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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions:

1. What would be considered a sequela to an injury?

A) Chronic pain persisting after an injury has healed
B) Removal of an external fixation device
C) Prescription drug management
D) Foreign body removal from a laceration

2. Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.

A) 39402, 31622-51
B) 39402, 31623-51
C) 39010, 31622-51
D) 39010, 31623-51

3. Code the following surgical note:
Patient is seen for an epidural injection into the following three levels: L3-L4, L4-L5 and L5-S1.
A 22 -gauge spinal needle is inserted into the zygapophyseal joint using fluoroscopic guidance. After confirming the needles placement at L3-L4 on the left side, 0.5 cc of a local anesthetic is injected into the joint. The whole process is repeated on the left side at the other two levels. The procedure was completed without any complications.

A) 64493-LT, 64494-59-LT, 64495-59u
B) 64493-LT, 64494-LT, 64495-LT
C) 0216T-LT, 0217T-LT, 0218T-LT
D) 62323

4. A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?

A) K63.5, Z12.11
B) Z12.11, K63.5
C) Z12.11
D) K63.5

5. Code the following procedure note:
A 45-year-old female was referred for a urodynamics study due to complaints of bladder pain and weak urination. The provider places a rectal catheter simultaneously with a urethral catheter and begins to fill the bladder with water.
Using calibrated equipment, cytometry was done with a medium fill rate of 40 cc/ minute. A strong desire to void occurred at 84 cc. and the patient is instructed to void. The provider determines that the maximum urinary flow rate is 12 cc per second with a voiding time of 45 seconds and a voided volume of 102 cc. She voided with a sustained detrusor pressure. An abdominal pressure measurement was also taken, indicating no urinary leaking with abdominal straining. EMG patches were placed on the anal sphincter and found to be elevated with increased intra- abdominal pressure. All catheters and EMG patches were removed, and the procedure was completed without complications. A report will be forwarded to the referring provider, who will provide the interpretation of the results to the patient.

A) 51728-TC, 51784-TC, 51797-TC, 51741-TC
B) 51726-TC, 51784-51-TC, 51797-51-TC
C) 51728-TC, 51784-TC, 51797-TC
D) 51726-TC, 51784-59-TC, 51797-59-TC, 51741-59-TC

Solutions: