CPC Exam Dumps : Certified Professional Coder (CPC) Exam

Place of Service (POS) codes are two-digit numeric codes used on professional claims to identify where a service was performed (e.g., office, inpatient hospital, outpatient hospital).

Reporting an incorrect POS can affect reimbursement and may result in claim denial ✔

POS codes are not alphanumeric

They describe many locations, not just ICU

POS codes are maintained by CMS, not found in the ICD-10-CM code book

The correct answer is A. 72050. Modifier 26 is used to report the professional component of a service when the provider performs only the physician work portion, such as interpretation and report, and not the technical portion of the service. This modifier is commonly applicable to diagnostic services that may be divided into professional and technical components. Radiology services are the classic example because one entity may perform the imaging study using equipment and staff, while a physician separately interprets the images and issues the report. Medicare guidance also describes modifier 26 as appropriate when a physician interprets a test but does not perform the technical portion, especially for radiology services such as X-rays.

Code 72050 is a diagnostic radiology CPT® code for a cervical spine X-ray study, which supports a professional and technical component split. By contrast, 99283 is an emergency department E/M code, 90460 is immunization administration, and 93042 already represents interpretation/report work, so modifier 26 is not the best choice for those options.

Reference topics: CPC Modifiers; CPT Appendix A Modifier 26; Radiology Coding; Professional Component versus Technical Component.

In medical billing, Place of Service (POS) code 31 is used to indicate that a service was performed in a skilled nursing facility (SNF). POS codes are standardized by the Centers for Medicare & Medicaid Services (CMS) to specify the location where services are provided.

A. 32 refers to a nursing facility (NF), which is different from a skilled nursing facility in terms of the level of care provided.

B. 20 indicates urgent care facility.

C. 22 is used for outpatient hospital services.

Thus, the correct answer is D. 31 for a skilled nursing facility.