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

1. What describes a surgical procedure that removes a portion of the vertebral body to relieve pressure on the spinal cord and nerves?

A) Spinal fusion
B) Corpectomy
C) Laminectomy
D) Insertion of interspinous process stabilization device

2. A patient undergoes surgery with anesthesia and is arousable with painful stimulation. What is the level of sedation the patient MOST likely received?

A) General anesthesia
B) Deep sedation
C) Moderate sedation
D) Minimal sedation

3. A diaphragm resection and repair are done using a biologic mesh to reduce the formation of adhesions. Which procedure code should be reported?

A) 39501
B) 39599
C) 39561
D) 39560

4. Code the following surgical note:
Patient is seen for an epidural injection into the following three levels: L3-L4, L4-L5 and L5-S1.
A 22 -gauge spinal needle is inserted into the zygapophyseal joint using fluoroscopic guidance. After confirming the needles placement at L3-L4 on the left side, 0.5 cc of a local anesthetic is injected into the joint. The whole process is repeated on the left side at the other two levels. The procedure was completed without any complications.

A) 64493-LT, 64494-59-LT, 64495-59u
B) 64493-LT, 64494-LT, 64495-LT
C) 0216T-LT, 0217T-LT, 0218T-LT
D) 62323

5. A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?

A) Z12.11, K63.5
B) K63.5, Z12.11
C) K63.5
D) Z12.11

Solutions: