CPC Exam Dumps - Certified Professional Coder (CPC) Exam

73562 = Knee X-ray, 3 views

-26 = Professional component only

54160 = Circumcision using surgical excision other than clamp

Modifier -63 is not appended to circumcision codes (CPT® exempt list)

54150 is for clamp technique (not used)

To determine the correct anesthesia code for a cesarean delivery with specific conditions, we review the following codes:

01961 is defined as "Anesthesia for cesarean delivery only," which aligns with this scenario, as the patient is admitted for a cesarean section.

01960 refers to anesthesia for a vaginal delivery, which does not apply here as the delivery is via cesarean.

01967 is for "Anesthesia for planned vaginal delivery," which also does not apply due to the cesarean route.

01958 is used for planned vaginal delivery that may involve a complicated scenario, but since the procedure is a cesarean section, this code is not appropriate.

Given that the patient is in labor for a cesarean section and has had a previous external cephalic version, 01961 is the correct answer.

1. Procedure and CPT® Code Selection:

The patient underwent an appendectomy performed via laparoscopic approach. The procedure involved removal of the appendix using a scope inserted through an umbilical incision.

CPT® Code 44970 is specific for a laparoscopic appendectomy, which is the correct code for this procedure.

Code 44950 would be used for an open appendectomy, but since this case was performed laparoscopically, 44970 is appropriate.

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

The diagnosis given by the physician is chronic appendicitis.

ICD-10-CM Code K36 is used to report chronic appendicitis, which is the definitive diagnosis in this case.

Additional codes for symptoms such as nausea (R11.2) and right lower quadrant pain (R10.31) are not necessary because the primary diagnosis of chronic appendicitis (K36) fully explains the symptoms, according to ICD-10-CM guidelines on coding symptoms when a definitive diagnosis is available.

3. AAPC and CPT® Coding Guidelines:

AAPC guidelines indicate that when a definitive diagnosis is established, symptom codes should not be reported separately. The use of 44970 for laparoscopic appendectomy and K36 for chronic appendicitis is fully supported by these coding standards.

Therefore, the correct answer is C. 44970, K36.

This procedure is not a simple diagnostic lumbar puncture; it includestherapeutic drainageof CSF to relieve elevated intracranial pressure. CPT62272is used forspinal puncture with drainage of cerebrospinal fluid(therapeutic), which matches the “actively drain CSF” language. The physician also performed the puncture underCT guidance, and when imaging guidance is documented and not bundled into the primary code, you report the appropriate CT guidance code77012for needle placement. Option D (62270) is the classic diagnostic lumbar puncture/spinal puncture code and does not capture active drainage as the purpose. Options A and B are for different catheter/needle procedures and do not best match “spinal puncture with drainage” plus CT guidance in this vignette. CPC exam tip: when the stem emphasizespressure relief/drainage, thinktherapeutic drainage coderather than diagnostic LP, and then add imaging guidance when specifically documented and supported.

For professional claims,Place of Service (POS) 12is used to indicate services performed in the patient’shome/private residence. This is a high-frequency reimbursement concept because POS impacts payer processing, fee schedules, and in some cases whether certain services are payable. POS codes like 41 and 42 are not used for a private home setting:41is typically associated withambulance—land, and42withambulance—air or water(transport settings rather than a location of patient residence). POS 65 refers to a specific facility-type setting (commonly associated withend-stage renal disease treatment facilities) and is not a home. On CPC-style questions, the key is recognizing that “private residence” equalshome—not assisted living, skilled nursing, or a facility. Correct POS reporting supports medical necessity review and correct payment and helps prevent denials, recoupments, and compliance risk. When documentation states the service occurred at the patient’s residence, POS 12 is the standard selection.

For Mohs micrographic surgery, CPT® coding is based on the anatomic location of the lesion, the number of stages, and the number of tissue blocks per stage.

17311: This code is used for Mohs surgery on body areas such as the trunk, arms, or legs for the first stage.

17315: This is an add-on code used when more than five tissue blocks are examined in a single stage. Since this case involved six tissue blocks, 17315 is appropriate.

Explanation of incorrect answers:

A. 17313, 17314, 17315: Incorrect, as 17313 applies to the head, neck, hands, feet, or genitalia, not the arm.

C. 17313, 17315: Incorrect, as 17313 is not appropriate for the arm.

D. 17311, 17312, 17315: 17312 is used for additional stages beyond the first, which is not applicable here since only one stage was performed.

E. 85B2-335 is not a valid CPT code for Mohs surgery.

Thus, the correct answer is B. 17311, 17315, which accurately reflects a single-stage Mohs surgery with six tissue blocks on the arm.

The described scope reaches thesigmoid colon, which is consistent with aflexible sigmoidoscopyrather than a full colonoscopy. The key therapeutic action is that the polyps were treated byablation(destruction), not snare excision or biopsy. CPT45346represents flexible sigmoidoscopy withablationof tumor(s), polyp(s), or other lesion(s). You report the sigmoidoscopy ablation codeoncefor the session; you do not multiply it by the number of polyps unless CPT instructions explicitly direct unit reporting (which is not the standard approach for these endoscopic therapeutic codes). For diagnosis, polyps in thesigmoid colonare coded asK63.5 (polyp of colon).K62.1is arectal polypcode and does not fit because the polyps are in the sigmoid colon. Therefore,45346withK63.5is correct. CPC exam tip: match thescope extent(sigmoid) and theremoval method(ablation).