AAPC CHAPTER 20: MEDICINE
A patient is referred to a psychiatrist for management after displaying erratic and unusual behavior at
work. The patient discloses a difficult family situation. The psychiatrist meets with the family and the
patient for 50 minutes. What is the correct code for the family psychotherapy session? - ☑️☑️90847
A provider has ordered de-ironing by therapeutic phlebotomy to be performed weekly. The patient is
diagnosed with hemochromatosis and therapeutic phlebotomy is used to avoid irreversible tissue
damage. One unit of blood is removed weekly. What CPT® and ICD-10-CM codes are reported for each
weekly visit treatment? - ☑️☑️36430, 99195, E83.119
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. -
☑️☑️93990
A patient mangled his left hand in machinery requiring amputation at the wrist. The wound has healed
and the patient is fitted with an artificial hand. The device has a molded socket, flexible elbow hinges
and triceps pad. A total of 30 minutes was spent training the patient to use the prosthesis. What codes
are reported for the prosthesis, training and diagnosis? - ☑️☑️97761 x 2, L6050, Z44.8, Z89.112
A child displayed emotional outbursts, inability to interact appropriately with peers and his teacher, and
was not effective in grasping lessons deemed suitable for his age. The school counselor requested
psychological testing to determine if the child had been placed in classes appropriate to his abilities.
Testing was administered by a clinical psychologist who spent 10 hours face-to-face with the patient and
3 hours preparing the report of the results. Code the psychologist's service. - ☑️☑️96130, 96131 x12
A patient has a collapsed arch on her left foot. The physician prescribed a custom orthotic insert for the
patient's shoe to support the collapsed arch. The patient visits the physician to receive the orthotic and
is instructed how to position it inside the shoe for maximum results. The patient walks around the
treatment room and hallway to determine if there is a comfortable fit. The session lasts 15 minutes.
What is the code for this service? - ☑️☑️97760
A patient continues to have low back pain after lifting a heavy bin while cleaning the basement. The
chiropractor manipulates both the lumbar and sacral areas. What is the correct code? - ☑️☑️98940
,A patient ingested a toxic substance and was administered ipecac in the Emergency Department to
empty the stomach. What is the correct code for this service? - ☑️☑️99175
An established patient on multiple prescriptions had concerns about possible drug interactions with a
new prescription. She requested consultation from the local pharmacist before leaving the pharmacy.
The pharmacist met with her for 23 minutes to discuss possible interactions with her current
medications and assured her it was not likely the new medication would cause significant side effects.
What is/are the code(s) for the pharmacist's service(s)? - ☑️☑️99606, 99607
A child was bitten by a dog tested positive for rabies, and is seen for an injection of rabies immune
globulin. Select the appropriate procedure codes for this service. - ☑️☑️90375, 96372
A patient with renal failure needs to begin dialysis treatments. He and his daughter both complete
training for managing dialysis at home. - ☑️☑️90989
A patient with chronic gastrointestinal disturbances undergoes complete ultrasonic scanning of the
intestinal vascular structure to determine if blood flow is adequate. Select the appropriate CPT® code for
reporting this service. - ☑️☑️93975
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 spends an hour
administrating multiple function studies, using standardized instruments and reported the results to the
child's pediatrician. Code the psychologist's service. - ☑️☑️96112
A patient presents with vomiting and diarrhea lasting three days. The physician determines the patient
is dehydrated and orders infusion of hydration fluids to run for two hours. Code the hydration service. -
☑️☑️96360, 96361
An anorexic patient is experiencing signs of severe dietary deficiency and electrolyte imbalance. She will
need medical nutrition therapy to treat these symptoms. The provider spends 30 minutes with the
patient to discuss the seriousness of her eating disorder and the necessity of nutrition therapy. What is
the code for this initial assessment? - ☑️☑️97802 x 2
, A patient was discharged recently from the hospital following a colon resection with colostomy. A nurse
makes a home visit to assist with the patient's colostomy. What is the correct code for this visit? -
☑️☑️99505
A patient receiving psychotherapy is ready to begin mainstream efforts into the community. The
psychiatrist discusses the patient's mental health history with a social agency that assists in locating
employment and living arrangements. What is the correct code for this service? - ☑️☑️90882
A patient exhibits severe allergic reaction to peanuts. An allergist prepares and provides four vials of
single dose antigen for the patient to inject if he accidentally ingests peanut products. What is the code
for this service? - ☑️☑️95144 x 4
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? - ☑️☑️96450
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. - ☑️☑️99507
An 18 year-old ESRD patient is receiving dialysis services and has had two face-to-face visits with her
physician for 25 days. On the 26th day she is admitted to the hospital for inpatient management without
a complete assessment. She remains in the hospital until the end of the month. Code for the physician
services for the 25 days. - ☑️☑️90969 x 25
A patient who suffers from nasal congestion, rhinitis and facial swelling after being stung by honeybees
undergoes allergen immunotherapy. The physician provides a single injection of bee venom. What is the
correct code for this service? - ☑️☑️95130
A patient needs a renal transplant. The patient has been on dialysis and is awaiting a suitable donor. A
clinical psychologist meets with the patient to assess the patient's ability to comply with the
requirements and drug regimen if a donor match is found. The session lasts 2 hours. What is the correct
code for this service? - ☑️☑️96150 x 8
A patient sustained a severe ankle sprain playing basketball. The ankle is stiff and without complete
range of motion. The physician refers the patient for physical therapy. Prior to treatment, the therapist
A patient is referred to a psychiatrist for management after displaying erratic and unusual behavior at
work. The patient discloses a difficult family situation. The psychiatrist meets with the family and the
patient for 50 minutes. What is the correct code for the family psychotherapy session? - ☑️☑️90847
A provider has ordered de-ironing by therapeutic phlebotomy to be performed weekly. The patient is
diagnosed with hemochromatosis and therapeutic phlebotomy is used to avoid irreversible tissue
damage. One unit of blood is removed weekly. What CPT® and ICD-10-CM codes are reported for each
weekly visit treatment? - ☑️☑️36430, 99195, E83.119
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. -
☑️☑️93990
A patient mangled his left hand in machinery requiring amputation at the wrist. The wound has healed
and the patient is fitted with an artificial hand. The device has a molded socket, flexible elbow hinges
and triceps pad. A total of 30 minutes was spent training the patient to use the prosthesis. What codes
are reported for the prosthesis, training and diagnosis? - ☑️☑️97761 x 2, L6050, Z44.8, Z89.112
A child displayed emotional outbursts, inability to interact appropriately with peers and his teacher, and
was not effective in grasping lessons deemed suitable for his age. The school counselor requested
psychological testing to determine if the child had been placed in classes appropriate to his abilities.
Testing was administered by a clinical psychologist who spent 10 hours face-to-face with the patient and
3 hours preparing the report of the results. Code the psychologist's service. - ☑️☑️96130, 96131 x12
A patient has a collapsed arch on her left foot. The physician prescribed a custom orthotic insert for the
patient's shoe to support the collapsed arch. The patient visits the physician to receive the orthotic and
is instructed how to position it inside the shoe for maximum results. The patient walks around the
treatment room and hallway to determine if there is a comfortable fit. The session lasts 15 minutes.
What is the code for this service? - ☑️☑️97760
A patient continues to have low back pain after lifting a heavy bin while cleaning the basement. The
chiropractor manipulates both the lumbar and sacral areas. What is the correct code? - ☑️☑️98940
,A patient ingested a toxic substance and was administered ipecac in the Emergency Department to
empty the stomach. What is the correct code for this service? - ☑️☑️99175
An established patient on multiple prescriptions had concerns about possible drug interactions with a
new prescription. She requested consultation from the local pharmacist before leaving the pharmacy.
The pharmacist met with her for 23 minutes to discuss possible interactions with her current
medications and assured her it was not likely the new medication would cause significant side effects.
What is/are the code(s) for the pharmacist's service(s)? - ☑️☑️99606, 99607
A child was bitten by a dog tested positive for rabies, and is seen for an injection of rabies immune
globulin. Select the appropriate procedure codes for this service. - ☑️☑️90375, 96372
A patient with renal failure needs to begin dialysis treatments. He and his daughter both complete
training for managing dialysis at home. - ☑️☑️90989
A patient with chronic gastrointestinal disturbances undergoes complete ultrasonic scanning of the
intestinal vascular structure to determine if blood flow is adequate. Select the appropriate CPT® code for
reporting this service. - ☑️☑️93975
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 spends an hour
administrating multiple function studies, using standardized instruments and reported the results to the
child's pediatrician. Code the psychologist's service. - ☑️☑️96112
A patient presents with vomiting and diarrhea lasting three days. The physician determines the patient
is dehydrated and orders infusion of hydration fluids to run for two hours. Code the hydration service. -
☑️☑️96360, 96361
An anorexic patient is experiencing signs of severe dietary deficiency and electrolyte imbalance. She will
need medical nutrition therapy to treat these symptoms. The provider spends 30 minutes with the
patient to discuss the seriousness of her eating disorder and the necessity of nutrition therapy. What is
the code for this initial assessment? - ☑️☑️97802 x 2
, A patient was discharged recently from the hospital following a colon resection with colostomy. A nurse
makes a home visit to assist with the patient's colostomy. What is the correct code for this visit? -
☑️☑️99505
A patient receiving psychotherapy is ready to begin mainstream efforts into the community. The
psychiatrist discusses the patient's mental health history with a social agency that assists in locating
employment and living arrangements. What is the correct code for this service? - ☑️☑️90882
A patient exhibits severe allergic reaction to peanuts. An allergist prepares and provides four vials of
single dose antigen for the patient to inject if he accidentally ingests peanut products. What is the code
for this service? - ☑️☑️95144 x 4
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? - ☑️☑️96450
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. - ☑️☑️99507
An 18 year-old ESRD patient is receiving dialysis services and has had two face-to-face visits with her
physician for 25 days. On the 26th day she is admitted to the hospital for inpatient management without
a complete assessment. She remains in the hospital until the end of the month. Code for the physician
services for the 25 days. - ☑️☑️90969 x 25
A patient who suffers from nasal congestion, rhinitis and facial swelling after being stung by honeybees
undergoes allergen immunotherapy. The physician provides a single injection of bee venom. What is the
correct code for this service? - ☑️☑️95130
A patient needs a renal transplant. The patient has been on dialysis and is awaiting a suitable donor. A
clinical psychologist meets with the patient to assess the patient's ability to comply with the
requirements and drug regimen if a donor match is found. The session lasts 2 hours. What is the correct
code for this service? - ☑️☑️96150 x 8
A patient sustained a severe ankle sprain playing basketball. The ankle is stiff and without complete
range of motion. The physician refers the patient for physical therapy. Prior to treatment, the therapist
