CPC Exam Dumps : Certified Professional Coder (CPC) Exam

CPT® code 46255 describes the excision of both internal and external hemorrhoids, which matches the procedure described. The ICD-10-CM codes K64.0 (First degree hemorrhoids) and K64.4 (Residual hemorrhoids) describe the conditions treated.

In medical billing, Place of Service (POS) code 31 is used to indicate that a service was performed in a skilled nursing facility (SNF). POS codes are standardized by the Centers for Medicare & Medicaid Services (CMS) to specify the location where services are provided.

A. 32 refers to a nursing facility (NF), which is different from a skilled nursing facility in terms of the level of care provided.

B. 20 indicates urgent care facility.

C. 22 is used for outpatient hospital services.

Thus, the correct answer is D. 31 for a skilled nursing facility.

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).