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Valid AAPC-CPC Exam Pass4sure - AAPC-CPC Test Question

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q64-Q69):

NEW QUESTION # 64
Which service would NOT be covered under Medicare part A?

A. Home health care
B. Hospice care
C. Inpatient hospital care
D. Observation hospital care

Answer: D

Explanation:
Observation hospital care is provided to patients who are not sick enough to be admitted.
Therefore, it is considered an outpatient service and is covered under Medicare part B.

NEW QUESTION # 65
CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?

A. The two codes are exclusive of each other and can never be billed together.
B. The two codes can be billed together with an appropriate modifier.
C. The two codes are inclusive of each other and can never be billed together.
D. If being billed together, only report one unit of each.

Answer: B

Explanation:
NCCI stands for National Correct Coding Initiative and was created by CMS to prevent unbundling and prevent incorrect payments. Column one represents a correct code when listed next to column two. There are three edits listed with the combination of the two columns: 0, 1, and
9. Edit 0 means that the two codes should never, under any circumstance, be reported together. Edit
1 means that the procedures may be coded together with the use of a modifier. Edit 9 means that the edit does nota I .

NEW QUESTION # 66
A 34-year-old established male patient presents for treatment to his lower back. He reports exacerbated symptoms due to lifting heavy materials at work. The osteopath performs a problem-focused history and exam followed by manipulative treatment to the lumbar and sacral region of the spine. What procedure(s) should the osteopath report?

A. 0
B. 1
C. 99212-25, 98925
D. 99212-25, 97140x2

Answer: C

Explanation:
Osteopathic manipulation services do not include evaluation and management services.
Although the patient's treatment has already been established, the osteopathic physician has enough supporting documentation to report a separate evaluation and management code.
Manipulation services rendered by an osteopathic physician are reported with CPT codes 98925-
98929. A chiropractor would report manipulative treatment to t'.vo body regions with CPT 98940, and a physical therapist would report CPT 97140.

NEW QUESTION # 67
Diagnostic endoscopy is always inclusive to a surgical endoscopy.

A. True
B. False

Answer: A

Explanation:
The statement is true. When multiple endoscopic procedures are performed in the same session, only the most extensive service should be reported. In this case, it would be the surgical endoscopy because it has a higher revenue value.

NEW QUESTION # 68
What would be considered a sequela to an injury?

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

Answer: B

Explanation:
Per ICD-IO-CM, a sequela describes "complications or conditions that arise as a direct result of a condition." In this case, the chronic pain would be a condition that resulted from a prior injury.
Removal of a foreign body is active treatment of a laceration. Removal of a fixation device and prescription drug management are both considered routine and subsequent care.

NEW QUESTION # 69
......

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