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

1. During surgery to remove a malignant melanoma from the intestinal tract, one frozen section is sent for pathological consultation to confirm an adequate excision of the margins. A second specimen is also sent, which requires frozen sections on two tissue blocks. What CPT code(s) should the pathologist report?

A) 88329, 88331, 88332, 88332
B) 88331, 88332
C) 88331, 88331, 88332
D) 88331, 88332, 88332

2. A physician performs an esophagogastroduodenoscopy on a patient who has GERD. A single tissue sample is obtained from the upper gastrointestinal tract using biopsy forceps. A reflux test was also done and a bravo capsule temporarily attached to the esophageal wall to monitor pH levels. What procedures should the physician report?

A) 43239, 91034
B) 43235, 91035
C) 43239, 91035
D) 43235, 91034

3. The physician suspects malignancy and decides to remove two lesions from the patient's back to confirm. The size of the first lesion has a diameter of 0.5 cm, and the excised diameter is 1.0 cm. The size of the second lesion has a diameter of 0.3 cm, and the excised diameter is 1.5 cm. Which CPT code(s) should be reported?

A) 11401, 11402-51
B) 11600, 11600-51
C) 11402, 11401-59
D) 11401, 11402-59

4. Which form is used to make a patient aware of the potential monetary liability they will have if their procedure is not likely to be covered by Medicare?

A) Advance Beneficiary Notice
B) National Coverage Determination
C) Health Insurance Portability and Accountability Act (HIPAA) Release
D) Payment Plan Contract

5. A patient develops an infection within the global period of a knee replacement. It is determined that the infection originated from the incision site and needs to be surgically removed. Which modifier should be appended to the secondary surgery?

A) 79
B) 25
C) 58
D) 78

Solutions: