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.

The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger’s lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.

AMA ' s CPT® Professional Edition, ICD-10-CM, and HCPCS Level II (current year)

When hypertension and heart disease are documented together, a cause-and-effect relationship is presumed unless stated otherwise.

Category I11 (Hypertensive heart disease) is used.

Additional codes from I50.- (heart failure) are assigned if applicable.

This follows ICD-10-CM Official Coding Guidelines.