CPC Exam Dumps : Certified Professional Coder (CPC) Exam

Procedure: Caloric vestibular testing performed on both ears with three irrigations.

CPT® Code:

92537: Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear).

Modifier -50: Bilateral procedure.

Code Selection Justification: The procedure performed was bilateral caloric vestibular testing with bithermal irrigation, appropriately coded with 92537 and modifier -50 for bilateral procedures.

AMA CPT® Professional Edition (current year)

CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing

This code is reported for anesthesia services provided during a colonoscopy that is diagnostic in nature.

ICD-10-CM Code D62: Acute posthemorrhagic anemia

This is the most accurate postoperative diagnosis. The operative report states " Anemia due to acute blood loss. "

ICD-10-CM Code N18.6: End stage renal disease

This code captures the patient ' s documented history of ESRD.

ICD-10-CM Code Z99.2: Dependence on renal dialysis

This code is necessary to report the patient ' s dialysis status, as it affects the overall risk of the procedure.

Why other options are incorrect:

00812: This code is for therapeutic colonoscopies, not diagnostic.

D64.9: This code is for anemia, unspecified. D62 is more specific to the patient ' s condition.

K62.5: This code is for lower gastrointestinal bleeding, but the anemia is the primary diagnosis in this case.

1. Procedure and CPT® Code Selection:

The procedure performed was an evisceration of ocular contents without the placement of an implant. The surgical microscope was used for enhanced visualization, but this does not require a separate code if the primary procedure code includes it inherently.

CPT® Code 65091 is used for an evisceration of the ocular contents without implant placement. This code correctly describes the procedure performed on the left eye.

2. Modifier:

Modifier LT is added to indicate that the procedure was performed on the left eye.

3. Exclusion of Code 69990:

Code 69990 is for the use of an operating microscope, but it should not be billed separately when it is used as part of a procedure where enhanced visualization is typical or expected, such as an evisceration procedure. According to CPT® guidelines, 69990 is not separately reported when the microscope is used for visualization in procedures where its use is considered part of the standard of care.

4. Rationale for Excluding Other Options:

Code 65093 is for an evisceration with implant placement, which does not apply since no implant was used.

Options B and C incorrectly include 69990, which is not separately reportable in this scenario.

5. AAPC and CPT® Coding Guidelines:

According to AAPC and CPT® coding guidelines, 65091 is sufficient to capture the procedure without the need to add code 69990 for the microscope.

Therefore, the correct answer is D. 65091-LT.