AAPC CPC Exam - Topic 1 Question 20 Discussion

Actual exam question for AAPC's CPC exam

Question #: 20
Topic #: 1

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

Limited Time Offer

25%

Off

Get Premium CPC Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Van

6 months ago

I thought LeFort I was always coded as 21141.

upvoted 0 times

...

Iluminada

6 months ago

Wait, are we sure about these codes? Seems tricky.

upvoted 0 times

...

Lonny

6 months ago

Definitely 21146, that's the right one!

upvoted 0 times

...

Terrilyn

7 months ago

I think it's actually 21145, not 21142.

upvoted 0 times

...

Gladys

7 months ago

Pretty sure it's 21142 for LeFort I.

upvoted 0 times

...

Dorothy

7 months ago

I believe 21145 is for a different type of reconstruction, but I can't recall exactly what it was for. I hope I remember the right code!

upvoted 0 times

...

Christene

7 months ago

I'm a bit confused about the differences between 21141 and 21142. I feel like both could apply, but I need to double-check the specifics.

upvoted 0 times

...

Truman

7 months ago

I remember practicing a similar question, and I think 21142 was the right one for midface surgeries, but I'm not entirely sure.

upvoted 0 times

...

Franklyn

8 months ago

I think the LeFort I procedure relates to the maxilla, so I might lean towards the codes that include maxillary procedures.

upvoted 0 times

...

Elfrieda

8 months ago

This is a tricky one, but I think I can work it out. The question provides a good amount of detail about the specific procedure performed. I'll methodically compare that to the CPT code descriptions to determine the most appropriate option.

upvoted 0 times

...

Twila

8 months ago

I'm a little confused by all the medical terminology in this question. I'm not super familiar with this type of facial reconstruction surgery. I'll need to review my notes and resources carefully to try to figure out the right CPT code.

upvoted 0 times

...

Van

8 months ago

Okay, I think I've got this. The key details are that it's a midface reconstruction performed in two pieces to move the upper jawbone forward and reposition the teeth. Based on that, I'm going to go with option D, 21145.

upvoted 0 times

...

Dortha

8 months ago

Hmm, I'm a bit unsure about this one. The question mentions a "LeFort I reconstruction" which sounds complex, and there are a few similar-sounding CPT code options. I'll need to make sure I fully understand the procedure before selecting an answer.

upvoted 0 times

...

Huey

8 months ago

This seems like a straightforward question about CPT coding for a specific surgical procedure. I'll need to carefully review the details of the procedure described and match it to the CPT code options provided.

upvoted 0 times

...

Salena

8 months ago

Hmm, I'm a bit unsure about this. I'll need to review my notes on the key elements of the cloud native trailmap.

upvoted 0 times

...

Audria

8 months ago

I'm a little confused by this one. Aren't there sometimes cases where the individuals involved in the work could perform the audit? I'll need to think it through more before answering.

upvoted 0 times

...

Svetlana

8 months ago

I remember a practice question about deployment responsibilities, and I think Developers definitely play a role, but I'm not sure if they're the primary team.

upvoted 0 times

...

Jacquline

8 months ago

Okay, let me think this through. If there are few barriers to entry, that would mean more firms can quickly start producing and increase supply, so that wouldn't make supply inelastic. The other options seem more promising - unused capacity, high stock levels, and the need for training could all limit how much producers can adjust output in the short run.

upvoted 0 times

...

Adolph

8 months ago

I remember practicing a similar question where the frame URL had to match the original domain. I think it's option C, but I'm not entirely certain.

upvoted 0 times

...

Merlyn

1 year 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.

upvoted 0 times

...

Shakira

1 year ago

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

upvoted 0 times

...

Rebecka

1 year ago

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

upvoted 0 times

Dannette

11 months ago

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

upvoted 0 times

...

Barney

11 months ago

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

upvoted 0 times

...

Daron

11 months ago

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

upvoted 0 times

...

Reena

11 months ago

A: I think the correct CPT code is 21146.

upvoted 0 times

...

Kami

1 year ago

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

upvoted 0 times

Malcolm

11 months ago

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

upvoted 0 times

...

Brett

11 months ago

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

upvoted 0 times

...

Kate

12 months ago

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

upvoted 0 times

...

Ernestine

1 year 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'.

upvoted 0 times

Val

1 year ago

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

upvoted 0 times

...

Launa

1 year ago

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

upvoted 0 times

...

Paola

1 year ago

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

upvoted 0 times

...

Malissa

1 year ago

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

upvoted 0 times

...

Kasandra

1 year 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.

upvoted 0 times

...

Rory

1 year ago

I think the CPT code reported should be 21142.

upvoted 0 times

...