AAPC CPC Exam - 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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Shawnee

3 months ago

33973 is what I would have guessed, but I could be wrong.

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Louisa

3 months ago

Wait, no complications? That seems too good to be true.

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Lonny

3 months ago

I thought 33970 was the right code?

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Carissa

4 months ago

Definitely going with 33975 for this one.

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Cristen

4 months ago

IABP placement is a big deal in acute MI cases.

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Yan

4 months ago

I practiced a similar question last week, and I think it was 33975 for the IABP placement. I hope I'm remembering correctly!

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Natalie

4 months ago

I feel like 33967 might be the right choice, but I need to double-check the descriptions. This is so confusing!

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Gail

4 months ago

I think 33970 is related to balloon pump procedures, but I can't recall the specifics. Did we cover the differences between those codes?

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Viva

5 months ago

I remember we discussed the IABP placement in class, but I'm not sure which CPT code applies here. Was it 33975 or 33973?

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Lovetta

5 months ago

I'm a bit confused by all the medical terminology in this operative report. I'm not sure I fully understand the procedure that was performed. I'll need to review some resources on intra-aortic balloon pumps to make sure I select the appropriate CPT code.

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Val

5 months ago

Okay, I think I've got this. Based on the details in the report, the correct CPT code is 33970 for percutaneous insertion of intra-aortic balloon pump. The report clearly describes the placement of the balloon pump in the right common femoral artery, which matches the 33970 code.

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William

5 months ago

Hmm, I'm a little unsure about this one. The operative report provides a lot of specifics, but I'm not totally confident in my ability to match the right CPT code. I'll need to double-check the code descriptions to make sure I get this right.

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Val

5 months ago

This looks like a straightforward question about CPT coding for the placement of an intra-aortic balloon pump. I should be able to find the correct code by carefully reviewing the details in the operative report.

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Dorinda

5 months ago

This looks like a straightforward question about securing a Power BI report. I think the key is to focus on the report settings and data load settings to prevent data export.

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Dulce

5 months ago

Definitely the perceived customer benefits. In a consultative sale, the salesperson is trying to uncover the customer's pain points and position the product as the best solution.

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Irving

5 months ago

Hmm, if OSPF isn't enabled on one of the routers, that would definitely prevent the adjacency from forming properly. I'll make sure to check that as well.

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Carmelina

2 years ago

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

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Penney

2 years ago

Why do you think it's C) 33970?

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Steffanie

2 years 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

2 years ago

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

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Ellen

2 years 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

1 year ago

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

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Devorah

1 year ago

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

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Hermila

2 years ago

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

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Casie

2 years ago

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

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Isaac

2 years ago

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

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Bette

2 years ago

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

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Penney

2 years ago

I think the answer is B) 33967.

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Charlene

2 years 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

2 years 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

2 years ago

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

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Natalya

2 years 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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