AAPC Exam CPC Topic 1 Question 28 Discussion

Actual exam question for AAPC's CPC exam

Question #: 28
Topic #: 1

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View MR 003396

MR 003396

Operative Report

Preoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease

Postoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease

Procedure Performed: Placement of an intra-aortic balloon pump (IABP) right common femoral artery

Description of Procedure: Patient's right groin was prepped and draped in the usual sterile fashion. Right common femoral artery is found, and an incision is made over the artery exposing it. The artery is opened transversely, and the tip of the balloon catheter was placed in the right common femoral artery. The balloon pump had good waveform. The balloon pump catheter is secured to his skin after local anesthesia of 2 cc of 1% Xylocaine is used to numb the are

a. The balloon pump is secured with a 0-silk suture. The patient has sterile dressing placed. The patient tolerated the procedure. There were no complications.

What CPT coding is reported for this case?

A33975

B33967

C33970

D33973

Show Suggested Answer

Suggested Answer: A

The procedure involved the placement of an intra-aortic balloon pump (IABP) through the right common femoral artery for a patient with acute MI and severe left main arteriosclerotic coronary artery disease.

Procedure Description:

Placement of an intra-aortic balloon pump (IABP).

Right common femoral artery approach.

Confirmation of good waveform and securement of the catheter.

CPT Coding:

33975: Insertion of intra-aortic balloon assist device, percutaneous.

AMA's CPT Professional Edition (current year).

CPT Assistant for detailed coding guidelines on cardiac procedures.

by Gertude at Jul 07, 2024, 09:02 PM

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Carmelina

5 months ago

Because the procedure described matches the code 33970, which is for placement of an intra-aortic balloon pump.

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Penney

5 months ago

Why do you think it's C) 33970?

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Steffanie

5 months ago

I'm going to have to disagree with my colleagues and say A) 33975. The way the procedure is described, it seems like the placement of a ventricular assist device, which would be the correct code. Let's see if I'm the one who's right!

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Carmelina

5 months ago

I disagree, I believe the correct answer is C) 33970.

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Ellen

5 months ago

Haha, this question is like a riddle! I'm going to go with C) 33970 because it sounds the most like what's being done in the procedure. Let's see if I'm right!

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Leslee

3 months ago

I agree with you, C) 33970 seems like the best option based on the description of the procedure.

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Devorah

3 months ago

I'm going with D) 33973, it sounds like the correct code for this procedure.

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Hermila

3 months ago

I think it's A) 33975, it just seems like the right choice to me.

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Casie

4 months ago

I agree with you, C) 33970 seems like the most fitting option.

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Isaac

4 months ago

I'm going with A) 33975, it seems like the best choice.

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Bette

4 months ago

I think it's B) 33967, it just sounds right to me.

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Penney

5 months ago

I think the answer is B) 33967.

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Charlene

5 months ago

Hmm, I'm not sure about this one. The question seems a bit tricky, but I'll go with D) 33973 since it seems the most specific for the procedure described.

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Hyun

4 months ago

I agree, D) 33973 is the correct code for the placement of an intra-aortic balloon pump through the right common femoral artery.

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Aleta

4 months ago

I think you're right, D) 33973 does seem like the most specific code for this procedure.

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Natalya

5 months ago

I think the correct answer is B) 33967. The procedure description indicates the placement of an intra-aortic balloon pump (IABP) in the right common femoral artery, which corresponds to the CPT code 33967.

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