AAPC CPC Exam - Topic 1 Question 9 Discussion

Actual exam question for AAPC's CPC exam

Question #: 9
Topic #: 1

A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles.

How are these injections reported according to the CPT guidelines?

A64644, 64647 x 7

B64642-50, 64643-50, 64647

C64642, 64643, 64647

D64642 x 3, 64642 x 3, 64647 x 7

Show Suggested Answer

Suggested Answer: D

by Lucina at Aug 06, 2023, 11:04 AM

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Elin

6 months ago

Totally with you on C, makes the most sense!

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Santos

6 months ago

Don't forget, 64647 is for the paraspinal muscles.

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Valentine

7 months ago

Wait, are we sure about that? Seems tricky!

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Adrianna

7 months ago

I disagree, I believe it's B for the bilateral aspect.

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Billye

7 months ago

I think it's C, covers all the injections.

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Cristy

7 months ago

I'm really confused about the number of injections and how they affect the coding. I thought we just add them up, but maybe there's more to it?

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Salley

7 months ago

I practiced a similar question about botulinum injections, and I feel like the answer might be C since it lists the specific codes without modifiers.

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Tu

8 months ago

I think option B sounds familiar because it mentions the bilateral modifier, but I can't recall if that's correct for this scenario.

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Herschel

8 months ago

I remember we discussed how to report multiple injections, but I'm not sure if we should use modifiers for the bilateral injections.

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Jerrod

8 months ago

Wait, I'm confused. Isn't a flow of company profits to the parent company considered an income balance transaction, not a current account one? This is trickier than I thought.

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Leonie

8 months ago

Okay, I've got this! Knowledge Product Entitlement allows agents to see the products and services a customer has, so they can quickly find the relevant knowledge articles. That saves time and reduces call volume. It also makes it easier for agents to manage their case load. Easy peasy!

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Truman

8 months ago

Key strategy: carefully read the assessment year and match it with the standard deduction rules at that time. Don't rush!

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Donte

1 year ago

Wait, are we supposed to report the number of needles used or the number of muscles injected? This coding stuff can be a real pain in the neck sometimes.

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Ernie

1 year ago

Botulinum injections, huh? Sounds like a real blast! I hope the patient doesn't end up feeling a little too 'paralyzed' after all this.

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Alonso

1 year ago

Hmm, this one's tricky. I'm going to go with B. The 50 modifier should be used for the bilateral injections.

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Benedict

11 months ago

Actually, I believe it's B) 64642-50, 64643-50, 64647

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Candida

11 months ago

I'm not sure about that, I would go with C) 64642, 64643, 64647

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Martina

12 months ago

I think it's A) 64644, 64647 x 7

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Rickie

1 year ago

I'm leaning towards D. The question mentions three muscle injections in both upper extremities, so that's 64642 x 6, and then 64647 x 7 for the paraspinal muscles.

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