CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The correct ICD-10-CM coding for this patient is B20, M54.50. The first code, B20, is used for HIV disease, which is a confirmed diagnosis of HIV infection. It’s important to note that this code can be used regardless of whether the patient is symptomatic or asymptomatic, as long as the patient has been diagnosed with HIV.

The second code, M54.50, refers to low back pain, which would be used to report the loin pain described by the patient. " Loin pain " typically refers to pain in the lower back area, and this code specifically covers the general category of low back pain not otherwise specified.

The other options are not as accurate:

A (B20, M54.9) includes a nonspecific code for back pain (M54.9), which does not fully specify the pain’s location.

B (M54.51, B20) incorrectly includes a code for thoracic or lumbar radiculopathy (M54.51), which is not indicated here.

D (M54.50, B20) is similar to the correct answer, but it incorrectly lists the codes in reverse order. It is important to list the HIV diagnosis first in ICD-10-CM.

Reference topics: ICD-10-CM Coding for HIV Disease; Pain Coding

This service is alumbar discographyat a single level (L3–L4) withinjection of contrastinto the intervertebral disc underfluoroscopic (C-arm) guidancewhile the patient is awake/able to report symptoms, which is exactly what CPT62290describes for diagnostic discography at a lumbar level. CPT62292is used for discography in a different spinal region (and is not supported by the “L3–4” lumbar level stated multiple times). The post-discography CT scan is referenced as planned/reviewed but is not clearly documented as performed/interpreted as part of this same physician service in the stem, and it is not part of the answer choices. For ICD-10-CM, the confirmed postoperative finding is “normal discography,” but the reason for the study remains the patient’slow back painand suspected stenosis; in outpatient/procedural settings you code thereason for the testwhen the definitive suspected condition is not confirmed. Here, the stenosis was ruled out (“no evidence”), so donotcode spinal stenosis; reportM54.50for low back pain. Therefore,62290 with M54.50is correct.

For a procedure involving the placement of a 6-French sheath and catheter into the coronary artery, advancing to the left ventricle, performing ventriculography with power injection of contrast agent, obtaining pressures in the left heart, and imaging the coronary arteries, the correct CPT® code is 93458. This code includes all the components of the described procedure.