CPC Exam Dumps - Certified Professional Coder (CPC) Exam

For the excision of an 11 cm lesion with a rotation flap repair, the appropriate CPT codes are 14001 for the adjacent tissue transfer or rearrangement (12 sq cm flap) and 11606-51 for the excision of a malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm. Modifier 51 indicates multiple procedures. The detailed operative report specifies the lesion size and the technique used, justifying these codes.

1. Procedure and CPT® Code Selection:

The provider performed both a bronchoscopy and a microlaryngoscopy to evaluate the patient’s airway due to respiratory distress and stridor.

Code 31622 is used for a diagnostic bronchoscopy, which includes the inspection of the trachea, carina, and bronchial structures. Since the bronchoscopy was diagnostic and no additional therapeutic procedures were performed, this is the appropriate code.

Code 31526 is for direct laryngoscopy with the use of an operating microscope or telescope (microlaryngoscopy). This code is appropriate given the use of a Parson’s laryngoscope and magnifying telescope to inspect the larynx.

2. Modifier 51:

Modifier 51 is added to 31526 to indicate that it was performed in conjunction with another procedure (31622, bronchoscopy). Modifier 51 denotes multiple procedures without the necessity of a separate incision.

3. Exclusion of Code 69990:

Code 69990 is used for the use of an operating microscope in microsurgery but is not coded separately when the procedure (such as microlaryngoscopy) already includes visualization with a microscope or telescope as part of the CPT® descriptor. Thus, 69990 is not separately reported in this scenario, per CPT® guidelines.

4. AAPC and CPT® Coding Guidelines:

The guidelines specify that when visualization or microlaryngoscopy is inherently part of the procedure (as in 31526), 69990 should not be billed separately. Also, the use of Modifier 51 for multiple procedures in the same session is appropriate.

Therefore, the verified answer, following the CPT® and AAPC coding rules, is A. 31622, 31526-51.

89258 = Thawing of cryopreserved embryos

89250 = Culture of embryos, per day (reported once per encounter)

For a mastectomy that involves removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes, the appropriate CPT® code is:

19306: Mastectomy, radical, including pectoral muscles, axillary lymph nodes.

This code captures the extent of the surgery, including the removal of the breast tissue, skin, pectoral muscles, and lymph nodes.

CPT® Professional Edition (current year)

Surgery guidelines for mastectomy procedures

88027 = Autopsy, gross and microscopic, with CNS examination

88016/88020 exclude spinal cord or microscopy

Pregnancy guidelines require O codes first.

O98.513 = COVID-19 infection complicating pregnancy, third trimester

U07.1 = COVID-19

Z3A.32 = 32 weeks gestation

Symptoms (SOB, fever) are not coded separately when integral to COVID-19.

Correct sequencing makes A correct.

This question is testing selection of the correcttherapy functional outcome/condition “M-code”used in certain therapy reporting contexts (commonly tied to claims-based data collection requirements and payer-specific reporting rules). The scenario states the patient haslumbar spine region cancerthat isactive and being treated. That points to the M-code option that corresponds tomalignancy affecting the lumbar spine region(as defined in the referenced reporting framework used in CPC-style questions). Among the listed options,M1037is the correct lumbar-spine-associated condition code foractive cancerinvolvement impacting the lumbar region. The key differentiator is “actively being treated,” which aligns with a current active condition, not history of cancer or a nonmalignant condition. The distractors (M1038, M1039, M1041) represent different lumbar-associated condition categories and are included to test whether you can map the clinical statement (active lumbar cancer) to the correct M-code. Therefore, the correct selection isM1037.

This is anestablished patientoffice visit coded byMDM(no total time documented). Problems addressed include achronic condition(multinodular goiter/thyroid nodules) requiring evaluation with malignancy risk considerations (family history of thyroid cancer and palpable mass). The plan includes apercutaneous biopsy, which is aminor procedureplanned, increasing management complexity compared with reassurance-only follow-up. Data reviewed includes at leastreview of an ultrasound from last weekshowing multiple thyroid masses consistent with multinodular goiter (outside test review), which supports data element involvement. Risk is at leastmoderatebecausedecision for a minor procedureis documented in the plan (with procedure-related risk assessment implicit). While ROS is largely negative and exam is not extensive enough alone to drive code selection, MDM supports amoderate leveloverall, aligning with99214for established patients. It is more complex than 99213 due to planned invasive diagnostic procedure and risk assessment, but does not reach 99215 because there is no high-risk management (e.g., major surgery decision, severe exacerbation, or intensive data complexity).