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

1. Code the following note:
A male patient with a medical history of chronic obstructive pulmonary disease (COPD) presented to the emergency room 3 days ago with tachycardia and shortness of breath. He was intubated and admitted with acute respiratory failure (ARE) due to an acute exacerbation of COPD. Upon follow-up with the patient today, dark sputum was noted in the intubation tube, and testing confirmed aspiration pneumoni a. I will start him on 875 mg of amoxicillin every 12 hours and follow up tomorrow.

A) 99232, 144.1, 196.00, 169.0, ROO.O
B) 99231, 169.0, 196.00, 144.1
C) 99233, 169.0
D) 99232, 196.00, 144.1, 169.0

2. Which option would best fall under a level II HCPC code?

A) Radiation treatment management
B) Diagnostic colonoscopy
C) A malignant neoplasm
D) Advanced life support

3. Age, gender, height, and race are the four key factors in calculating a person's forced vital lung capacity (FVC). If FVC is calculated to be 3.00 L and anything under 80% is abnormal, what would be the cutoff value to a normal FVC?

A) 2.8 L
B) 3.2 L
C) 2.4 L
D) 2.0 L

4. A female patient presents to her obstetrical office 32 -weeks pregnant for a bi-weekly ultrasound. Code the following technician's report:
Fetal views obtained via transabdominal ultrasound as follows:
BPD: 32 mm
Femur Length: 63 mm
Head Circumference: 288 mm
Abdominal Circumference: 270 mm
BPP 8/8
NST from 11:15 to 12:17, showing 160 BPM and positive movement activity Doppler shows adequate systolic and diastolic flow velocities of the fetal umbilical artery.

A) 76815-TC, 76819-TC, 76820-TC
B) 76816, 76818, 76820
C) 76816-TC, 76816-TC, 76820-TC
D) 76815, 78819, 76820

5. Code the following surgical note:
54-year-old male is experiencing left-sided weakness and visual disturbance. An MRI revealed a lesion in the brain. He presents today for a biopsy. General anesthesia is given, and the area is shaved and cleaned. The brain lab system is synced with prior MRI images to confirm the accurate placement of burr hole drilling. A cutting needle is inserted into the frontal lobe, and lesion location is confirmed with the brain lab system. A portion of the lesion is obtained without complication. All instruments removed, and the incision is sutured.

A) 61751
B) 61575
C) 61750
D) 61140

Solutions: