AAPC CPB - Chapter 7 Practical Application
Exam Practice Questions and Answers
Use CPB Chapter 7_Case to answer questions 1 & 2.
A 40-year-old patient is trying Botox® for her chronic migraines.
According to the policy, what are the symptom parameters that must be
documented?
a. The patient...
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
AAPC CPB - Chapter 7 Practical Application
Exam Practice Questions and Answers
Use CPB Chapter 7_Case 1.pdf to answer questions 1 & 2.
A 40-year-old patient is trying Botox® for her chronic migraines.
According to the policy, what are the symptom parameters that must be
documented?
a. The patient has chronic migraines more than 15 days per month, with
headaches lasting 4 hours a day or longer.
b. There are not specific documentation requirements for the use of Botox®
for chronic migraines.
c. The patient has chronic intractable migraines with status migrainosus.
d. A diagnosis of chronic migraines is sufficient. - Answer✔️✔️-a. The
patient has chronic migraines more than 15 days per month, with
headaches lasting 4 hours a day or longer.
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
Rationale: When Botox® (onabotulinumtoxina) is used for the FDA
approved indication of prophylaxis of headaches in adult patients with
chronic migraine (> 15 days per month with headache lasting 4 hours a day
or longer), the documentation must support these specific symptom
parameters.
Use CPB Chapter 7_Case 1.pdf to answer the following question.
The patient has had three injections without relief from the migraines.
According to the policy in Chapter 7 Case 1 pdf, what will be considered
for coverage by Medicare?
a. All three injections will be covered by Medicare.
b. Two of the three injections are covered when the treatment fails.
c. Only one injection is covered by Medicare.
d. None of the injections are covered as Botox® is not a covered condition
for chronic migraines. - Answer✔️✔️-b. Two of the three injections are
covered when the treatment fails.
2
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