CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The patient is undergoing a cardiac catheterization with a CRNA providing monitored anesthesia care (MAC). Code 00520 is for anesthesia for heart catheterization procedures. Modifier QX indicates CRNA service with medical direction by a physician, QS indicates MAC, and P5 indicates a patient with a severe systemic disease that is a constant threat to life. Thus, the correct code and modifier combination is 00520-QX-QS-P5.

For the procedure involving access to the subclavian vein and advancing a catheter to the inferior vena cava for injection and imaging, the following codes are used:

36010 for the catheter placement.

75825-26 for the supervision and interpretation of the imaging.

Modifier -26 indicates the professional component of the radiological supervision and interpretation.

Moderate sedation codes are selected by (1)patient ageand (2) whether the sedation is provided by thesame physician performing the procedureor by a different provider. The stem states theorthopedist provides the sedation and the reduction, so the sedation is provided by thesame physicianwho performs the procedure. For age, the patient is5 years old, which falls into the≥5 yearscategory. Therefore, the correct initial moderate sedation code is99152(moderate sedation provided by the same physician/other qualified provider performing the procedure; patient age 5 years or older; initial 15 minutes). The documented time is21 minutes, which supports only theinitialcode (it does not reach the threshold needed to report an additional 15-minute increment add-on). Code99151is for patientsunder 5 years, so it does not apply. Codes99155/99156are for sedation provided by adifferentprovider than the one performing the procedure. CPC exam tip: age cutoffs matter—exactly 5years old uses the “5 years or older” code set.