AAPC CPC CHAPTER 20 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS
A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT®
code is reported? - CORRECT ANSWER 95813
Rationale: In the CPT® Index look for EEG which directs you to Electroencephalography
(EEG). Under Electroencephalography (EEG)/Monitoring you are directed to 95812-
95813, 95950-95953 and 95956. Code range 95812 - 95813 is based on time. Code
95813 describes an EEG (electroencephalogram), more than 1 hour. This patient had a
3-hour study which is reported with 95813.
A 15 year-old underwent placement of a cochlear implant 1 year ago. It now needs to be
reprogrammed. What CPT® code is reported for the reprogramming? - CORRECT
ANSWER 92604
Rationale: Cochlear implants differ from hearing aids; they bypass the damaged part of
the ear. The use of a cochlear implant involves relearning how to hear and react to
sounds. In the CPT® Index look for Cochlear Device/Programming which directs you to
codes 92602, 92604. The code selection is based on the age of the patient and whether
it is the initial programming or subsequent reprogramming. Code 92604 describes
subsequent reprogramming for a patient age 7 or older.
A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age
and combative behavior of the patient, the provider utilized moderate sedation while
repairing the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse
monitored the patient during the procedure which took 30 minutes. What CPT® code is
reported for moderate sedation? - CORRECT ANSWER 99152, 99153
, AAPC CPC CHAPTER 20 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS
Rationale: Moderate sedation is often used for pediatric patients in situations not
normally requiring sedation. In this case, the provider administered sedation with a
nurse assisting in monitoring the patient. In the CPT® Index look for
Sedation/Moderate/with Independent Observation and you are directed to code range
99151-99153. Code selection is based on age of the patient and the length of time.
Code 99152 describes an encounter using moderate sedation, and the physician or other
qualified health care professional rendering the diagnostic or therapeutic service also
manages the sedation. This code is specific for the age of the patient and up to 15
minutes of time. Add-on 99153 is for each additional 15 minutes of intraservice time.
A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function. What
CPT® code(s) is/are reported for this service? - CORRECT ANSWER 94667
Rationale: In the CPT® Index look for Pulmonology/Therapeutic/Manipulation of Chest
Wall or Chest Wall/Manipulation which directs you to 94667-94668. 94667 is the correct
code since it includes the patient's first time, and it includes the evaluation.
A patient was brought to the emergency department in cardiac arrest. The physician
immediately initiated CPR. What CPT® code is reported for CPR? - CORRECT ANSWER
92950
Rationale: Medical personnel usually begin cardiopulmonary resuscitation (CPR) which
provides artificial breathing and chest compressions for a person in cardiac arrest. In the
CPT® Index you can look for either CPR or Cardiopulmonary Resuscitation or
Resuscitation/Cardiopulmonary. All indexed items direct you to code 92950.
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