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AAPC Exam CPC Topic 3 Question 43 Discussion

Actual exam question for AAPC's CPC exam
Question #: 43
Topic #: 3
[All CPC Questions]

A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support.

What is the E/M code for this encounter?

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Suggested Answer: A

29827: Arthroscopic rotator cuff repair is correctly coded as 29827.

29828: Arthroscopic biceps tenodesis is an additional procedure and should be coded as 29828 with modifier -51 (Multiple Procedures).

29824: Arthroscopic claviculectomy (partial resection of the distal clavicle) is coded as 29824 with modifier -51.

29826: Arthroscopic subacromial decompression, including coracoacromial ligament release, is coded as 29826.

All these procedures were performed arthroscopically and documented in the operative report, justifying the use of these codes and the use of modifier -51 for multiple procedures.


CPT Professional Edition, AMA

Contribute your Thoughts:

Theodora
19 hours ago
I'm going with B) 99475. The patient is a 4-year-old, and this code is for the subsequent hospital care of a critically ill child.
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Rebbecca
7 days ago
D) 99471 sounds right to me. The child is a pediatric patient, and this code is for the initial hospital care of a critically ill child.
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Owen
9 days ago
Hmm, I'm not sure. This question is really making my head spin! Maybe I should have paid more attention in class.
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Salome
13 days ago
I think the correct answer is C) 99291. This code represents the critical care services provided to the critically ill child in the PICU.
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Lynna
20 days ago
I'm not sure, but I think it might be 99475 because of the critical care involved in this case.
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Deangelo
24 days ago
I agree with Alise, 99285 seems like the correct code for this scenario.
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Alise
25 days ago
I think the E/M code for this encounter is 99285.
upvoted 0 times
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