CPC Exam Dumps - Certified Professional Coder (CPC) Exam

36223 = Selective catheterization of common carotid with imaging

36227 ×2 = Bilateral external carotid angiography

New patient in community residential facility

Moderate MDM → 99344

Total time = 90 minutes

Base time exceeded → 99417 appropriate

Why others are incorrect:

99345 – High MDM (not documented)

Missing prolonged service code

This is adiagnosticmammogram (not screening) performed onone breast (left). CPT distinguishes screening from diagnostic:77067is screening mammography and is not appropriate because there is a symptom (palpable lump) and the service is diagnostic. CPT also distinguishes unilateral vs bilateral diagnostic:77065isdiagnostic mammography, unilateral, and77066is diagnostic mammography, bilateral—so the correct selection is77065. The vignette mentions CAD, but current mammography CPT coding incorporates digital and CAD elements into the diagnostic mammography code structure in typical CPC-style testing, and the question asks which code(s) are reported, offering only single-code answers.77061is not the primary diagnostic mammography code; it relates to breast tomosynthesis add-on concepts in many coding frameworks, but the stem describes diagnostic mammography with additional views, not explicit tomosynthesis reporting. Therefore, for unilateral diagnostic mammography of the left breast, the correct code is77065.

Injection of atropine: Atropine is administered to reduce sialorrhea.

Bilateral submandibular salivary glands: The physician administers the injections into the salivary glands.

Total of four glands: Indicates that multiple glands are treated in the same session.

CPT code 64611 accurately represents chemodenervation of the salivary glands, bilateral. The use of -50, -52, or x4 modifiers is not appropriate since CPT guidelines include bilateral procedures in this code without needing additional modifiers or codes.

74150 = CT abdomen without contrast

Other codes describe MRI or combined studies

1. Procedure and CPT® Code Selection:

The otolaryngologist was asked to perform a general otolaryngologic examination of the patient under general anesthesia to evaluate for injuries sustained from a traumatic fall.

CPT® Code 92502 is appropriate for a general otolaryngologic examination under general anesthesia. This code is used specifically when an ENT examination is performed under anesthesia, as was the case here.

2. Rationale for Excluding Other Options:

Code 92512 is for nasal function studies, such as rhinomanometry, which does not apply to a general otolaryngologic examination.

Code 21310 is for the treatment of a nasal fracture (closed treatment), which would only be appropriate if the otolaryngologist had performed a fracture reduction or repair. Since only an examination was performed, 21310 is not appropriate.

Code 92502-51 (option B) is incorrect because the -51 modifier (multiple procedures) is unnecessary; only a single examination was performed.

3. ICD-10-CM Code:

Since only the examination was performed and not treatment, the ICD-10-CM code for nasal fracture (likely S02.2XXA for unspecified fracture of the nasal bones, initial encounter) would be reported separately by the facility or based on final documentation.

4. AAPC and CPT® Coding Guidelines:

AAPC guidelines support the use of 92502 for general ENT examinations performed under anesthesia, especially in cases of trauma evaluation without surgical intervention.

Therefore, the correct answer is D. 92502.

1. Procedure and CPT® Code Selection:

The patient initially underwent a laparoscopic total abdominal hysterectomy for endometriosis of the uterus. However, due to extensive adhesions, the surgeon converted the procedure to an open total abdominal hysterectomy to complete the surgery.

CPT® Code 58150 is appropriate for a total abdominal hysterectomy, including removal of the uterus and cervix, via an open approach. Since the procedure was converted to an open approach, 58150 is the correct code.

The -22 modifier is added to indicate increased procedural services due to the extensive adhesiolysis (removal of adhesions), which extended the surgery duration.

2. Diagnosis and ICD-10-CM Code Selection:

ICD-10-CM Code N80.00 is used for endometriosis of the uterus, which is the primary condition that prompted the hysterectomy.

ICD-10-CM Code N73.6 is appropriate for female pelvic peritoneal adhesions, reflecting the extensive adhesions that necessitated the conversion to open surgery.

3. Rationale for Excluding Other Options:

Code 58571 (in options B and C) is for a laparoscopic approach, which is incorrect because the procedure was converted to an open approach.

The -78 modifier is incorrect in this context because the conversion to open surgery was part of the same operative session and not an unplanned return to the OR.

Diagnosis code N99.4 (in options B and D) pertains to postprocedural pelvic adhesions, which does not apply here as the adhesions were not due to a prior procedure.

4. AAPC and CPT® Coding Guidelines:

AAPC guidelines specify using 58150 for an open total abdominal hysterectomy and adding the -22 modifier for increased complexity or time due to factors like extensive adhesiolysis.

Therefore, the correct answer based on CPT® and ICD-10-CM guidelines is A. 58150-22, N80.00, N73.6.

47563: Laparoscopic cholecystectomy with cholangiography is coded as 47563. The report details the laparoscopic removal of the gallbladder with intraoperative cholangiography.

74300-26: The radiological supervision and interpretation for the cholangiography is coded as 74300 with modifier -26 (Professional Component) since the interpretation was done by the physician.

CPT® Professional Edition, AMA