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AAPC Exam CPC Topic 2 Question 42 Discussion

Actual exam question for AAPC's CPC exam
Question #: 42
Topic #: 2
[All CPC Questions]

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?

Show Suggested Answer Hide 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 Lucia at Jan 26, 2025, 04:36 PM

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Minna
13 days ago
I think the key is to focus on the CPT code for the mammogram procedure, which is 77067 in this case
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Amber
18 days ago
I'm not sure, but I think the answer might be C) 77067, Z12.31, Z80.3
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Leana
21 days ago
You know, I heard the guy who wrote this question once got a mammogram and the radiologist said, 'Hold still, this won't hurt a bit.' Boy, was he wrong!
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Fletcher
25 days ago
Wait, wait, wait. Is this a trick question? I'm going to have to go with C) 77067, Z12.31, Z80.3. Occam's razor, folks - the simplest answer is usually the right one.
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Julie
28 days ago
Ah, the age-old question of mammogram coding. I'm gonna have to go with A) 77067-50, Z80.3, Z12.31. Bilateral screening plus that family history, you know?
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Derick
29 days ago
Hmm, let me think about this. Since the patient has a positive family history, I'm going to go with D) 77066-50, Z12.31, Z80.3. Gotta cover all our bases, right?
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Ashlyn
16 days ago
Yes, I agree. It's always better to be thorough when it comes to coding for cases like this.
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Page
19 days ago
I think you're on the right track with D) 77066-50, Z12.31, Z80.3. It's important to consider the family history.
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Goldie
1 months ago
I think the correct code is C) 77067, Z12.31, Z80.3. The question states that this is a bilateral screening mammogram, which would be coded as 77067.
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Blondell
9 days ago
Yes, you are correct. It should be coded as 77067, Z12.31, Z80.3.
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Blondell
15 days ago
I agree, the correct code is C) 77067, Z12.31, Z80.3.
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Teddy
1 months ago
I agree with Gilberto, the reason is that 77067 is the correct CPT code for bilateral digital mammography with CAD
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Gilberto
1 months ago
I think the answer is A) 77067-50, Z80.3, Z12.31
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