AAPC Exam CPC Topic 1 Question 26 Discussion

Actual exam question for AAPC's CPC exam

Question #: 26
Topic #: 1

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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 Marylin at Jun 19, 2024, 11:25 AM

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Olene

5 months ago

This is a no-brainer - the answer is clearly C) 77067, Z12.31, Z80.3. Who would even consider the other options? It's like trying to fit a square peg in a round hole!

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Nan

5 months ago

I'm going with C) 77067, Z12.31, Z80.3. The report doesn't mention anything about a diagnostic mammogram, so the screening code 77067 is the way to go.

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5 months ago

The answer has to be A) 77067-50, Z80.3, Z12.31. The report clearly states 'Bilateral digital mammography with computer-aided detection (CAD)', so the -50 modifier for bilateral is required.

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Milly

4 months ago

You're right, the report mentions bilateral mammography, so the -50 modifier is needed.

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Milly

4 months ago

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

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France

5 months ago

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

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Sherrell

5 months ago

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

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6 months ago

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

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