CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The correct answer is A. 72050. Modifier 26 is used to report the professional component of a service when the provider performs only the physician work portion, such as interpretation and report, and not the technical portion of the service. This modifier is commonly applicable to diagnostic services that may be divided into professional and technical components. Radiology services are the classic example because one entity may perform the imaging study using equipment and staff, while a physician separately interprets the images and issues the report. Medicare guidance also describes modifier 26 as appropriate when a physician interprets a test but does not perform the technical portion, especially for radiology services such as X-rays.

Code 72050 is a diagnostic radiology CPT® code for a cervical spine X-ray study, which supports a professional and technical component split. By contrast, 99283 is an emergency department E/M code, 90460 is immunization administration, and 93042 already represents interpretation/report work, so modifier 26 is not the best choice for those options.

Reference topics: CPC Modifiers; CPT Appendix A Modifier 26; Radiology Coding; Professional Component versus Technical Component.

Formultiple gestation vaginal deliveries, CPT global obstetric care is generally reported as the global code for thefirst fetus(here59400: antepartum + vaginal delivery + postpartum), and an additionaldelivery-onlycode for each additional fetus (here59409) with an appropriate modifier (commonly-51in exam-style choices). You donotreport59400 twicebecause the global package is not duplicated for each baby; only the additional delivery service is added for the additional fetus. Diagnosis coding: this is atwin pregnancy, dichorionic/diamniotic, third trimester→O30.043. Delivery outcome for twins →Z37.2, and weeks of gestation →Z3A.36. Because delivery occurred at36 weeks(preterm threshold is < 37 weeks), and the options use thepreterm labor with preterm deliverycategory with fetus identifiers, the correct pairing shown isO60.14X1 and O60.14X2(fetus 1 and fetus 2). Option D is the only one matching correct CPT multiple-delivery structure and appropriate diagnosis set.

Procedure Coding:

56633 – Radical vulvectomy (removal of > 80%), including deep subcutaneous tissue

Documentation supports greater than 80% vulvar removal

Deep tissue involvement confirms radical procedure

Diagnosis Coding:

D07.1 – Carcinoma in situ of vulva

VIN III = high-grade squamous intraepithelial lesion

Classified as carcinoma in situ, not benign dysplasia

Why Other Options Are Incorrect:

56620 / 56625 / 56630 – Partial or simple vulvectomy

N90.1 – Mild vulvar dysplasia (incorrect severity)

ICD-10-CM Official Guideline:

VIN III is coded as D07.1, not N90.x.