CPC Exam Dumps - Certified Professional Coder (CPC) Exam

The spleen is a part of the lymphatic system, which is responsible for filtering blood, removing damaged blood cells, and supporting immune function. The spleen contains lymphocytes that help fight infections and regulate the immune response.

A. Nervous: The nervous system includes the brain, spinal cord, and nerves, unrelated to immune function.

B. Endocrine: The endocrine system regulates hormones through glands like the thyroid and pancreas, not directly involved with blood filtration or immune cell production.

C. Digestive: While the spleen is located near digestive organs, it does not play a role in digestion.

Thus, the correct answer is D. Lymphatic.

Procedure Coding (CPT®):

59821 – Induced abortion, by vaginal suppository, amniotic fluid injection, or other medical means

Used for fetal demise at ≥14 weeks gestation

Labor was medically induced and fetus delivered

Diagnosis Coding (ICD-10-CM):

O36.4XX0 – Maternal care for intrauterine death, not applicable or unspecified

Correct maternal record diagnosis

Z3A.19 – 19 weeks gestation

Required per ICD-10-CM guidelines for obstetric encounters

Why Other Options Are Incorrect:

A / D – ICD-9 code (002.1) is invalid

C – Missing required gestational age code

In this case, a CRNA provided anesthesia for an urgent endoscopic procedure. To select the appropriate codes, we consider both the anesthesia code for the procedures performed and the modifiers relevant to the CRNA’s role and the patient’s physical status:

1. 00813: This CPT® code covers " Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum, " which is appropriate since the colonoscopy extended to the ileum and into the lower duodenum. 00731 (anesthesia for upper GI endoscopy) would not fully apply, as the main procedure targeted lower intestinal areas as well.

2. QZ Modifier: Indicates the anesthesia was performed by a CRNA without medical direction by an anesthesiologist, which aligns with the scenario where the CRNA independently administered anesthesia.

3. P3 Modifier: Reflects the physical status of " severe systemic disease " for this patient, as she has both end-stage renal failure and myelodysplastic syndrome.

4. 99100: This code is added to reflect " special anesthesia circumstances " given the patient’s extreme frailty (platelet count of 3,000), which warrants additional consideration.

5. 99140: Used for emergency conditions, which applies here due to the urgent nature of the bleeding investigation.

Thus, 00813-QZ-P3, 99100, 99140 accurately reflects the anesthesia services provided by the CRNA in this emergency scenario.

The correct ICD-10-CM coding for this patient is B20, M54.50. The first code, B20, is used for HIV disease, which is a confirmed diagnosis of HIV infection. It’s important to note that this code can be used regardless of whether the patient is symptomatic or asymptomatic, as long as the patient has been diagnosed with HIV.

The second code, M54.50, refers to low back pain, which would be used to report the loin pain described by the patient. " Loin pain " typically refers to pain in the lower back area, and this code specifically covers the general category of low back pain not otherwise specified.

The other options are not as accurate:

A (B20, M54.9) includes a nonspecific code for back pain (M54.9), which does not fully specify the pain’s location.

B (M54.51, B20) incorrectly includes a code for thoracic or lumbar radiculopathy (M54.51), which is not indicated here.

D (M54.50, B20) is similar to the correct answer, but it incorrectly lists the codes in reverse order. It is important to list the HIV diagnosis first in ICD-10-CM.

Reference topics: ICD-10-CM Coding for HIV Disease; Pain Coding

69209-RT – Removal of impacted cerumen using irrigation

69210-LT – Removal of impacted cerumen using instrumentation

Coding Rules Applied:

Different techniques → different CPT codes

Different ears → RT/LT modifiers, not modifier -50

Why Other Options Are Incorrect:

A – Modifiers reversed

B / D – Modifier -50 inappropriate when different CPT codes are used

99152 – Moderate sedation, same physician, patient under 5 years, initial 15 minutes

Time documented: 21 minutes

First 15 minutes = 99152

Additional 15 minutes (99153) not reported separately in CPT® exam context

Why others are incorrect:

99151 – Minimal sedation

99155 / 99156 – Different age/provider scenarios

The patient presented for a follow-up visit for chronic conditions, including hypokalemia, hypertension, and esophageal reflux. During this visit, the physician reviewed and discussed lab results, managed prescriptions, and noted that there were no new symptoms or complaints.

The level of service provided included an appropriate history and exam, as well as the management of multiple chronic conditions, which aligns with the criteria for CPT® code 99214. This code is used for an established patient office or other outpatient visit that requires at least 2 of the following 3 key components: a detailed history, a detailed examination, and medical decision-making of moderate complexity.

CPT® Professional Edition, AMA

Evaluation and Management Coding Guidelines

50500 = Repair of kidney laceration

N99.72 = Accidental puncture/laceration of genitourinary system during a procedure

S37.062A (traumatic kidney injury) is not used for intraoperative complications

The nephrologist does not report the colectomy, nor modifier -80