AAPC Exam CPC Topic 1 Question 20 Discussion

Actual exam question for AAPC's CPC exam

Question #: 20
Topic #: 1

[All CPC Questions]

A surgeon performs midface LeFort I reconstruction on a patient's facial bones to correct a congenital deformity. The reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the maxilla of the mid face.

What CPT code is reported?

A21146

B21141

C21142

D21145

Show Suggested Answer

Suggested Answer: B

by Roosevelt at Apr 14, 2024, 01:45 PM

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Merlyn

3 months ago

If I get this wrong, I'll be maxilla-sed. Gotta nail the right code, or I'm in for a real-FORTEful experience.

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Shakira

3 months ago

I'm just happy I don't have to perform this surgery. Sounds like a real jawbreaker!

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Rebecka

3 months ago

21141? Really? That's just for a single-piece LeFort I osteotomy. This question is clearly asking about a more complex procedure.

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Dannette

1 months ago

D: Let's double check the documentation to be sure.

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Barney

1 months ago

C: No, I'm pretty confident it's 21145.

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Daron

1 months ago

B: Are you sure? I was leaning towards 21142.

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Reena

2 months ago

A: I think the correct CPT code is 21146.

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Kami

3 months ago

Hmm, this seems tricky. I'm leaning towards 21146 since it's described as 'midface' reconstruction, but I'm not 100% sure.

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Malcolm

2 months ago

Let's go with 21146 then, it makes sense based on the description.

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Brett

2 months ago

I agree, 21146 seems like the most appropriate code for this procedure.

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Kate

3 months ago

I think it might be 21146 because it mentions 'midface' reconstruction.

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Ernestine

4 months ago

The question mentions that the procedure is done in two pieces, so I'm going to go with 21142 since that covers 'LeFort I, 2 piece osteotomy'.

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Val

3 months ago

Yes, I agree. It specifically mentions the two-piece osteotomy in the description.

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Launa

3 months ago

I think you're right, 21142 seems to be the correct code for this procedure.

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Paola

4 months ago

I agree with Rory, 21142 makes sense because it involves moving the upper jawbone forward and repositioning the teeth.

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Malissa

4 months ago

I disagree, I believe the correct CPT code is 21145.

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Kasandra

4 months ago

I think the correct code is 21145, as it specifically mentions 'midface LeFort I reconstruction' which involves moving the upper jawbone forward and repositioning the teeth.

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Rory

4 months ago

I think the CPT code reported should be 21142.

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