CPC Exam Dumps : Certified Professional Coder (CPC) Exam

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.

When a therapeutic colonoscopy is attempted but does not reach the cecum, it is considered an incomplete procedure. According to the CPT® Colonoscopy Decision Tree, if the colonoscopy extends beyond the splenic flexure but does not reach the cecum, the appropriate way to code this incomplete colonoscopy is by appending modifier 53 to indicate a discontinued procedure due to extenuating circumstances or risk to the patient.

A. 45378-53 is the correct answer as it designates a diagnostic colonoscopy with modifier 53, signifying that the procedure was started but not completed.

B. 45330 is incorrect as it represents a sigmoidoscopy, which only goes up to the splenic flexure.

C. 45331-45347 refers to therapeutic colonoscopies that were completed to the cecum.

D. 45379-45398 with modifier 52 is incorrect because modifier 52 is used for reduced services, which does not accurately describe an incomplete colonoscopy.

Thus, the correct answer is A. 45378-53.

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.