CPC Exam Dumps : Certified Professional Coder (CPC) Exam

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.

50236 – Radical nephrectomy with partial ureterectomy and rib resection, open approach

Includes:

Kidney removal

Partial ureter removal

Rib resection

Correct for renal cell carcinoma

Increased complexity due to prior surgery does not change CPT code, but may support modifier -22

Why Other Options Are Incorrect:

50545 / 50548 – Laparoscopic/robotic nephrectomy

50225 – Simple nephrectomy (no ureter or rib resection)

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.