AAPC Chapter 20: Medicine Exam Study Guide with Questions and Correct Answers

AAPC Chapter 20: Medicine Exam Study Guide with Questions and Correct Answers 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 co des for this service. - ✔✔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/Immuniza tion One Vaccine/Toxoid. A patient with long -time stress urinary incontinence undergoes biofeedback training for improvement of urine leakage. Which CPT® code accurately reports the service? - ✔✔90911 Rationale: Code 90911 describes biofeedback training f or the urethral sphincter. In the CPT® Index, look for Biofeedback Training/Anorectal. 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. - ✔✔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. 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. - ✔✔96111 Rationale: Code 96111 describes extensive testing for developmental assessment, including interpretation and report. In the CPT® Index, look for Developmental Testing. 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? - ✔✔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. A patient with a long history of migraine 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)? - ✔✔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. 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)? - ✔✔98943 Rationale: Code 98943 describes extraspinal manipulatio n, one or more regions. In the CPT® Index, look for Manipulation/Chiropractic. 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? - ✔✔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/Nonphysician . 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 se rvice? - ✔✔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.