AAPC Exam CPC Topic 2 Question 30 Discussion

Actual exam question for AAPC's CPC exam

Question #: 30
Topic #: 2

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View MR 007400

MR 007400

Radiology Report

Patient: J. Lowe Date of Service: 06/10/XX

Age: 45

MR#: 4589799

Account #: 3216770

Location: ABC Imaging Center

Study: Mammogram bilateral screening, all views, producing direct digital image

Reason: Screen

Bilateral digital mammography with computer-aided detection (CAD)

No previous mammograms are available for comparison.

Clinical history: The patient has a positive family history (mother and sister) of breast cancer.

Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system.

Findings: No dominant speculated mass or suspicious area of clustered pleomorphic microcalcifications is apparent Skin and nipples are seen to be normal. The axilla are unremarkable.

What CPT coding is reported for this case?

A77067-50, Z80.3, Z12.31

B77066, Z80.3, Z12.31

C77067, Z12.31, Z80.3

D77066-50, Z12.31, Z80.3

Show Suggested Answer

Suggested Answer: C

The procedure performed is a bilateral screening mammogram with computer-aided detection (CAD). CPT code 77067 is for bilateral screening mammography with CAD. ICD-10-CM code Z12.31 is for an encounter for screening mammogram for malignant neoplasm of the breast. Z80.3 is for a family history of malignant neoplasm of the breast. Therefore, the correct coding is 77067, Z12.31, Z80.3. Reference: CPT Professional Edition (current year), ICD-10-CM (current year).

by Sheron at Aug 05, 2024, 06:40 PM

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Val

3 months ago

This question is like a mammogram - it's pretty straightforward! I'm voting for A) 77067-50, Z80.3, Z12.31. Bilateral screening mammograms with CAD, can't go wrong with that.

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Maurine

3 months ago

I'm going with B) 77066, Z80.3, Z12.31. The patient has a positive family history, so the 'screening' part should be the focus, not the bilateral aspect.

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Alverta

2 months ago

I agree with you, C) 77067, Z12.31, Z80.3 seems to be the most appropriate choice given the patient's history.

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Tresa

2 months ago

I'm not sure, but I think B) 77066, Z80.3, Z12.31 could also be a valid option considering the family history mentioned.

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Roselle

2 months ago

I think the correct answer is C) 77067, Z12.31, Z80.3. The focus should be on the screening and the positive family history.

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Lavera

2 months ago

I see your point, but I still think A) 77067-50, Z80.3, Z12.31 might be the best choice for this scenario.

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Romana

2 months ago

I'm not sure, but I think B) 77066, Z80.3, Z12.31 could also be a valid option considering the family history of breast cancer.

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Tiara

2 months ago

I agree with you, C) 77067, Z12.31, Z80.3 seems to be the most appropriate choice for this case.

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Arlene

3 months ago

I think the correct answer is C) 77067, Z12.31, Z80.3. The focus should be on the screening with computer-aided detection.

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Willodean

3 months ago

I would go with C) 77067, Z12.31, Z80.3 because it seems to match the findings in the report

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Adolph

3 months ago

I'm not sure, but I think it's between A) and C)

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Thurman

3 months ago

D) 77066-50, Z12.31, Z80.3 looks good to me. The report states 'No previous mammograms are available for comparison', so the 77066 code for a screening mammogram without comparison should be used.

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Jame

2 months ago

Yes, 77066-50 is the appropriate CPT code for this case.

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Jame

3 months ago

I agree, 77066-50 is the correct code for a screening mammogram without comparison.

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Corazon

3 months ago

I agree with Lavelle, because the patient has a positive family history of breast cancer

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Laquanda

3 months ago

Haha, this question is a piece of cake! The answer is clearly C) 77067, Z12.31, Z80.3. Who doesn't know that bilateral screening mammograms use the 77067 code?

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Ria

3 months ago

Thanks for clarifying, I'll remember that for future reference.

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Jessenia

3 months ago

I agree, it's important to know the correct CPT coding for different procedures.

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Elfriede

3 months ago

You're right, the answer is C) 77067, Z12.31, Z80.3. It's a common code for bilateral screening mammograms.

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Lavelle

4 months ago

I think the answer is A) 77067-50, Z80.3, Z12.31

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Jacinta

4 months ago

I think the correct answer is A) 77067-50, Z80.3, Z12.31. The report mentions 'Bilateral digital mammography with computer-aided detection (CAD)', which corresponds to the CPT code 77067.

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