AAPC - CHAPTER 20 REVIEW EXAM QUESTIONS AND ANSWERS 2024

A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending and in the first diagonal of the LD. What CPT® code(s) is/are reported? 92920-LD, 92921-LD A child with suspected sleep apnea was given an apnea monitoring device to use over the next month. The device was capable of recording and storing data relative to heart and respiratory rate and pattern. The pediatric pulmonologist reviewed the data and reported to the child's primary pediatrician. What CPT® code(s) is/are reported for the monitor attachment, download of data, provider review, interpretation and report? 94774 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? 99152, 99153 A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT® code is reported? 95813 A cardiologist provided an interpretation and report of an EKG. What CPT® code is reported? 93010 A 59 year-old male experienced left arm pain while cleaning the garage. There was no injury. His provider scheduled a 30-minute stress test using the Bruce Protocol at the hospital. There was no arm pain while on the treadmill; he did have a slight heart rhythm abnormality. The patient rested for 2 minutes. He had no further symptoms or pain. The cardiologist supervised the study, interpreted the test and dictated a report. What CPT® code(s) is/are reported? 93016, 93018 A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/are the correct ICD-10-CM code(s) for this encounter? I11.9 A 30 year-old male cut his right hand on a nail repairing the gutter on his house. Six days later it became infected. He went to the intermediate care center in his neighborhood, his first visit there. The wound was very red and warm with purulent material present. The wound was irrigated extensively with sterile water and covered with a clean sterile dressing. An injection of Bicillin CR, 1,200,000 units was given. The patient was instructed to return in three to four days. The provider diagnosed open wound of the hand with cellulitis. A problem focused history and examination with a low MDM were performed. What are the codes? 99201, 96372, J0558 x 12, S61.411A, L03.113, W45.0XXA, Y93.H9 A patient with chronic myeloid leukemia (CML), BCR/ABL-positive has an implanted access port for delivery of chemotherapy. The device needs to be irrigated before receiving treatment. What ICD-10-CM and CPT® codes are reported for the irrigation? 96523, C92.10 A patient with severe atrial fibrillation presents for an EPS study. The cardiologist performs the professional component of a comprehensive EPS study, including right atrial and ventricular pacing/recording, bundle of His recording and induction of atrial fibrillation, and insertion and repositioning of multiple electrode catheters. What CPT® code(s) is/are reported? 93620-26 A patient diagnosed with amyotrophic lateral sclerosis has increasing muscle weakness in the upper extremities. The provider orders needle electromyography (EMG) to record electrical activity of the muscles. What CPT® and ICD-10-CM codes are reported? 95861, G12.21 A patient with atrial fibrillation had a dual lead pacemaker implanted 1 year ago. Today she returns to the provider's office for evaluation of function of the device by analyzing and reviewing the parameters stored comparing it to current readings. It was determined minor adjustments and reprogramming were needed. What CPT® code is reported? 93280 What ICD-10-CM code is reported for post-mastectomy of the left breast? Z90.12 A patient has an open wound on his left lower leg caused by a cat bite. The animal tested negative for rabies, but the wound has failed to heal and became infected by Clostridium perfringens. The patient underwent hyperbaric oxygen therapy attended and supervised by the provider. What CPT® and ICD-10-CM codes are reported? 99183, S81.852A, B96.7, W55.01XA What ICD-10-CM code is reported for a fear of spiders? F40.210 A patient with congestive heart failure and chronic respiratory failure with hypoxia is placed on home oxygen. Prescribed treatment is 2L nasal cannula oxygen at all times. A home care nurse visited the patient to assist with his oxygen management. What CPT® and ICD-10-CM codes are reported? 99503, I50.9, J96.11 A 55 year-old patient had several episodes of fecal incontinence. A colonoscopy had been performed one year ago with normal results. Anorectal manometry was performed to determine the pressure on the sphincter muscles. The test indicated a mild relaxation of the sphincter. Biofeedback training was prescribed. What CPT® and ICD-10-CM codes are reported? 91122, K62.89, R15.9 A 50 year-old male is coming in for an eye examination for iritis. His last visit to the office was two years ago. The ophthalmologist performs a review of history, external ocular and adnexal examination, routine ophthalmoscopy and a biomicroscopy. Iritis is not found. The eye examination is completely normal. What CPT® and ICD-10-CM codes are reported? 92012, Z01.00