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AAPC CPC Exam - Topic 3 Question 15 Discussion

A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.What CPT code is reported for this surgery?
B) 69641
A) 69645
C) 69642
D) 69643

AAPC CPC Exam - Topic 3 Question 15 Discussion

Actual exam question for AAPC's CPC exam
Question #: 15
Topic #: 3
[All CPC Questions]

A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatom

a. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.

What CPT code is reported for this surgery?

Show Suggested Answer Hide Answer
Suggested Answer: B

by Elly at Dec 21, 2023, 02:40 AM

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Ceola
7 months ago
Wow, I didn't know cholesteatomas could lead to such complex surgeries!
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Whitley
8 months ago
I thought 69642 was for tympanoplasty without mastoidectomy?
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Beth
8 months ago
Wait, are we sure about that? I thought it might be 69641.
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Alverta
8 months ago
Yeah, I agree with 69645. Sounds right!
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Tamera
8 months ago
I'm pretty sure it's 69645 for that procedure.
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Kerrie
9 months ago
I recall that 69643 is for a more extensive procedure, so I don't think that's it. I’m leaning towards 69641 for this case.
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Jolanda
9 months ago
I practiced a similar question where we had to identify the correct CPT code for ear surgeries. I feel like 69642 could be the right one, but I need to double-check.
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Brandee
9 months ago
I think the code for tympanoplasty without ossicular chain reconstruction is 69641, but I might be mixing it up with another procedure.
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Francene
9 months ago
I remember we discussed tympanoplasty and mastoidectomy in class, but I'm not sure about the specific CPT codes.
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Deane
9 months ago
Hmm, I'm a bit torn between options C and D. I'll need to review the differences between those two codes more closely to determine which one is the best fit for this procedure.
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Jerry
9 months ago
I'm feeling pretty confident on this one. Based on the details provided, I believe the correct CPT code is 69645. The radical mastoidectomy with tympanoplasty, without ossicular chain reconstruction, seems to fit that code description.
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Geoffrey
9 months ago
I'm a little unsure about this one. The fact that it mentions "grafting technique" makes me wonder if that changes the code. I'll need to double-check the CPT code descriptions to be sure.
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Della
9 months ago
Okay, let's see. The key information seems to be that this was a tympanoplasty with a radical mastoidectomy, but without ossicular chain reconstruction. I think that points me towards option C.
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Latrice
9 months ago
Hmm, this one seems tricky. I'll need to carefully review the details of the procedure to determine the correct CPT code.
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Giuseppe
9 months ago
This seems pretty straightforward. The AppExchange is where I can find certified developers and install industry-specific solutions, so I'll go with A and C.
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Kathrine
9 months ago
Hmm, this looks like a tricky one. I'll need to think carefully about the requirements for anonymous checkout and which pages would be involved.
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Percy
10 months ago
Okay, let me think this through. The key here is that the web application accepts JSON payloads and sends back resized images. I think option B with the Apex trigger and @future method is the way to go. That will let me handle the JSON and image processing all in Salesforce.
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Suzan
10 months ago
I'm a bit confused by this question. I know there are different hashing and encryption algorithms used in Windows, but I'm not familiar with the specifics of the LM algorithm for Windows2000. I'll have to guess and go with option B, DES.
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Whitney
1 year ago
I'm going to go with D) 69643, just to keep things interesting. Who knows, maybe the otolaryngologist had a sudden urge to do some interpretive dance during the surgery. Stranger things have happened, right?
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Ruby
1 year ago
A: Well, let's see what the answer is. Maybe it's D) 69643 after all!
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Dierdre
1 year ago
A: Well, I guess we'll have to wait and see what the actual code is!
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Shayne
1 year ago
B: I disagree, I believe it is C) 69642.
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Lashunda
1 year ago
A: I think the correct CPT code is B) 69641.
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Dion
1 year ago
B: I'm not so sure about that, I believe it's C) 69642.
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Laurel
1 year ago
A: I think the correct CPT code is B) 69641.
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Venita
1 year ago
A) 69645 seems like the obvious choice here. I mean, the question couldn't be any clearer. It's like they're handing us the answer on a silver platter. Did someone forget to make this question harder?
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Jesusa
1 year ago
D) Let's go with 69645 then.
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Charlene
1 year ago
C) Yeah, the question is pretty clear on this one.
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Roosevelt
1 year ago
B) I agree, it's the most straightforward option.
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Doyle
1 year ago
A) 69645 seems like the obvious choice here.
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Aja
1 year ago
Hmm, this is a tricky one. I'm leaning towards C) 69642 since the question mentions the middle ear cholesteatoma was removed. But I'm not 100% confident in my answer.
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Lashawn
1 year ago
I'm not sure, but I think it might be 69643 because of the radical mastoidectomy.
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Honey
1 year ago
I'm not sure about this one. The question mentions a tympanoplasty, but it doesn't specify whether ossicular chain reconstruction was done or not. I'll go with B) 69641 just to be safe.
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Jin
1 year ago
I agree, the grafting technique was used without ossicular chain reconstruction.
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Bok
1 year ago
I think the correct CPT code is C) 69642.
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Janet
1 year ago
I agree, the grafting technique without ossicular chain reconstruction points to C) 69642.
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Carin
1 year ago
I think the correct CPT code is C) 69642.
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Virgina
1 year ago
I agree, because the grafting technique was used without ossicular chain reconstruction.
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Dean
1 year ago
I think the correct CPT code is 69642.
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Bo
1 year ago
I'm not sure, but I think 69642 includes the tympanoplasty with radical mastoidectomy.
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Magda
1 year ago
I agree with you, 69642 seems to be the most appropriate code for this procedure.
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Tamar
1 year ago
I think the correct answer is A) 69645. The question clearly states that a tympanoplasty with a radical mastoidectomy was performed, and the eardrum was repaired without ossicular chain reconstruction.
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Natalie
1 year ago
I'm not sure, but I think it might be D) 69643 based on the details provided.
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India
1 year ago
I agree with C) 69642, it seems to match the procedure described.
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Aja
1 year ago
I believe it is actually C) 69642, as it specifies the grafting technique used for repair.
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Kendra
1 year ago
I think the correct answer is A) 69645.
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Ming
1 year ago
I think the correct CPT code is 69642.
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