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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]

A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.

Which mastectomy code is reported?

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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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An
Hmm, this is a tricky one. I was thinking 19306, but 19307 makes more sense given the extensive removal of tissue and lymph nodes.
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Junita
19 hours ago
I agree, 19307 seems like the appropriate code since the surgeon removed the entire breast, pectoral muscles, and lymph nodes.
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Joye
12 days ago
I see your point, but I still think 19307 is the most appropriate code based on the description provided.
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Nada
13 days ago
I disagree, I believe it should be 19306.
upvoted 0 times
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Justine
16 days ago
Based on the details provided, the correct code would be 19307 - Total mastectomy with lymph node dissection.
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Joye
20 days ago
I think the correct code is 19307.
upvoted 0 times
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