CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The Office of Inspector General (OIG) provides compliance program guidance to form the basis of a voluntary compliance program for provider practices. This guidance is intended to help healthcare providers develop effective internal controls to monitor adherence to applicable statutes, regulations, and program requirements of Federal healthcare programs. The OIG issues various compliance guidelines and resources to assist organizations in establishing comprehensive compliance programs to prevent fraud, waste, and abuse.

OIG Compliance Program Guidance, AMA's CPT® Professional Edition, and healthcare compliance resources.

1. Procedure and CPT® Code Selection:

The patient underwent a repair of a ruptured aneurysm in the popliteal artery, involving incision, dissection, clamping, removal of the aneurysmal section, and patch grafting.

Code 35151 is the correct CPT® code for the repair of an aneurysm in the popliteal artery, as it specifically describes aneurysm repair in this location.

Code 35081 applies to aneurysm repair in the abdominal aorta, which does not pertain to the popliteal artery location.

Code 35152 is for an aneurysm repair involving the popliteal artery with vein graft, but there is no mention of a vein graft in this scenario, only a patch graft.

Code 35045 is used for repair of an aneurysm in the brachial artery and does not apply to the popliteal artery.

2. AAPC and CPT® Coding Guidelines:

According to AAPC guidelines, CPT® codes for aneurysm repair should be chosen based on the specific artery involved. Code 35151 is precisely for popliteal artery aneurysm repair without a vein graft, making it the most accurate choice.

Thus, based on CPT® guidelines and procedural details, the verified answer is B. 35151.

1. Procedure and CPT® Code Selection:

The patient underwent a percutaneous needle biopsy of the liver with ultrasound guidance to assess primary biliary cirrhosis.

Code 47000 is the CPT® code for a percutaneous liver biopsy. This code encompasses the biopsy procedure itself.

Ultrasound guidance is commonly inherent to biopsy procedures, and guidance is not separately reported if the main code (47000) includes the technique used.

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

ICD-10-CM Code K74.5 is the correct code for primary biliary cirrhosis, which is specifically indicated in this case.

K74.3 is the code for other specified cirrhosis of the liver but is less specific than K74.5, making K74.5 the appropriate choice here.

3. Exclusion of Other Codes:

Code 47100 (option A) is for an open liver biopsy, which does not apply to this percutaneous procedure.

Codes 10005 (biopsy with imaging guidance) and 76942 (ultrasound guidance) would be redundant or incorrect since the main procedure code, 47000, sufficiently describes a percutaneous liver biopsy.

4. AAPC and CPT® Coding Guidelines:

AAPC guidelines state that guidance is included in certain biopsy codes when performed for the targeted organ, such as in 47000 for a liver biopsy.

Therefore, based on CPT® and ICD-10-CM coding rules, the correct answer is C. 47000, K74.5.