AAPC CPC Exam - Topic 2 Question 24 Discussion

Actual exam question for AAPC's CPC exam

Question #: 24
Topic #: 2

[All CPC Questions]

View MR 004397

MR 004397

Operative Report

Preoperative Diagnosis: Calculi of the gallbladder

Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis

Procedure: Cholecystectomy

Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.

Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.

What CPT coding is reported for this case?

A47562, 74300-26

B47563, 74300-26

C47605, 74300-26

D47600, 74300-26

Show Suggested Answer

Suggested Answer: C

by Geoffrey at May 18, 2024, 02:02 AM

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Hermila

3 months ago

I thought 47605 was the right code for this?

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Shonda

3 months ago

I agree, the chronic cholecystitis is key here.

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Stefany

3 months ago

Wait, are we sure about that?

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Brandee

4 months ago

Definitely sounds like 47563 to me!

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Janey

4 months ago

Cholecystectomy for gallstones, classic case.

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Margurite

4 months ago

I’m leaning towards option D, 47600, but I remember something about the chronic cholecystitis affecting the coding.

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Willard

4 months ago

I feel like I’ve seen 47563 before, but I can’t recall the specifics of when to use it.

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Antonio

4 months ago

I think the CPT code for laparoscopic cholecystectomy is 47562, but I’m a bit confused about the modifiers.

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Mike

5 months ago

I remember we practiced a similar case with gallbladder removal, but I’m not sure if it was laparoscopic or open.

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Haydee

5 months ago

I'm a little unsure about this one. The details about the chronic cholecystitis and the thickened gallbladder make me wonder if there's something more complex going on that could affect the coding. I'll need to double-check the guidelines.

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Earnestine

5 months ago

Okay, let me think this through step-by-step. The patient had a laparoscopic cholecystectomy, and they also did a cholangiogram. I believe the correct coding is 47562 for the cholecystectomy and 74300-26 for the cholangiogram.

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Donte

5 months ago

Hmm, the question is asking about the CPT coding, so I'll need to carefully review the procedure details to determine the appropriate code.

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Carmelina

5 months ago

This looks like a straightforward cholecystectomy case. I'm pretty confident I can identify the correct CPT code.

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Becky

5 months ago

I've got an idea - if the yield is 12% and the probability of default is 5%, then the risk-free rate should be the difference between those two, right?

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Twila

5 months ago

Okay, let's see. The process needs to be restarted if it fails, and then an email needs to be sent if it fails a second time. I think the key is identifying the right event types.

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Phyliss

9 months ago

This question is a real stone-cold killer, but I've got to hand it to the exam writers - they really know how to put us through the gallbladder grinder!

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Cordelia

9 months ago

Wait, wait, wait. I think the answer is 47600 for an open cholecystectomy, and the 74300-26 modifier for the cholangiography. I'm sure I've got this right, even if my gallbladder is making me a little woozy just thinking about it.

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Paulene

9 months ago

Okay, let's think this through. The patient had a chronic gallbladder issue, so the code would be 47605 for an open cholecystectomy. And the 74300-26 modifier is for the cholangiography. Easy peasy!

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Theresia

8 months ago

So, the final answer would be C) 47605, 74300-26.

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Gracia

8 months ago

Exactly, and the cholangiography was also performed during the procedure.

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Theodora

8 months ago

That makes sense, since it was an open cholecystectomy for chronic cholecystitis.

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Colene

9 months ago

I think the correct CPT code for this case is 47605, with the 74300-26 modifier.

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Yolando

10 months ago

Hmm, let's see. The procedure is a laparoscopic cholecystectomy, so the CPT code would be 47563. And the 74300-26 modifier is for the cholangiography. I've got this one in the bag!

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Wava

8 months ago

Great job! You definitely know your stuff.

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Erick

9 months ago

Yes, and the 74300-26 modifier is for the cholangiography.

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Mozell

9 months ago

I agree, the CPT code for the laparoscopic cholecystectomy is 47563.

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Willard

11 months ago

Ah, a classic gallbladder removal case. The question is straightforward - the CPT code for a laparoscopic cholecystectomy is 47562, and the modifier 74300-26 is used for the cholangiography. Simple enough!

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