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Exam CPC topic 9 question 60 discussion

Actual exam question from AAPC's CPC
Question #: 60
Topic #: 9
[All CPC Questions]

The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.
What CPT® and ICD-10CM codes are reported?

  • A. 46320, 46945, K64.0, K64.9
  • B. 46250, K64.0, K64.9
  • C. 46255, K64.0, K64.4
  • D. 46250, 46945, K64.0, K64.4
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Suggested Answer: B 🗳️
by LauraLee26 at Jan. 10, 2024, 7:26 p.m.

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LauraLee26
4 months, 1 week ago
why B and CPT code 46250? Documentation states " each lying along the left lateral column" , wouldn't that warrant selection of 46255? Let alone the ICD10CM codes don't make sense either -- why is the 'correct' answer having diagnosis codes of Unspecified Hemorroids with a diagnosis code of a specified hemorrhoid? The other 2 anothers without K64.9, don't seem to support the documentation either, no where is it stated there is Residual hemorrhoidal skin tags.
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