CPC Exam Dumps : Certified Professional Coder (CPC) Exam

In ICD-10-CM coding, an Excludes2 note under a code indicates that the condition listed in the note is not included in the definition of the code, but it does not necessarily mean they cannot coexist. This type of note means that while the conditions are distinct, it may be appropriate to report both codes if a patient has both conditions at the same time.

A. is incorrect because Excludes1, not Excludes2, indicates that certain codes should not be reported together.

C. is a description of an Excludes1 note, which implies that the two conditions should not be coded together because they cannot occur simultaneously.

D. is also a description of an Excludes1 note, which serves as a "NOT CODED HERE!" directive.

Therefore, the correct answer is B. It is acceptable to report both the code and the excluded code together, when applicable.

The National Correct Coding Initiative (NCCI) was developed by CMS to:

Prevent unbundling

Define procedure-to-procedure (PTP) edits

Identify when modifiers (such as -59) may be appropriate

NCCI edits are critical for accurate CPT® coding and proper reimbursement.

The described scope reaches thesigmoid colon, which is consistent with aflexible sigmoidoscopyrather than a full colonoscopy. The key therapeutic action is that the polyps were treated byablation(destruction), not snare excision or biopsy. CPT45346represents flexible sigmoidoscopy withablationof tumor(s), polyp(s), or other lesion(s). You report the sigmoidoscopy ablation codeoncefor the session; you do not multiply it by the number of polyps unless CPT instructions explicitly direct unit reporting (which is not the standard approach for these endoscopic therapeutic codes). For diagnosis, polyps in thesigmoid colonare coded asK63.5 (polyp of colon).K62.1is arectal polypcode and does not fit because the polyps are in the sigmoid colon. Therefore,45346withK63.5is correct. CPC exam tip: match thescope extent(sigmoid) and theremoval method(ablation).