodialysis requiring physician re-evaluation
with or without substantial revision of dialysis. In the CPT® Index, look for
Hemodialysis/Procedure/with Evaluation.
An 18-year-old ESRD patient is receiving dialysis services and has had two face-
to-face visits with her physician within 25 days. On the 26th day, she is admitted
to the hospital for inpatient management without a complete assessment. She
remains in the hospital until the end of the month. What is the code for the
physician services for the 25 days?
Understanding Quiz 2022 Latest Update
A child was bitten by a dog that tested positive for rabies and is seen for an
injection of rabies immune globulin. What are the appropriate procedure codes
for this service?
A.90396, 96365
B.90375, 96372
C.90384, 96369
D.90389, 90471 - ANSWER Answer: B. 90375, 96372
Rationale: Code for the product and the administration of rabies immune
globulin. In the CPT® Index, see Immune Globulins/rabies, you are directed to
90375-90376. Because there is no mention of heat-treated, 90375 is the
appropriate code. Reading the guidelines for immune globulins, a code from
96365-96372, 96374, or 96375 is reported as appropriate for the administration.
This is an injection, and 96372 is the appropriate code. In the CPT® Index, look
for Injection/Intramuscular/Therapeutic.
A diabetic patient visited a neighborhood clinic to receive influenza and
pneumonia intramuscular immunizations. The patient received the influenza,
trivalent (IIV3) spilt virus 0.5 mL and pneumococcal polysaccharide vaccine, 23-
valent (PPSV23). What are the appropriate procedure codes for this service?
A.90658, 90732, 90471, 90472
B.90660, 90732, 90472
C.90736, 90657, 90471, 90472
D.90660, 90732, 90471 - ANSWER Answer: A. 90658, 90732, 90471, 90472
Rationale: The patient received two vaccines: influenza and pneumonia. Each is
charged separately. In the CPT® Index, look for Vaccines and
Toxiods/Influenza/for Intramuscular Use. A review of the code choices indicates
90658 is the correct code. For the pneumonia vaccine look in the index for
Vaccines/and Toxoids/Pneumococcal/23-valent (PPSV23). Code 90471
describes injection of one vaccine. The add-on code +90472 describes each
additional vaccine. Add-on codes (+) may not be reported independently but are
a composite of the basic code. In the CPT® Index look for
Administration/Immunization One Vaccine/Toxoid and
Administration/Immunization/Each Additional/Vaccine/Toxoid.
,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. What are the
appropriate procedure codes for this service?
A.90717, 90471
B.90749, 90472
C.90717, 90460
D.90749, 90471 - ANSWER Answer: A. 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
one vaccine. In the CPT® Index look for Vaccines and Toxoids/Yellow Fever and
Administration/Immunization One Vaccine/Toxoid.
A patient is referred to a psychiatrist for management after displaying erratic
and unusual behavior at work. The patient discloses a difficult family situation.
The psychiatrist meets with the family and the patient for 50 minutes. What is the
correct code for the family psychotherapy session?
A.90849
B.90833
C.90847
D.90853 - ANSWER Answer: C. 90847
Rationale: A family therapy session with patient present is reported with 90847.
The payer may request documentation of those present and areas of discussion.
In the CPT® Index look for Psychotherapy/Family of Patient. Code choice is
based on with or without the patient present, and time.
A patient receiving psychotherapy is ready to begin mainstream efforts into the
community. The psychiatrist discusses the patient's mental health history with a
social agency that assists in locating employment and living arrangements.
What is the correct code for this service?
A.90887
B.90882
C.90889
D.90875 - ANSWER Answer: B. 90882
Rationale: The services performed by the psychotherapist include
environmental interventions by communicating with the social agency. In the
CPT® Index locate Psychiatric Treatment/Environmental Intervention. Code
90882 describes intervention on a psychiatric patient's behalf with agencies,
employers, or institutions.
, A patient experienced a stressful personal event and meets with her psychiatrist
in his office for 45 minutes for the purpose of evaluating her potential to return to
work. Which CPT® code accurately reports the service?
A.90839
B.90845
C.90792
D.90834 - ANSWER Answer: D. 90834
Rationale: Code 90834 describes a 45-minute outpatient/office encounter for
psychotherapy. In the CPT® Index look for Psychotherapy/Individual Patient.
A patient with long-time stress urinary incontinence undergoes biofeedback
training for improvement of urine leakage. The physician spends 15 minutes
one-on-one with the patient. Which CPT® code(s) accurately report(s) the
service?
A.90912
B.90901
C.53899
D.90912, 90913 - ANSWER Answer: A. 90912
Rationale: Code 90912 describes biofeedback training for the urethral sphincter
for the initial 15 minutes of provider time. In the CPT® Index, look for
Biofeedback Training/Anorectal.
An inpatient with ESRD is placed on a regular schedule of hemodialysis
treatments. The patient receives dialysis at the hospital and is re-evaluated once
by the physician for possible revision of the prescribed treatments. On re-
evaluation, the physician determines no change in regimen is needed. What is
the correct code for the dialysis and physician re-evaluation?
A.90937
B.90940
C.90945
D.90947 - ANSWER Answer: A. 90937
Rationale: Code 90937 describes hemodialysis requiring physician re-evaluation
with or without substantial revision of dialysis. In the CPT® Index, look for
Hemodialysis/Procedure/with Evaluation.
An 18-year-old ESRD patient is receiving dialysis services and has had two face-
to-face visits with her physician within 25 days. On the 26th day, she is admitted
to the hospital for inpatient management without a complete assessment. She
remains in the hospital until the end of the month. What is the code for the
physician services for the 25 days?
