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

1. 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) 51726-TC, 51784-59-TC, 51797-59-TC, 51741-59-TC
B) 51726-TC, 51784-51-TC, 51797-51-TC
C) 51728-TC, 51784-TC, 51797-TC
D) 51728-TC, 51784-TC, 51797-TC, 51741-TC

2. Which of the four chambers in the heart receives deoxygenated blood from the body through the vena cava?

A) Left ventricle
B) Right ventricle
C) Right atrium
D) Left atrium

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

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

4. A patient is in labor with plans to deliver vaginally. An epidural is administered at 17:30. After several hours of pushing, the obstetrician determines that the cervix is swollen, and the baby must be delivered via a c-section. The patient consents, the baby is delivered, and both are discharged to the recovery room at 22:15. What CPT code(s) should the anesthesiologist report?

A) 01967-23, 01968, 99140
B) 01967-23, 01968
C) 01967, 01968, 99140
D) 01967, 01968

5. A physician performs a 6 cm midline celiotomy to remove a patient's enlarged spleen by means of cautery. Abdominal exploration was performed, and the lymph nodes surrounding the inferior mesenteric artery that were noted to be abnormal were also removed. What CPT code(s) describes the surgery performed by the physician?

A) 49000, 38102
B) 43631
C) 38120, 49000-51
D) 38100, 38999-59

Solutions: