CPC Exam Dumps : Certified Professional Coder (CPC) Exam

The urinalysis performed is described asautomated, without microscopy, which corresponds to CPT81003(urinalysis, automated, without microscopy). CPT81001includes microscopy and is not supported because the question explicitly states “without microscopy.” For diagnosis coding, the providersuspecteda UTI, but the urinalysis is negative andUTI is ruled outas the final diagnosis. Under ICD-10-CM reporting principles, conditions documented asruled outarenot codedin the outpatient/office setting; instead, you code thesigns and symptomsthat prompted the visit and testing. The symptoms documented aredysuriaandlower abdominal pain, which are coded asR30.0andR10.30(as presented in the answer choices). Therefore, the correct combination is81003withR30.0andR10.30only. CPC exam tip: outpatient “rule out” → codesymptoms, not the excluded diagnosis.

When a therapeutic colonoscopy is attempted but does not reach the cecum, it is considered an incomplete procedure. According to the CPT® Colonoscopy Decision Tree, if the colonoscopy extends beyond the splenic flexure but does not reach the cecum, the appropriate way to code this incomplete colonoscopy is by appending modifier 53 to indicate a discontinued procedure due to extenuating circumstances or risk to the patient.

A. 45378-53 is the correct answer as it designates a diagnostic colonoscopy with modifier 53, signifying that the procedure was started but not completed.

B. 45330 is incorrect as it represents a sigmoidoscopy, which only goes up to the splenic flexure.

C. 45331-45347 refers to therapeutic colonoscopies that were completed to the cecum.

D. 45379-45398 with modifier 52 is incorrect because modifier 52 is used for reduced services, which does not accurately describe an incomplete colonoscopy.

Thus, the correct answer is A. 45378-53.

00813 = Anesthesia for colonoscopy

QK = Medical direction of 2–4 cases

99100 = Extreme age

99140 = Emergency anesthesia