AAPC CPC Exam - Topic 1 Question 35 Discussion

Actual exam question for AAPC's CPC exam

Question #: 35
Topic #: 1

Patient has undergone open surgery for a left total knee arthroplasty. While in the recovery room, he continued to have severe postoperative pain. The surgeon ordered a femoral block for postoperative pain. The anesthesiologist evaluated the patient and performed a left femoral block, which provided significant post-operative pain relief.

What CPT coding is reported?

A01404, 64450, 01996

B01380, 64447-59-LT

C01402, 64447-59-LT

D01402, 64448-59-LT, 01996

Show Suggested Answer

Suggested Answer: C

The patient has undergone a left total knee arthroplasty and subsequently received a femoral nerve block for postoperative pain management. CPT code 01402 is used for anesthesia for total knee arthroplasty. Code 64447-59-LT is for a femoral nerve block (single injection) for postoperative pain management, with modifier 59 indicating a distinct procedural service and LT indicating the left side. Therefore, the appropriate codes are 01402 and 64447-59-LT. Reference: CPT Professional Edition (current year), AMA.

by Magda at Sep 17, 2024, 08:32 AM

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Dick

6 months ago

CPT for femoral block is usually 64447 or 64448.

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Luann

6 months ago

I think it's D, but I’m not 100% convinced.

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Chan

6 months ago

Wait, are we sure about the 59 modifier?

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Wilbert

7 months ago

I agree, 64447 seems right for the block!

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Rachael

7 months ago

The femoral block is definitely coded with 64447.

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Leslie

7 months ago

I’m torn between A and D. I know 64447 is for the femoral nerve block, but I’m not confident about the additional codes.

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Rachael

7 months ago

I feel like 01996 is definitely included since it’s for the postoperative pain management, but I can't recall the exact codes for the block itself.

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Shoshana

7 months ago

I think I practiced a similar question where we had to differentiate between the codes for nerve blocks. I might lean towards option C.

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Jackie

8 months ago

I remember studying femoral blocks and their coding, but I'm not sure if it's 64447 or 64448.

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Chana

8 months ago

I've got a good strategy here. The key is identifying the correct anesthesia code for the knee surgery, and then the appropriate nerve block code. I just need to double-check my work to make sure I have the right combination.

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Ashton

8 months ago

I'm feeling a bit lost on this one. The details about the surgery and the nerve block have me a little confused. I better re-read the question carefully and think it through.

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Elsa

8 months ago

Okay, let's think this through step-by-step. The patient had a left total knee arthroplasty, and the surgeon ordered a femoral block for post-op pain relief. I'll need to find the appropriate codes for the anesthesia and the nerve block.

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Antonio

8 months ago

Hmm, I'm a little unsure about the specific CPT codes here. I'll need to review my anesthesia coding notes to make sure I get this right.

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Barabara

8 months ago

This looks like a pretty straightforward anesthesia coding question. I think I've got a good handle on this.

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Marcos

8 months ago

Hmm, I'm a bit unsure about this one. The question is asking about the control mechanisms, but there are a lot of options to choose from. I'll need to carefully read through each statement to determine which two are correct.

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Sabina

2 years ago

Wow, this question is really making my head hurt. I think I need a femoral nerve block just to get through it! Anyway, I'm going with the answer that includes the most codes, so D) is my pick.

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Abraham

2 years ago

Let's go with D) then. Hopefully, we got it right!

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Alline

2 years ago

I think D) makes sense too. It includes more codes for the femoral block.

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Alyce

2 years ago

Yeah, D) seems like the most comprehensive choice. It covers all the bases.

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Antione

2 years ago

I agree, this question is a tough one. I'm leaning towards option D) as well.

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Isidra

2 years ago

Ha! This is like a medical version of 'Who's on First?' I'm just going to guess and hope for the best. Maybe B) 01380, 64447-59-LT?

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Vallie

2 years ago

Hmm, this one's tricky. I'm leaning towards D) because it covers the anesthesia codes (01402 and 01996) as well as the 64448-59-LT for the left femoral nerve block. Seems like the most comprehensive answer to me.

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Crissy

2 years ago

Yes, D) looks like the best choice to accurately report the CPT coding for the procedure.

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Oren

2 years ago

I agree, D) seems to be the most comprehensive option that includes all the required codes.

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Ula

2 years ago

I think D) is the correct choice too. It covers all the necessary codes for the procedure.

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Darrin

2 years ago

I'm going with C) 01402, 64447-59-LT. The question mentions a left femoral block, so the 64447-59-LT code for a left nerve block seems like the right choice.

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An

2 years ago

Yes, the left femoral block matches with the 64447-59-LT code in option C.

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Wilson

2 years ago

I agree, the 64447-59-LT code is specifically for a left nerve block.

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Sheridan

2 years ago

I think C) 01402, 64447-59-LT is the correct choice for the left femoral block.

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Nieves

2 years ago

I'm not sure, but I think option D could also be a possibility with the femoral block and postoperative pain relief.

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Kara

2 years ago

I agree with you. The femoral block for postoperative pain relief matches with option C.

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Katina

2 years ago

I think the correct answer is D) 01402, 64448-59-LT, 01996. The patient had a left femoral block, so the 64448-59-LT code for a left femoral nerve block is appropriate.

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