Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: A ________ code may be a ________ code if the reason for the visit is specifically the screening exam.

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According to ICD-10-CM Official Coding Guidelines I.C.21.c.5, a screening code may be a first-listed code if the reason for the visit is specifically the screening exam. Therefore, C) screening, first-listed, is the correct choice.