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最新的 Medical Certification AAPC-CPC 免費考試真題 (Q141-Q146):
問題 #141
What is NOT a function of the kidneys?
- A. Regulate blood pressure
- B. Propel urine
- C. Remove waste
- D. Filter blood
答案:B
解題說明:
The role ofthe kidneys is to filter blood before it is transported back to the heart, remove waste materials from food and medication, and regulate blood pressure by excreting excess sodium.
The ureters propel urine from the kidneys into the bladder.
問題 #142
A provider documents that he spent 20 minutes with a patient. Based on this, an E/M can be chosen solely based on time.
- A. True
- B. False
答案:A
解題說明:
The statement is true. According to AMA time documented is considered the minimum time the physician or other qualified health care professional spent on face-to-face and non-face-to-face services. This includes time spent reviewing the patient's medical record, consulting other healthcare professionals, or ordering prescriptions, tests, and/or other services.
問題 #143
A patient is admitted for chemical burns caused by a leaky car battery. The physician diagnoses the patient with second- and third-degree burns on the right hand and second- degree burns on the left hand. The physician follows up with the patient 3 days later and performs a detailed examination. His findings include an infection that has developed on the right hand as a result of the burn. The patient is started on antibiotics. Code this encounter.
- A. 99232, L08.9, T23.201S, T23.361S, T23.301S, T23.202A T54.2X4A
- B. 99231, L08.9, T23.701S, T23.662A T54.2XIS
- C. 99231, T23.201A, T23.361A T23.301A, T23.202A T54.2X4A L08.9
- D. 99232, T23.701A, T23.662A T54.2XIA, L08.9
答案:D
解題說明:
The physician's level of medical decision-making was moderate in complexity due to the acute, complicated injury/ illness, the minimal amount and complexity of data reviewed, and the issuance of a prescription drug. Because the patient has already been receiving care in a hospital setting for 3 days, the visit would be considered subsequent hospital care, making the level of inpatient service a 99232 and eliminating answers B and D. A burn caused by a chemical would be considered a corrosion because it is not caused by heat, electricity, and/or radiation, thus eliminating the remaining choice of A. Additionally, when multiple burns on the same anatomic location and laterality are being treated, identify and code only the highest degree of burn recorded in the diagnosis. In this case, only the third-degree burns on the right hand and the second-degree burns on the left hand would be reported. Although the skin infection is a sequela, the seventh character in the corrosion code would remain "A" and sequenced first to indicate that the patient is still receiving active treatment for the reason of admission.
問題 #144
If a physician administers cyclophosphamide over 154 minutes, irinotecan over 72 minutes, and panitumumab over 15 minutes intravenously to a patient with pancreatic cancer, how should this be reported?
- A. 96413, 96413-59x2, 96415, 96417
- B. 96413, 96415x3, 96417x2
- C. 94613, 96415x2, 96417x2
- D. 96413, 96413-59, 9641512, 96417
答案:B
解題說明:
Unless a separate IV site is established for a secondary or tertiary administration, CPT
96413 should be reported only once to represent the initial drug infusion. In this case, it is the cyclophosphamide. The remaining 94 minutes are reported with Ovo units of add-on CPT 96415, which may be reported ifthe time spent beyond the first hour is between 31 and 60 minutes. CPT
96417 is reported only once per subsequent infusion of a different drug up to the first hour.
Consequently, the 72 minutes of irinotecan is reported with a single unit of CPT 96417, and the 15 minutes of panitumumab is also reported with one unit ofthat same CPT code.
問題 #145
A 55-year-old patient is admitted into the hospital for dialysis to treat ESRD. On day 13, the admitting physician spends 25 minutes discussing new management options for the patient's hypertension before sending a nurse to initiate the hemodialysis procedure. What CPT and ICD-IO-CM codes should be reported?
- A. 90937, 99232, 110, N18.6, Z99.2
- B. 90937, 112.0, N18.6, Z99.2
- C. 99232, 112.0, N18.6, Z99.2
- D. 90935, N18.6, Z99.2
答案:C
解題說明:
CPT codes 90935-90937 require the presence of a physician. If a physician visits the patient prior to or after the dialysis treatment but does not document their presence during the hemodialysis services, bill only the appropriate evaluation and management code (CPT 99232).
Additionally, unless otherwise stated, diagnosis selection should reflect the causal relationship that exists bet'.veen hypertension and ESRD (112.-, N18.-)-they should not be reported as unrelated.
ICD-IO-CM Z99.2 is appended to indicate hemodialysis status.
問題 #146
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