Exam (elaborations)
AAPC Chapter 20: Medicine Exam Practice Questions and Answers
AAPC Chapter 20: Medicine Exam Practice
Questions and Answers
A 35-year-old patient plans to travel to a country with a high incidence of yellow fever. The patient
receives the yellow fever immunization. Select the appropriate procedure codes for this service. -
ANSWER-90717, 90471
Rationale: ...
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AAPC Chapter 20: Medicine Exam Practice
Questions and Answers
A 35-year-old patient plans to travel to a country with a high incidence of yellow fever. The patient
receives the yellow fever immunization. Select the appropriate procedure codes for this service. -
ANSWER✔✔-90717, 90471
Rationale: Code for both the vaccine and the administration. Codes 90717 and 90471 describe the
yellow fever vaccine and the immunization administration for 1 vaccine. In the CPT® Index look for
Vaccines and Toxoids/Yellow Fever and Administration/Immunization One Vaccine/Toxoid.
A patient with long-time stress urinary incontinence undergoes biofeedback training for improvement of
urine leakage. Which CPT® code accurately reports the service? - ANSWER✔✔-90911
Rationale: Code 90911 describes biofeedback training for the urethral sphincter. In the CPT® Index, look
for Biofeedback Training/Anorectal.
A dialysis patient undergoes duplex scan of his hemodialysis access site to determine the pattern and
blood flow in his arteries and veins. Select the appropriate CPT® code for reporting this service. -
ANSWER✔✔-93990
Rationale: Code 93990 describes a scan of hemodialysis access and includes arterial inflow, body of
access and venous outflow. In the CPT® Index, look for Hemodialysis/Duplex Scan of Access.
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A 4-year-old has not reached the expected developmental milestones for her age group. She was
referred by her pediatrician for extensive developmental testing. The psychologist initiated multiple
function studies, using standardized instruments and reported the results to the child's pediatrician.
Code the psychologist's service. - ANSWER✔✔-96111
Rationale: Code 96111 describes extensive testing for developmental assessment, including
interpretation and report. In the CPT® Index, look for Developmental Testing.
A cancer patient will receive chemotherapy by intrathecal delivery. A spinal puncture is necessary to
accommodate the catheter. What is the correct code for this service? - ANSWER✔✔-96450
Rationale: Code 96450 describes intrathecal delivery of chemotherapy agents. The code includes the
spinal puncture. The drugs are separately coded using HCPCS II codes. Spinal catheter placement is
included in the technique. In the CPT® Index, look for Spine Chemotherapy/Administration.
A patient with a long history of migraine headaches decides to try acupuncture in an attempt to reduce
the symptoms. The provider uses acupuncture with electrical stimulation during a 15-minute, face-to-
face encounter with the patient. What is/are the correct code(s)? - ANSWER✔✔-97813
Rationale: Code 97813 describes a 15-minute encounter with one-on-one patient contact using
acupuncture with electrical stimulation. In the CPT® Index, look for Acupuncture/with Electrical
Stimulation.
A patient presents with a complaint of continuing left shoulder pain after falling from her patio onto a
wooden step. No fracture was identified at the time of the fall. After assessing the patient, the
chiropractor manipulates the shoulder region. What is/are the correct code(s)? - ANSWER✔✔-98943
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Rationale: Code 98943 describes extraspinal manipulation, one or more regions. In the CPT® Index, look
for Manipulation/Chiropractic.
A patient calls her physician to discuss the refill of a current prescription. She speaks with the registered
nurse who discusses the patient's current status and advises that the prescription to be called into her
pharmacy. The call lasts 12 minutes. What is the correct code for this service? - ANSWER✔✔-98967
Rationale: Code 98967 describes a telephone discussion with a nonphysician qualified healthcare
professional for 11-20 minutes. The discussion did not lead to an appointment within the next 24 hours
or the soonest available appointment and was not related to an E/M service within the previous seven
days. In the CPT® Index, look for Telephone/Evaluation and Management/Nonphysician.
A physician agrees to meet a patient at the office on Sunday afternoon to assess a repeat problem.
Special equipment in the physician office is needed to evaluate the condition. Normal office hours are
Monday-Friday. What is the correct code for this service? - ANSWER✔✔-99050
Rationale: Code 99050 describes services provided on holidays & weekends that are outside of normal
business hours. In the CPT® Index, look for After Hours Medical Services.
A post-surgical patient is discharged from the hospital to home. The patient still has a urinary catheter
needing attention for the next several days. The physician arranges for patient care through a home care
agency. Code the non-physician healthcare professional's service. - ANSWER✔✔-99507
Rationale: Patients often discharge to home when they no longer need the hospital level of care, but still
need some assistance. The physician typically arranges the care with a home care agency by sending a
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