CPC Exam Dumps : Certified Professional Coder (CPC) Exam

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)

The urinalysis performed is described asautomated, without microscopy, which corresponds to CPT81003(urinalysis, automated, without microscopy). CPT81001includes microscopy and is not supported because the question explicitly states “without microscopy.” For diagnosis coding, the providersuspecteda UTI, but the urinalysis is negative andUTI is ruled outas the final diagnosis. Under ICD-10-CM reporting principles, conditions documented asruled outarenot codedin the outpatient/office setting; instead, you code thesigns and symptomsthat prompted the visit and testing. The symptoms documented aredysuriaandlower abdominal pain, which are coded asR30.0andR10.30(as presented in the answer choices). Therefore, the correct combination is81003withR30.0andR10.30only. CPC exam tip: outpatient “rule out” → codesymptoms, not the excluded diagnosis.

Cesarean Delivery with Antepartum and Postpartum Care: The procedure involved the cesarean section delivery of twins, including antepartum and postpartum care.

CPT Code 59510: This code is used for routine obstetric care including antepartum care, cesarean delivery, and postpartum care. The code is not reported per fetus but per delivery, even when delivering multiples.