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NEW QUESTION # 134
(Patient with erectile dysfunction is presenting for a penile implant. Anon-inflatable penile prosthesisis inserted. What CPT code is reported for this service?)
Answer: B
Explanation:
Penile prosthesis coding is determined by thetype of deviceand whether the procedure is asimple insertion, areplacement, or a more complex scenario. Anon-inflatable(malleable or semi-rigid) penile prosthesis is specifically reported withCPT 54416. Inflatable devices are coded differently (commonly with a different code family), and replacement/revision services may also have distinct codes depending on what is removed and replaced. In this question, the vignette is straightforward: erectile dysfunction treated with insertion of anon-inflatable prosthesis-no mention of prior implant, revision, or removal-so the correct code is the primary insertion code for that device type. The distractors include other penile procedures and prosthesis- related codes that do not match "non-inflatable insertion." CPC exam tip: lock onto "non-inflatable" vs
"inflatable," and then confirm the action isinsertionrather than revision or replacement. That leads to54416.
NEW QUESTION # 135
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPTand ICD-10-CM coding is used for the six month-evaluation?
Answer: A
Explanation:
The correct CPTcode for a therapeutic drug test to monitor the total level of carbamazepine is 80156. The ICD-10-CM code G40.909 is used for epileptic seizures, not otherwise specified, which aligns with the patient
' s condition being treated for seizures.
References:
AMA ' s CPTProfessional Edition (current year)
ICD-10-CM (current year)
NEW QUESTION # 136
(A patient presents for evaluation of suspicious skin lesions. During the encounter, the provider performs:
* Incisional biopsy of adeep inflammatory lesionon the upper arm
* Punch biopsy of aseparate lesionon the forearm
* Shave biopsy of asuperficial lesionon the shoulder
Each biopsy is performed on a separate lesion for diagnostic purposes, and all specimens are submitted to pathology. What CPT coding is reported?)
Answer: D
Explanation:
CPT biopsy codes for the skin are selected bytechniqueand whether the biopsy istangential (shave), punch, or incisional. In this scenario, three different biopsy techniques are performed onthree separate lesions:
anincisional biopsyof a deep lesion (upper arm), apunch biopsy(forearm), and ashave biopsy(shoulder). The correct primary codes are11106(incisional biopsy, single lesion),11104(punch biopsy, single lesion), and11102 (tangential/shave biopsy, single lesion). Because each is a distinct lesion and a distinct technique, CPT coding uses the appropriatebase codesfor each technique rather than "add-on additional lesion" codes, and you do not automatically apply modifier-51in CPT-answer logic unless the question specifically tests payer/claim- processing conventions. The CPC exam typically expects the straightforward reporting of all three correct biopsy codes when performed on separate lesions with separate specimens submitted. Therefore, optionBis the best match.
NEW QUESTION # 137 
Refer to the supplemental information when answering this question:
View MR 004813
What CPT and ICD-10-CM codes are reported?
Answer: A
Explanation:
CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy) This code describes the attempted PEG tube placement.
Modifier -52: Reduced services. This modifier is appended because the procedure was aborted and the PEG tube was not successfully placed.
ICD-10-CM Code K94.29: Other specified disorders of digestive system
This code captures the patient's chronic feeding requirement, which is the reason for the attempted PEG tube placement.
ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene This code reports the small hiatal hernia that was found during the procedure.
References:
CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy) Modifier 52: Reduced services ICD-10-CM Code K94.29: Other specified disorders of digestive system ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 138
(When a provider's documentation refers touse, abuse, and dependenceof the same substance (e.g., alcohol), which statement is correct?)
Answer: B
Explanation:
ICD-10-CM has a clear hierarchy when the same substance is documented with multiple levels of severity.
Dependencerepresents a higher severity classification thanabuse, andabuseis higher thanuse. When two or more of these are documented for the same substance, you generally assignonly one code, selecting thehighest level of severitysupported: dependence over abuse, and abuse over use. Therefore, if bothuse and dependenceare documented, you assigndependence only(Option D). Option A is incorrect because you do not code both use and abuse for the same substance; you choose the higher severity (abuse). Option B is incorrect because if abuse and dependence are both documented, you would codedependence, not abuse. Option C is incorrect because ICD-10-CM does not support reporting all three separately for the same substance; doing so would be duplicative and noncompliant. CPC exam tip: remember the mnemonicD-A-U#Dependence > Abuse > Use(pick the highest).
NEW QUESTION # 139
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