AAPC CPC Exam - Topic 2 Question 42 Discussion

Actual exam question for AAPC's CPC exam

Question #: 42
Topic #: 2

A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.

Which mastectomy code is reported?

A19303

B19305

C19306

D19307

Show Suggested Answer

Suggested Answer: C

The procedure performed is a bilateral screening mammogram with computer-aided detection (CAD). CPT code 77067 is for bilateral screening mammography with CAD. ICD-10-CM code Z12.31 is for an encounter for screening mammogram for malignant neoplasm of the breast. Z80.3 is for a family history of malignant neoplasm of the breast. Therefore, the correct coding is 77067, Z12.31, Z80.3. Reference: CPT Professional Edition (current year), ICD-10-CM (current year).

by Lucia at Jan 26, 2025, 04:36 PM

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Tuyet

7 months ago

19303 is the one if all those tissues are involved!

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Georgene

8 months ago

19307 seems too extreme for just a mastectomy, right?

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Wai

8 months ago

Wait, are we sure about the lymph nodes being included?

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Herminia

8 months ago

I thought it was 19305? Seems like a close call.

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Jacquline

8 months ago

Definitely 19306 for that level of mastectomy.

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Devorah

9 months ago

I believe 19307 is for a modified radical mastectomy, so it can't be that one. I feel like I need to double-check the definitions again.

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Caitlin

9 months ago

I’m a bit confused about the specifics of the codes. I thought 19306 was for more extensive procedures, but I can't recall the details.

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Quentin

9 months ago

I remember practicing a question similar to this, and I think 19305 might be the right choice since it mentions the removal of surrounding tissue.

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Teddy

9 months ago

I think the code for a total mastectomy is 19303, but I'm not entirely sure if it includes the lymph nodes.

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Susana

9 months ago

I feel pretty confident about this one. The details provided match the description for a modified radical mastectomy, so I'll select code 19307 as the most appropriate option.

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Valene

9 months ago

I'm a little confused by the options here. The question seems to describe a modified radical mastectomy, but I'm not sure if that's the same as a radical mastectomy. I'll need to double-check the code definitions to make the right choice.

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Asha

9 months ago

Okay, I've got this. Based on the extensive removal of tissue and lymph nodes, I believe the correct code is 19306 - Radical mastectomy, including breast tissue, skin, and associated lymph nodes.

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Shelba

9 months ago

Hmm, I'm a bit unsure about this one. The question mentions the surgeon removing the breast tissue, skin, pectoral muscles, and lymph nodes, so I'll need to carefully consider which mastectomy code best fits that description.

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Mila

9 months ago

This seems like a straightforward question about mastectomy coding. I'll review the details of the procedure and match it to the appropriate CPT code.

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Ligia

1 year ago

Ah, the good old 19307 - the surgical equivalent of a mic drop. Nailed it!

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Raina

1 year ago

Great job! 19307 it is.

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Donette

1 year ago

Absolutely, 19307 is the correct code for that extensive mastectomy.

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Buffy

1 year ago

D) 19307 - the surgical equivalent of a mic drop!

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Gretchen

1 year ago

D) 19307

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Diego

1 year ago

C: I agree, 19307 is definitely the code for that comprehensive mastectomy.

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Giuseppe

1 year ago

C) 19306

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Lashunda

1 year ago

B: Absolutely, 19307 covers all the bases for that procedure.

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Sherron

1 year ago

B) 19305

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Judy

1 year ago

A) 19303

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Lachelle

1 year ago

A: Yep, 19307 is the way to go for that extensive mastectomy.

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Luis

1 year ago

19307 for sure! Gotta love those comprehensive mastectomies. Really gets the job done, you know?

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An

1 year ago

Hmm, this is a tricky one. I was thinking 19306, but 19307 makes more sense given the extensive removal of tissue and lymph nodes.

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Junita

1 year ago

I agree, 19307 seems like the appropriate code since the surgeon removed the entire breast, pectoral muscles, and lymph nodes.

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Chanel

1 year ago

So, 19307 is the right choice for this procedure.

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Maybelle

1 year ago

That makes sense. The surgeon removed all the necessary tissues in this case.

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Izetta

1 year ago

Yes, I agree. 19307 is the code for a total mastectomy.

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Stephania

1 year ago

I think the correct code is 19307 because it involves removal of the entire breast, pectoral muscles, and lymph nodes.

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Joye

1 year ago

I see your point, but I still think 19307 is the most appropriate code based on the description provided.

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Nada

1 year ago

I disagree, I believe it should be 19306.

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Justine

1 year ago

Based on the details provided, the correct code would be 19307 - Total mastectomy with lymph node dissection.

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Ricki

1 year ago

Okay, thanks for clarifying. I'll go with 19307 then.

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Melvin

1 year ago

No, I'm pretty confident it's 19307 because it includes lymph node dissection.

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Blair

1 year ago

Are you sure? I thought it might be 19306.

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Elinore

1 year ago

I think the correct code is 19307.

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Joye

1 year ago

I think the correct code is 19307.

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