CPC Exam Dumps : Certified Professional Coder (CPC) Exam

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.

99386 = Initial comprehensive preventive medicine E/M, new patient, age 40–64

Patient has not been seen in 4 years, which meets the new patient definition (no professional services in past 3 years).

Age = 63

No problem-oriented complaints → preventive service only

Why others are incorrect:

99396 / 99397 – Established patient codes

99387 – Age 65+

49083 – Abdominal paracentesis, diagnostic or therapeutic; with imaging guidance

This code includes imaging guidance (ultrasound or fluoroscopy).

Per CPT® guidelines, do not separately report fluoroscopy or ultrasound guidance with 49083.

The procedure was performed in the hospital, but CPT coding does not change based on site of service.

Why Other Options Are Incorrect:

A (49082) – Used without imaging guidance

B / D – Imaging guidance codes (77001, 77002) are bundled into 49083 per CPT® and NCCI edits

Official CPT® Guidance:

When a paracentesis is performed with imaging guidance, report 49083 only.