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| Section | Weight | Objectives |
|---|---|---|
| ICD-10-CM Coding | 15-17% | - Code selection & sequencing - Diagnosis coding guidelines |
| Medical Terminology & Anatomy | 8-10% | |
| Reimbursement & Revenue Cycle | 5-7% | |
| CPT® Coding | 45-50% | - Surgery (10000–69999) - Evaluation & Management (E/M) - Radiology, Pathology/Laboratory, Medicine |
| Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules |
| HCPCS Level II Coding | 5-7% | |
| Modifiers | 5-7% |
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NEW QUESTION # 231
(A provider orders a liquid chromatography mass spectrometry (LC-MS) definitive drug test for a patient suspected ofacetaminophen (analgesic) overdose. What CPT code is reported for the test?)
Answer: B
Explanation:
Acetaminophen is a specific drug with a dedicated quantitative laboratory code. Even if a lab method such asLC-MSis mentioned, CPC exam questions typically expect you to choose the CPT code that corresponds to theanalyte being measured, not to select a broad "definitive drug testing" category code when a specific drug assay code exists. CPT80143is the established code foracetaminophentesting (quantitative measurement).
Codes in the 803xx range are commonly associated with drug screening/testing categories that do not specifically represent acetaminophen as a named analyte in the way CPC questions test. Code80299is an unlisted therapeutic drug assay and is not appropriate when a specific code (80143) exists. Therefore, the correct answer is80143. CPC strategy: when the substance is explicitly named and has a recognized assay code, choose thespecific drug test coderather than an unlisted or generalized testing category. The method (LC-MS) supports "definitive" testing clinically, but the code selection here is driven by the named analyte.
NEW QUESTION # 232
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test.
He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: D
Explanation:
* Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
* CPT Codes:
* 93016: This code is for supervision only without provision of the equipment.
* 93018: This code is for interpretation and report only.
* Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and
93018 correctly represent the supervision, interpretation, and report of the test.
References:
* AMA CPT Professional Edition (current year)
NEW QUESTION # 233
A patient presents with 26 skin tags on the neck and shoulder. The provider removes all using a scissoring technique.
What CPT coding is reported?
Answer: A
Explanation:
11200 = removal of up to 15 skin tags
11201 = each additional 10 lesions or part thereof
26 lesions = 15 + 11 # 11201 ×2
NEW QUESTION # 234
A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine.
Which codes are used for reporting the testing and confirmation?
Answer: A
Explanation:
For drug testing for cocaine and methamphetamines with a single analysis using direct optical observation and a subsequent confirmation for cocaine, the appropriate codes are:
80305 for the initial drug test (presumptive).
80353 for the confirmation test of cocaine.
Reference:
AMA's CPT Professional Edition (current year)
NEW QUESTION # 235
Which is an anesthesia physical status modifier?
Answer: D
Explanation:
P1-P6 = ASA Physical Status modifiers
AA, QS are anesthesia service modifiers
NEW QUESTION # 236
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